title: Modulation of insulin action by advanced glycation endproducts: a new player in the field.
abstract: Insulin resistance is characterized by an impaired responsiveness to the action of insulin at its multiple target organs. The accumulation of advanced glycation endproducts (AGEs) has been demonstrated in clinical settings of insulin resistance such as in diabetes, hypertension, and obesity. In this review we have focused on advanced glycation as a modulator of insulin resistance. Structural and functional abnormalities of the insulin molecule by glycation and methylglyoxal may contribute to the pathogenesis of insulin resistance. In addition, it is likely that AGEs interfere in the complex molecular pathways of insulin signaling and as such in insulin resistance.
authors.affiliation: Department of Internal Medicine, Division of General Internal Medicine, University Hospital Maastricht, The Netherlands. C.Schalkwijk@intmed.unimaas.nl
authors.forename: C G
authors.initials: CG
authors.lastname: Schalkwijk
authors.forename: O
authors.initials: O
authors.lastname: Brouwers
authors.forename: C D A
authors.initials: CD
authors.lastname: Stehouwer
mesh_terms: D000418:Albumins / Q000378:metabolism; D000818:Animals; D017127:Glycation End Products, Advanced / Q000378:metabolism*; D006801:Humans; D007328:Insulin / Q000378:metabolism*; D007333:Insulin Resistance; D011765:Pyruvaldehyde / Q000494:pharmacology; D015398:Signal Transduction / Q000187:drug effects
chemical_list: D000418:Albumins; D017127:Glycation End Products, Advanced; D007328:Insulin; D011765:Pyruvaldehyde