Introduction
Methylglyoxal (MGO), one of the dominant reactive carbonyl species (RCS), can be generated both
in vitroand
in vivo. Exogenously, particularly from the Maillard reaction during food preparation and processing, MGO can be derived from Schiff’s base and Amadori compounds[
1]. Therefore, MGO can commonly be detected in various foods or beverages. Significant concentrations of MGO can be found in high fructose corn syrup and manuka honey from New Zealand[
2–
6]. On the other hand, endogenously, MGO is mainly generated from the glycolysis pathway. It can be spontaneously formed from glyceraldehyde-3-phosphate (G3P) and dihydroxyacetone phosphate (DHAP)[
7,
8].
MGO, also known as 2-oxopropanal, is a highly reactive carbonyl compound. The carbonyl groups of MGO can actively react with amine groups from amino acids, proteins or even DNAs to form the advanced glycation end products (AGEs) and lead to carbonyl stress as well as oxidative stress or even tissue damage. MGO also plays an important role in the formation of color and flavor of foods from the Maillard reaction
[1].
Reactive carbonyl species
Reactive carbonyl species (RCS) are a class of byproducts or intermediates from both exogenous and endogenous oxidation. In general, nucleophilic compounds such as amino acids or proteins can be attacked by RCS covalently and then form harmful adducts. These harmful adducts are named as advanced lipoxidation end products (ALEs) or advanced glycation end products (AGEs) depending on the original source of attacking RCS- from lipids or sugars, respectively
[9]. The adverse pathophysiological effects which can be induced by the accumulation of RCS compounds as well as the formation of ALEs and AGEs have been described as carbonyl stress in the human body
[10]. Furthermore, RCS can be divided into three different classes based on their different chemical structures (Table 1): (1)
a,
b-unsaturated aldehydes (e.g., 4-hydroxy-
trans-2-nonenal and acrolein); (2) di-aldehydes (e.g., glyoxal and malondialdehyde); (3) keto-aldehydes (e.g., MGO and 4-oxo-
trans-2-nonenal)
[11].
MGO generation in vitro
Exogenously, MGO are mainly generated from the Maillard reaction and sugar autoxidation. In other words, MGO can be formed from the degradation of monosaccharides (e.g., glucose) and Schiff base adducts.
The beginning of monosaccharide autoxidation is the formation of ene-diol. This is caused by deprotonation of carbon-2 of glucose and then the re-distribution of electron density occurs between carbon-1 and carbon-2 or carbon-2 and carbon-3, respectively. Thus, glucose can be transformed to 1,2-enol or 2,3-enol and following the formation of 1-deoxyglucosone (1-DG) or 3-deoxyglucosone (3-DG)
[12]. MGO can be yielded from the fragmentation of 3-DG
[1] (Fig. 1).
MGO can also be generated from the Maillard reaction and the pathway is similar to glucose degradation but in the presence of aldimine can be hydrolyzed into MGO directly
[1]. The condensation of the carbonyl group from the reducing sugar with the amine group will lead to the formation of Schiff base or aldimine. After rearrangement, the Schiff base can be transformed to fructosamine or 3-DG. Both fructosamine and 3-DG can be degraded into MGO
[13] (Fig. 2).
MGO can be generated from the Maillard reaction at an early stage and it plays important roles in color formation and flavor generation, especially for aroma formation. For example, MGO can be transformed into 1-hydroxy-2-propanone through the Cannizzaro reaction, which can be recombined with another MGO to generate 2,5-dimethyl-4-hydroxy-3 (
2H)-furanone (DMHF, furaneol). DMHF is a compound with intense caramel-like aroma as well as a key aroma component generated from the Maillard reaction in many processed foods. Therefore, as a flavor intermediate in the Maillard reaction, MGO can recombine or react with many other carbonyl compounds or amino acids to generate various flavor compounds, such as pyridines, pyrrolines, thiazoles, thiazolines, alkypyrazines, oxazoles and oxazolines
[1].
