. Development of agedependent glomerular lesions in galectin-3/AGE-receptor-3 knockout mice. Am J Physiol Renal Physiol 289: F611-F621, 2005. First published May 3, 2005 doi:10.1152/ajprenal.00435.2004.-Aging is characterized by renal functional and structural abnormalities resembling those observed in diabetes. These changes have been related to the progressive accumulation of advanced glycation end-products (AGEs) and cumulative oxidative stress occurring in both conditions. We previously reported that galectin-3 ablation is associated with increased susceptibility to diabetes-and AGE-induced glomerulopathy, thus indicating a protective role of galectin-3 as an AGE receptor. To investigate the role of the AGE/AGE receptor pathway in the pathogenesis of age-related renal disease, we evaluated the development of glomerular lesions in aging galectin-3 knockout (KO) vs. wild-type (WT) mice and their relation to the increased AGE levels and oxidative stress characterizing the aging process. KO mice showed significantly more pronounced age-dependent increases in proteinuria, albuminuria, glomerular sclerosis, and glomerular and mesangial areas, starting at 18 mo, as well as renal extracellular matrix mRNA and protein expression, starting at 12 mo vs. agematched WT mice. Circulating and renal AGEs, plasma isoprostane 8-epi-PGF 2␣ levels, glomerular content of the glycoxidation and lipoxidation products N ⑀ -carboxymethyllysine and 4-hydroxy-2-nonenal, and renal nuclear factor-B activity also increased more markedly with age in KO than WT mice. AGE levels correlated significantly with renal functional and structural parameters. These data indicate that aging galectin-3 KO mice develop more pronounced changes in renal function and structure than coeval WT mice, in parallel with a more marked degree of AGE accumulation, oxidative stress, and associated low-grade inflammation, thus supporting the concept that the AGE/AGE receptor pathway is implicated in agerelated renal disease.age-related glomerulopathy; advanced glycation end-products; advanced glycation end-product receptors; oxidative stress AGING IS A COMPLEX PATHOPHYSIOLOGICAL condition in which the function of many organ systems becomes altered, although it is unclear the extent to which these changes are the result of a normal aging process or of the interplay of age with chronic diseases that are more common in older people. Several changes in kidney function and structure have been detected in aged humans (31) and animals (4). The functional hallmark is a progressive decline of glomerular filtration rate, associated with reduced renal plasma flow and ultrafiltration coefficient, and increased filtration fraction and renal vascular resistance (19,31). From a morphological point of view, the glomerular number is reduced (36), and there is an increased prevalence of global glomerulosclerosis and tubulointerstitial fibrosis, preceded and accompanied by glomerular hypertrophy, mesangial matrix expansion, glomerular basement membrane thickening, and arteriolar hyal...