A Systematic Review on the Role of Advanced Glycation End-products (AGEs) in the Development of PCOS

Authors

  • Yasmin Akhtar
  • Salma Malik
  • Muna Bhutta
  • Sara Mohammed Atta Almanan
  • Tahira Bashir Solehria
  • Muhammad Kashif Malik

Keywords:

PCOS, polycystic ovarian syndrome, AGEs, advanced glycation end-products, Pakistan

Abstract

This review was done to investigate the research done globally and in Pakistan about the role of AGEs in developing PCOS. Literature was searched at any time by using Google Scholar and PubMed. Keywords used were “PCOS”, “polycystic ovarian syndrome”, “Advanced glycation end-products”, “AGEs”, and “Pakistan”. Inclusion criteria were original research on humans, animals, or cell culture, showing the effect of AGEs on ovarian tissue. No research was found in Pakistan, emphasizing the point that Pakistan does not take the issue of AGEs seriously. All that was found was the relationship of AGEs with cardiovascular diseases or the prevalence of PCOS in Pakistani women. The original research done elsewhere globally was included in this review. Eighteen research studies have been conducted since 2000, including the relationship of AGEs with PCOS. Five studies found higher levels of AGEs in the blood and ovaries of patients with PCOS compared to controls. Three studies showed that dietary AGEs were directly associated with PCOS. Five animal (rats/mice) studies showed the effect of a diet high in AGEs on the ovaries of mice. Three cell line studies also showed a relationship between AGEs and ovarian tissues. Almost all human, animal, or cell-line studies showed the relationship of AGEs on the morphology or functioning of ovarian tissue. An easier way to prevent PCOS might be to control the AGE content in the diet.

References

Ajmal N, Khan SZ, Shaikh R. Polycystic ovary syndrome (PCOS) and genetic predisposition: A review article. Eur J Obstet Gynecol Reprod Biol X: 2019; 3: 100060. doi: 10.1016/j.eurox.2019.100060.

Rizvi M, Islam MdA, Aftab MT, Naqvi AA, Jahangir A, Ishaqui AA et al. Knowledge, attitude, and perceptions about polycystic ovarian syndrome, and its determinants among Pakistani undergraduate students. PLoS ONE. 2023; 18(5): e0285284. doi: 10.1371/journal.pone.0285284.

Lone, Munawar N, Babar S, Sultan S, Malik S, Nazeer K, Riaz S. Association of the CYP17 and CYP19 gene polymorphisms in women with polycystic ovary syndrome from Punjab, Pakistan. Gynecol. Endocrinol. 2021; 37(5): 456-461. doi: 10.1080/09513590.2020.1822803.

Azhar A, Abid F, Rehman R. Polycystic Ovary Syndrome, Subfertility and Vitamin D Deficiency. J Coll Physicians Surg Pak. 2020; 30(5): 545-6. doi: 10.29271/jcpsp.2020.05.545.

Sidra S, Tariq MH, Farrukh MJ, Mohsin M. Evaluation of clinical manifestations, health risks, and quality of life among women with polycystic ovary syndrome. PLoS ONE. 2019; 14(10): e0223329. doi: 10.1371/journal.pone.0223329.

Zulfiqar S, Noor S, Rafique S, Rehman B, Babar A, Shahid T et al. Investigation of Prevalence and Awareness of Polycystic Ovary Syndrome among Pakistani Females: Polycystic Ovary Syndrome in Pakistani Women. Proc Pak Acad Sci B - Life Environ Sci. 2022; 59(1): 77-83. doi: 10.53560/PPASB(59-1)703.

Shakeel M, Ashraf F, Wajid A. Sexual functioning as predictor of depressive symptoms and life satisfaction in females with Polycystic Ovary Syndrome (PCOS). Pak J Med Sci. 2020; 36(7): 1500-1504. doi:10.12669/pjms.36.7.2562

Malik M, Latif F, Hussain A. Health Related Quality of Life and Depression among Women with Poly Cystic Ovary Syndrome (PCOS) in Pakistan. Br J Med Health Res. 2020; 7(12): 28-43. doi:10.46624/bjmhr.2020.v7.i12.003.

