Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations (2024)

Abstract

Background: Advanced glycation endproducts (AGES) predict long-term complications in age-related diseases. However, there are no clinically applicable markers for measuring AGES in vivo.

Methods: We have recently introduced the AGE-Reader (DiagnOptics B.V., Groningen, The Netherlands) to noninvasively measure AGE accumulation in the human skin of the forearm, making use of the characteristic autofluorescence (AF) pattern that AGES encompass. Skin AF is calculated as a ratio of mean intensities detected from the skin between 420-600 nm. and 300-420 nm. It correlates with collagen-linked fluorescence and specific skin AGE levels from skin biopsies in diabetes, renal failure, and control subjects. Skin AF levels are increased in patients with diabetes and renal failure and are associated with the presence of vascular complications. Additionally, skin AF is strongly related to the progression of coronary heart disease and mortality, independently of traditional risk factors. Since skin pigmentation might influence skin AF, we have investigated the relation of relative skin reflectance (R%) to skin AF in subjects with varying skin phototypes (SPT).

Results: The data presented in this article suggest that only in subjects with an SPT of V and VI or R% 12%, and more research is needed for a broader application.

Conclusion: The AGE-Reader is useful as a noninvasive clinical tool for assessment of risk for long-term vascular complications in diabetes and in other conditions associated with AGE accumulation.

Original languageEnglish
Pages (from-to)523-535
Number of pages13
Journal
Volume8
Issue number5
DOIs
Publication statusPublished - Oct-2006

Keywords

  • GLYCOSYLATION END-PRODUCTS
  • COLLAGEN-LINKED FLUORESCENCE
  • DEPENDENT DIABETES-MELLITUS
  • MAILLARD REACTION-PRODUCTS
  • HEMODIALYSIS-PATIENTS
  • SOLUBLE RECEPTOR
  • NONDIABETIC MEN
  • PLASMA-LEVELS
  • SERUM-LEVELS
  • AGE

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    Mulder, D. J., Van de Water, T., Lutgers, H. L., Graaff, R., Gans, R. O., Zijlstra, F. (2006). Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations. , 8(5), 523-535. https://doi.org/10.1089/dia.2006.8.523

    Mulder, Douwe J. ; Van de Water, Tara ; Lutgers, Helen L. et al. / Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts : An overview of current clinical studies, evidence, and limitations. In: . 2006 ; Vol. 8, No. 5. pp. 523-535.

    @article{dae596c0cfbf4cc998c3c68bc2f05a63,

    title = "Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations",

    abstract = "Background: Advanced glycation endproducts (AGES) predict long-term complications in age-related diseases. However, there are no clinically applicable markers for measuring AGES in vivo.Methods: We have recently introduced the AGE-Reader (DiagnOptics B.V., Groningen, The Netherlands) to noninvasively measure AGE accumulation in the human skin of the forearm, making use of the characteristic autofluorescence (AF) pattern that AGES encompass. Skin AF is calculated as a ratio of mean intensities detected from the skin between 420-600 nm. and 300-420 nm. It correlates with collagen-linked fluorescence and specific skin AGE levels from skin biopsies in diabetes, renal failure, and control subjects. Skin AF levels are increased in patients with diabetes and renal failure and are associated with the presence of vascular complications. Additionally, skin AF is strongly related to the progression of coronary heart disease and mortality, independently of traditional risk factors. Since skin pigmentation might influence skin AF, we have investigated the relation of relative skin reflectance (R%) to skin AF in subjects with varying skin phototypes (SPT).Results: The data presented in this article suggest that only in subjects with an SPT of V and VI or R% 12%, and more research is needed for a broader application.Conclusion: The AGE-Reader is useful as a noninvasive clinical tool for assessment of risk for long-term vascular complications in diabetes and in other conditions associated with AGE accumulation.",

    keywords = "GLYCOSYLATION END-PRODUCTS, COLLAGEN-LINKED FLUORESCENCE, DEPENDENT DIABETES-MELLITUS, MAILLARD REACTION-PRODUCTS, HEMODIALYSIS-PATIENTS, SOLUBLE RECEPTOR, NONDIABETIC MEN, PLASMA-LEVELS, SERUM-LEVELS, AGE",

    author = "Mulder, {Douwe J.} and {Van de Water}, Tara and Lutgers, {Helen L.} and Reindert Graaff and Gans, {Rijk O.} and Felix Zijlstra and Smit, {Andries J.}",

    year = "2006",

    month = oct,

    doi = "10.1089/dia.2006.8.523",

    language = "English",

    volume = "8",

    pages = "523--535",

    journal = "Diabetes technology & therapeutics",

    issn = "1520-9156",

    publisher = "MARY ANN LIEBERT, INC",

    number = "5",

    }

    Mulder, DJ, Van de Water, T, Lutgers, HL, Graaff, R, Gans, RO, Zijlstra, F 2006, 'Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations', , vol. 8, no. 5, pp. 523-535. https://doi.org/10.1089/dia.2006.8.523

    Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations. / Mulder, Douwe J.; Van de Water, Tara; Lutgers, Helen L. et al.
    In: , Vol. 8, No. 5, 10.2006, p. 523-535.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts

    T2 - An overview of current clinical studies, evidence, and limitations

    AU - Mulder, Douwe J.

