Accelerated formation of advanced glycation/lipoxidation and endproducts (AGEs/ALEs) has been implicated in the pathogenesis
of various diabetic complications. Several natural and synthetic compounds have been proposed and tested as inhibitors of
AGE/ALE formation. We have previously reported the therapeutic effects of several new AGE/ALE inhibitors on the prevention
of nephropathy and dyslipidemia in streptozotocin (STZ)-induced diabetic rats. In this study, we investigated the effects
of various concentrations of a compound, LR-90, on the progression of renal disease and its effects on AGE and receptor for
AGE (RAGE) protein expression on the kidneys of diabetic STZ-rats. Diabetic male Sprague–Dawley rats were treated with or
without LR-90 (0, 5, 20, 25, and 50 mg/l of drinking water). After 32 weeks, body weight, glycemic status, renal function,
and plasma lipids were measured. Kidney histopathology and AGE/ALE accumulation and RAGE protein expression in tissues were
also determined. In vitro studies were also performed to determine the possible mechanism of action of LR-90 in inhibiting
AGE formation and AGE-protein cross-linking. LR-90 protected the diabetic kidneys by inhibiting the increase in urinary albumin-to-creatinine
ratio and ameliorated hyperlipidemia in diabetic rats in a concentration-dependent fashion without any effects on hyperglycemia.
LR-90 treatment also reduced kidney AGE/ALE accumulation and RAGE protein expression in a concentration-dependent manner.
In vitro, LR-90 exhibited general antioxidant properties by inhibiting metal-catalyzed reactions and reactive oxygen species
(
·OH radical) and reactive carbonyl species (methlyglyoxal, glyoxal) generations without any effect on pyridoxal 5′ phosphate.
The compound also prevents AGE-protein cross-linking reactions. These findings demonstrate the bioefficacy of LR-90 in treating
nephropathy and hyperlipidemia in diabetic animals by inhibiting AGE accumulation, RAGE protein expression, and protein oxidation
in the diabetic kidney. Additionally, our study suggests that LR-90 may be useful also to delay the onset and progression
of diabetic atherosclerosis as the compound can inhibit the expression of RAGE and inflammation-related pathology, as well
as prevent lipid peroxidation reactions.
Keywords Glycation - Lipoxidation - Diabetes - Nephropathy - Oxidative stress - Dyslipidemia