Metabolism is an essential part of life that provides
energy for
cell growth. During metabolic flux, reactive electrophiles are produced
that covalently modify macromolecules, leading to detrimental cellular
effects. Methylglyoxal (MG) is an abundant electrophile formed from
lipid, protein, and glucose metabolism at intracellular levels of
1–4 μM. MG covalently modifies DNA, RNA, and protein,
forming advanced glycation end products (MG-AGEs). MG and MG-AGEs
are associated with the onset and progression of many pathologies
including diabetes, cancer, and liver and kidney disease. Regulating
MG and MG-AGEs is a potential strategy to prevent disease, and they
may also have utility as biomarkers to predict disease risk, onset,
and progression. Here, we review recent advances and knowledge surrounding
MG, including its production and elimination, mechanisms of MG-AGEs
formation, the physiological impact of MG and MG-AGEs in disease onset
and progression, and the latter in the context of its receptor RAGE.
We also discuss methods for measuring MG and MG-AGEs and their clinical
application as prognostic biomarkers to allow for early detection
and intervention prior to disease onset. Finally, we consider relevant
clinical applications and current therapeutic strategies aimed at
targeting MG, MG-AGEs, and RAGE to ultimately improve patient outcomes.