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Metformin use history and genome-wide DNA methylation profile: potential molecular mechanism for aging and longevity
Journal article   Open access

Metformin use history and genome-wide DNA methylation profile: potential molecular mechanism for aging and longevity

Pedro S Marra, Takehiko Yamanashi, Kaitlyn J Crutchley, Nadia E Wahba, Zoe-Ella M Anderson, Manisha Modukuri, Gloria Chang, Tammy Tran, Masaaki Iwata, Hyunkeun Ryan Cho, …
Aging (Albany, NY.), Vol.15(3), pp.601-616
02/02/2023
DOI: 10.18632/aging.204498
PMCID: PMC9970305
PMID: 36734879
url
https://doi.org/10.18632/aging.204498View
Published (Version of record) Open Access

Abstract

Metformin, a commonly prescribed anti-diabetic medication, has repeatedly been shown to hinder aging in pre-clinical models and to be associated with lower mortality for humans. It is, however, not well understood how metformin can potentially prolong lifespan from a biological standpoint. We hypothesized that metformin's potential mechanism of action for longevity is through its epigenetic modifications. To test our hypothesis, we conducted a post-hoc analysis of available genome-wide DNA methylation (DNAm) data obtained from whole blood collected from inpatients with and without a history of metformin use. We assessed the methylation profile of 171 patients (first run) and only among 63 diabetic patients (second run) and compared the DNAm rates between metformin users and nonusers. Enrichment analysis from the Kyoto Encyclopedia of Genes and Genome (KEGG) showed pathways relevant to metformin's mechanism of action, such as longevity, AMPK, and inflammatory pathways. We also identified several pathways related to delirium whose risk factor is aging. Moreover, top hits from the Gene Ontology (GO) included HIF-1α pathways. However, no individual CpG site showed genome-wide statistical significance ( < 5E-08). This study may elucidate metformin's potential role in longevity through epigenetic modifications and other possible mechanisms of action.
Aging Diabetes Epigenetics Inflammation methylation longevity metformin

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