Glycosylation products as toxic mediators of diabetic complications - PubMed (original) (raw)
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Glycosylation products as toxic mediators of diabetic complications
M Brownlee. Annu Rev Med. 1991.
Abstract
Hyperglycemia causes excessive amounts of irreversible advanced glycosylation end products (AGEPs) to accumulate on long-lived extracellular matrix proteins and probably also on DNA in tissues that develop diabetic complications. AGEPs induce permanent abnormalities in extracellular protein cross-linking, cell-matrix interactions, and DNA structure in vitro. Pharmacologically inhibiting AGEP formation in long-term diabetic animals prevents both retinal capillary pathology and thickening of the glomerular basement membrane.
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