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British Journal of Ophthalmology 2005;89:1407-1409; doi:10.1136/bjo.2005.072678
Copyright © 2005 by the BMJ Publishing Group Ltd.

SCIENTIFIC REPORT

Decrease in the glyceraldehyde derived advanced glycation end products in the sera of patients with Vogt-Koyanagi-Harada disease

M Kitamura1,4, N Kitaichi1, M Takeuchi2, H Kitamei1,4, K Namba1, S-i Yamagishi3, K Iwabuchi4, K Onoé4 and S Ohno1

1 Department of Ophthalmology and Visual Sciences, Hokkaido University Graduate School of Medicine, Sapporo, Japan
2 Department of Pathophysiological Science, Faculty of Pharmaceutical Sciences, Hokuriku University, Kanazawa, Japan
3 Department of Internal Medicine III, Kurume University School of Medicine, Kurume, Japan
4 Division of Immunobiology, Institute for Genetic Medicine, Hokkaido University, Sapporo, Japan

Correspondence to:
Correspondence to:
Mizuki Kitamura
MD, Department of Ophthalmology and Visual Sciences, Hokkaido University Graduate School of Medicine, Sapporo, Japan, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan; mizukita825{at}ybb.ne.jp

ABSTRACT

Background/aims: Advanced glycation end products (AGEs) are considered to act as mediators of both age related pathologies and diabetic complications. It was recently reported that glyceraldehyde derived AGE (AGE-2) has a strong biological effect on various diseases. The aim of this study was to investigate the serum AGE-2 levels in Vogt-Koyanagi-Harada (VKH) disease.

Methods: Sera were obtained from 31 patients with active VKH. 20 of these 31 patients were treated with systemic corticosteroids. As controls, 33 healthy volunteers were also examined. The serum AGE-2 levels were determined with a competitive enzyme linked immunosorbent assay using AGE-2 polyclonal antibody.

Results: The mean AGE-2 level in the sera of patients with VKH disease was 4.91 (SD 2.23) U/ml, which was significantly lower than that of the healthy control subjects (8.32 (2.94), p<0.001). The average serum AGE-2 level significantly increased to 13.49 (2.17) U/ml after the patients were treated with systemic corticosteroids (p<0.001).

Conclusions: These results suggest that AGE-2 may be involved in the onset of VKH disease.

Abbreviations: AGEs, advanced glycation end products; EAAU, experimental autoimmune anterior uveitis; ELISA, enzyme linked immunosorbent assay; RAGE, receptor for AGE; VKH, Vogt-Koyanagi-Harada

Keywords: Vogt-Koyanagi-Harada disease; advanced glycation end products; melanocyte


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