PMID- 21754920 OWN - NLM STAT- MEDLINE DCOM- 20111103 LR - 20211020 IS - 1687-5303 (Electronic) IS - 1687-5214 (Print) IS - 1687-5214 (Linking) VI - 2011 DP - 2011 TI - The effect of metformin on the myocardial tolerance to ischemia-reperfusion injury in the rat model of diabetes mellitus type II. PG - 907496 LID - 10.1155/2011/907496 [doi] LID - 907496 AB - In recent years, evidence has been accumulated that metformin, an antidiabetic drug in the biguanide class, in addition to its well-recognized glucose-lowering effect, can also reduce cardiovascular mortality in the patients with type 2 diabetes mellitus (T2DM). Besides, there are a few experimental studies on the possibility of the direct anti-ischemic effect of the drug in both type 1 diabetes mellitus and T2DM. In our study, myocardial tolerance to ischemia in rats with neonatal streptozotocin T2DM was investigated using the model of global ischemia-reperfusion of the isolated perfused heart. Metformin was administered i.p. at a dose of 200 mg/kg/day for 3 days prior to isolated heart perfusion. The results showed that both the infarct size and postischemic recovery of left ventricular function were not different between controls and metformin-treated animals. At the same time, the infarct size in the T2DM animals was significantly lower than that in the controls (24.4 +/- 7.6% versus 45.0 +/- 10.4%, resp., P < .01), indicative of the metabolic preconditioning in T2DM. It follows that the protocol of metformin administration used in this study had not elicited cardioprotective effect in animals with T2DM so that the different mechanism(s) may underlie the beneficial effect of metformin on cardiovascular complications in patients with T2DM which, however, would need further investigation. FAU - Kravchuk, Ekaterina AU - Kravchuk E AD - Institute of Endocrinology, Almazov Federal Heart, Blood and Endocrinology Centre, Akkuratova Street 2, St. Petersburg 197341, Russia. FAU - Grineva, Elena AU - Grineva E FAU - Bairamov, Alekber AU - Bairamov A FAU - Galagudza, Michael AU - Galagudza M FAU - Vlasov, Timur AU - Vlasov T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110622 PL - United States TA - Exp Diabetes Res JT - Experimental diabetes research JID - 101274844 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 5W494URQ81 (Streptozocin) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Animals, Newborn MH - Blood Glucose/metabolism MH - Body Weight/physiology MH - Diabetes Mellitus, Experimental/*chemically induced/*complications MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Hypoglycemic Agents/*therapeutic use MH - Metformin/*therapeutic use MH - Myocardial Infarction/pathology MH - Myocardial Reperfusion Injury/pathology/*prevention & control MH - Rats MH - Rats, Wistar MH - Streptozocin/*adverse effects MH - Treatment Outcome PMC - PMC3132893 EDAT- 2011/07/15 06:00 MHDA- 2011/11/04 06:00 PMCR- 2011/06/22 CRDT- 2011/07/15 06:00 PHST- 2011/03/22 00:00 [received] PHST- 2011/04/21 00:00 [accepted] PHST- 2011/07/15 06:00 [entrez] PHST- 2011/07/15 06:00 [pubmed] PHST- 2011/11/04 06:00 [medline] PHST- 2011/06/22 00:00 [pmc-release] AID - 10.1155/2011/907496 [doi] PST - ppublish SO - Exp Diabetes Res. 2011;2011:907496. doi: 10.1155/2011/907496. Epub 2011 Jun 22.