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RAGE: A potential therapeutic target during FGF1 treatment of diabetes-mediated liver injury
Authors:Peipei Zheng  Zonghao Tang  Jun Xiong  Beini Wang  Jingyu Xu  Lulu Chen  Shufang Cai  Chengbiao Wu  Libing Ye  Ke Xu  Zimiao Chen  Yanqing Wu  Jian Xiao
Affiliation:1. Department of Endocrinology, The First Affiliated Hospital and School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China

The Institute of Life Sciences, Wenzhou University, Wenzhou, China

Contribution: Data curation (equal);2. Key Laboratory of Medical Electrophysiology of Ministry of Education, Drug Discovery Research Center, Southwest Medical University, Luzhou, China

Contribution: Data curation (equal);3. Department of Endocrinology, The First Affiliated Hospital and School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China;4. Department of Endocrinology, The First Affiliated Hospital and School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China

Contribution: Data curation (supporting);5. The Institute of Life Sciences, Wenzhou University, Wenzhou, China

Contribution: Data curation (supporting);6. Clinical Research Center, Affiliated Xiangshan Hospital, Wenzhou Medical University, Wenzhou, China

Contribution: Funding acquisition (supporting), Writing - review & editing (supporting);7. Department of Endocrinology, The First Affiliated Hospital and School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China

Contribution: Formal analysis (supporting), Writing - review & editing (supporting);8. The Institute of Life Sciences, Wenzhou University, Wenzhou, China

Abstract:As a serious metabolic disease, diabetes causes series of complications that seriously endanger human health. The liver is a key organ for metabolizing glucose and lipids, which substantially contributes to the development of insulin resistance and type 2 diabetes mellitus (T2DM). Exogenous fibroblast growth factor 1 (FGF1) has a great potential for the treatment of diabetes. Receptor of advanced glycation end products (RAGE) is a receptor for advanced glycation end products that involved in the development of diabetes-triggered complications. Previous study has demonstrated that FGF1 significantly ameliorates diabetes-mediated liver damage (DMLD). However, whether RAGE is involved in this process is still unknown. In this study, we intraperitoneally injected db/db mice with 0.5 mg/kg FGF1. We confirmed that FGF1 treatment not only significantly ameliorates diabetes-induced elevated apoptosis in the liver, but also attenuates diabetes-induced inflammation, then contributes to ameliorate liver dysfunction. Moreover, we found that diabetes triggers the elevated RAGE in hepatocytes, and FGF1 treatment blocks it, suggesting that RAGE may be a key target during FGF1 treatment of diabetes-induced liver injury. Thus, we further confirmed the role of RAGE in FGF1 treatment of AML12 cells under high glucose condition. We found that D-ribose, a RAGE agonist, reverses the protective role of FGF1 in AML12 cells. These findings suggest that FGF1 ameliorates diabetes-induced hepatocyte apoptosis and elevated inflammation via suppressing RAGE pathway. These results suggest that RAGE may be a potential therapeutic target for the treatment of DMLD.
Keywords:apoptosis  diabetes-mediated liver damage  fibroblast growth factor 1  inflammation  receptor of advanced glycation end products
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