Metformin ameliorates peripheral neuropathy in diabetic rats by downregulating autophagy via the AMPK pathway

ABSTRACT Objective: Diabetic neuropathy (DN) is an important complication of diabetes mellitus. Autophagy is considered to be potentially involved in the regulation of DN. Metformin is broadly utilized in the first-line treatment of diabetes. The present work aimed to assess whether and how metform...

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Bibliographic Details
Main Authors: Fangqin You, Diya Xie, Cheng Li, Lihang Yang, Fengmin Liu
Format: Article
Language:English
Published: Brazilian Society of Endocrinology and Metabolism 2025-01-01
Series:Archives of Endocrinology and Metabolism
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972024001000307&lng=en&tlng=en
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Summary:ABSTRACT Objective: Diabetic neuropathy (DN) is an important complication of diabetes mellitus. Autophagy is considered to be potentially involved in the regulation of DN. Metformin is broadly utilized in the first-line treatment of diabetes. The present work aimed to assess whether and how metformin exerts protective effects in DN. Materials and methods: A DN rat model induced by streptozotocin (STZ) was established. Metformin was administered to examine its effect on sciatic nerve pathology, and the possible mechanisms involved in this process were explored. Results: Morphological damage was observed in sciatic nerve samples from diabetic animals, accompanied by decreased p-AMPK expression and increased LC-3 levels. Notably, metformin ameliorated the morphological changes in the sciatic nerve by downregulating autophagy via p-AMPK upregulation. Conclusions: These results indicate that metformin attenuates peripheral neuropathy in diabetic rats by regulating autophagy.
ISSN:2359-4292