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Protective effects of metformin on pancreatic β-cell ferroptosis in type 2 diabetes in vivo - 11/11/23

Doi : 10.1016/j.biopha.2023.115835 
Yue Sun a, b, 1, Ya-ping Bai b, c, 1, De-guo Wang a, b, 1, Yu-jie Xing a, b, Teng Zhang b, Wen Wang b, Si-min Zhou a, b, Jin-han Cheng d, Wei-wei Chang e, Xiang Kong a, b, c, f, , Xin-ming Yao d, , Li-qun Guo g,
a Department of Gerontology, Geriatric endocrinology unit, The First Affiliated Hospital of Wannan Medical College, Yijishan Hospital, Wuhu 241001, China 
b Anhui Provincial Key Laboratory of Non-coding RNA Basic and Clinical Transformation, Wannan Medical College, Wuhu 241002, China 
c Anhui Provincial Key Laboratory of Molecular Enzymology and Mechanism of Major Diseases, College of Life Sciences, Anhui Normal University, Wuhu 241000, China 
d Department of Endocrinology, The First Affiliated Hospital of Wannan Medical College, Yijishan Hospital, Wuhu 241001, China 
e Department of Epidemiology and Health statistics, School of public health, Wannan Medical College, Wuhu 241002, Anhui, China 
f Central Laboratory of Yijishan Hospital, Wuhu 241001, China 
g School of Pharmacy, Anhui Innovative Center for Drug Basic Research of Metabolic Diseases, Wannan Medical College, Wuhu 241002, China 

Correspondence to: Department of Gerontology, Geriatric endocrinology unit, The First Aflliated Hospital of Wannan Medical College, Yijishan Hospital; Central Laboratory of Yijishan Hospital, Key Laboratory of Non-coding RNA Research of Anhui Higher Education Institutes, NO. 2 Zheshan WestAvenue, Wuhu 241001, China.Department of Gerontology, Geriatric endocrinology unit, The First Aflliated Hospital of Wannan Medical College, Yijishan Hospital; Central Laboratory of Yijishan Hospital, Key Laboratory of Non-coding RNA Research of Anhui Higher Education InstitutesNO. 2 Zheshan WestAvenueWuhu241001China⁎⁎Correspondence to: Department of Endocrinology, The First Affiliated Hospital of Wannan Medical College, Yijishan Hospital, NO. 2 Zheshan WestAvenue, Wuhu 241001, China.Department of Endocrinology, The First Affiliated Hospital of Wannan Medical College, Yijishan HospitalNO. 2 Zheshan WestAvenueWuhu241001China⁎⁎⁎Correspondence to: School of Pharmacy, Anhui Innovative Center for Drug Basic Research of Metabolic Diseases, Wannan Medical College, No. 22 Wenchang West Road, Wuhu 241002, China.School of Pharmacy, Anhui Innovative Center for Drug Basic Research of Metabolic Diseases, Wannan Medical CollegeNo. 22 Wenchang West RoadWuhu241002China

Abstract

Metformin (Met) is the recommended first-line therapeutic drug for type 2 diabetes mellitus (T2DM) and exerts protective effects on β-cell damage. Ferroptosis, a new form of cell death, is associated with pancreatic islet injury in patients with T2DM. However, the protective effects of Met treatment against β-cell damage through ferroptosis modulation remain under-reported. This study investigated the in vivo effects of Met treatment on pancreatic β-cell ferroptosis using two different diabetic mouse models, namely, low-dose streptozotocin (STZ) and high-fat diet (HFD)–induced diabetic mice and db/db mice. Met treatment significantly restored insulin release, reduced cell mortality, and decreased the overproduction of lipid-related reactive oxygen species in the islets of both STZ/HFD-induced diabetic mice and db/db mice. Administration of the Ras-selective lethal 3 injection significantly attenuated the antiferroptosis effects of Met. Mechanistically, Met treatment alleviated β-cell ferroptosis in T2DM, which was associated with the regulation of the GPX4/ACSL4 axis in the islets. In conclusion, our findings highlight the significance of ferroptosis in T2DM β-cell damage and provide novel insights into the protective effects of Met against islet β cells.

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Graphical Abstract




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Highlights

Low-dose streptozotocin and high-fat diet–induced diabetic mice and db/db mice exhibit islet ferroptosis.
Metformin treatment alleviates islet ferroptosis in both T2DM mouse models.
Administration of the RSL3 injection significantly attenuated the antiferroptosis effects of metformin.
Met treatment alleviated T2DM β-cell ferroptosis by regulating the islet GPX4/ACSL4 axis.

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Keywords : Metformin, Type 2 diabetes mellitus, Ferroptosis, Islets


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