Metformin Therapy in Diabetes: The Role of Cardioprotection
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  • 作者:Saloua El Messaoudi (1)
    Gerard A. Rongen (1) (2)
    Niels P. Riksen (1) (2)
  • 关键词:Metformin ; Ischemia reperfusion injury ; Adenosine ; AMPK
  • 刊名:Current Atherosclerosis Reports
  • 出版年:2013
  • 出版时间:April 2013
  • 年:2013
  • 卷:15
  • 期:4
  • 全文大小:197KB
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  • 作者单位:Saloua El Messaoudi (1)
    Gerard A. Rongen (1) (2)
    Niels P. Riksen (1) (2)

    1. Department of Pharmacology-Toxicology 149, Radboud University Nijmegen Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands
    2. Department of General Internal Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
文摘
In patients with diabetes mellitus, the incidence of cardiovascular disease is increased, and the outcome following cardiovascular events is worse. The antihyperglycemic drug metformin appears to limit cardiovascular death in patients with type 2 diabetes. Indeed, preclinical studies have demonstrated that metformin limits (myocardial) ischemia and reperfusion injury, independent from its glucose-lowering effect. This cardioprotection is mediated by activation of the Reperfusion Injury Salvage Kinase (RISK) pathway, activation of AMPK and by an increased formation of adenosine. In addition, metformin can modulate several cardiovascular risk factors and reduces the development of heart failure in murine models. Consequently, treatment with metformin might potentially improve cardiovascular outcome in patients at risk for myocardial ischemia, even if these patients do not have diabetes. In the current paper, we focus on the direct cardioprotective actions of metformin and the mechanisms that underlie these effects.

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