Review Article

Advanced Glycation End Products (AGEs): Biochemistry, Signaling, Analytical Methods, and Epigenetic Effects

Table 1

Methods for measuring AGEs in the human samples. The advantages and disadvantages of various assessment methods.

MethodsMarkerCompartmentAdvantagesDisadvantages

Fluorimetric method: , Fluorescent AGEs (pentosidine)Serum, urine, saliva(i) Simple
(ii) Rapid method
(i) No detection of nonfluorescent AGEs
(ii) Interference of non-AGE fluorophores
(iii) Results expressed in arbitrary units
Autofluorescence spectroscopy: , Fluorescent AGEs (pentosidine) and other fluorescent AGEsIn vivo skin(i) Noninvasive, simple, rapid method
(ii) Applicable to clinical or epidemiological studies
(iii) Significant correlation with AGEs measured by HPLC
(i) Major contribution in fluorescence comes from fluorescent AGEs
(ii) AGE level is lower in dark skin than in fair skin (on equal condition)
HPLCAGEs, pentosidine, CML, CEL, MGPlasma, tissue(i) A bit invasive
(ii) Suitable for AGE monitoring
(i) More costly in time and efforts
(ii) Only applicable to AGE with known biochemical structures
Gas chromatography coupled with mass spectrometry (GC-MS)CML, CEL, etc.Urine(i) Sophisticated technique
(ii) High sensitivity
(iii) Provide valid and accurate results
(i) More expensive
(ii) Trained personnel
LC-MS/MSNonvolatile compounds (e.g., CML, CEL, and MG)Plasma, urine(i) No derivatization step is required
(ii) Sophisticated technique
(iii) High sensitivity
(iv) Provide valid and accurate results
(i) More expensive
(ii) Trained personnel
UHPLCAGEs, pentosidine, CML, CEL, MGPlasma, tissue(i) Rapid method
(ii) Good resolution
(i) More expensive
(ii) Trained personnel
ELISAAGEs, pentosidine, CML, CEL, etc.Serum, urine, tissue(i) A bit invasive
(ii) Simple, fast, inexpensive
(iii) No needs for sophisticated laboratory equipment
(i) Lack of enough antibody specificity
(ii) Interference with glycation-free adducts
Western blottingAntibodies against different moleculesAny tissues(i) Economic
(ii) Highly specific
(i) Complex procedure
(ii) Low quantitative
(iii) Accuracy