Metformin alleviates oxidative stress and enhances autophagy in diabetic kidney disease via AMPK/SIRT1-FoxO1 pathway

Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose...

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Published inMolecular and cellular endocrinology Vol. 500; p. 110628
Main Authors Ren, Huiwen, Shao, Ying, Wu, Can, Ma, Xiaoyu, Lv, Chuan, Wang, Qiuyue
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 15.01.2020
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Abstract Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose cultured rat mesangial cells (RMCs) pre-treated with metformin or transfected with AMPK, SIRT1 and FoxO1 small interfering RNA, and detected oxidative stress and autophagy related factors to explore the molecular mechanisms of metformin on DKD via adenosine monophosphate-activated protein kinase (AMPK)/silent mating type information regulation 2 homolog-1 (sirtuin-1, SIRT1)-Forkhead box protein O1 (FoxO1) pathway. We found that metformin effectively alleviated the disorders of glycolipid metabolism, renal function injury in diabetic rats, and relieved oxidative stress, enhanced autophagy and slowed down abnormal cell proliferation in high glucose cultured RMCs through AMPK/SIRT1-FoxO1 pathway, indicating the protective role of metformin against the pathological process of DKD. •Metformin can ease glucose and lipid metabolism disorders, renal dysfunction and proteinuria in diabetic rats.•Metformin can relieve the oxidative stress response and promote autophagy in high glucose cultured rat mesangial cells.•The protective effect of metformin on diabetic kidney disease may be achieved through the AMPK/SIRT1-FoxO1 pathway.
AbstractList Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose cultured rat mesangial cells (RMCs) pre-treated with metformin or transfected with AMPK, SIRT1 and FoxO1 small interfering RNA, and detected oxidative stress and autophagy related factors to explore the molecular mechanisms of metformin on DKD via adenosine monophosphate-activated protein kinase (AMPK)/silent mating type information regulation 2 homolog-1 (sirtuin-1, SIRT1)-Forkhead box protein O1 (FoxO1) pathway. We found that metformin effectively alleviated the disorders of glycolipid metabolism, renal function injury in diabetic rats, and relieved oxidative stress, enhanced autophagy and slowed down abnormal cell proliferation in high glucose cultured RMCs through AMPK/SIRT1-FoxO1 pathway, indicating the protective role of metformin against the pathological process of DKD.
Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose cultured rat mesangial cells (RMCs) pre-treated with metformin or transfected with AMPK, SIRT1 and FoxO1 small interfering RNA, and detected oxidative stress and autophagy related factors to explore the molecular mechanisms of metformin on DKD via adenosine monophosphate-activated protein kinase (AMPK)/silent mating type information regulation 2 homolog-1 (sirtuin-1, SIRT1)-Forkhead box protein O1 (FoxO1) pathway. We found that metformin effectively alleviated the disorders of glycolipid metabolism, renal function injury in diabetic rats, and relieved oxidative stress, enhanced autophagy and slowed down abnormal cell proliferation in high glucose cultured RMCs through AMPK/SIRT1-FoxO1 pathway, indicating the protective role of metformin against the pathological process of DKD.Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose cultured rat mesangial cells (RMCs) pre-treated with metformin or transfected with AMPK, SIRT1 and FoxO1 small interfering RNA, and detected oxidative stress and autophagy related factors to explore the molecular mechanisms of metformin on DKD via adenosine monophosphate-activated protein kinase (AMPK)/silent mating type information regulation 2 homolog-1 (sirtuin-1, SIRT1)-Forkhead box protein O1 (FoxO1) pathway. We found that metformin effectively alleviated the disorders of glycolipid metabolism, renal function injury in diabetic rats, and relieved oxidative stress, enhanced autophagy and slowed down abnormal cell proliferation in high glucose cultured RMCs through AMPK/SIRT1-FoxO1 pathway, indicating the protective role of metformin against the pathological process of DKD.
Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in diabetic kidney disease (DKD). Here, we established a diabetic rat model induced by high-fat diet and low dose streptozotocin, and high glucose cultured rat mesangial cells (RMCs) pre-treated with metformin or transfected with AMPK, SIRT1 and FoxO1 small interfering RNA, and detected oxidative stress and autophagy related factors to explore the molecular mechanisms of metformin on DKD via adenosine monophosphate-activated protein kinase (AMPK)/silent mating type information regulation 2 homolog-1 (sirtuin-1, SIRT1)-Forkhead box protein O1 (FoxO1) pathway. We found that metformin effectively alleviated the disorders of glycolipid metabolism, renal function injury in diabetic rats, and relieved oxidative stress, enhanced autophagy and slowed down abnormal cell proliferation in high glucose cultured RMCs through AMPK/SIRT1-FoxO1 pathway, indicating the protective role of metformin against the pathological process of DKD. •Metformin can ease glucose and lipid metabolism disorders, renal dysfunction and proteinuria in diabetic rats.•Metformin can relieve the oxidative stress response and promote autophagy in high glucose cultured rat mesangial cells.•The protective effect of metformin on diabetic kidney disease may be achieved through the AMPK/SIRT1-FoxO1 pathway.
ArticleNumber 110628
Author Ma, Xiaoyu
Wang, Qiuyue
Shao, Ying
Lv, Chuan
Wu, Can
Ren, Huiwen
Author_xml – sequence: 1
  givenname: Huiwen
  surname: Ren
  fullname: Ren, Huiwen
  organization: Department of Endocrinology, the First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
– sequence: 2
  givenname: Ying
  surname: Shao
  fullname: Shao, Ying
  organization: Department of Endocrinology, the Second Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
– sequence: 3
  givenname: Can
  surname: Wu
  fullname: Wu, Can
  organization: Department of Gastroenterology and Endoscopy, the First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
– sequence: 4
  givenname: Xiaoyu
  surname: Ma
  fullname: Ma, Xiaoyu
  organization: The Cadre Department, the First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
– sequence: 5
  givenname: Chuan
  surname: Lv
  fullname: Lv, Chuan
  organization: Department of Endocrinology, the People’s Hospital of Liaoning Province, Shenyang, Liaoning, China
– sequence: 6
  givenname: Qiuyue
  orcidid: 0000-0002-2242-3122
  surname: Wang
  fullname: Wang, Qiuyue
  email: wqycmu123@163.com
  organization: Department of Endocrinology, the First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31647955$$D View this record in MEDLINE/PubMed
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Mon Jul 21 09:44:42 EDT 2025
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IsPeerReviewed true
IsScholarly true
Keywords Oxidative stress
Metformin
Autophagy
Diabetic kidney disease
Language English
License Copyright © 2019 Elsevier B.V. All rights reserved.
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Snippet Metformin, as the basic pharmacological therapy and the first preventive drug in type 2 diabetes mellitus (T2DM), is proved to have potential protection in...
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SubjectTerms AMP-activated protein kinase
animal disease models
Autophagy
cell proliferation
Diabetic kidney disease
glucose
glycolipids
high fat diet
kidney diseases
lipid metabolism
Metformin
noninsulin-dependent diabetes mellitus
Oxidative stress
protective effect
rats
renal function
small interfering RNA
streptozotocin
therapeutics
Title Metformin alleviates oxidative stress and enhances autophagy in diabetic kidney disease via AMPK/SIRT1-FoxO1 pathway
URI https://dx.doi.org/10.1016/j.mce.2019.110628
https://www.ncbi.nlm.nih.gov/pubmed/31647955
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