PMID- 34548527 OWN - NLM STAT- MEDLINE DCOM- 20211230 LR - 20240507 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Sep 21 TI - Metformin selectively dampens the acute inflammatory response through an AMPK-dependent mechanism. PG - 18721 LID - 10.1038/s41598-021-97441-x [doi] LID - 18721 AB - Metformin is a first-line drug in the treatment of type-2 diabetes mellitus (T2DM). In addition to its antigluconeogenic and insulin-sensitizing properties, metformin has emerged as a potent inhibitor of the chronic inflammatory response of macrophages. In particular, metformin treatment has been shown to reduce expression of interleukin (IL-) 1beta during long-term exposure to the pro-inflammatory stimulus lipopolysaccharide (LPS) through a reduction in reactive oxygen species (ROS), which decreases the levels of the hypoxia-inducible factor (HIF) 1-alpha, and through enhanced expression of IL-10. However, the effect of metformin on the acute inflammatory response, before significant levels of ROS accumulate in the cell, has not been explored. Here, we show that metformin alters the acute inflammatory response through its activation of AMP-activated protein kinase (AMPK), but independently of HIF1-alpha and IL-10, in primary macrophages and two macrophage-like cell lines. Thus, metformin changes the acute and the chronic inflammatory response through fundamentally distinct mechanisms. Furthermore, RNA-seq analysis reveals that metformin pretreatment affects the levels of a large yet selective subset of inflammatory genes, dampening the response to short-term LPS exposure and affecting a wide range of pathways and biological functions. Taken together, these findings reveal an unexpected complexity in the anti-inflammatory properties of this widely used drug. CI - (c) 2021. The Author(s). FAU - Postler, Thomas S AU - Postler TS AUID- ORCID: 0000-0002-3558-9084 AD - Department of Microbiology & Immunology, Vagelos College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, 10032, USA. FAU - Peng, Vincent AU - Peng V AD - Department of Microbiology & Immunology, Vagelos College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, 10032, USA. AD - Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, USA. FAU - Bhatt, Dev M AU - Bhatt DM AD - Department of Microbiology & Immunology, Vagelos College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, 10032, USA. AD - Amgen Research Oncology and Inflammation, South San Francisco, CA, 94080, USA. FAU - Ghosh, Sankar AU - Ghosh S AUID- ORCID: 0000-0002-3227-0588 AD - Department of Microbiology & Immunology, Vagelos College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, 10032, USA. sg2715@cumc.columbia.edu. LA - eng GR - R37 AI033443/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20210921 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (HIF1A protein, human) RN - 0 (Hypoglycemic Agents) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (IL10 protein, human) RN - 0 (IL1B protein, human) RN - 0 (Interleukin-1beta) RN - 0 (Lipopolysaccharides) RN - 0 (NF-kappa B) RN - 0 (RNA, Messenger) RN - 0 (Reactive Oxygen Species) RN - 130068-27-8 (Interleukin-10) RN - 9100L32L2N (Metformin) RN - EC 2.7.4.3 (Adenylate Kinase) SB - IM MH - Adenylate Kinase/*metabolism MH - Humans MH - Hypoglycemic Agents/pharmacology/*therapeutic use MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics MH - Inflammation/*prevention & control MH - Interleukin-10/genetics MH - Interleukin-1beta/genetics MH - Lipopolysaccharides/pharmacology MH - Metformin/pharmacology/*therapeutic use MH - NF-kappa B/genetics MH - RNA, Messenger/genetics MH - Reactive Oxygen Species/metabolism PMC - PMC8455559 COIS- The authors declare no competing interests. EDAT- 2021/09/23 06:00 MHDA- 2021/12/31 06:00 PMCR- 2021/09/21 CRDT- 2021/09/22 06:32 PHST- 2020/08/05 00:00 [received] PHST- 2021/08/25 00:00 [accepted] PHST- 2021/09/22 06:32 [entrez] PHST- 2021/09/23 06:00 [pubmed] PHST- 2021/12/31 06:00 [medline] PHST- 2021/09/21 00:00 [pmc-release] AID - 10.1038/s41598-021-97441-x [pii] AID - 97441 [pii] AID - 10.1038/s41598-021-97441-x [doi] PST - epublish SO - Sci Rep. 2021 Sep 21;11(1):18721. doi: 10.1038/s41598-021-97441-x.