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Prof.Dr.Nuray ARI, 2018

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Why should we worry

Why should we worry

about them?

about them?

  inflammationinflammation   atherosclerosisatherosclerosis 

 kidney damagekidney damage 

 neurodegenerative diseaseneurodegenerative disease 

 muscle lossmuscle loss 

 cancer cell metastasiscancer cell metastasis 

 insulin resistanceinsulin resistance 

 alterations in cell receptorsalterations in cell receptors 

 a shorter lifea shorter life 

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Formation of AGEs by three different mechanisms

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Formation of advanced glycation end products in vivo

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Fructose- and glucose-derived AGE formation.

Diabetes. 2016, 65(12):3521-3528. Diabetic Cardiomyopathy: The Case for a Role of Fructose in

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..

Chemicall structure of some advanced glycation end products (AGEs).

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Schematic representation of advanced glycation end product (AGE) mechanisms of action.

Diabetes, Metabolic Syndrom eand Obesity: Targets and Therapy (Dove Press). Palimeri et al, 8 : 415—426, 2015

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Potential pathways of direct fructose-induced cardiomyocyte actions. Fructose can enter cardiomyocytes via the GLUT5 fructose-specific transporter and be produced from glucose via the polyol pathway to participate in AGE protein damage,

O-GlcNAcylation of signaling proteins, and glycolytic disturbance.

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AGE interaction with RAGE and AGER1 in conditions with different AGE burdens. A: In conditions with a low AGE burden B: In conditions with a prolonged high AGE burden

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Interventions targeting the advanced glycation end product (AGE) pathway

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10% of dietary AGEs are absorbed.

10% of dietary AGEs are absorbed.

Of this 10%, about 1/3 are excreted

Of this 10%, about 1/3 are excreted

in the urine within

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AGE content in commonly consumed foods

Notes: AGE content denotes kilounits per serving; AGE measured by enzyme-linked

immunosorbent assay using an antibody against N-carboxymethyl lysine.

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