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The action of metformin on the production of pro-inflammatory cytokines and insulin resistance (NF-kB signal pathway)

https://doi.org/10.14341/probl201258225-28

Abstract

The objective of the present study was to estimate the role of the NF-kB signal pathway in the realization of the anti-inflammatory and insulin-synthesizing activities of metformin in the patients presenting with coronary heart disease (CHD) associated with metabolic syndrome (MS). It was shown that the introduction of a one-month course of metformin therapy in the combined treatment of CHD resulted in the decreased production of pro-inflammatory cytokines, such as IL-1-beta, IL-6, IL-8, and TNF-alpha. Simultaneously, the serum C-peptide level decreased. These effects of metformin were mediated through the NF-kB-signal pathway. It is concluded that the inclusion of metformin in the combined treatment of coronary heart disease in the patients with metabolic syndrome prevent activation of NF-kB under the influence of endogeneous pro-inflammatory cytokines.

References

1. De Fronzo R.A. From the triumvirate to the ominous octet: a new paradigm for the treatment of type 2 diabetes mellitus. Diabetes 2009; 58: 773-795.

2. De Fronzo R.A. Insulin resistase, lipotoxicity, type 2 diabetes and atherosclerosis: the missing links. The Claude Bernard Lecture 2009. Diabetologia. 2010; 53: 1270-1287.

3. Bulcao C., Ribeiro-Filho F.F., Sanudo A. Roberta Ferreira S.G. Effects of simvastatin and metformin on inflammation and insulin resistance in individuals with mild metabolic syndrome. Am J Cardiovasc Drugs 2007; 7: 3: 219-224.

4. Alberti K.G., Zimmet P.Z. Definition, diagnosis and classification of diabetes mellitus and its complications, part 1: diagnosis and classification of diabetes mellitus. Prevocational report of WHO consultation. Diabet Med 1998; 15: 539-553.

5. Juan M., Ohishi M., Wang L. et al. Association between serum levels of soluble CD40/CD40L ligand and organ damage in hypertensive patients. Clin Exp Pharmacol Physiol 2010; 37: 8: 848-851.

6. Lutgens E., Levens D., Beckers L. et al. CD40 and its ligand in aterosclerosis. Trends Cardiovasc Med 2007; 17: 4: 118-123.

7. Lawrens T. The nuclear factor NF-kB pathway in inflammation. Cold Spring Harb Perspect Biol 2009; 1: 6: a001651.

8. Hattori Y., Suzuki K., Hattori S., Kasal K. Metformin inhibits cytokine-induced nuclear factor kappa B activation via AMP-activated protein kinase activation in vascular endothelial cells. Hypertension 2006. 47: 6: 1183-1186.

9. Huang N.L., Chiang S.H., Hsueh C.H. et al. Metformin inhibits TNF-alpha-induced I kappa B kinase phosphorylation, I kappa B alpha degradation and IL-6 production in ebdothelial cells through PI3-dependent AMPK phosphorylation. Int J Cardiol 2009; 134: 2: 169-175.

10. Wysocki P.J., Wizusz-Wysocka B. Obesity, hyperinsulinemia and breast cancer: novel targets and a novel role for metformin. Exp Rev Mol Diagn 2010; 10: 4: 509-519.


Review

For citations:


Lavrenko A.V., Kutsenko N.L., Kutsenko L.A., Mamontova T.V., Kaĭdashev I.P. The action of metformin on the production of pro-inflammatory cytokines and insulin resistance (NF-kB signal pathway). Problems of Endocrinology. 2012;58(2):25-28. https://doi.org/10.14341/probl201258225-28

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)