The anti-inflammatory effect of metformin: The molecular targets

Genes Cells. 2024 Mar;29(3):183-191. doi: 10.1111/gtc.13098. Epub 2024 Feb 4.

Abstract

Metformin is an anti-diabetic drug. Metformin mainly inhibits gluconeogenesis in the liver and reduces blood sugar. In addition to the anti-diabetic effects, many studies have revealed that metformin has anti-inflammatory effects. Various molecules were suggested to be the target of the metformin's anti-inflammatory effects. However, the conclusion is not clear. Metformin is related to a number of molecules and the identification of the main target in anti-inflammatory effects leads to the understanding of inflammation and metformin. In this article, I discuss each suggested molecule, involved mechanisms, and their relationship with various diseases.

Keywords: cardiovascular disease; cytokine; diabetes; inflammation; metformin.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / metabolism
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / metabolism
  • Gluconeogenesis
  • Humans
  • Liver / metabolism
  • Metformin* / metabolism
  • Metformin* / pharmacology
  • Metformin* / therapeutic use

Substances

  • Metformin
  • Anti-Inflammatory Agents