Effect of diabetes and aging on carboxymethyllysine levels in human urine

K J Knecht, J A Dunn, K F McFarland, D R McCance, T J Lyons, S R Thorpe, J W Baynes

Research output: Contribution to journalArticlepeer-review

110 Citations (Scopus)


Carboxymethyllysine (CML) has been identified as a modified amino acid that accumulates with age in human lens proteins and collagen. CML may be formed by oxidation of fructoselysine (FL), the Amadori adduct formed on nonenzymatic glycosylation of lysine residues in protein, or by reaction of ascorbate with protein under autoxidizing conditions. We proposed that measurements of tissue and urinary CML may be useful as indices of oxidative stress or damage to proteins in vivo. To determine the extent to which oxidation of nonenzymatically glycosylated proteins contributes to urinary CML, we measured the urinary concentrations of FL and CML in diabetic (n = 26) and control (n = 28) patients. The urinary concentration of FL correlated strongly with HbA1 measurements and was significantly higher in diabetic compared with control samples (9.2 +/- 6.5 and 4.0 +/- 2.8 micrograms/mg creatinine, respectively; P less than 0.0001). There was also a strong correlation between the concentrations of CML and FL in both diabetic and control urine (r = 0.67, P less than 0.0001) but only a weakly significant increase in the CML concentration in diabetic compared with control urine (1.2 +/- 0.5 and 1.0 +/- 0.3 micrograms/mg creatinine, respectively; P = 0.05). The molar ratio of CML to FL was significantly lower in diabetic compared with control patients (0.25 +/- 0.12 and 0.43 +/- 0.16, respectively; P less than 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)
Original languageEnglish
Pages (from-to)190-6
Number of pages7
Issue number2
Publication statusPublished - Feb 1991


  • Adolescent
  • Adult
  • Aged
  • Aging
  • Diabetes Mellitus, Type 1
  • Humans
  • Lysine
  • Middle Aged
  • Oxidation-Reduction


Dive into the research topics of 'Effect of diabetes and aging on carboxymethyllysine levels in human urine'. Together they form a unique fingerprint.

Cite this