Metformin as a disease-modifying therapy in osteoarthritis: bridging metabolism and joint health
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 19, 2025
Background
Osteoarthritis
(OA)
and
impaired
glucose
tolerance
(IGT)
frequently
coexist,
leading
to
compounded
clinical
metabolic
challenges.
This
study
investigates
the
effects
of
metformin
in
improving
both
outcomes
(pain,
stiffness,
physical
function)
parameters
(inflammatory
markers,
lipid
profile,
BMI)
patients
with
knee
OA
IGT.
Methods
The
included
60
diagnosed
Participants
were
divided
into
two
groups:
26
received
standard
treatment
without
(Without
Metf),
while
34
(500
mg
twice
daily)
for
3
months,
addition
(With
Metf).
Clinical
assessments
(WOMAC,
Lequesne
Algofunctional
Index,
KOOS,
VAS)
markers
(CRP,
NLR,
SOD,
measured
before
treatment,
after
1
month,
months.
Results
With
Metf
group
showed
significantly
greater
improvements
pain,
function,
quality
life
compared
Without
group.
Metformin
also
led
significant
reductions
inflammatory
profiles
health
indicators.
demonstrated
enhanced
BMI,
waist-to-hip
ratio,
waist-to-height
ratio.
Furthermore,
need
increased
NSAID
doses
was
predicted
by
factors
such
as
pain
severity
markers.
Conclusion
effectively
alleviates
osteoarthritis
symptoms
improves
Further
research
is
needed
explore
its
long-term
on
joint
health,
potential
role
management
Language: Английский
Unlocking the gut-liver axis: microbial contributions to the pathogenesis of metabolic-associated fatty liver disease
Frontiers in Microbiology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 25, 2025
Metabolic
dysfunction-associated
fatty
liver
disease
(MAFLD)
is
a
complex
metabolic
disorder
characterized
by
hepatic
lipid
accumulation
and
subsequent
inflammation.
This
condition
closely
linked
to
syndrome
obesity,
with
its
prevalence
rising
due
sedentary
lifestyles
high-calorie
diets.
The
pathogenesis
of
MAFLD
involves
multiple
factors,
including
insulin
resistance,
lipotoxicity,
oxidative
stress,
inflammatory
responses.
gut
microbiota
plays
crucial
role
in
development,
dysbiosis
contributing
inflammation
through
various
mechanisms,
such
as
enhanced
intestinal
permeability
the
translocation
bacterial
products
like
lipopolysaccharide
(LPS).
Microbial
metabolites,
short-chain
acids
(SCFAs)
bile
acids,
influence
function
immune
responses,
potential
implications
for
progression.
Specific
microbiome
signatures
have
been
identified
patients,
offering
diagnostic
therapeutic
targets.
Moreover,
gut-derived
toxins,
endotoxins,
lipopolysaccharides,
trimethylamine-N-oxide
significantly
damage
inflammation,
highlighting
interplay
between
health.
review
comprehensively
examines
MAFLD,
focusing
on
underlying
pathogenic
biomarkers,
emerging
microbiome-targeted
strategies
management.
Language: Английский