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Pleiotropic Effects of Biguanides on Mitochondrial Reactive Oxygen Species Production
Alena Pecinova1, Zdenek Drahota1, Jana Kovalcikova1
1Institute of Physiology of the Czech Academy of Sciences, Vídeňská, 1083 Prague, Czech Republic.
Abstract:
Metformin is widely prescribed as a first-choice antihyperglycemic drug for treatment of type 2 diabetes mellitus, and recent epidemiological studies showed its utility also in cancer therapy. Although it is in use since the 1970s, its molecular target, either for antihyperglycemic or antineoplastic action, remains elusive. However, the body of the research on metformin effect oscillates around mitochondrial metabolism, including the function of oxidative phosphorylation (OXPHOS) apparatus. In this study, we focused on direct inhibitory mechanism of biguanides (metformin and phenformin) on OXPHOS complexes and its functional impact, using the model of isolated brown adipose tissue mitochondria. We demonstrate that biguanides nonspecifically target the activities of all respiratory chain dehydrogenases (mitochondrial NADH, succinate, and glycerophosphate dehydrogenases), but only at very high concentrations (10-2-10-1 M) that highly exceed cellular concentrations observed during the treatment. In addition, these concentrations of biguanides also trigger burst of reactive oxygen species production which, in combination with pleiotropic OXPHOS inhibition, can be toxic for the organism. We conclude that the beneficial effect of biguanides should probably be associated with subtler mechanism, different from the generalized inhibition of the respiratory chain.
Insights
Metformin and phenformin do not directly inhibit mitochondrial oxidative phosphorylation (OXPHOS) at therapeutic concentrations. Their beneficial effects in diabetes and cancer likely stem from mechanisms other than generalized OXPHOS inhibition.
Area of Science:
- Biochemistry
- Mitochondrial Metabolism
- Pharmacology
Background:
- Metformin is a primary drug for type 2 diabetes and shows potential in cancer therapy.
- Its precise molecular targets for these effects are not fully understood.
- Research suggests a link between metformin's actions and mitochondrial metabolism, particularly oxidative phosphorylation (OXPHOS).
Purpose of the Study:
- To investigate the direct inhibitory effects of biguanides (metformin and phenformin) on mitochondrial OXPHOS complexes.
- To determine the functional impact of biguanides on the respiratory chain in isolated mitochondria.
Main Methods:
- Isolated brown adipose tissue mitochondria were used as a model system.
- The study assessed the direct inhibitory effects of biguanides on OXPHOS complexes.
- Reactive oxygen species (ROS) production was measured.
Main Results:
- Biguanides showed non-specific inhibition of all respiratory chain dehydrogenases (NADH, succinate, glycerophosphate) but only at very high concentrations (10⁻²–10⁻¹ M).
- These high concentrations far exceed typical cellular concentrations during treatment.
- High biguanide concentrations also induced a burst of reactive oxygen species (ROS), potentially leading to toxicity.
Conclusions:
- The direct inhibitory effect of biguanides on OXPHOS is unlikely to be the primary mechanism for their therapeutic benefits.
- The observed effects at high concentrations, including ROS production and broad OXPHOS inhibition, suggest potential toxicity rather than therapeutic action.
- The beneficial effects of biguanides are likely mediated by more subtle, yet-to-be-identified mechanisms.
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