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Maternal Metformin Administration During the Pre-Gestation Period Improves Transient Cerebral Ischemia Injury in Male
Reyhaneh Vaali1,2, Iraj Ahmadi3, Fradin Sehati2
1Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Advanced Pharmaceutical Bulletin
|April 7, 2025
Summary
Maternal metformin administration improved offspring brain health by activating the AMP-activated protein kinase (AMPK) pathway. This intervention reduced neurological deficits and enhanced memory and neural plasticity in offspring subjected to cerebral ischemia.
Area of Science:
- Neuroscience
- Pharmacology
- Epigenetics
Background:
- Maternal interventions, potentially via epigenetic mechanisms, can influence offspring cerebral ischemia.
- Metformin activates the AMP-activated protein kinase (AMPK) pathway and shows neuroprotective effects in cerebral ischemia.
Purpose of the Study:
- To investigate the impact of maternal metformin administration on cerebral ischemia in offspring.
- To determine if metformin's effects are mediated through the activation of the AMPK pathway.
Main Methods:
- Female rats received metformin (200 mg/kg) for two weeks before mating.
- Offspring (60 days old) underwent two-vessel occlusion (2VO) to induce cerebral ischemia.
- Neurological deficits and memory-related tests were performed on the offspring.
Main Results:
- Maternal metformin administration significantly reduced neurological deficits and improved memory in offspring post-cerebral ischemia.
- Key molecular changes observed include increased brain-derived neurotrophic factor (BDNF), c-fos, p-AMPK/AMPK ratio, and histone H3K9 acetylation in the hippocampus.
- The Bcl-2/Bax ratio declined, indicating reduced apoptosis.
Conclusions:
- Maternal metformin intervention, through AMPK activation, ameliorates cerebral ischemia consequences in offspring.
- The treatment enhances spatial memory, neural plasticity, and hippocampal bioenergetics and histone acetylation.
- This suggests a promising therapeutic strategy for mitigating perinatal brain injury.

