Metformin counters oxidative stress and mitigates adverse effects of radiation exposure: An overview

Fundam Clin Pharmacol. 2023 Aug;37(4):713-725. doi: 10.1111/fcp.12884. Epub 2023 Mar 5.

Abstract

Metformin (1,1-dimethylbiguanidine hydrochloride) (MF) is a drug that has long been in use for the treatment of type 2 diabetes mellitus and recently is coming into use in the radiation therapy of cancer and other conditions. Exposure to ionizing radiation disturbs the redox homeostasis of cells and causes damage to proteins, membranes, and mitochondria, destroying a number of biological processes. After irradiation, MF activates cellular antioxidant and repair systems by signaling to eliminate the harmful consequences of disruption of redox homeostasis. The use of MF in the treatment of the negative effects of irradiation has great potential in medical patients after radiotherapy and in victims of nuclear accidents or radiologic terrorism.

Keywords: metformin; oxidative stress; radiation; radiomitigator; radiotherapeutic properties.

Publication types

  • Review

MeSH terms

  • Antioxidants / pharmacology
  • Antioxidants / therapeutic use
  • Diabetes Mellitus, Type 2* / drug therapy
  • Drug-Related Side Effects and Adverse Reactions*
  • Humans
  • Metformin* / pharmacology
  • Metformin* / therapeutic use
  • Oxidation-Reduction
  • Oxidative Stress

Substances

  • Metformin
  • Antioxidants