MGO metabolism in vivo
MGO is ubiquitous in our body because it is a metabolic intermediate and can be generated from the glycolysis bypass
[14] (Fig. 3). The major pathway for MGO generation is non-enzymatic and/or enzymatic phosphate elimination from glyceraldehyde 3-phosphate (G3P) and dihydroxyacetone phosphate (DHAP), via the phosphate enediolate intermediate. Besides glycolysis, there is a small amount of MGO metabolized from fats or proteins
in vivo via acetone, threonine or aminoacetone as intermediates
[8,
15]. Although MGO has been confirmed as a cytotoxic compound, its formation still has a controversial role because the glycolysis bypass pathway may have regulatory effects. Normally, G3P will be transformed to pyruvate by the enzyme glyceraldehyde 3-phosphate dehydrogenase (GAPDH) but the increased cellular uptake of carbohydrate compounds such as glucose, or the abnormal glucose metabolism in diabetes, will lead to the inhibition of the GAPDH enzyme, NADH abundance and phosphate starvation. As a consequence, the MGO pathway will be activated to relieve the glycolytic burden
[8,
14,
16–
18]. In this case, the triose phosphate isomerase will catalyze the transformation of G3P to DHAP, synthesizing MGO
[8].
The synthesis of MGO
in vivo is inevitable either under healthy or pathophysiological conditions. However, many studies have proved the high toxicity of MGO in cells. Among many different detoxifying pathways, the glyoxalase system is the most important as the major detoxifying mechanism of MGO or other reactive dicarbonyl compounds
in vivo to protect our cells from glycation or other oxidative stress. Two enzymes, glyoxalase-1 (Glo-1) and glyoxalase-2 (Glo-2) and one additional necessary cofactor glutathione (GSH) are functioning coherently in the biological system. At first, GSH can react with MGO and yield hemithioacetal. Then, Glo-1 will catalyze hemithioacetal to S-D-lactoylglutathione. Subsequently, under the catalysis of Glo-2, S-D-lactoylglutathione will be transformed to D-lactate, which can be excreted into urine easily. Simultaneously, GSH will be recycled back to the system (Fig. 3). But a high concentration of MGO in the system comparing normal conditions or the inefficiency of Glo-2, may lead to the depletion of free GSH and the inability to recycle in the system. As a result, this will lead to greater accumulation of MGO in cells, which will induce glycation, increase oxidative stress and promote the development of many degenerative conditions such as diabetic complications, cardiovascular disease and Alzheimer’s disease
[19].
MGO and AGEs
MGO is a typical RCS compound which can lead to the AGEs formation under physiological conditions. Due to its high reactivity and ubiquitous generation, MGO has been regarded as the most important source of AGEs. Compared with glucose in glycation reactions, MGO can be as much as 20000 times more reactive
[20]. In particular, MGO reacts with arginine residues, regarded as the most active glycation. Other reactions, occurring to a lesser extent than arginine, are with lysine, cysteine and tryptophan
[21]. The reaction schemes are shown in Fig. 4.
The reaction between MGO and arginine will lead to the formation of cyclic imidazolone adducts. Depending on the nitrogen atoms involved in the cyclization as well as the different environmental pH value, there are three different structural isomers formed: N
d-(5-methyl-4-imidazolon-2-yl)-L-ornithine (
MG-H1), 2-amino-5-(2-amino-5-hydro-5-methyl-4-imidazolon-1-yl) pentanoic acid (
MG-H2) and 2-amino-5-(2-amino-4-hydro-4-methyl-5-imidazolon-1-yl) pentanoic acid (
MG-H3). These three isomers are adducted in equilibrium. Because they can open and give the carboxyethylarginine (CEA) adduct as well as reverse back to re-cyclize, mutual interconversion can occur between the three isomer adducts. Furthermore, an additional methylglyoxal can be added and yield either THP (N
d-(4-carboxy-4,6-dimethyl-5,6-dihydroxy-1,4,5,6-tetrahydropyrimidine-2-yl)-L-ornithine) or argpyrimidine (N
d-(5-hydroxy-4,6-dimethylpyrimidine-2-yl)-l-ornithine)
[21–
25].
MGO can react with lysine residues to form a carboxylethyllysine (CEL) adduct with the aldimine as an intermediate
[26]. With the lysine dimer, MGO can be adducted to MOLD (6-{1-[(5S)-5-ammonio-6-oxido-6-oxohexyl]-4-methyl- imidazolium-3-yl}-L-norleucine). With one lysine and one arginine residue, MGO can form MODIC adduct (2-ammonio-6-({2–[4-ammonio-5-oxido-5-oxopentyl) amino]-4-methyl-4,5-dihydro-1H-imidazol-5-ylidene}amino)hexanoate)
[27,
28]. Additionally, MGO can also react with cysteine residues to form reversible hemithioacetal adducts, and with tryptophan residues can generate
b-carboline derivatives
[29,
30].
