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Fighting Methylglyoxal with alagebrium

ages oxidation blood pressure sugar glycation

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#1 poolboy

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Posted 03 April 2012 - 02:37 AM


Aging: Drugs to Eliminate Methylglyoxal, a Reactive Glucose Metabolite, and Advanced Glycation Endproducts


...the attenuation of MG-induced acute effects (seen within 6 h of MG administration) is most
likely due to scavenging of MG by alagebrium. Thus, alagebrium significantly attenuated
the significant increases in MG levels in the plasma, and different organs (measured 2 h after
administration), and also attenuated MG-induced impaired glucose tolerance and the
reduced insulin-stimulated glucose uptake by adipose tissue....

Our results strongly indicate an acute MG scavenging effect of alagebrium which can add to its AGEs breaking
ability....


We have also recently shown that alagebrium significantly attenuated the deleterious effects of chronic MG administration for 4 wks on glucose tolerance and pancreatic islet β-cell function in male Sprague-Dawley rats.
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#2 poolboy

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Posted 03 April 2012 - 02:31 PM

So maybe I need to point out the significance? Searching the forum I can't find any discussions of methylglyoxal.

Methylglyoxal is emerging as one of the major players in the aging process. It's a double edge sword: it promotes glycation and promotes free radical oxidation -- 2 of the major aging pathways. Methylglyoxal is nasty stuff -- in the last 5 years studies have suggested that it causes glucose intolerance, elevated blood pressure, salt sensitivity, endothelial dysfunction, depletion of nitrous oxide for keeping your blood vessels dilated, impairs LDL cholesterol, impairs kidney function, causes mitochondria to increase super oxide production, wrecks the cells of the pancreas so they don't put out insulin, and is implicated in cancer, diabetes, heart disease, Alzheimer’s and several other old-age diseases. It's byproducts CEL and CML are at least partially responsible for fatty liver, COPD, asthma and arthritis.

Blunting Methyglyoxal would be a good thing thing and it is born out by the studies presented in the paper attached above. Alagebrium was developed for breaking AGE crosslinks, but then was discarded by many in the anti-aging community (and several discussions on this board) because it did not break an age crosslink that was significant in humans. Research in the last 3 years has uncovered that this age-breaking ability was likely not responsible for the dramatic results in studies on mice, dogs and monkeys -- it is now more likely that the methylglyoxal and non-crosslink AGEs such as CML are being removed.

Previously, Aminoguanidine was seen as the best way to attack MG, but it had the toxic side-effect of blocking vitamin B6. Alagebrium has a better safety profile. and could take its place.

The results in human trials with Alagebrium are consistent with the effect you would expect from blunting MG rather than breaking cross links. Read the summary of human studies in the paper.

Interestingly, in one mouse study presented above, the effect of Alagebrium on MG only lasted 6 hours. This might explain why once-per-day dosing in humans was less than dramatic -- they were hoping for action on AGES that took 24-72 hours to form, not on a substance present all the time. The patients in these studies would have been left unprotected for 18 hours a day, and the effect would be muted. It is likely that a 4-times-day dosing would be superior than one large dose. Or if it could get FDA approved, maybe someone would create a time-released version.

Exciting stuff.
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#3 Musli

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Posted 03 April 2012 - 03:08 PM

Really interesting stuff. I hope more researchers will look into this.

#4 Musli

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Posted 08 April 2012 - 02:16 PM

More information on methylglyoxal, and, especially, glyoxalase I, an enzyme that detoxifies methylglyoxal.
Talk given by Paul Thornalley at the Fifth SENS conference. So yes, Aubrey & SENSF know about it ;)


#5 poolboy

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Posted 16 April 2012 - 04:02 PM

Methylglyoxal-induced mitochondrial dysfunction in vascular smooth muscle cells

The effects of methylglyoxal (MG) on mitochondria with specific foci on peroxynitrite (ONOO−) production, manganese superoxide dismutase (MnSOD) activity, and mitochondrial functions in vascular smooth muscle A-10 cells were investigated. Mitochondrial MG content was significantly increased after A-10 cells were treated with exogenous MG, and so did advanced glycated endproducts (AGEs) formation, indicated by the appearance of Nɛ-(carboxyethyl) lysine, in A-10 cells. The levels of mitochondrial reactive oxygen species (mtROS) and ONOO− were significantly increased by MG treatment. Application of ONOO− specific scavenger uric acid lowered the level of mtROS. MG significantly enhanced the production of mitochondrial superoxide (O2−) and nitric oxide (NO), which were inhibited by SOD mimic 4-hydroxy-tempo and mitochondrial nitric oxide synthase (mtNOS) specific inhibitor 7-nitroindazole, respectively. The activity of MnSOD was decreased by MG treatment. Furthermore, MG decreased respiratory complex III activity and ATP synthesis in mitochondria, indicating an impaired mitochondrial respiratory chain.

AGEs cross-link breaker alagebrium reversed all aforementioned mitochondrial effects of MG.

