2017
DOI: 10.1371/journal.pone.0173379
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Vitreous advanced glycation endproducts and α-dicarbonyls in retinal detachment patients with type 2 diabetes mellitus and non-diabetic controls

Abstract: PurposeAdvanced glycation endproducts (AGEs) and their precursors α-dicarbonyls are implicated in the progression of diabetic retinopathy. The purpose of this study was to assess AGEs and α-dicarbonyls in the vitreous of patients with type 2 diabetes mellitus (T2DM) with early stages or absence of diabetic retinopathy.MethodsWe examined vitreous samples obtained during vitrectomy from 31 T2DM patients presenting themselves with rhegmatogenous retinal detachment and compared these to 62 non-diabetic rhegmatogen… Show more

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Cited by 17 publications
(14 citation statements)
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“…Dicarbonyls, such as methylglyoxal and glyoxal, are excessively formed in diabetes mellitus patients. Upon reaction with proteins the dicarbonyls generate advanced glycation end product (AGEs) which may cause diabetic retinopathy, nephropathy, neuropathy, rheumatoid arthritis etc [ 48 51 ]. Participation of modified-IgG in autoimmune disorders (especially rheumatoid arthritis) has been reported by several authors [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…Dicarbonyls, such as methylglyoxal and glyoxal, are excessively formed in diabetes mellitus patients. Upon reaction with proteins the dicarbonyls generate advanced glycation end product (AGEs) which may cause diabetic retinopathy, nephropathy, neuropathy, rheumatoid arthritis etc [ 48 51 ]. Participation of modified-IgG in autoimmune disorders (especially rheumatoid arthritis) has been reported by several authors [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…Inhibition of AGE accumulation has been shown to slow the progression of established diabetes mellitus-associated atherosclerosis [30] . Methylglyoxal, which is formed by the nonenzymatic fragmentation of the glycolytic intermediate triose phosphate, is a precursor of the majority of AGE adducts in diabetes mellitus [31] . In nondiabetic apolipoprotein E (ApoE) null mice, increasing plasma methylglyoxal concentration to diabetic levels caused endothelial inflammation and atherogenesis similar to that seen in mice with diabetes mellitus [32] .…”
Section: Hyperglycemia-induced Excessive Ros Production and Acceleratmentioning
confidence: 99%
“…189 AGEs has been shown to increase in the vitreous with age, especially in patients with diabetes 190 and/or rhegmatogenous retinal detachment. 191 AGE accumulation has also been shown to reduce vitreous permeability, 192 which might explain the disruption to the antioxidant balance and the oxygen gradient in liquefied vitreous. The connection between a healthy oxygen gradient, homogeneous vitreous, rate of AGE formation, and biotransport of molecules (ascorbate, glutathione, other therapeutics, etc.)…”
Section: Future Directionsmentioning
confidence: 99%