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2014 ; 39
(12
): 2129-38
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Chronic metformin treatment improves post-stroke angiogenesis and recovery after
experimental stroke
#MMPMID24649970
Venna VR
; Li J
; Hammond MD
; Mancini NS
; McCullough LD
Eur J Neurosci
2014[Jun]; 39
(12
): 2129-38
PMID24649970
show ga
Metformin is currently the first-line treatment drug for type 2 diabetes.
Metformin is a well-known activator of AMP-activated protein kinase (AMPK). In
experimental studies, metformin has been shown to exert direct vascular effects
by increasing vascular endothelial growth factor expression and improving
microvascular density. As stroke is the leading cause of long-term disability and
angiogenesis is implicated as an important mechanism in functional recovery, we
hypothesized that chronic metformin treatment would improve post-stroke
functional recovery by enhancing functional microvascular density. For this
study, C57BL/6N male mice were subjected to a 60-min middle cerebral artery
occlusion, and were given 50 mg/kg/day metformin beginning 24 h post-stroke for 3
weeks. Behavioral recovery was assessed using adhesive-tape removal and the
apomorphine-induced turning test. The role of angiogenesis was assessed by
counting vessel branch points from fluorescein-conjugated lectin-perfused brain
sections. Importantly even if metformin treatment was initiated 24 h after injury
it enhanced recovery and significantly improved stroke-induced behavioral
deficits. This recovery occurred in parallel with enhanced angiogenesis and with
restoration of endogenous cerebral dopaminergic tone and revascularization of
ischemic tissue. We assessed if the effects on recovery and angiogenesis were
mediated by AMPK. When tested in AMPK ?-2 knockout mice, we found that metformin
treatment did not have the same beneficial effects on recovery and angiogenesis,
suggesting that metformin-induced angiogenic effects are mediated by AMPK. The
results from this study suggest that metformin mediates post-stroke recovery by
enhancing angiogenesis, and these effects are mediated by AMPK signaling.
|AMP-Activated Protein Kinases/genetics/metabolism
[MESH]