Why the study?
Metformin is a first-line treatment for type 2 diabetes with potential cardioprotective effects, but the effects of new sulfonamide-based derivatives on vascular hemostasis and endothelial and smooth muscle cell function required evaluation.
Do sulfonamide-based derivatives of metformin improve anti-coagulation properties and glucose utilization in endothelial and smooth muscle cells compared to metformin?
Do sulfonamide-based derivatives of metformin improve anti-coagulation properties and glucose utilization in endothelial and smooth muscle cells compared to metformin?
Chemical modification of metformin into sulfonamides with alkyl substituents yields novel derivatives with both anti-hyperglycemic and anti-coagulant properties in vitro.
May support development of metformin analogs for vascular hemostasis in diabetes; leaves open clinical translation pending prospective trials.
Due to its high efficiency, good safety profile, and potential cardio-protective properties, metformin, a dimethyl biguanide, is the first-line medication in antihyperglycemic treatment for type 2 diabetic patients. The aim of our present study was to assess the effects of eight new sulfonamide-based derivatives of metformin on selected plasma parameters and vascular hemostasis, as well as on endothelial and smooth muscle cell function. The compounds with an alkyl chain (1–3), trifluoromethyl substituent (4), or acetyl group (5) significantly elevated glucose utilization in human umbilical endothelial cells (HUVECs), similarly to metformin. Our novel findings showed that metformin analogues 1–3 presented the most beneficial properties because of their greatest safety profile in the WST-1 cell viability assay, which was also proved in the further HUVEC integrity studies using RTCA DP. Compounds 1–3 did not affect either HUVEC or aortal smooth muscle cell (AoSMC) viability up to 3.0 mM. Importantly, these compounds beneficially affected some of the coagulation parameters, including factor X and antithrombin III activity. In contrast to the above-mentioned metformin analogues, derivatives 4 and 5 exerted more profound anticoagulation effects; however, they were also more cytotoxic towards HUVECs, as IC50 values were 1.0–1.5 mM. In conclusion, the chemical modification of a metformin scaffold into sulfonamides possessing alkyl substituents results in the formation of novel derivatives with potential bi-directional activity including anti-hyperglycemic properties and highly desirable anti-coagulant activity.
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Zajda et al. (2022) studied this question.
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