Mitochondrial Functional Capacity Is Impaired in Angiotensin II-Infused Mice and Not Recovered by Metformin

Amanda Balboa Ramilo1, Kevin Mani2, Anders Wanhainen2,3

  • 1Department of Medical Cell Biology, Uppsala University, 751 23 Uppsala, Sweden.

Biomedicines
|May 4, 2026
PubMed

Insights

Mitochondrial dysfunction is present in abdominal aortic aneurysms (AAA). Metformin does not restore mitochondrial function, suggesting it prevents AAA through other mechanisms.

Area of Science:

  • Cardiovascular Biology
  • Mitochondrial Medicine
  • Vascular Pathophysiology

Background:

  • Pathophysiological mechanisms of Abdominal Aortic Aneurysm (AAA) remain unclear.
  • Mitochondrial dysfunction, specifically reduced oxidative phosphorylation (OXPHOS), is implicated in vascular smooth muscle cells.
  • Metformin's protective effects on AAA are known, but the underlying mechanisms are not fully understood.

Purpose of the Study:

  • To establish a method for measuring ex vivo mitochondrial functional capacity in intact murine AAA tissue.
  • To confirm impaired OXPHOS in AAA.
  • To investigate if metformin's protective effect against AAA is mediated by mitochondrial function.

Main Methods:

  • AAA was induced in ApoE KO mice using AngII infusion.
  • Metformin was administered via drinking water.
  • Mitochondrial functional capacity was assessed ex vivo in permeabilized aortic tissue using high-resolution respirometry.

Main Results:

  • Mitochondrial respiration was successfully measured in whole aneurysmal tissue.
  • AngII-induced AAA showed impaired mitochondrial function, with decreased Complex I and Complex II oxygen consumption.
  • Metformin treatment did not restore mitochondrial function in AAA mice.

Conclusions:

  • Mitochondrial function can be assessed in murine AAA tissue, offering a physiological study approach.
  • AAA is characterized by impaired mitochondrial function.
  • Metformin's prevention of AAA does not appear to be mediated by restoring mitochondrial function.