Metformin attenuates silica-induced pulmonary fibrosis via AMPK signaling

Demin Cheng1, Qi Xu1, Yue Wang1

  • 1Department of Occupational Medical and Environmental Health, Key Laboratory of Modern Toxicology of Ministry of Education, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, 211166, China.

Abstract

Insights

Metformin shows promise in treating silicosis, a lung fibrosis caused by silica exposure. This study found metformin reduced lung inflammation and fibrosis in mice, suggesting its potential as a therapeutic agent.

Area of Science:

  • Pulmonary Medicine
  • Pharmacology
  • Toxicology

Background:

  • Silicosis is a prevalent occupational pulmonary fibrosis with no effective treatments.
  • Metformin, an antidiabetic drug, activates AMP-activated protein kinase (AMPK), suggesting potential therapeutic applications.
  • This study investigates metformin's efficacy in mitigating silica-induced lung fibrosis.

Purpose of the Study:

  • To evaluate the anti-fibrotic effects of metformin in a silica-induced lung fibrosis model.
  • To explore the underlying mechanisms of metformin's action in lung epithelial cells, macrophages, and fibroblasts.

Main Methods:

  • An in vivo mouse model of silica-induced lung fibrosis (50 mg/kg silica).
  • In vitro studies using silica-stimulated lung epithelial cells (A549, HBE) and macrophages (THP-1).
  • Transforming growth factor-beta 1 (TGF-β1)-induced lung fibroblasts (MRC-5) were used to assess anti-fibrotic activity.

Main Results:

  • Metformin (300 mg/kg) significantly reduced lung inflammation and fibrosis in mice at both early and late stages.
  • In vitro, metformin (2-10 mM) reversed silica-induced cytotoxicity, oxidative stress, and epithelial-mesenchymal transition.
  • Metformin inhibited macrophage inflammation and alleviated TGF-β1-induced fibroblast activation via an AMPK-dependent pathway.

Conclusions:

  • Metformin demonstrates significant anti-fibrotic and anti-inflammatory effects in silica-induced lung injury.
  • The findings suggest metformin is a potential therapeutic candidate for treating silicosis.

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