Are Advanced Glycation End Products in Skin Associated with Vascular Dysfunction Markers? A Meta-Analysis

Int J Environ Res Public Health. 2020 Sep 22;17(18):6936. doi: 10.3390/ijerph17186936.

Abstract

Evidence exists regarding the association between advanced glycation end products and different cardiovascular disease subclinical processes, such as arterial stiffness and atherosclerosis. With this systematic review and meta-analysis, we aimed to provide a synthesis of the evidence regarding the association of arterial stiffness measured by pulse wave velocity and atherosclerosis measured by carotid intima media thickness with skin autofluorescence. A systematic search was performed using: MEDLINE (PubMed), SCOPUS, and Web of Science, until 30 March 2020. Cross-sectional studies or baseline data from prospective longitudinal studies were considered. The DerSimonian and Laird method was used to calculate the pooled estimates of correlation coefficients and the corresponding 95% confidence intervals (CI) for the association of pulse wave velocity and carotid intima media thickness with skin autofluorescence. Twenty-five studies were included in the systematic review and meta-analysis, including 6306 subjects. The pooled correlation coefficient was 0.25 (95% CI: 0.18, 0.31) for pulse wave velocity and skin autofluorescence, and 0.31 (95% CI: 0.25, 0.38) for carotid intima media thickness and skin autofluorescence. This systematic review and meta-analysis provide a synthesis of the evidence showing a positive weak association of pulse wave velocity and carotid intima media thickness with skin autofluorescence.

Keywords: advanced glycation end products; arterial stiffness; cardiovascular disease; carotid intima media thickness; pulse wave velocity; skin autofluorescence.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Ankle Brachial Index
  • Biomarkers
  • Carotid Intima-Media Thickness
  • Cross-Sectional Studies
  • Glycation End Products, Advanced* / metabolism
  • Humans
  • Prospective Studies
  • Pulse Wave Analysis
  • Skin
  • Vascular Diseases* / diagnosis
  • Vascular Stiffness*

Substances

  • Biomarkers
  • Glycation End Products, Advanced