Because of the abnormal glycation or crosslinkage, amino acids and proteins will be dysfunctional and lead to inflammation, oxidative stress, tissue injury or cell apoptosis
[31]. As a result, the MGO-derived AGEs have been associated with the development of many degenerative healthy conditions, such as cataracts, cardiovascular disease, diabetic complications, nephrosis or brain health problems
[32]. For example, significant increases of CML in cerebrospinal fluid has been detected in amyotrophic lateral sclerosis patients
[33] and CML level in cortical neurons and cerebral vessels has been reported to affect the severity of cognitive impairments among people with cerebrovascular diseases
[34].
MGO and oxidative stress
MGO is regarded as a toxic compound because not only can MGO itself increase oxidative stress but also the AGEs formed have the potential to lead to elevation of oxidative stress
[35]. Studies has shown that oxidative stress for healthy rats can be increased significantly with oral consumption of MGO
[36]. Many other researchers have revealed MGO-induced oxidative stress pathways. For example, MGO can increase the formation of superoxide, hydrogen peroxide, peroxynitrite and proinflammatory cytokines in different cell types such as vascular smooth muscle cells, rat hepatocytes, neutrophils, and platelets among others
[37–
40]. MGO can also promote the activity of several pro-oxidant enzymes such as NADPH oxidase
[37]. Additionally, MGO can amplify the oxidative stress by reducing several antioxidants
in vivo such as GSH, glutathione peroxidase and glutathione reductase
[41,
42].
Furthermore, the formation of AGEs will not only affect the function of proteins and DNAs, it will also activate the membrane receptors, typically RAGE (receptors of AGEs), which can trigger specific intracellular signals
[35]. RAGE is water soluble and has been proposed as the most important receptor for AGEs because it can recognize two major types of AGEs, CML adducts and imidazolones, through specific regions and then activate NF-
kB
[31]. As a result, elevation of oxidative stress will occur and subsequently provoke positive inflammatory feedback, apoptosis, macrophage, platelet activation, thrombosis or cause the progression of vascular complications
[8].
MGO and type-2 diabetes
As previously mentioned, the increased consumption of carbohydrates, like glucose, or abnormal glucose metabolism in diabetes will activate the MGO pathway in glycolysis and generate more MGO compared with normal conditions. Therefore, the MGO concentration in diabetic patients’ body will be 2–6 times higher than healthy people
[43]. This can be one of the reasons why diabetic patients normally suffer with diverse complications, such as cataracts, cardiovascular disease, nephrosis or neuro and brain health problems
[7].
On the other hand, an overwhelming amount of MGO
in vivo will also induce type-2 diabetes or its complications. Insulin resistance and
b-cell loss are the hallmarks of type-2 diabetes
[8]. Many studies have focused on the pathological effects of MGO on diabetes and the major effect is related to insulin. Insulin is the peptide hormone produced from pancreatic
b-cells regulating glucose homeostasis. The highly reactive carbonyl compound MGO can react with the N terminus and arginine residue of human insulin. The formation of MGO-insulin adducts will affect insulin–mediated glucose uptake, impair autocrine control of insulin release from
b-cells and decrease hepatic clearance of insulin from liver cells
[44,
45]. The glycation of insulin will also damage the ability of insulin to bind or activate its receptor and probably lead to insulin resistance
[35]. Other possible pathological effects of MGO with type-2 diabetes include effects on glucose transporter, pancreatic
b-cell anion channel, hemogloblin, and endothelial cells among others
[8].
