2016
DOI: 10.2337/db16-0915
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Metformin Suppresses Diabetes-Accelerated Atherosclerosis via the Inhibition of Drp1-Mediated Mitochondrial Fission

Abstract: Metformin is a widely used antidiabetic drug that exerts cardiovascular protective effects in patients with diabetes. How metformin protects against diabetes-related cardiovascular diseases remains poorly understood. Here, we show that metformin abated the progression of diabetes-accelerated atherosclerosis by inhibiting mitochondrial fission in endothelial cells. Metformin treatments markedly reduced mitochondrial fragmentation, mitigated mitochondrial-derived superoxide release, improved endothelial-dependen… Show more

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Cited by 280 publications
(239 citation statements)
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References 52 publications
(62 reference statements)
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“…Recent studies have demonstrated that AMPK promotes both fusion and fission under different conditions, via direct and indirect mechanisms (Kang et al, 2016; Toyama et al, 2016; Wang et al, 2017). Our data show that chronic activation of AMPK maintains mitochondrial network homeostasis, however under normal physiological conditions the capacity to activate AMPK diminishes with age (Reznick et al, 2007).…”
Section: Discussionmentioning
confidence: 99%
“…Recent studies have demonstrated that AMPK promotes both fusion and fission under different conditions, via direct and indirect mechanisms (Kang et al, 2016; Toyama et al, 2016; Wang et al, 2017). Our data show that chronic activation of AMPK maintains mitochondrial network homeostasis, however under normal physiological conditions the capacity to activate AMPK diminishes with age (Reznick et al, 2007).…”
Section: Discussionmentioning
confidence: 99%
“…DRP1inhibition suppresses vascular disease pathology in diabetic ApoE -deficient mice 13 , and balloon 12 and wire injury 65 rodent models. In contrast, heterozygous Drp1 -deficient mice did not have altered vascular pathology in a PCSK9-gain-of-function model, and DRP1 was not elevated in calcified plaque of the two most commonly used atherosclerosis mouse models, ApoE -deficient and Ldlr -deficient mice.…”
Section: Discussionmentioning
confidence: 99%
“…No mechanism has been suggested for the presence of cardiac calcification in these mice, and whether DRP1 regulates calcification of other tissues, including the vasculature is unknown. DRP1inhibition prevents rat vascular neointima formation in a balloon injury model 12 , suppresses lesion formation in diabetic ApoE -deficient mice 13 , and oxidized low density lipoprotein induces DRP1 mediated mitochondrial fragmentation in human SMCs 14 , suggesting a possible role of DRP1 in vascular disease. Reduced mitochondrial fusion protein, Mitofusin 2 (MFN2) that acts in an opposite function to that of DRP1 driven mitochondrial fission, is associated with atherosclerosis pathology in mice 15, 16 , rabbits 17 , and humans 16 .…”
Section: Introductionmentioning
confidence: 99%
“…Previous study indicated that metformin (300 mg/kg/d) attenuated the development of atherosclerosis by reducing mitochondrial fission in an AMPK-dependent manner, but there was no difference in metabolic parameters, including serum lipid and glucose metabolism, between diabetic mice treated with and without metformin [51]. It is speculated that LPS elicited a strong release of inflammatory cytokines which had been shown to impair insulin-mediated glucose disposal [52].…”
Section: Discussionmentioning
confidence: 99%