The concentration-dependent pro-fibrotic effect of metformin on LPS and high glucose induced fibroblast NIH 3T3 and

R Awaluddin1, D A A Nugrahaningsih2, E N Solikhah3

  • 1Universitas Gadjah Mada, Public Health, and Nursing, Faculty of Medicine, Master in Biomedical Science Program, Jl. Farmako Sekip Utara, Yogyakarta, Indonesia.

Abstract

Insights

Metformin treatment in a cell model of Idiopathic Pulmonary Fibrosis (IPF) increased fibrosis markers, specifically collagen, while decreasing IL-6. This suggests metformin may worsen fibrosis despite anti-inflammatory effects in IPF.

Area of Science:

  • Pulmonary Medicine
  • Cell Biology
  • Pharmacology

Background:

  • Diabetes mellitus is a known risk factor for Idiopathic Pulmonary Fibrosis (IPF).
  • Metformin, an antidiabetic drug, has shown potential therapeutic effects in IPF, but its benefits remain controversial.
  • Investigating metformin's impact on IPF pathogenesis is crucial for understanding its role in disease progression.

Purpose of the Study:

  • To investigate the effect of metformin on fibroblast and macrophage co-cultures.
  • To examine metformin's influence under conditions mimicking IPF, including lipopolysaccharides (LPS) and high glucose.
  • To clarify the controversial role of metformin in IPF treatment.

Main Methods:

  • Co-culture of NIH 3T3 fibroblasts and RAW 264.7 macrophages.
  • Induction of co-cultures with LPS and high glucose, followed by metformin treatment.
  • Measurement of collagen expression using Sirius red dye and IL-6 and TGF-β mRNA levels via real-time PCR.

Main Results:

  • Metformin treatment led to increased collagen expression in the co-culture.
  • A decrease in IL-6 mRNA expression was observed with metformin treatment.
  • The study utilized a co-culture model to assess metformin's impact on fibrosis and inflammation markers.

Conclusions:

  • Metformin increased fibrosis markers (collagen) in the induced co-culture model.
  • Metformin reduced IL-6 mRNA expression, suggesting an anti-inflammatory effect.
  • The findings indicate that metformin may exacerbate fibrosis in IPF, despite improving certain inflammatory markers.

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