# Identification of metabolic adducts associated with prostate cancer progression in African American men

> **NIH NIH R21** · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · 2023 · $466,478

## Abstract

Abstract
Prostate cancer (PCa) is the second highest cause of cancer-related deaths in men. African American/Black
(AA/B) men are disproportionally impacted by PCa with a 60% higher incidence of disease and a 2-3x fold
increase in mortality risk compared to European American (EA) men. There is an urgent need to identify the
underlying biological changes that give rise to this disparity to develop inclusive diagnostic and predictive tests
and tailored therapeutic treatments. A myriad of causes for the biological changes that drive PCa health
disparities have been proposed, including socioeconomic, genetic, and environmental factors. These factors all
give rise to altered metabolism, a biological change associated with PCa onset and progression. A proposed
mechanism for how these changes drive PCa is through the production of the reactive electrophile methylglyoxal
(MG). MG is a by-product of lipid, protein, and sugar metabolism and forms covalent adducts on DNA, RNA, and
protein. These adducts, termed MG-advanced glycation end products (MG-AGEs) lead to DNA mutations and
genomic instability, change RNA stability and translation, and alter protein stability and function. In addition, MG-
AGEs bind and activate the receptor for AGEs (RAGE). To regulate MG and MG-AGEs, cells use glyoxalase 1
(GLO1) to detoxify MG and soluble RAGE (sRAGE) to sequester MG-AGEs and prevent RAGE activation. These
components are termed the AGE/RAGE axis. Our long-term goal is to define the role of MG-AGEs and the
AGE/RAGE axis as biomarkers and drivers of PCa and determine how racial disparities influence this process.
To define the association of MG-AGEs, GLO1, RAGE, and sRAGE with PCa health disparities, we designed a
nested case-control trial of AA/B and EA men with and without PCa. We measured serum MG-AGEs using mass
spectrometry, serum sRAGE using ELISA, and sequenced the GLO1 and AGER (gene encoding RAGE) loci in
genomic DNA isolated from whole blood. We discovered that MG-AGEs, sRAGE, and GLO1 and AGER SNPs
were significantly associated with PCa in AA/B men but not EA men. We also observed a significant difference
between these components in AA/B and EA men without PCa. This led us to hypothesize that MG-AGEs,
sRAGE, and GLO1 and AGER SNPs may have utility as biomarkers for PCa in AA/B men and that GLO1 SNPs
may play a role in the accumulation of MG-AGEs, mutations, and PCa cell growth. To test this hypothesis, we
propose to 1) use molecular and genetic features of the AGE/RAGE axis along with demographic and clinical
variables to predict the risk of PCa in AA/B and EA men using a multivariable clinical-genetic risk model and 2)
use cell lines derived from AA/B and EA PCa tumors to determine the impact of GLO1 SNPs on MG-AGE
accumulation, cell growth, the expression of metastatic markers, and the induction of genomic mutations. This
work represents the first analysis of MG-AGEs in AA/B and EA men with PCA, utilizes novel mass spectrometry
methods, and describes ge...

## Key facts

- **NIH application ID:** 10721809
- **Project number:** 1R21CA282612-01
- **Recipient organization:** BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
- **Principal Investigator:** Sarah C. Shuck
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $466,478
- **Award type:** 1
- **Project period:** 2023-09-22 → 2025-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10721809

## Citation

> US National Institutes of Health, RePORTER application 10721809, Identification of metabolic adducts associated with prostate cancer progression in African American men (1R21CA282612-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10721809. Licensed CC0.

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