A biochemical and clinical strategy focused on reducing the formation and accumulation of Advanced Glycation End-products (AGEs) within tissues and the circulation, which are pathogenic compounds formed by the non-enzymatic reaction of sugars with proteins, lipids, or nucleic acids. Mitigation is a critical anti-aging and metabolic health objective, as AGEs contribute significantly to systemic inflammation, vascular stiffening, and the degradation of structural proteins like collagen.
Origin
The term combines the biological process of glycation and its resulting products (AGEs) with the therapeutic goal of mitigation (lessening the severity). The clinical relevance of AGEs has been a major focus in diabetology and cardiovascular research, extending into the longevity and hormonal health domains due to their impact on tissue resilience.
Mechanism
Mitigation operates primarily by tightly controlling systemic glucose homeostasis to reduce the substrate for the glycation reaction, thereby minimizing the formation of new AGEs. Certain compounds can also directly inhibit the glycation reaction or interfere with the cross-linking of existing AGEs. Hormonal health plays a role through insulin sensitivity; optimal insulin signaling reduces chronic hyperglycemia, which is the primary driver of the non-enzymatic glycation cascade that damages the extracellular matrix.
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