Rodgers RJ, Suturina L, Lizneva D, Davies MJ, Hummitzsch K, Irving-Rodgers HF et al. Is polycystic ovary syndrome a 20th-century phenomenon? Med. Hypotheses. 2019; 124: 31-34. doi: 10.1016/j.mehy.2019.01.019.

Nowotny K, Schröter D, Schreiner M, Grune T. Dietary advanced glycation end products and their relevance for human health. Ageing Res Rev. 2018; 47: 55-66. doi: 10.1016/j.arr.2018.06.005.

Mouanness M, Nava H, Dagher C, Merhi Z. Contribution of Advanced Glycation End Products to PCOS Key Elements: A Narrative Review. Nutrients. 2022; 14(17): 3578. doi: 10.3390/nu14173578.

Diamanti?Kandarakis E, Piperi C, Kalofoutis A, Creatsas G. Increased levels of serum advanced glycation end?products in women with polycystic ovary syndrome. Clin. Endocrinol. 2005; 62(1): 37-43. doi: 10.1111/j.1365-2265.2004.02170.x.

Diamanti-Kandarakis E, Alexandraki K, Piperi C, Aessopos A, Paterakis T, Katsikis I et al. Effect of metformin administration on plasma advanced glycation end product levels in women with polycystic ovary syndrome. Metabolism. 2007; 56(1): 129-134. doi: 10.1016/j.metabol.2006.09.006.

Diamanti?Kandarakis E, Katsikis I, Piperi C, Kandaraki E, Piouka A, Papavassiliou AG et al. Increased serum advanced glycation end?products is a distinct finding in lean women with polycystic ovary syndrome (PCOS). Clin Endocrinol. 2008; 69(4): 634-641. doi: 10.1111/j.1365-2265.2008.03247.x.

Diamanti-Kandarakis E, Piouka A, Livadas S, Piperi C, Katsikis I, Papavassiliou AG et al. Anti-mullerian hormone is associated with advanced glycosylated end products in lean women with polycystic ovary syndrome. Eur J Endocrinol. 2009; 160(5): 847-853. doi: 10.1530/EJE-08-0510.

Charikleia C, Frangiskos E, Sarantis L, Christina P, Christos A, Evangelos M et al. Strong and positive association of Endothelin-1 with AGEs in PCOS: A causal relationship or a bystander? Hormones. 2011; 10(4): 292-297. doi: 10.14310/horm.2002.1320.

Tantalaki E, Piperi C, Livadas S, Kollias A, Adamopoulos C, Koulouri A et al. Impact of dietary modification of advanced glycation end products (AGEs) on the hormonal and metabolic profile of women with polycystic ovary syndrome (PCOS). Hormones. 2014; 13(1): 65-73. doi: 10.1007/BF03401321.

Mohan S, Db S. Relation between dietary advanced glycation end (AGE) products and polycystic ovary syndrome (PCOS) - evidence from a case-control study. RGUHS Nat J Public Health. 2019; 4(4): 26-29.

Hosseini MS, Dizavi A, Rostami H, Parastouei K, Esfandiari S. Healthy eating index in women with polycystic ovary syndrome: A case-control study. Int J Reprod Biomed. 2017; 15(9): 575-582. doi: 10.29252/ijrm.15.9.575.

Emami N, Alizadeh A, Maleki-Hajiagha A, Dizavi A, Vesali S, Moini A. Serum and follicular fluid levels of soluble receptor for advanced glycation end-products in women with and without polycystic ovary syndrome. J Ovarian Res. 2023; 16(1): 127. doi: 10.1186/s13048-023-01224-z.

Azhary JMK, Harada M, Kunitomi C, Kusamoto A, Takahashi N, Nose E et al. Androgens Increase Accumulation of Advanced Glycation End Products in Granulosa Cells by Activating ER Stress in PCOS. Endocrinology. 2020; 161(2): bqaa015. doi: 10.1210/endocr/bqaa015.

Kandaraki E, Chatzigeorgiou A, Piperi C, Palioura E, Palimeri S, Korkolopoulou P et al. Reduced Ovarian Glyoxalase-I Activity by Dietary Glycotoxins and Androgen Excess: A Causative Link to Polycystic Ovarian Syndrome. Mol Med. 2012; 18(8): 1183-1189. doi: 10.2119/molmed.2012.00293.

