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RAGE aptamer is an experimental, preclinical phosphorothioate-modified single-stranded DNA oligonucleotide aptamer that acts as an antagonist of the receptor for advanced glycation end products (RAGE). Developed by researchers at Kurume University, it was selected via the SELEX method and binds to the V1-domain of RAGE with high affinity (Kd of approximately 5.68 nM). By blocking the interaction of advanced glycation end products (AGEs) and other ligands (such as HMGB1) with RAGE, the aptamer suppresses downstream oxidative stress, inflammatory pathways, and fibrotic signaling. It has demonstrated therapeutic potential in various preclinical animal models, including diabetic nephropathy, hypertensive renal injury, lupus nephritis, pulmonary arterial hypertension, sepsis, and malignant melanoma growth and metastasis.
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