|New mechanism of action in a first-line drug for diabetes|
|Researchers have discovered a mechanism of action underlying a widely used diabetes drug, which may expand its indications for use, as well as open new inroads in pharmaceutical development|
For
decades, metformin has been the first-line drug in the treatment of type 2
diabetes, lowering blood glucose levels by inhibiting
glucose production in the liver. Metformin also improves glucose uptake and use
by muscle tissue.
The
effect of metformin on hepatic glucose production is most likely transmitted
through the mitochondrial respiratory chain. However, up to now the mechanism
through which the drug increases glucose uptake in muscle tissue has been
unknown.
A research group led by Professor Sanna Lehtonen at the
University of Helsinki has now demonstrated in cell cultures and in an animal
model that metformin directly binds to the lipid phosphatase SHIP2, reducing
its activity. The reduction in SHIP2 activity increased glucose uptake in
muscle cells and decreased cell death in podocytes, or glomerular epithelial
cells.
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