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Novel mechanistic insights of the potential role of gasotransmitters and autophagy in the protective effect of metformin against hepatic ischemia/reperfusion injury in rats

Research Abstract

Metformin exerts antidiabetic and pleiotropic effects. This study investigated the function and mechanisms of gasotransmitters and autophagy in the metformin-induced protection against ischemia/reperfusion injury (I/RI). According to measurements of serum hepatic function indicators and histopathological evaluation, metformin protected against hepatic I/RI-induced impairment of liver function and structure. In addition, metformin inhibited hepatic I/RI-induced hepatic oxidative stress, nitrosative stress, inflammation, and apoptosis. Also, it suppressed hepatic I/RI-induced decrease in hepatic heme oxygenase-1 (HO-1) and hydrogen sulfide (H2S) levels and increase in nitric oxide (NO) production. Furthermore, metformin inhibited hepatic I/RI-induced decrease in protein expressions of endothelial NO synthase (eNOS), HO-1, cystathionine γ-lyase (CSE), and Beclin-1 and increase in the protein expression of inducible NO synthase (iNOS) in the liver tissue. Co-administration of the NO biosynthesis inhibitor, L-NAME, carbon monoxide(CO)-releasing molecule-A1 (CORM-A1), the H2S donor, NaHS, or the autophagy stimulator, rapamycin (RAPA), enhanced all effects of metformin. The NO donor, L-arginine, the CO biosynthesis inhibitor, zinc protoporphyrin, the H2S biosynthesis inhibitor, DL-propargylglycine, or the autophagy inhibi tor, chloroquine (CQ), antagonized the effects of metformin. These findings reveal, for the first time, that increasing CO, H2S, and autophagy levels with subsequent decreasing NO level play a critical role in metformin's protective action against hepatic I/RI. The ability of L-NAME, CORM-A1, NaHS, and RAPA to boost metformin’s protective effect in hepatic I/RI may positively be attributed to their ability to lower hepatic oxidative stress, nitrosative stress, inflammation, and apoptosis.

Research Authors
Ahmed O. Abdel Zaher1 · Marwa H. Bakr 2,3 · Yomna H. Gad 4 · Alaa T. Abdelhafez 1
Research Date
Research Department
Research File
5 compressed.pdf (1.42 MB)
Research Journal
Naunyn-Schmiedeberg's Archives of Pharmacology
Research Pages
9177–9198
Research Publisher
Springer
Research Rank
Q2 pharmacology
Research Vol
398
Research Website
Naunyn-Schmiedeberg's Archives of Pharmacology (2025) 398:9177–9198
Research Year
2025