PMID- 36322951 OWN - NLM STAT- MEDLINE DCOM- 20230206 LR - 20230206 IS - 1205-7541 (Electronic) IS - 0008-4212 (Linking) VI - 101 IP - 1 DP - 2023 Jan 1 TI - Therapeutic metformin concentrations positively regulate proliferation in endometrial epithelial cells via mTOR activation and augmented mitochondrial strength. PG - 52-64 LID - 10.1139/cjpp-2022-0307 [doi] AB - Metformin, an antidiabetic drug, has recently been repositioned in the treatment of several nondiabetic disorders, including reproductive disorders such as polycystic ovarian syndrome, where it improves endometrial functions. In vitro studies employing supratherapeutic concentrations (5-20 mmol/L) of metformin have reported antiproliferative effects on endometrial epithelial and stromal cells. However, animal and human studies have revealed that therapeutic serum concentrations of metformin range between 20 and 70 micromol/L. In the present study, the effect of therapeutic concentrations of metformin was studied on endometrial epithelial cells (EECs). Therapeutic concentrations of metformin induced proliferation in Ishikawa and HEC-1A cells. The proliferation of EECs was found to be mammalian target of rapamycin (mTOR) dependent. Interestingly, therapeutic metformin concentrations were not able to activate the classical AMP-activated protein kinase (AMPK) signaling. On the contrary, supratherapeutic metformin concentration (10 mmol/L) inhibited mTOR and activated AMPK signaling. Microarray analysis of metformin-treated HEC-1A cells revealed dose-dependent differential effects on biological pathways associated with translation, ribosomal RNA processing, mitochondrial translation, and cell proliferation. Therapeutic concentrations of metformin upregulated mitochondrial number as demonstrated by increased MitoTracker() Red staining and enhanced succinate dehydrogenase expression; however, higher concentration (10 mmol/L) abrogated the same. Our results suggest that therapeutic concentrations of metformin augment mitochondrial strength and induce mTOR-dependent endometrial cell proliferation. FAU - Imran, M AU - Imran M AD - Cell Physiology and Pathology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India. FAU - Sachdeva, Geetanjali AU - Sachdeva G AD - Cell Physiology and Pathology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India. FAU - Menon, Shyla AU - Menon S AD - Stem Cell Biology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India. FAU - Das, Dhanjit AU - Das D AD - Stem Cell Biology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India. FAU - Davuluri, Sravanthi AU - Davuluri S AD - Shodhaka Life Sciences Pvt. Ltd., Bengaluru, Karnataka, India. FAU - Acharya, Kshitish AU - Acharya K AD - Shodhaka Life Sciences Pvt. Ltd., Bengaluru, Karnataka, India. AD - Institute of Bioinformatics and Applied Biotechnology (IBAB), Bengaluru, Karnataka, India. FAU - Chaudhari, Uddhav AU - Chaudhari U AUID- ORCID: 0000-0002-1551-3840 AD - Cell Physiology and Pathology Laboratory, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India. LA - eng PT - Journal Article DEP - 20221102 PL - Canada TA - Can J Physiol Pharmacol JT - Canadian journal of physiology and pharmacology JID - 0372712 RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Female MH - Humans MH - AMP-Activated Protein Kinases/metabolism MH - Cell Proliferation MH - *Endometrial Neoplasms MH - Epithelial Cells/metabolism MH - *Metformin/pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - endometrium OT - metformin OT - microarray OT - mitochondria OT - proliferation EDAT- 2022/11/03 06:00 MHDA- 2023/01/13 06:00 CRDT- 2022/11/02 17:42 PHST- 2022/11/03 06:00 [pubmed] PHST- 2023/01/13 06:00 [medline] PHST- 2022/11/02 17:42 [entrez] AID - 10.1139/cjpp-2022-0307 [doi] PST - ppublish SO - Can J Physiol Pharmacol. 2023 Jan 1;101(1):52-64. doi: 10.1139/cjpp-2022-0307. Epub 2022 Nov 2.