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Isoda, K; Young, JL; Zirlik, A; MacFarlane, LA; Tsuboi, N; Gerdes, N; Schönbeck, U; Libby, P.
Metformin inhibits proinflammatory responses and nuclear factor-kappaB in human vascular wall cells.
ARTERIOSCL THROM VAS. 2006; 26(3): 611-617. Doi: 10.1161/01.ATV.0000201938.78044.75 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Zirlik Andreas
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Abstract:
Metformin may benefit the macrovascular complications of diabetes independently of its conventional hypoglycemic effects. Accumulating evidence suggests that inflammatory processes participate in type 2 diabetes and its atherothrombotic manifestations. Therefore, this study examined the potential action of metformin as an inhibitor of pro-inflammatory responses in human vascular smooth muscle cells (SMCs), macrophages (Mphis), and endothelial cells (ECs). Metformin dose-dependently inhibited IL-1beta-induced release of the pro-inflammatory cytokines IL-6 and IL-8 in ECs, SMCs, and Mphis. Investigation of potential signaling pathways demonstrated that metformin diminished IL-1beta-induced activation and nuclear translocation of nuclear factor-kappa B (NF-kappaB) in SMCs. Furthermore, metformin suppressed IL-1beta-induced activation of the pro-inflammatory phosphokinases Akt, p38, and Erk, but did not affect PI3 kinase (PI3K) activity. To address the significance of the anti-inflammatory effects of a therapeutically relevant plasma concentration of metformin (20 micromol/L), we conducted experiments in ECs treated with high glucose. Pretreatment with metformin also decreased phosphorylation of Akt and protein kinase C (PKC) in ECs under these conditions. These data suggest that metformin can exert a direct vascular anti-inflammatory effect by inhibiting NF-kappaB through blockade of the PI3K-Akt pathway. The novel anti-inflammatory actions of metformin may explain in part the apparent clinical reduction by metformin of cardiovascular events not fully attributable to its hypoglycemic action.
Find related publications in this database (using NLM MeSH Indexing)
Anti-Inflammatory Agents - pharmacology
Atherosclerosis - drug therapy
Atherosclerosis - immunology
Cell Survival - drug effects
Cells, Cultured -
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - immunology
Diabetic Angiopathies - drug therapy
Diabetic Angiopathies - immunology
Endothelium, Vascular - cytology
Endothelium, Vascular - drug effects
Endothelium, Vascular - immunology
Glucose - pharmacology
Humans -
Hypoglycemic Agents - pharmacology
Interleukin-1 - antagonists & inhibitors
Interleukin-1 - metabolism
Interleukin-6 - metabolism
Interleukin-8 - metabolism
Macrophages - cytology
Macrophages - drug effects
Macrophages - immunology
Metformin - pharmacology
Muscle, Smooth, Vascular - cytology
Muscle, Smooth, Vascular - drug effects
Muscle, Smooth, Vascular - immunology
NF-kappa B - metabolism
Phosphatidylinositol 3-Kinases - metabolism
Proto-Oncogene Proteins c-akt - metabolism
Saphenous Vein - cytology

Find related publications in this database (Keywords)
atherosclerosis
diabetes
inflammation
interleukins
smooth muscle cell
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