“…For HbA, a mechanism(s) for accelerating glycation has not been fully established. That said, most of the mechanisms that have been proposed place the Pi effect (here defined as glycation facilitation by Pi) at Amadori formation or later (Watkins et al, 1987; Gil et al, 1988; Kunika et al, 1989; Gil et al, 2002; Gil, Vasquez, Peña & Uzcategui, 2004; Gil, Salcedo & Romero, 2005; Ito, Nakahari & Yamamoto, 2011). Recently, Rodnick, Holman, Ropski, Huang & Swislocki (2017) posited that Pi plays multiple mechanistic roles within the pre-Amadori, early noncovalent stages of HbA glycation.…”