Abstract
Objective
The study aimed to explore the immunomodulatory effects of clinically relevant concentrations of metformin on macrophages during sepsis, which is characterized by an initial hyperinflammatory phase followed by a period of immunosuppression.
Methods
We employed the RAW 264.7 mouse macrophage cell line as an in vitro model to induce inflammatory responses and immune suppression through primary and secondary stimulation by lipopolysaccharide (LPS). The cells were exposed to clinically relevant concentrations of metformin, and their responses were gauged through cytotoxicity assays, enzyme-linked immunosorbent assay for cytokine quantification, and assessments of intracellular reactive oxygen species (ROS) production. Moreover, to probe the role of AMPK in mediating the effects of metformin, we conducted an AMP-activated protein kinase (AMPK) activity assay and knocked down AMPK using siRNA.
Results
Our study revealed that clinically relevant concentrations of metformin considerably decreased the LPS-induced secretion of tumor necrosis factor-α and interleukin-6, which indicates the suppression of the initial hyperinflammatory response. Furthermore, metformin prevented LPS-induced immunosuppression. Notably, these immunomodulatory effects of metformin were not mediated by the activation of the AMPK pathway, as evidenced by the unaltered AMPK activity and siRNA experiments. The modulation of intracellular ROS levels emerged as the critical mechanism underlying the inhibition of hyperinflammation and impediment of immunosuppression by metformin.
Conclusion
A certain therapeutic dose of metformin inhibited hyperinflammatory responses and alleviated immunosuppression in LPS-induced macrophages through the bidirectional modulation of intracellular ROS generation.
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Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
The present research was supported by the Guizhou Province Science and Technology Foundation ([2020]1Y403), and the Scientific Research Foundation of Zunyi Medical University (F955 and FZH004).
Funding
Scientific Research Foundation of Zunyi Medical University,F955 and FZH004, F955 and FZH004, Guizhou Province Science and Technology Foundation, [2020]1Y403.
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W. P. designed the experiments. W. Z. and L. M. performed the experimental work. W. M. analyzed the data. W. Z. and L. M. wrote the manuscript. All authors read and approved the final manuscript.
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Wang, Z., Wang, M., Lin, M. et al. The immunomodulatory effects of metformin in LPS-induced macrophages: an in vitro study. Inflamm. Res. 73, 175–181 (2024). https://doi.org/10.1007/s00011-023-01827-8
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DOI: https://doi.org/10.1007/s00011-023-01827-8