Metformin is the mainstay therapy for type 2 diabetes mellitus. A new study shows that metformin acts directly on gut bacteria to elevate cAMP-induced agmatine production, thereby increasing lipid metabolism and lifespan in model organisms. These data identify links between metformin and gut microbiota that might be important for increasing longevity.
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References
Soukas, A. A., Hao, H. & Wu, L. Metformin as anti-aging therapy: is it for everyone? Trends Endocrinol. Metab. 30, 745–755 (2019).
Foretz, M., Guigas, B. & Viollet, B. Understanding the glucoregulatory mechanisms of metformin in type 2 diabetes mellitus. Nat. Rev. Endocrinol. 15, 569–589 (2019).
Whang, A., Nagpal, R. & Yadav, H. Bi-directional drug-microbiome interactions of anti-diabetics. EBioMedicine 39, 591–602 (2019).
Onken, B. & Driscoll, M. Metformin induces a dietary restriction–like state and the oxidative stress response to extend C. elegans healthspan via AMPK, LKB1, and SKN-1. PLOS ONE 5, e8758 (2010).
Cabreiro, F. et al. Metformin retards aging in C. elegans by altering microbial folate and methionine metabolism. Cell 153, 228–239 (2013).
Pryor, R. et al. Host-microbe-drug-nutrient screen identifies bacterial effectors of metformin therapy. Cell 178, 1299–1312 (2019).
Fullerton, M. D. et al. Single phosphorylation sites in Acc1 and Acc2 regulate lipid homeostasis and the insulin-sensitizing effects of metformin. Nat. Med. 19, 1649–1654 (2013).
Piletz, J. E. et al. Agmatine: clinical applications after 100 years in translation. Drug Discov. Today 18, 880–893 (2013).
Magalhães, F. O. et al. Metformin increases blood flow and forearm glucose uptake in a group of non-obese type 2 diabetes patients. Horm. Metab. Res. 38, 513–517 (2006).
Maida, A. et al. Metformin regulates the incretin receptor axis via a pathway dependent on peroxisome proliferator-activated receptor-α in mice. Diabetologia 54, 339–349 (2011).
Acknowledgements
G.R.S. acknowledges the support of a Canada Research Chair and the J. Bruce Duncan Endowed Chair in Metabolic Diseases and research grants from the Canadian Institutes of Health Research (201709FDN-CEBA-116200, 144625–1) and Diabetes Canada. J.D.S. acknowledges the support of a Canada Research Chair and research grants from the Canadian Institutes of Health Research.
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MacNeil, L.T., Schertzer, J.D. & Steinberg, G.R. Bacteria transmit metformin-associated lifespan extension. Nat Rev Endocrinol 16, 9–10 (2020). https://doi.org/10.1038/s41574-019-0278-3
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DOI: https://doi.org/10.1038/s41574-019-0278-3