    AU - Van de Water, Tara

    AU - Lutgers, Helen L.

    AU - Graaff, Reindert

    AU - Gans, Rijk O.

    AU - Zijlstra, Felix

    AU - Smit, Andries J.

    PY - 2006/10

    Y1 - 2006/10

    N2 - Background: Advanced glycation endproducts (AGES) predict long-term complications in age-related diseases. However, there are no clinically applicable markers for measuring AGES in vivo.Methods: We have recently introduced the AGE-Reader (DiagnOptics B.V., Groningen, The Netherlands) to noninvasively measure AGE accumulation in the human skin of the forearm, making use of the characteristic autofluorescence (AF) pattern that AGES encompass. Skin AF is calculated as a ratio of mean intensities detected from the skin between 420-600 nm. and 300-420 nm. It correlates with collagen-linked fluorescence and specific skin AGE levels from skin biopsies in diabetes, renal failure, and control subjects. Skin AF levels are increased in patients with diabetes and renal failure and are associated with the presence of vascular complications. Additionally, skin AF is strongly related to the progression of coronary heart disease and mortality, independently of traditional risk factors. Since skin pigmentation might influence skin AF, we have investigated the relation of relative skin reflectance (R%) to skin AF in subjects with varying skin phototypes (SPT).Results: The data presented in this article suggest that only in subjects with an SPT of V and VI or R% 12%, and more research is needed for a broader application.Conclusion: The AGE-Reader is useful as a noninvasive clinical tool for assessment of risk for long-term vascular complications in diabetes and in other conditions associated with AGE accumulation.

    AB - Background: Advanced glycation endproducts (AGES) predict long-term complications in age-related diseases. However, there are no clinically applicable markers for measuring AGES in vivo.Methods: We have recently introduced the AGE-Reader (DiagnOptics B.V., Groningen, The Netherlands) to noninvasively measure AGE accumulation in the human skin of the forearm, making use of the characteristic autofluorescence (AF) pattern that AGES encompass. Skin AF is calculated as a ratio of mean intensities detected from the skin between 420-600 nm. and 300-420 nm. It correlates with collagen-linked fluorescence and specific skin AGE levels from skin biopsies in diabetes, renal failure, and control subjects. Skin AF levels are increased in patients with diabetes and renal failure and are associated with the presence of vascular complications. Additionally, skin AF is strongly related to the progression of coronary heart disease and mortality, independently of traditional risk factors. Since skin pigmentation might influence skin AF, we have investigated the relation of relative skin reflectance (R%) to skin AF in subjects with varying skin phototypes (SPT).Results: The data presented in this article suggest that only in subjects with an SPT of V and VI or R% 12%, and more research is needed for a broader application.Conclusion: The AGE-Reader is useful as a noninvasive clinical tool for assessment of risk for long-term vascular complications in diabetes and in other conditions associated with AGE accumulation.

    KW - GLYCOSYLATION END-PRODUCTS

    KW - COLLAGEN-LINKED FLUORESCENCE

    KW - DEPENDENT DIABETES-MELLITUS

    KW - MAILLARD REACTION-PRODUCTS

    KW - HEMODIALYSIS-PATIENTS

    KW - SOLUBLE RECEPTOR

    KW - NONDIABETIC MEN

    KW - PLASMA-LEVELS

    KW - SERUM-LEVELS

    KW - AGE

    U2 - 10.1089/dia.2006.8.523

    DO - 10.1089/dia.2006.8.523

    M3 - Article

    C2 - 17037967

    SN - 1520-9156

    VL - 8

    SP - 523

    EP - 535

    JO - Diabetes technology & therapeutics

    JF - Diabetes technology & therapeutics

    IS - 5

    ER -

    Mulder DJ, Van de Water T, Lutgers HL, Graaff R, Gans RO, Zijlstra F et al. Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations. . 2006 Oct;8(5):523-535. doi: 10.1089/dia.2006.8.523

    Skin autofluorescence, a novel marker for glycemic and oxidative stress-derived advanced glycation endproducts: An overview of current clinical studies, evidence, and limitations (2024)
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