Metformin and Insulin Resistance: A Review of the Underlying Mechanisms behind Changes in GLUT4-Mediated Glucose Transport
University of Ljubljana · Ljubljana University Medical Centre
Abstract
Metformin is the most commonly used treatment to increase insulin sensitivity in insulin-resistant (IR) conditions such as diabetes, prediabetes, polycystic ovary syndrome, and obesity. There is a well-documented correlation between glucose transporter 4 (GLUT4) expression and the level of IR. Therefore, the observed increase in peripheral glucose utilization after metformin treatment most likely comes from the induction of GLUT4 expression and its increased translocation to the plasma membrane. However, the mechanisms behind this effect and the critical metformin targets are still largely undefined. The present review explores the evidence for the crucial role of changes in the expression and activation of…
Citation impact
- FWCI
- 18.36
- Percentile
- 100%
- References
- 163
Authors
5- RHRok Herman
University of Ljubljana, Ljubljana University Medical Centre
- NANika Aleksandra Kravos
University of Ljubljana, Ljubljana University Medical Centre
- MJMojca Jensterle
University of Ljubljana, Ljubljana University Medical Centre
- AJAndrej Janež
University of Ljubljana, Ljubljana University Medical Centre
- VDVita DolžanCorresponding
University of Ljubljana
Topics & keywords
- GLUT4
- Metformin
- Insulin resistance
- Glucose transporter
- Prediabetes
- Polycystic ovary
- Endocrinology
- Internal medicine
- Good health and well-being