A clinical assessment quantifying the concentration of Advanced Glycation End products (AGEs) in biological tissues or serum, which are complex compounds formed by the non-enzymatic reaction of sugars with proteins, lipids, or nucleic acids. This measurement serves as a direct biomarker for cumulative metabolic stress and long-term glycemic control, independent of immediate blood glucose levels. Elevated AGEs indicate accelerated biological aging and increased risk of microvascular and macrovascular complications.
Origin
The analysis is rooted in biochemistry and diabetology, where the Maillard reaction, a non-enzymatic browning process, was first linked to biological aging and disease. The clinical utility of measuring AGEs has expanded beyond diabetes to encompass broader longevity and hormonal health evaluations.
Mechanism
Chronic hyperglycemia or high dietary sugar intake accelerates the formation of AGEs, which then cross-link proteins, compromising the structural and functional integrity of tissues like collagen and elastin. These modified molecules also bind to the Receptor for Advanced Glycation End products (RAGE), triggering chronic low-grade systemic inflammation. This inflammatory cascade disrupts normal endocrine signaling and accelerates tissue degradation.
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