Published online Mar 15, 2024. doi: 10.4239/wjd.v15.i3.572
Peer-review started: November 28, 2023
First decision: January 15, 2024
Revised: January 15, 2024
Accepted: February 6, 2024
Article in press: February 6, 2024
Published online: March 15, 2024
Processing time: 107 Days and 22.5 Hours
The Advanced Glycation End Products (AGE) binding with its receptor can increase reactive oxygen species (ROS) generation through specific signaling mediators. The effect of superoxide (O2-) and O2- mediated ROS and reactive nitrogen species depends on their concentration and location of formation. Nitric oxide (NO) has anti-inflammatory and anticoagulant properties and a vasodilation effect, but NO can be deactivated by reacting with O2-. This reaction between NO and O2- produces the potent oxidant ONOO−. Therefore, ONOO-'s regulatory role in AGEs in diabetic cardiovascular complications must considered as a regulator of cardiovascular complications in diabetes.
Core Tip: The binding of Advanced Glycation End Products (AGE) to its receptor triggers the activation of signaling mediators that promote the generation of reactive oxygen species (ROS). The impact of ROS on the body can be beneficial or harmful, depending on its concentration and location. In diabetic cardiovascular complications, peroxynitrite (ONOO-) plays a crucial role in vascular changes. ROS, derived from NADPH oxidase, regulates host immune responses and cellular inflammation. The production of superoxide (O2-), hydrogen peroxide (H2O2), and other compounds occurs as oxygen undergoes a series of reductions. It is essential to consider the presence of ONOO- in AGEs in diabetic cardiovascular complications.