4.7 Review

Metformin-enhances resilience via hormesis

Journal

AGEING RESEARCH REVIEWS
Volume 71, Issue -, Pages -

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.arr.2021.101418

Keywords

Hormesis; Metformin; Nrf2; Aging; Neuroprotection; AMPK

Funding

  1. US Air Force [AFOSR FA9550-19-1-0413]
  2. ExxonMobil Foundation [S18200000000256]
  3. Startup Foundation for Introducing Talent of Nanjing University of Information Science & Technology (NUIST), Nanjing, China [003080]

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Metformin induced hormetic biphasic dose responses across multiple organ systems and cell types, enhancing resilience to chemical stresses through an anti-inflammatory molecular network, thereby delaying the onset and progression of neurodegenerative and chronic diseases.
The present paper demonstrates that metformin (MF) induced a broad spectrum of hormetic biphasic dose responses in a wide range of experimental studies, affecting multiple organ systems, cell types, and endpoints enhancing resilience to chemical stresses in preconditioning and co-current exposure protocols. Detailed mechanistic evaluations indicate that MF-induced hormetic-adaptive responses are mediated often via the activation of adenosine monophosphate-activated kinase (AMPK) protein and its subsequent upregulation of nuclear factor erythroid 2-related factor 2 (Nrf2). Hormesis-induced protective responses by MF are largely mediated via a vast and highly integrated anti-inflammatory molecular network that enhances longevity and delays the onset and slows the progression of neurodegenerative and other chronic diseases.

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