Metformin : A Growing Journey from Glycemic Control to the Treatment of Alzheimer's Disease and Depression

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Metabolic stress, transduced as an altered cellular redox and energy status, presents as the main culprit in many diseases, including diabetes. However, its role in the pathology of neurological disorders is still not fully elucidated. Metformin, a biguanide compound, is an FDA approved antidiabetic drug generally used for the treatment of type 2 diabetes. The recently described wide spectrum of action executed by this drug suggests a potential therapeutic benefit in a panoply of disorders. Current studies imply that metformin could play a neuroprotective role by reversing hallmarks of brain injury (metabolic dysfunction, neuronal dystrophy and cellular loss), in addition to cognitive and behavioral alterations that accompany the onset of certain brain diseases such as Alzheimer's disease (AD) and depression. However, the mechanisms by which metformin exerts its protective effect in neurodegenerative disorders are not yet fully elucidated. The aim of this review is to reexamine the mechanisms through which metformin performs its function while concentrating on its effect on reestablishing homeostasis in a metabolically disturbed milieu. We will also highlight the importance of metabolic stress, not only as a component of many neurological disorders, but also as a primary driving force for neural insult. Of interest, we will explore the involvement of metabolic stress in the pathobiology of AD and depression. The derangement in major metabolic pathways, including AMPK, insulin and glucose transporters, will be explored and the potential therapeutic effects of metformin administration on the reversal of brain injury in such metabolism dependent diseases will be exposed.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Current medicinal chemistry - 28(2021), 12 vom: 09., Seite 2328-2345

Sprache:

Englisch

Beteiligte Personen:

El Massry, Mohamed [VerfasserIn]
Alaeddine, Lynn M [VerfasserIn]
Ali, Leen [VerfasserIn]
Saad, Celine [VerfasserIn]
Eid, Assaad A [VerfasserIn]

Links:

Volltext

Themen:

9100L32L2N
AMPK Pathway
Alzheimer's Disease
Depression
GlucoseTransporters
Hypoglycemic Agents
Insulin
Journal Article
Metabolic Stress
Metformin
Review

Anmerkungen:

Date Completed 27.05.2021

Date Revised 27.05.2021

published: Print

Citation Status MEDLINE

doi:

10.2174/0929867327666200908114902

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31472995X