Emerging Targets for Therapeutic Development in Diabetes and Its Complications: The RAGE Signaling Pathway

  • EMS Litwinoff
    Diabetes Research Program Division of Endocrinology Department of Medicine New York University School of Medicine New York New York USA
  • C Hurtado del Pozo
    Diabetes Research Program Division of Endocrinology Department of Medicine New York University School of Medicine New York New York USA
  • R Ramasamy
    Diabetes Research Program Division of Endocrinology Department of Medicine New York University School of Medicine New York New York USA
  • AM Schmidt
    Diabetes Research Program Division of Endocrinology Department of Medicine New York University School of Medicine New York New York USA

Bibliographic Information

Published
2015-06-25
Rights Information
  • http://onlinelibrary.wiley.com/termsAndConditions#vor
DOI
  • 10.1002/cpt.148
Publisher
Wiley

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<jats:p>Types 1 and 2 diabetes are on the rise worldwide. Although the treatment of hyperglycemia has benefited from recent advances, aggressive efforts to maintain euglycemia may be fraught with risk, especially in older subjects or in subjects vulnerable to hypoglycemic unawareness. Hence, strategies to prevent and treat the complications of hyperglycemia are essential. In this review we summarize recent updates on the biology of the receptor for advanced glycation endproducts (RAGE) in the pathogenesis of both micro‐ and macrovascular complications of diabetes, insights from the study of mouse models of obesity and diabetic complications, and from associative studies in human subjects. The study of the mechanisms and consequences of the interaction of the RAGE cytoplasmic domain with the formin, mDia1, in RAGE signal transduction, will be discussed. Lastly, we review the "state‐of‐the‐art" on RAGE‐directed therapeutics. Tackling RAGE/mDia1 may identify a novel class of therapeutics preventing diabetes and its complications.</jats:p>

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