Abstract
Metformin is reported to ameliorate inflammation in diabetic
patients. The effect of metformin on lipopolysaccharide-induced nitric
oxide production was studied by using RAW 264.7 macrophage-like cells.
The action of metformin was analyzed by dividing lipopolysaccharide
signaling into the MyD88-dependent and -independent pathways.
Metformin significantly reduced the expression of an inducible type of
nitric oxide synthase and inhibited lipopolysaccharide-induced nitric
oxide production. On the other hand, metformin did not inhibit
lipopolysaccharide-induced tumor necrosis factor-α production.
The expression levels of interferon-β protein and mRNA, which is
a key molecule in MyD88-independent pathway, were significantly
inhibited by metformin. Compound C, a specific AMP-activated protein
kinase inhibitor, did not affect the inhibitory action of metformin.
Metformin was suggested to inhibit lipopolysaccharide-induced nitric
oxide production via inhibition of interferon-β production in
MyD88-independent pathway. Metformin might exhibit an anti-
inflammatory action on diabetic complications as well as the
antidiabetic action.
Key words
lipopolysaccharide - interferon-β - metformin - MyD88-independent pathway - nitric oxide
References
1
Kirpichnikov D, McFarlane SI, Sowers JR.
Metformin: an update.
Ann Intern Med.
2002;
137
25-33
2
UK
Prospective Diabetes Study (UKPDS) Group
.
Effect of intensive blood-glucose control with metformin on
complications in overweight patients with type 2 diabetes (UKPDS 34).
Lancet.
1998;
352
854-865
3
Caballero AE, Delgado A, Aguilar-Salinas CA, Herrera AN, Castillo JL, Cabrera T, Gomez-Perez FJ, Rull JA.
The differential effects of metformin on markers of endothelial
activation and inflammation in subjects with impaired glucose
tolerance: a placebo-controlled, randomized clinical trial.
J Clin Endocrinol Metab.
2004;
89
3943-3948
4
Dandona P, Aljada A, Ghanim H, Mohanty P, Tripathy C, Hofmeyer D, Chaudhuri A.
Increased plasma concentration of macrophage migration inhibitory
factor (MIF) and MIF mRNA in mononuclear cells in the obese and the
suppressive action of metformin.
J Clin Endocrinol Metab.
2004;
89
5043-5047
5
Morin-Papunen L, Rautio K, Ruokonen A, Hedberg P, Puukka M, Tapanainen JS.
Metformin reduces serum C-reactive protein levels in women with
polycystic ovary syndrome.
J Clin Endocrinol Metab.
2003;
88
4649-4654
6
Forman HJ, Torres M.
Redox signaling in macrophages.
Mol Aspects Med.
2001;
22
189-216
7
Choi JW, Pai SH, Kim SK, Ito M, Park CS, Cha YN.
Increases in nitric oxide concentrations correlate strongly with
body fat in obese humans.
Clin Chem.
2001;
47
1106-1109
8
Ferlito S, Gallina M.
Nitrite plasma levels in type 1 and 2 diabetics with and without
complications.
Minerva Endocrinol.
1999;
24
117-121
9
Behr-Roussel D, Rupin A, Simonet S, Bonhomme E, Coumailleau S, Cordi A, Serkiz B, Fabiani JN, Verbeuren TJ.
Effect of chronic treatment with the inducible nitric oxide
synthase inhibitor N-iminoethyl-l-lysine or with l-arginine on
progression of coronary and aortic atherosclerosis in
hypercholesterolemic rabbits.
Circulation.
2000;
102
1033-1038
10
Cromheeke KM, Kockx MM, De Meyer GR, Bosmans JM, Bult H, Beelaerts WJ, Vrints CJ, Herman AG.
Inducible nitric oxide synthase colocalizes with signs of lipid
oxidation/peroxidation in human atherosclerotic plaques.
Cardiovasc Res.
1999;
43
744-754
11
Shimabukuro M, Ohneda M, Lee Y, Unger RH.
Role of nitric oxide in obesity-induced beta cell disease.
J Clin Invest.
1997;
100
290-295
12
Shimabukuro M, Zhou YT, Levi M, Unger RH.
Fatty acid-induced beta cell apoptosis: a link between obesity and
diabetes.
Proc Natl Acad Sci USA.
1998;
95
2498-2502
13
Zhou YT, Grayburn P, Karim A, Shimabukuro M, Higa M, Baetens D, Orci L, Unger RH.
Lipotoxic heart disease in obese rats: implications for human
obesity.
Proc Natl Acad Sci USA.
2000;
97
1784-1789
14
Green LC, Wagner DA, Glogowski J, Skipper PL, Wishnok JS, Tannenbaum SR.
