Gastrointestinal Mechanisms Underlying the Cardiovascular Effect of Metformin

Metformin, the most widely prescribed drug therapy for type 2 diabetes, has pleiotropic benefits, in addition to its capacity to lower elevated blood glucose levels, including mitigation of cardiovascular risk. The mechanisms underlying the latter remain unclear. Mechanistic studies have, hitherto,...

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Main Authors: Malcolm J. Borg (Author), Christopher K. Rayner (Author), Karen L. Jones (Author), Michael Horowitz (Author), Cong Xie (Author), Tongzhi Wu (Author)
Format: Book
Published: MDPI AG, 2020-11-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Malcolm J. Borg  |e author 
700 1 0 |a Christopher K. Rayner  |e author 
700 1 0 |a Karen L. Jones  |e author 
700 1 0 |a Michael Horowitz  |e author 
700 1 0 |a Cong Xie  |e author 
700 1 0 |a Tongzhi Wu  |e author 
245 0 0 |a Gastrointestinal Mechanisms Underlying the Cardiovascular Effect of Metformin 
260 |b MDPI AG,   |c 2020-11-01T00:00:00Z. 
500 |a 10.3390/ph13110410 
500 |a 1424-8247 
520 |a Metformin, the most widely prescribed drug therapy for type 2 diabetes, has pleiotropic benefits, in addition to its capacity to lower elevated blood glucose levels, including mitigation of cardiovascular risk. The mechanisms underlying the latter remain unclear. Mechanistic studies have, hitherto, focused on the direct effects of metformin on the heart and vasculature. It is now appreciated that effects in the gastrointestinal tract are important to glucose-lowering by metformin. Gastrointestinal actions of metformin also have major implications for cardiovascular function. This review summarizes the gastrointestinal mechanisms underlying the action of metformin and their potential relevance to cardiovascular benefits. 
546 |a EN 
690 |a metformin 
690 |a cardiovascular 
690 |a gastrointestinal 
690 |a mechanisms 
690 |a bile acids 
690 |a gut microbiota 
690 |a Medicine 
690 |a R 
690 |a Pharmacy and materia medica 
690 |a RS1-441 
655 7 |a article  |2 local 
786 0 |n Pharmaceuticals, Vol 13, Iss 11, p 410 (2020) 
787 0 |n https://www.mdpi.com/1424-8247/13/11/410 
787 0 |n https://doaj.org/toc/1424-8247 
856 4 1 |u https://doaj.org/article/a8daeecc10fb48a6bbfa2297e4eae7e7  |z Connect to this object online.