Chatzigeorgiou A, Kandaraki E, Piperi C, Livadas S, Papavassiliou AG, Koutsilieris M et al. Dietary glycotoxins affect scavenger receptor expression and the hormonal profile of female rats. J. Endocrinol. 2013; 218(3): 331-337. doi: 10.1530/JOE-13-0175.

Di Emidio G, Santini SJ, D’Alessandro AM, Vetuschi A, Sferra R, Artini PG et al. SIRT1 participates in the response to methylglyoxal-dependent glycative stress in mouse oocytes and ovary. Biochim Biophys Acta Mol Basis Dis. 2019; 1865(6): 1389-1401. doi: 10.1016/j.bbadis.2019.02.011.

Lin P, Chang C, Wu K, Shih C, Chiang W, Chen H et al. Dietary Glycotoxins, Advanced Glycation End Products, Inhibit Cell Proliferation and Progesterone Secretion in Ovarian Granulosa Cells and Mimic PCOS-like Symptoms. Biomolecules. 2019; 9(8): 327. doi: 10.3390/biom9080327.

Papachroni KK, Piperi C, Levidou G, Korkolopoulou P, Pawelczyk L, Diamanti-Kandarakis E et al. Lysyl oxidase interacts with AGE signalling to modulate collagen synthesis in polycystic ovarian tissue. J Cellular Molecular Med. 2010; 14(10): 2460-2469. doi: 10.1111/j.1582-4934.2009.00841.x.

Diamanti-Kandarakis E, Chatzigeorgiou A, Papageorgiou E, Koundouras D, Koutsilieris M. Advanced glycation end-products and insulin signaling in granulosa cells. Exp Biol Med (Maywood). 2016; 241(13): 1438-1445. doi: 10.1177/1535370215584937.

Safiri S, Noori M, Nejadghaderi SA, Karamzad N, Carson-Chahhoud K, Sullman MJM et al. Burden of female breast cancer in the Middle East and North Africa region, 1990–2019. Arch Public Health. 2022; 80(1): 168. doi: 10.1186/s13690-022-00918-y.

Charifson MA, Trumble BC. Evolutionary origins of polycystic ovary syndrome: An environmental mismatch disorder. Evol. Med. Public Health. 2019; 2019(1): 50-63. doi: 10.1093/emph/eoz011.

Deswal R, Nanda S, Ghalaut VS, Roy PS, Dang AS. Cross?sectional study of the prevalence of polycystic ovary syndrome in rural and urban populations. Intl J Gynecol Obstet. 2019; 146(3): 370-379. doi: 10.1002/ijgo.12893.

Mushtaq A, Bibi A, Kausar N. Increased Risk of Infertility, Marital Maladjustment and Psychological Morbidity in PCOS Patients of Southern Punjab, Pakistan. Pak J Zoology. 2023; 55(4). doi: 10.17582/journal.pjz/20210919130943.

Rizvi M, Abbas A, Tanwir S, Sabah A, Ali ZM, Sundrani MM et al. Perception and Attitude of Patients regarding Polycystic Ovarian Syndrome (PCOS) in Tertiary Care Hospitals of Pakistan - A Survey Based Study. Int J Pharm Therapeut. 2014; 5(3): 147-152.

Munir M, Oubaid M, Baig AA, Azam A, Khalil H. Recent facts of eating habits and obesity among adolescent; a case of Pakistan. Int J Nat Med Health Sci. 2023; 2(2): 49-57.

Mistri S. Relations between Dietary Habits, Lifestyle and Leading Obesity. In: Takada A, Himmerich H, eds. Psychology and Pathophysiological Outcomes of Eating. Intech Open; 2021; 1-26. doi: 10.5772/intechopen.98307.

Cincione RI, Losavio F, Ciolli F, Valenzano A, Cibelli G, Messina G et al. Effects of Mixed of a Ketogenic Diet in Overweight and Obese Women with Polycystic Ovary Syndrome. Int J Environ Res Public Health. 2021; 18(23): 12490. doi: 10.3390/ijerph182312490.

Mizgier M, Jarz?bek-Bielecka G, Formanowicz D, Jodlowska-Siewert E, Mruczyk K, Cisek-Wozniak A et al. Dietary and Physical Activity Habits in Adolescent Girls with Polycystic Ovary Syndrome (PCOS)-HA study. J Clin Med. 2021; 10(16): 3469. doi: 10.3390/jcm10163469.

