PMID- 35153733 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220216 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 12 DP - 2021 TI - Deciphering the Roles of Metformin in Alzheimer's Disease: A Snapshot. PG - 728315 LID - 10.3389/fphar.2021.728315 [doi] LID - 728315 AB - Alzheimer's disease (AD) is a prevalent neurodegenerative disease predominantly affecting millions of elderly people. To date, no effective therapy has been identified to reverse the progression of AD. Metformin, as a first-line medication for Type 2 Diabetes Mellitus (T2DM), exerts multiple beneficial effects on various neurodegenerative disorders, including AD. Evidence from clinical studies has demonstrated that metformin use contributes to a lower risk of developing AD and better cognitive performance, which might be modified by interactors such as diabetic status and APOE-epsilon4 status. Previous mechanistic studies have gradually unveiled the effects of metformin on AD pathology and pathophysiology, including neuronal loss, neural dysfunction, amyloid-beta (Abeta) depositions, tau phosphorylation, chronic neuroinflammation, insulin resistance, impaired glucose metabolism and mitochondrial dysfunction. Current evidence remains ambiguous and even conflicting. Herein, we review the current state of knowledge concerning the mechanisms of metformin in AD pathology while summarizing current evidence from clinical studies. CI - Copyright (c) 2022 Liao, Xu, Li, Ruan, Li and Liu. FAU - Liao, Wang AU - Liao W AD - Department of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. AD - Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Xu, Jiaxin AU - Xu J AD - Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Li, Bo AU - Li B AD - Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Ruan, Yuting AU - Ruan Y AD - Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. AD - Department of Rehabilitation Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Li, Tian AU - Li T AD - School of Basic Medicine, Fourth Military Medical University, Xi'an, China. FAU - Liu, Jun AU - Liu J AD - Department of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. AD - Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. LA - eng PT - Journal Article PT - Review DEP - 20220127 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC8829062 OTO - NOTNLM OT - AMPK OT - Alzheimer's disease OT - insulin OT - metformin OT - neuroinflammation COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/15 06:00 MHDA- 2022/02/15 06:01 PMCR- 2022/01/27 CRDT- 2022/02/14 05:29 PHST- 2021/06/22 00:00 [received] PHST- 2021/12/29 00:00 [accepted] PHST- 2022/02/14 05:29 [entrez] PHST- 2022/02/15 06:00 [pubmed] PHST- 2022/02/15 06:01 [medline] PHST- 2022/01/27 00:00 [pmc-release] AID - 728315 [pii] AID - 10.3389/fphar.2021.728315 [doi] PST - epublish SO - Front Pharmacol. 2022 Jan 27;12:728315. doi: 10.3389/fphar.2021.728315. eCollection 2021.