Evidence map›Paper›PMID 38947632›Full record

ReviewCureus2024

Advanced Glycation End Products-Induced Alzheimer's Disease and Its Novel Therapeutic Approaches: A Comprehensive Review.

Dhivya Kothandan, Daniel S Singh, Goutham Yerrakula, Backkiyashree D, Pratibha N, Vincy Santhana Sophia B, Ramya A, Sapthami Ramya Vg, Keshavini S, Jagadheeshwari M

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dhivya KothandanDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Daniel S SinghDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Goutham YerrakulaSchool of Pharmacy, Faculty of Health Sciences, JSS Academy of Higher Education and Research, Vacoas, MUS.
Backkiyashree DDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Pratibha NDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Vincy Santhana Sophia BDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Ramya ADepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Sapthami Ramya VgDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Keshavini SDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.
Jagadheeshwari MDepartment of Pharmacy Practice, C.L. Baid Metha College of Pharmacy, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced glycation end products (AGEs) accumulate in the brain, leading to neurodegenerative conditions such as Alzheimer's disease (AD). The pathophysiology of AD is influenced by receptors for AGEs and toll-like receptor 4 (TLR4). Protein glycation results in irreversible AGEs through a complicated series of reactions involving the formation of Schiff's base, the Amadori reaction, followed by the Maillard reaction, which causes abnormal brain glucose metabolism, oxidative stress, malfunctioning mitochondria, plaque deposition, and neuronal death. Amyloid plaque and other stimuli activate macrophages, which are crucial immune cells in AD development, triggering the production of inflammatory molecules and contributing to the disease's pathogenesis. The risk of AD is doubled by risk factors for atherosclerosis, dementia, advanced age, and type 2 diabetic mellitus (DM). As individuals age, the prevalence of neurological illnesses such as AD increases due to a decrease in glyoxalase levels and an increase in AGE accumulation. Insulin's role in proteostasis influences hallmarks of AD-like tau phosphorylation and amyloid β peptide clearance, affecting lipid metabolism, inflammation, vasoreactivity, and vascular function. The high-mobility group box 1 (HMGB1) protein, a key initiator and activator of a neuroinflammatory response, has been linked to the development of neurodegenerative diseases such as AD. The TLR4 inhibitor was found to improve memory and learning impairment and decrease Aβ build-up. Therapeutic research into anti-glycation agents, receptor for advanced glycation end products (RAGE) inhibitors, and AGE breakers offers hope for intervention strategies. Dietary and lifestyle modifications can also slow AD progression. Newer therapeutic approaches targeting AGE-related pathways are needed.

Indexed as

agesalzheimer’s diseasedementiaoxidative stressrage

Identifiers

PMID38947632
PMCPMC11214645

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.