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中国临床药理学与治疗学 ›› 2022, Vol. 27 ›› Issue (9): 1049-1054.doi: 10.12092/j.issn.1009-2501.2022.09.012

• 综述与讲座 • 上一篇    下一篇

二甲双胍调节AMPK/SREBP-1通路及在临床中的应用进展

王歆1,刘维英2,武晨1,开锦军1,梁雪杰1,常瑛璇1   

  1. 1兰州大学第一临床医学院,兰州 730000,甘肃;2兰州大学第一医院呼吸与危重症医学科,兰州 730000,甘肃
  • 收稿日期:2022-06-24 修回日期:2022-09-20 出版日期:2022-09-27 发布日期:2022-10-14
  • 通讯作者: 刘维英,女,主任医师,副教授,硕士生研究生导师。 E-mail: lwy70828@126.com
  • 作者简介:王歆,女,硕士研究生,主要从事呼吸系统疾病的研究。 E-mail: wx1443074761@163.com
  • 基金资助:
    甘肃省自然科学基金资助项目(21JR1RA074)

Metformin regulates AMPK/SREBP-1 pathway and its clinical application

WANG Xin1, LIU Weiying2, WU Chen1, KAI Jinjun1, LIANG Xuejie1, CHANG Yingxuan1   

  1. The First Clinical Medical College, Lanzhou University, Lanzhou 730000, Gansu, China
  • Received:2022-06-24 Revised:2022-09-20 Online:2022-09-27 Published:2022-10-14

摘要: 二甲双胍是临床上常用的降糖药物之一,除了降血糖外,还有多种医学生物价值在不断被发现而备受关注。近年研究表明,二甲双胍通过激活AMPK抑制固醇调节元件结合蛋白-1(SREBP-1)减少脂质合成,在治疗肝脏脂肪变性、改善胰岛素敏感性、预防动脉粥样硬化和心血管功能障碍、肿瘤、多囊卵巢综合征以及新型冠状病毒肺炎的辅助治疗等方面发挥一定作用。因此,本文就二甲双胍通过激活AMPK抑制SREBP-1调控糖脂质代谢的可能机制以及在临床中的应用做一综述。

关键词: 二甲双胍, AMPK, 固醇调节元件结合蛋白-1, 糖脂代谢

Abstract: Metformin is one of the commonly used hypoglycemic drugs in clinical practice. In addition to hypoglycemia, there are a variety of medical biological values that have been constantly discovered and attracted much attention. In recent years, studies have shown that metformin through activation of AMPK inhibition of sterols regulating element binding protein 1 (SREBP-1) reduce lipid synthesis, in the treatment of liver steatosis, improve insulin sensitivity, prevention of atherosclerosis and cardiovascular dysfunction, tumor, polycystic ovary syndrome and adjuvant therapy of COVID-19 aspects play a role. Therefore, this article reviews the possible mechanism and clinical application of metformin in regulating glucose and lipid metabolism by inhibiting SREBP-1 through activating AMPK.

Key words: metformin, AMPK, sterol regulatory element binding protein-1, glucose and lipid synthesis

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