Key result
Metformin ameliorates MI in mice by targeting HSF1 to stimulate AMPK/mTOR signaling.
Why the study?
Therapeutic methods for myocardial protection after myocardial infarction remain unclear, and the pharmacological mechanism of metformin's protective effect on myocardial tissue is not fully understood.
Key factors may mediate metformin's post-MI protection; leaves open clinical translation pending prospective trials.
Myocardial infarction (MI) is a cardiovascular disease with high morbidity and mortality. Clinically, rehabilitation after massive MI often has a poor prognosis. Therefore, it is necessary to explore the therapeutic methods of myocardial protection after MI. As a first-line treatment for type 2 diabetes, metformin has been found to have a certain protective effect on myocardial tissue. However, its pharmacological mechanism remains unclear. In this study, we investigated key factors that reduced MI with metformin. Through in vivo, in vitro, and in silico analyses, we identified HSF1 as a key target for metformin. HSF1 could up-regulate the transcriptional level of AMPKα2 through transcriptional activation and stimulate the activity of the downstream AMPK/mTOR signaling pathway. Metformin stimulated cardiomyocytes to form stress granules (SGs), and knockdown of HSF1 reversed this process. Furthermore, HSF1 exhibited better in vitro affinity for metformin than AMPK, suggesting that HSF1 may be a more sensitive target for metformin.
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Wang et al. (2022) studied Myocardial infarction. Metformin was evaluated. Metformin ameliorated myocardial infarction in mice by targeting HSF1, which up-regulated AMPKα2 transcription and stimulated the AMPK/mTOR signaling pathway.
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