“…Glucose is degraded to glucose-degradation products including methylglyoxal, glyoxal, formaldehyde, and 3-deoxyglucosone during heat sterilization [14–16], and these products are further transformed to advanced glycation end-products [14,15,17–19]. Both the glucose-degradation products and advanced glycation end-products have been reported to activate transforming growth factor (TGF)-β 1 signaling in the peritoneal membrane, thus promoting peritoneal fibrosis [14,15,17–20]. Activated TGF-β 1 promotes the proliferation of fibroblasts from different origins, including mesothelial cells via mesothelial–mesenchymal transition, bone marrow-derived cells, and endothelial cells, in addition to resident fibroblasts [21–24].…”