MGO and brain health
MGO can be generated spontaneously and continuously in all mammalian cells. Due to its high reactivity and oxidative ability, the accumulated MGO can attack proteins and DNAs or other biomolecules to form AGEs and cause the irreversible serious loss of function or damage to organs
[46]. However, on the other hand, brain has the high energy needs and glucose is the major energy source for the brain. As a by-product of glycolysis, MGO generation and accumulation will be increased as the glycolysis rate elevated
[19]. Therefore, it is not hard to understand that the amount of MGO in cerebrospinal fluid (CSF) will be five to seven times higher than in plasma. Briefly, MGO itself may have adverse effects on neurons directly because of depolarization, ROS production or as a result of cell apoptosis
[47]. What is more, glycation or carbonyl stress have been involved in neurological and neurodegenerative disorders
[48]. For example, MGO may promote abnormal protein aggregation due to crosslinkage and induce oxidative stress. Recently, the relationship between MGO and brain health problems is attracting more attention.
The role of MGO in Alzheimer’s disease (AD) has been studied widely. The studies revealed the higher concentration of MGO in CSF of diabetic patients, the pathogenesis of AD might be accelerated. Extracellular amyloid-
b (A
b) and intracellular neurofibrillary tangles (NFTs) are two distinct features of AD. These two protein aggregations are more stable and long-lived compared with other normal proteins, thus they are more readily glycated. After glycation, the AGE adducts, for example
b-amyloid plaques, will be more insoluble and protease-resistance
[21]. Another study has shown that the quantity of AGE adducts in AD brains are three times higher than in healthy brain, and the AGE accumulation may also promote the aggregation of additional amyloids
[49]. Additionally, the A
b AGEs can also be recognized by RAGE. As a result, the oxidative stress, inflammation, amyloidosis and the neurotoxicity will be increased for microglia, the blood brain barrier and neurons
[50,
51].
There are also many studies focused on glycation and amyotrophic lateral sclerosis (ALS) and the results showed that the copper–zinc enzyme superoxide dismutase (SOD1), which can catalyze the quenching of superoxide radicals, is susceptible to be glycated because of several lysine and arginine residues in the primary structure of the enzyme. CML and non-CML AGEs are found in the anterior horn motor neurons and microglia in the spinal cord of ALS patients
[48,
52,
53]. Data showed there is no increase of AGEs in multiple sclerosis (MS) patients compared with healthy people, but RAGE receptors in MS patients and animal models has been upregulated
[48,
54,
55].
In this century, MGO and its glycation have been suspected to be involved with Parkinson’s disease (PD). Similar to A
b and NFTs for AD, Lewy bodies are hallmarks in PD pathology. Studies showed the Lewy bodies can be modified to AGEs which then alter RAGE expression
[48,
56,
57], which may lead to dopaminergic neurons destruction.
MGO trapping agents
The accumulation of MGO in cells will lead to carbonyl stress and AGEs formation or even induce degenerative health conditions especially for diabetes mellitus. Until now, there are several available pharmaceutical AGE inhibitors that can be used to trap MGO or prevent AGE formation and relief the diabetic complications. One example is aminoguanidine, a nucleophilic hydrazine compound which can react with MGO rapidly and inhibit AGEs formation and other related degenerative complications
[32,
58].
Although pharmaceutical compounds can trap MGO or inhibit AGEs formation significantly, their adverse side effects have limited their clinical usage
[7]. Many natural phenolic compounds show significant effects in trapping MGO and some flavonoids have shown significant inhibitory effects on AGE formation which is mediated by MGO. For example: luteolin, rutin, (−)-epigallocatechin-3-gallate (EGCG) and quercetin can inhibit 82.2%, 77.7%, 69.1% and 65.5% AGE formation, respectively
[59]. From this perspective, some flavonoids have already been shown to trap MGO efficiently and alleviate AGE formation. Under physiological conditions (pH 7.4, 37°C), EGCG from tea can trap over 90% MGO in 10 min and form 8-mono-MGOEGCG, 6-mono-MGOEGCG and 6,8-di-MGOEGCG adducts as the products based on the different ratio of MGO and EGCG in the reaction conditions
[60]. Similarly, genistein from soybean, quercetin from diverse plants and phloretin or phlorizin from apple can also trap MGO effectively and form both mono-MGO adducts or di-MGO adducts based on different reaction reagents under controlled physical conditions (pH 7.4, 37°C). More than 80% of MGO can be trapped by genistein within 4 h and the trapping efficiency can be as high as 97.7% after 24 h
[61]. Quercetin can trap 80.1% of MGO after 1 h
[62]. More than 80% MGO can be trapped by phloretin within 10 min and more than 70% MGO can be trapped by its glucoside phloridzin within 24 h
[63]. Although some flavonoids or phenolic compounds has shown significant ability in scavenging MGO, these studies have been mainly focused
in vitro. The ability of genistein to trap MGO has been studied
in vivo.
