Metformin Reduces Vascular Assembly in High Glucose-Treated Human Microvascular Endothelial Cells in An

Carolina Silva1,2, Ilda Rodrigues1, Sara Andrade1,2,3

  • 1Department of Biomedicine, Unit of Biochemistry, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.

Cell Journal
|June 7, 2021
PubMed
Abstract

Insights

Metformin inhibits human microvascular endothelial cell (HMEC) vessel formation and migration, likely via an AMP-independent pathway. This finding is crucial for understanding endothelial dysfunction and preventing diabetic complications.

Area of Science:

  • Endothelial cell biology
  • Diabetic complications research
  • Pharmacological effects on angiogenesis

Background:

  • High glucose (HG) conditions induce endothelial dysfunction, a key factor in diabetic microvascular complications.
  • 5' adenosine monophosphate-activated protein kinase (AMPK) modulators are investigated for their therapeutic potential in managing diabetic complications.
  • Metformin's effects on endothelial cells under hyperglycemic conditions require further elucidation.

Purpose of the Study:

  • To investigate the impact of metformin on human microvascular endothelial cells (HMECs) exposed to high glucose (HG).
  • To compare metformin's effects with other 5' adenosine monophosphate-activated protein kinase (AMPK) modulators under HG conditions.
  • To assess the influence of metformin on HMEC migration, invasion, proliferation, and capillary-like structure formation.

Main Methods:

  • Human microvascular endothelial cells (HMECs) were treated with metformin, AICAR, and compound C under high glucose (20 mM) conditions.
  • Cellular functions including migration, invasion, and proliferation were evaluated.
  • Capillary-like structure formation and the expression of angiogenic genes were assessed.

Main Results:

  • Metformin significantly inhibited HMEC migration and vessel formation but did not affect proliferation or invasion.
  • Histological analysis showed metformin reduced collagen formation.
  • Gene expression analysis revealed slight upregulation of angiogenesis and fibrosis-related genes (e.g., TGFß2, VEGFR2, SMADs) and differential SMAD2/3 expression.

Conclusions:

  • Metformin prevents vessel assembly in HMECs, potentially through an AMPK-independent mechanism.
  • Understanding metformin's molecular effects on endothelial dysfunction is vital for its application in diabetic retinopathy and nephropathy.
  • These findings highlight metformin's potential role in managing angiogenesis-related complications in diabetes.

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