Rabotata S, Malatji TL. Factors influencing fast food consumption: a case study of University of Venda Students, Limpopo, South Africa. Tech Soc Sci J. 2021; 26: 888-899. doi: 10.47577/tssj.v26i1.5176.

Van Boekel M, Fogliano V, Pellegrini N, Stanton C, Scholz G, Lalljie S et al. A review on the beneficial aspects of food processing. Mol. Nutr. Food Res. 2010; 54(9): 1215-1247. doi: 10.1002/mnfr.200900608.

Chen JH, Lin X, Bu C, Zhang X. Role of advanced glycation end products in mobility and considerations in possible dietary and nutritional intervention strategies. Nutr Metab (Lond). 2018; 15(1): 72. doi: 10.1186/s12986-018-0306-7.

Scheijen JJLJM. The Analysis of Advanced Glycation End-products: A Mass Spectrometry-Based Approach & Its Applications. [Doctoral Thesis, Maastricht University]. Datawyse /

Universitaire Pers Maastricht. 2017. doi: 10.26481/dis.20170621js.41. Merhi Z, Kandaraki EA, Diamanti-Kandarakis E. Implications and Future Perspectives of AGEs in PCOS Pathophysiology. TEM. 2019; 30(3): 150-162. doi: 10.1016/j.tem.2019.01.005.

Waqas K, Chen J, Van Der Eerden BCJ, Ikram MA, Uitterlinden AG, Voortman T et al. Dietary Advanced Glycation End-Products (dAGEs) Intake and Bone Health: A Cross-Sectional Analysis in the Rotterdam Study. Nutrients. 2020; 12(8): 2377. doi: 10.3390/nu12082377.

Uribarri J, Woodruff S, Goodman S, CAI W, Chen X, Pyzik R et al. Advanced Glycation End Products in Foods and a Practical Guide to Their Reduction in the Diet. J. Am. Diet. Assoc. 2010; 110(6): 911-916.e12. doi: 10.1016/j.jada.2010.03.018.

Gul R, Iqbal S, Anwar Z, Ahdi SG, Ali SH, Pirzada S. Pre-pregnancy maternal BMI as predictor of neonatal birth weight. PLoS ONE. 2020; 15: e0240748. doi: 10.1371/journal.pone.0240748.

Huang S, Dong X, Zhang Y, Chen Y, Yu Y, Huang M et al. Formation of advanced glycation end products in raw and subsequently boiled broiler muscle: biological variation and effects of postmortem ageing and storage. Food Sci. Hum. Wellness. 2022; 11(2): 255-262. doi: 10.1016/j.fshw.2021.11.012.

Wu X, Zhang Z, He Z, Wang Z, Qin F, Zeng M et al. Effect of Freeze-Thaw Cycles on the Oxidation of Protein and Fat and Its Relationship with the Formation of Heterocyclic Aromatic Amines and Advanced Glycation End Products in Raw Meat. Molecules. 2021; 26(5): 1264. doi: 10.3390/molecules26051264.

Kuzan A. Toxicity of advanced glycation end products (Review). Biomed Rep. 2021; 14(5): 46. doi: 10.3892/br.2021. 1422.

Garg D, Merhi Z. Advanced Glycation End Products: Link between Diet and Ovulatory Dysfunction in PCOS? Nutrients. 2015; 7(12): 10129-10144. doi: 10.3390/nu7125524.

Gugliucci A, Menini T. The Axis AGE-RAGE-Soluble RAGE and Oxidative Stress in Chronic Kidney Disease. In: Camps J, ed. Oxidative Stress and Inflammation in Non-Communicable Diseases - Molecular Mechanisms and Perspectives in Therapeutics. Vol 824. Adv. Exp. Med. Biol. Springer International Publishing; 2014: 191-208. doi: 10.1007/978-3-319-07320 -0_14.

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Published

26-12-2024

How to Cite

1.
Akhtar Y, Malik S, Bhutta M, Almanan SMA, Solehria TB, Malik MK. A Systematic Review on the Role of Advanced Glycation End-products (AGEs) in the Development of PCOS. J Liaq Uni Med Health Sci [Internet]. 2024 Dec. 26 [cited 2024 Dec. 27];23(04):279-86. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/1315