The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice
Abstract
Due to prolonged hyperglycemia many of the diabetic patients suffer from complications such as liver damage. Diabetic patients are known to have the need for liver surgeries more than non-diabetic do. The ischemia reperfusion injuries (IRI) are one of the main complications of these surgeries and the IRI-related increase in oxidative stress has been known to be higher in diabetic patients. Metformin and aerobic exercise are important tools being used especially in type-2 diabetes. However, their effects and roles in liver IRI in type-1 diabetic patients are not known. This study aimed to investigate the effects of metformin and exercise on hepatic IRI in diabetes in streptozotocin induced type-1 diabetic mice. Diabetes was induced by streptozotocin and two weeks after the disease developed, mice were started to treat with metformin and/or aerobic exercise during four-weeks. Blood glucose levels of the mice were measured again and the glucose tolerance test (OGTT) was performed for each mouse. The day after OGTT, ischemia was performed for 45 minutes in the liver and then reperfusion was provided for 5 hours. The liver of the mice was isolated at the end of the experiments. The malondialdehyde, superoxide dismutase and nitrite levels were measured with colorimetric analysis. Metformin reduced the insulin resistance alone and together with aerobic exercise. Oxidative stress in the liver after IRI was diminished both with metformin and/or aerobic exercise in diabetic mice. Our study indicated that metformin accompanied with aerobic exercise might be an important treatment strategy for preventing the IRI in the liver of type-1 diabetic patients.
Keywords
References
- [1] Lejay A, Fang F, John R, Van JA, Barr M, Thaveau F, Chakfe N, Geny B, Scholey JW. Ischemia reperfusion injury, ischemic conditioning and diabetes mellitus. J Mol Cell Cardiol. 2016; 91: 11-22 [CrossRef]
- [2] Yue S, Zhou HM, Zhu JJ, Rao JH, Busuttil RW, Kupiec-Weglinski JW, Lu L, Zhai Y. Hyperglycemia and liver ischemia reperfusion injury: a role for the advanced glycation endproduct and its receptor pathway. Am J Transplant. 2015; 15(11) :2877-2887 [CrossRef].
- [3] de Lemos ET, Oliveira J, Pinheiro JP, Reis F. Regular physical exercise as a strategy to improve antioxidant and anti-inflammatory status: benefits in type 2 diabetes mellitus. Oxid Med Cell Longev. 2012; 2012:741545 [CrossRef].
- [4] Ranjbar K, Nazem F, Sabrinezhad R, Nazari A. Aerobic training and L-arginine supplement attenuates myocardial infarction-induced kidney and liver injury in rats via reduced oxidative stress. Indian Heart J. 2019; 71(6): 496-496 [CrossRef].
- [5] Zhang HJ, Ren JH, Yazdani HO, Van der Windt D, Zhang JX, Tsung A, Huang H. Preoperative exercise therapy protects the liver from ischemia-reperfusion injury. Journal of Immunology. 2018; 200 (1 Supplement): 49.17.
- [6] Beysel S, Unsal IO, Kizilgul M, Caliskan M, Ucan B, Cakal E. The effects of metformin in type 1 diabetes mellitus. BMC Endocr Disord. 2018; 18(1): 1 [CrossRef].
- [7] Snaith JR, Samocha-Bonet D, Evans J, Liu Z, Kowalski G, Bruce C, Holmes-Walker DJ, Greenfield JR. Insulin resistance in type 1 diabetes managed with metformin (INTIMET): Study protocol of a double-blind placebo-controlled, randomised trial. Diabet Med. 2021; 38(9): e14564 [CrossRef].
- [8] Teupe B, Bergis K. Epidemiological evidence for "double diabetes". Lancet. 1991; 337(8737): 361-362 [CrossRef].
Details
Primary Language
English
Subjects
Basic Pharmacology
Journal Section
Research Article
Publication Date
June 28, 2025
Submission Date
October 10, 2021
Acceptance Date
February 23, 2022
Published in Issue
Year 2022 Volume: 26 Number: 3
APA
Tellı, G., & Telli Atalay, O. (2025). The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice. Journal of Research in Pharmacy, 26(3), 543-553. https://izlik.org/JA79HB89PS
AMA
1.Tellı G, Telli Atalay O. The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice. J. Res. Pharm. 2025;26(3):543-553. https://izlik.org/JA79HB89PS
Chicago
Tellı, Gokcen, and Orçin Telli Atalay. 2025. “The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice”. Journal of Research in Pharmacy 26 (3): 543-53. https://izlik.org/JA79HB89PS.
EndNote
Tellı G, Telli Atalay O (June 1, 2025) The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice. Journal of Research in Pharmacy 26 3 543–553.
IEEE
[1]G. Tellı and O. Telli Atalay, “The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice”, J. Res. Pharm., vol. 26, no. 3, pp. 543–553, June 2025, [Online]. Available: https://izlik.org/JA79HB89PS
ISNAD
Tellı, Gokcen - Telli Atalay, Orçin. “The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice”. Journal of Research in Pharmacy 26/3 (June 1, 2025): 543-553. https://izlik.org/JA79HB89PS.
JAMA
1.Tellı G, Telli Atalay O. The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice. J. Res. Pharm. 2025;26:543–553.
MLA
Tellı, Gokcen, and Orçin Telli Atalay. “The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice”. Journal of Research in Pharmacy, vol. 26, no. 3, June 2025, pp. 543-5, https://izlik.org/JA79HB89PS.
Vancouver
1.Gokcen Tellı, Orçin Telli Atalay. The Role of Metformin and Aerobic Exercise on The Hepatic Ischemia-Reperfusion Injury in Streptozotocin-Induced Diabetic Mice. J. Res. Pharm. [Internet]. 2025 Jun. 1;26(3):543-5. Available from: https://izlik.org/JA79HB89PS