Analysis of nitrate, nitrite, and [15N]nitrate in biological
fluids.
Anal Biochem.
1982;
126
131-138
15
Lee JY, Lowell CA, Lemay DG, Youn HS, Rhee SH, Sohn KH, Jang B, Ye J, Chung JH, Hwang DH.
The regulation of the expression of inducible nitric oxide
synthase by Src-family tyrosine kinases mediated through MyD88-
independent signaling pathways of Toll-like receptor 4.
Biochem Pharmacol.
2005;
70
1231-1240
16
Akira S.
Toll-like receptor signaling.
J Biol Chem.
2003;
278
38105-38108
17
Akira S, Takeda K.
Toll-like receptor signalling.
Nat Rev Immunol.
2004;
4
499-511
18
Pindado J, Balsinde J, Balboa MA.
TLR3-dependent induction of nitric oxide synthase in RAW 264.7
macrophage-like cells via a cytosolic phospholipase A2/cyclooxygenase-
2 pathway.
J Immunol.
2007;
179
4821-4828
19
Zhou G, Myers R, Li Y, Chen Y, Shen X, Fenyk-Melody J, Wu M, Ventre J, Doebber T, Fujii N, Musi N, Hirshman MF, Goodyear LJ, Moller DE.
Role of AMP-activated protein kinase in mechanism of metformin
action.
J Clin Invest.
2001;
108
1167-1174
20
Kubota T, Matsuoka M, Chang TH, Tailor P, Sasaki T, Tashiro M, Kato A, Ozato K.
Virus infection triggers SUMOylation of IRF3 and IRF7, leading to
the negative regulation of type I interferon gene expression.
J Biol Chem.
2008;
283
25660-25670
21
Panne D, Maniatis T, Harrison SC.
An atomic model of the interferon-beta enhanceosome.
Cell.
2007;
129
1111-1123
22
Kuo CL, Ho FM, Chang MY, Prakash E, Lin WW.
Inhibition of lipopolysaccharide-induced inducible nitric oxide
synthase and cyclooxygenase-2 gene expression by 5-aminoimidazole-4-
carboxamide riboside is independent of AMP-activated protein kinase.
J Cell Biochem.
2008;
103
931-940
23
Pilon G, Dallaire P, Marette A.
Inhibition of inducible nitric-oxide synthase by activators of
AMP-activated protein kinase: a new mechanism of action of insulin-
sensitizing drugs.
J Biol Chem.
2004;
279
20767-20774
24
Bellin C, deWiza DH, Wiernsperger NF, Rosen P.
Generation of reactive oxygen species by endothelial and smooth
muscle cells: influence of hyperglycemia and metformin.
Horm Metab Res.
2006;
38
732-739
25
Piwkowska A, Rogacka D, Jankowski M, Dominiczak MH, Stepinski JK, Angielski S.
Metformin induces suppression of NAD(P)H oxidase activity in
podocytes.
Biochem Biophys Res Commun.
2010;
393
268-273
26
Colette C, Monnier L.
Acute glucose fluctuations and chronic sustained hyperglycemia as
risk factors for cardiovascular diseases in patients with type 2
diabetes.
Horm Metab Res.
2007;
39
683-686
27
Muller G, Morawietz H.
NAD(P)H oxidase and endothelial dysfunction.
Horm Metab Res.
2009;
41
152-158
28
Wilcock C, Bailey CJ.
Accumulation of metformin by tissues of the normal and diabetic
mouse.
Xenobiotica.
1994;
24
49-57
29
Wilcock C, Wyre ND, Bailey CJ.
Subcellular distribution of metformin in rat liver.
J Pharm Pharmacol.
1991;
43
442-444
30
Owen MR, Doran E, Halestrap AP.
Evidence that metformin exerts its anti-diabetic effects through
inhibition of complex 1 of the mitochondrial respiratory chain.
Biochem J.
2000;
348
(Pt 3)
607-614
31
Koide N, Ito H, Mu MM, Sugiyama T, Hassan F, Islam S, Mori I, Yoshida T, Yokochi T.
Inhibition of extracellular signal-regulated kinase 1/2 augments
nitric oxide production in lipopolysaccharide-stimulated RAW264.7
macrophage cells.
FEMS Immunol Med Microbiol.
2005;
45
213-219
Correspondence
Y. KatoMD, PhD
Department of Internal Medicine
Division of Endocrinology,
Metabolism and Diabetes
Aichi Medical University School
of Medicine
Nagakute
Aichi 480-1195
Japan
Phone: +81/561/62 3311
Fax: +81/561/63 1098
Email: ykato4@aichi-med-u.ac.jp