Our data demonstrated that mitochondrial function is under the control of MG. By inhibiting Complex III activity, MG induces mitochondrial oxidative stress and reduces ATP production. These discoveries will help unmask molecular mechanisms for various MG-induced mitochondrial dysfunction-related cellular disorders.

#6 poolboy

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Posted 16 April 2012 - 04:50 PM

More information on methylglyoxal, and, especially, glyoxalase I, an enzyme that detoxifies methylglyoxal.
Talk given by Paul Thornalley at the Fifth SENS conference. So yes, Aubrey & SENSF know about it ;)
http://www.youtube.com/watch?v=lnGK0auyj1Y


Thanks for pointing this out. It's good that Aubrey knows about this now, but this is not the way he portrayed methylglyoxal and alagebrium in his book, Ending Aging:

"Some critics hold that alagebrium is not actually an age breaker after all, but an age inhibitor...there is a certain superficial plausibility to this view, but these arguments can't stand up against the irrefutable fact that, in animal studies, alagebrium doesn't just slow down the development of complications in diabetic rodents or prevent the age related tissue stiffening of the cardiovascular system in normally aging dogs and monkeys, it reverses them. A drug that only inhibited the cross-linking of tissues would be able to reduce the rate at which new crosslinks form, and thereby slow the degeneration of crosslinked tissues -- but it would not have the restorative effects that have been elicited by alagebrium."

Aubrey De Grey was wrong here on at least several levels. First off, the effects of Methylglyoxal are detrimental to health without creating cross links -- like my example above that you could restore the age-induced mitochondria energy loss by blunting MG with alagebrium. These effects would be more pronounced in a dog that was only 15 years old than in a 60 year old human because of the time for age cross link accumulation in in the much-older individuals. So removing MG could account for ALL of the effects of alagebrium that would be inhibited in old animals with short life spans.

2. He assumes that the time to intervene in the process is after the age-crosslinks have been created (where we don't have a solution) rather than up-stream where they can be controlled. Tests on a 40-year-old monkey's show that it is still early enough to intervene and restore cardiovascular function, but in the 70-year-old human it is too late.

3. He doesn't mention the difference between crosslink and non-crosslink ages, focusing solely on the crosslink type. However, alagebrium has been shown in rats to increase excretion of N(6)-Carboxymethyllysine (CML) in the urine by 138%. These non-crosslinks occur with 10 times the frequency of glucosepane (which De Grey decided is the real object for targeting.) While CML doesn't crosslink, it causes proteins like elastin to be the wrong shape. If you look at increased rates of glucosespane in diabetics and 90-year-old humans, you see that they are created with exponentially increased frequency as compared to younger people. It may be that glucosepane production is a side-effect of long term MG exposure, and again we should intervene before the body start producing a lot of it.

Methylglyoxal causes high blood pressure, glucose intolerance, nitrous oxide and endothethial dyfunction, vascular smooth cell muscle growth, misshapen LDL, mitochondrial disfunction and more.

CML (and CEL) is implicated in fatty liver, COPD, Asthma, renal disease, heart enlargement, loss of elasticity in organs, Alzheimer's and cognitive decline and more.

Should we be waiting for a drug that breaks glucosepane when we have the solution for many of problems of aging? Why let yourself go through any of the effect listed above for 40 or so years before you try to reverse them?

Edited by poolboy, 16 April 2012 - 05:22 PM.

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#7 Musli

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Posted 17 April 2012 - 03:22 PM

Should we be waiting for a drug that breaks glucosepane when we have the solution for many of problems of aging? Why let yourself go through any of the effect listed above for 40 or so years before you try to reverse them?

Yeah, we shouldn't, I completely agree.
I encourage you to write an email to Aubrey (aubrey@sens.org) and present a compelling case for methylglyoxal as you seem very knowledgeable on the subject.
I'm looking forward to Aubrey's reply and his reaction to the evidence you provide. Aubrey's obviously an open-minded guy and this year's SENSF budget is the biggest yet ($4.5 million, last year it was ~$1.5 million) so SENSF might actually decide to do sth about it, especially seeing a following statement in SENSF's 2011 Research Report: "While the majority of our efforts remain directed toward testing and development per the SENS proposal (as we believe this plan to have the best chance of delivering the comprehensive damage-repair therapies necessary to effectively mitigate the diseases of aging), we remain open to other possible strategies that might prove effective"
Good luck, mate !

Edited by Musli, 17 April 2012 - 03:24 PM.


#8 SearchingForAnswers

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Posted 29 April 2014 - 04:13 PM

Any updates on this?



#9 adamh

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Posted 29 April 2014 - 06:24 PM

Yeah, this sounds very interesting. Kind of too good to be true. Anybody able to source it?



#10 nickdino

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Posted 03 July 2014 - 10:30 AM

Yup, if alagebrium does what poolboy says it does then we all should be looking into this substance. Where can one obtain alagebrium?

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#11 niner

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Posted 03 July 2014 - 08:39 PM

Where can one obtain alagebrium?

 

Here.  I haven't used them, so can't vouch for them, but they've been around for a while.







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