In vivo MGO trapping condition is much more complicated because of several factors: (1) systemic bioavailability of flavonoids; (2) metabolism and activities of their metabolites; (3) oxygen pressure; (4) pH; (5) presence of other endogenous and exogenous compounds and so on. Based on these results, only mono-MGO adducts of genistein were found. Both mono-MGO genistein adducts and mono-MGO genistein metabolite adducts were found in mice urines. Except for two genistein metabolites, 6-hydroxygenistein and 8-hydroxygenistein, all other metabolites of genistein can be adducted by MGO and found in the mice urine samples, showing that genistein and its metabolites which share the same A ring structure can trap MGO
[64].
Besides studying the MGO trapping ability of certain specific flavonoids or phenols, some research has focused on the comparison of different flavonoids in parallel experiments between compounds with similar structures in order to study the MGO scavenging mechanism. One such study focused on 20 different single benzene phenolic structure compounds which were incubated with MGO seperately in the ratio of 1:1 under physiological conditions. The conclusion was that mono-hydroxyl and di-hydroxyl benzene compounds are not efficient at trapping MGO. Benzenetriols, however, can trap MGO efficiently. The position of a carboxylic group on the benzenetriol structure can play a key role in the reaction
[65]. Another study was more focused on the flavonoids (quercetin, luteolin, epicatechin, genistein, daidzein, apigenin and phloretin). Five typical phenolic compounds (gallic acid, phloroglucinol, pyrogallol, pyrocatechol, and resorcinol) were investigated in the research to simplify the influential factors. The results showed pyrogallol has the highest MGO-trapping ability with 90% of MGO trapping in 24 h. The MGO-trapping ability sequence of other compounds investigated is phloroglucinol (60.5%), resorcinol (31.6%), pyrocatechol (21.8%) and gallic acid (14.9%). This research revealed that 1,2,3-trihydroxybenzen (pyrogallol) has higher MGO-trapping ability than other 1,2-dihydroxybenzene and 1,3-dihydroxybenzene. Substitution at position 5 of pyrogallol decreased the trapping ability which means the position 5 is the active site of pyrogallol to trap MGO. Comparisons of phloroglucinol and resorcinol comparison as well as genistein (90%) and daidzein (54.5%) show that the A ring is crucial for MGO trapping and the hydroxyl group on C-5 in the A ring is very helpful for MGO-trapping abilities of flavonoids. On the other hand, the comparison between quercetin (90% per 24 h), luteolin and (90% per 24 h) and epicatechin (85% per 24 h), suggests that the double bond between C-2 and C-3 can promote the MGO trapping ability of flavonoids. The other conclusion from this study was that the number of hydroxyl groups on B ring does not influence the MGO-trapping abilities significantly for flavonoids
[66].
Conclusions
MGO, one of the reactive carbonyl compounds, has attracted more and more attention because of its potential close relationship with many degenerative healthy problems. MGO can actively react with the amine group of amino compounds and form AGEs as the products. Furthermore, the amount of MGO is about 2–6 times higher in diabetic patients’ bodies compared to healthy people, which is one reason why diabetic patients suffer with different complications such as cataracts, cardiovascular disease and nephrosis. In this decade, more and more research studies have focused on the relationship between MGO and brain healthy problems like AD and PD. For the AD, many studies showed the higher concentration of MGO in CSF for diabetic patients may accelerate the AD progress. For example, MGO may actively glycate extracellular amyloid-b (Ab) to b-amyloid plaques which are more insoluble and protease-resistance. For the PD, the epidemiological studies also showed that diabetic patients are more frequently diagnosed with PD compared with healthy people, which has raised the suspicion that the higher amount of MGO may also increase Parkinson’s disease.
Since MGO is a common Maillard reaction intermediate, it exists in daily processed foods. It is still not established whether dietary MGO will cause any safety issue and this remains an urgent issue for food safety. In addition, it is well-known that certain phytochemicals such as flavonoids may trap MGO in vitro, and they may be used to reduce the amount of potential toxic MGO in commonly processed foods.
The Author(s) 2017. Published by Higher Education Press. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0)