Synonyms: Glucophage® | LA-6023
metformin is an approved drug (FDA (1995))
Compound class:
Synthetic organic
Comment: Marketed formulations contain metformin hydrochloride (PubChem CID 14219). Metformin is often given in fixed-dose combinations with other antihyperglycemic agents.
Repurposing: Cancer cells undergo a metabolic switch to aerobic glycolysis, and become reliant on this metabolic pathway for energy (the Warburg effect). Inhibition of the glycolytic pathway is therefore considered as a tractable therapeutic target in oncology. As metformin is an inhibitor of glycolysis it is being examined for anti-cancer effects in a number of malignancies. Similarly, it is being examined for anti-inflammatory potential since activated immune cells also undergo a metabolic switch to aerobic glycolysis. If found to be effective, this could ultimately lead to metformin being repurposed for indications other than type 2 diabetes. View more information in the IUPHAR Pharmacology Education Project: metformin |
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Immunopharmacology Comments |
When immune cells become activated they undergo a metabolic switch to aerobic glycolysis, and become reliant on this metabolic pathway for energy. Inhibition of the glycolytic pathway is therefore considered as therapeutic target in autoimmunity. As metformin is an inhibitor of glycolysis it is being examined for anti-inflammatory effects in immune mediated diseases. If found to be effective, this could ultimately lead to metformin being repurposed for inflammatory indications [2,4]. |
Immunopharmacology Disease | |||
Disease | X-Refs | Comment | References |
Systemic lupus erythematosus |
Disease Ontology:
DOID:9074 OMIM: 152700 Orphanet: ORPHA536 |
Metformin is being evaluated as an adjunct to conventional immunosuppressants in patients with SLE, to determine if it reduces disease flares- see Phase 4 clinical trial NCT02741960 | 4 |
Psoriasis |
Disease Ontology:
DOID:8893 |
Clinical trial NCT02644954 was designed to test for efficacy of adjunct metformin in patients with moderate chronic plaque psoriasis, however it is unclear if this trial was ever initiated. | |
Psoriatic arthritis |
Disease Ontology:
DOID:9008 |
Clinical trial NCT02188654 that was designed to evaluate the anti-inflammatory and immunosuppressant efficacy of metformin in patients with PsA has been completed. No results have been published. |