# Relationship between advanced glycation end-products, serum carnosinase-1 and diabetic nephropathy and diabetic retinopathy

**Authors:** Yu Rong

PMC · DOI: 10.5937/jomb0-58488 · Journal of Medical Biochemistry · 2026-01-06

## TL;DR

This study found that higher levels of AGEs and CN-1 are linked to diabetic kidney and eye diseases, suggesting they could help in diagnosis and treatment.

## Contribution

Identifies AGEs and CN-1 as independent risk factors for diabetic nephropathy and retinopathy.

## Key findings

- Serum AGEs and CN-1 levels were significantly higher in patients with diabetic nephropathy and retinopathy.
- AGEs and CN-1 showed a positive correlation with the occurrence of diabetic microvascular complications.
- AGEs and CN-1 were confirmed as independent risk factors for diabetic nephropathy and retinopathy.

## Abstract

This article analysed the relationship between serum advanced glycation end-products (AGEs), carnosinase-1 (CN-1) and diabetic nephropathy (DN) and diabetic retinopathy (DR).

150 patients with type 2 diabetes mellitus (DM2) were grouped: DN and non-DN, DR and non-DR groups. Fasting venous blood was collected, and serum levels of AGEs and CN-1 were detected. Pearson's correlation (PC) test was adopted to analyse their correlation with DN and DR, and multivariate logistic regression (MLR) analysis was adopted.

There were 48 DN cases, 102 non-DN cases, 20 DR cases, and 130 non-DR cases in 150 patients with DM2. As against the non-DN group, the serum levels of AGEs and CN-1 in the subjects with DN were markedly increased. Similarly, the serum levels of AGEs and CN-1 in subjects with DR were also significantly increased compared to the non-DR group. The results of correlation analysis revealed that the levels of serum AGEs and CN-1 were positively correlated with the occurrence of DN and DR. Serum AGEs and CN-1 levels were identified as independent risk factors (IRF) for DN and DR (all P&lt; 0.05).

AGEs and CN-1 may become new targets for the diagnosis and treatment of diabetic microvascular complications.

## Linked entities

- **Proteins:** NT5C1A (5'-nucleotidase, cytosolic IA)
- **Diseases:** diabetic nephropathy (MONDO:0005016), diabetic retinopathy (MONDO:0005266), type 2 diabetes mellitus (MONDO:0005148)

## Full-text entities

- **Genes:** ALB (albumin) [NCBI Gene 213] {aka FDAHT, HSA, PRO0883, PRO0903, PRO1341}, CNDP1 (carnosine dipeptidase 1) [NCBI Gene 84735] {aka CN1, CPGL2, HsT2308}, NPHS1 (NPHS1 adhesion molecule, nephrin) [NCBI Gene 4868] {aka CNF, NPHN, nephrin}, INSR (insulin receptor) [NCBI Gene 3643] {aka CD220, HHF5}, ACE (angiotensin I converting enzyme) [NCBI Gene 1636] {aka ACE1, CD143, DCP, DCP1}, ACR (acrosin) [NCBI Gene 49] {aka SPGF87}, INS (insulin) [NCBI Gene 3630] {aka IDDM, IDDM1, IDDM2, ILPR, IRDN, MODY10}, AGER (advanced glycosylation end-product specific receptor) [NCBI Gene 177] {aka RAGE, SCARJ1, sRAGE}
- **Diseases:** diabetic peripheral neuropathy (MESH:D010523), heart disease (MESH:D006331), type 2 DN (MESH:D003924), Kidney Disease (MESH:D007674), fundus disease (MESH:C535828), DN (MESH:D003928), mental diseases (MESH:D008607), diabetic complications (MESH:D048909), atherosclerosis (MESH:D050197), vascular damage (MESH:D057772), urinary tract infection (MESH:D014552), insulin deficiency (MESH:D007333), diabetic microvascular complications (OMIM:603933), cardiovascular and cerebrovascular complications (MESH:D002318), end-stage renal failure (MESH:D007676), glomerular hypertrophy (MESH:D006984), DR (MESH:D003930), diabetic microangiopathies (MESH:D003925), nephritis (MESH:D009393), retinopathy (MESH:D058437), autoimmune diseases (MESH:D001327), haemorrhage (MESH:D006470), blindness (MESH:D001766), metabolic disorders (MESH:D008659), fever (MESH:D005334), proteinuria (MESH:D011507), ocular trauma (MESH:D014947), inflammation (MESH:D007249), fibrosis (MESH:D005355), hyperglycemia (MESH:D006943), chronic kidney damage (MESH:D051436), DM2 (MESH:D009223), renal failure (MESH:D051437), DM (MESH:D003920), malignant tumors (MESH:D009369), Retinal haemorrhage (MESH:D012166)
- **Chemicals:** lipids (MESH:D008055), Cr (MESH:D003404), Glucose (MESH:D005947), Tg (MESH:D013866), FPG (-), dn (MESH:C022306), AGE (MESH:D017127), cholesterol (MESH:D002784), BG (MESH:D001786), dipeptide (MESH:D004151), biotin (MESH:D001710), sugar (MESH:D000073893), TG (MESH:D014280), polyol (MESH:C024617)
- **Species:** Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12967189/full.md

## References

40 references — full list in the complete paper: https://tomesphere.com/paper/PMC12967189/full.md

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Source: https://tomesphere.com/paper/PMC12967189