Abstract

We investigated the protective effects and mechanism of action of metformin on high glucose-induced smooth muscle cell proliferation and migration. Vascular smooth muscle cells (VSMCs) were subjected to a series of concentrations (0-10 mM) of metformin. CCK-8, wound healing, and transwell assays were performed. Correlations between metformin concentration and high-mobility group box 1 (HMGB1) and miR-142-3p levels were assessed. In addition, miR-142-3p mimic and siRNA were used to investigate VSMC migration in the presence or absence of metformin. In the high-glucose condition, metformin decreased cell growth and inhibited cell migration. HMGB1 gene expression correlated negatively with metformin concentration, whereas miR-142-3p expression correlated positively with metformin concentration. In addition, mimic-induced miR-142-3p elevation resulted in decreased HMGB1 and LC3II levels and elevated p62 levels in the high-glucose condition, whereas miR-142-3p knockdown had the reverse effects, and metformin abolished those effects. Metformin inhibits high glucose–induced VSMC hyperproliferation and increased migration by inducing miR-142-3p-mediated inhibition of HMGB1 expression via the HMGB1-autophagy related pathway.

Highlights

  • Arteriosclerosis obliterans (ASO) is a major cause of death and disability, in patients with diabetes mellitus (DM) [1, 2]

  • Metformin was added, and the results showed that metformin at concentrations of 1, 5, and 10 mM significantly inhibited high glucose–induced vascular smooth muscle cells (VSMCs) hyperproliferation (Figure 1B)

  • We evaluated the expression of High-mobility group box 1 (HMGB1)-autophagy related pathway molecules and found that metformin treatment resulted in inhibition of the elevated HMGB1 and LC3II levels and the decreased p62 level found in the high-glucose condition

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Summary

Introduction

Arteriosclerosis obliterans (ASO) is a major cause of death and disability, in patients with diabetes mellitus (DM) [1, 2]. This is because the inflammation underlying atherosclerosis exacerbated by hyperglycemic states [3]. Abundant HMGB1 within carotid and coronary atherosclerotic plaques [8] contributes to the abnormal proliferation and migration of vascular smooth muscle cells (VSMCs) [9, 10]. This makes HMGB1 inhibition potentially effective theraputic approach to atherosclerosis. Inhibiting HMGB1 expression via microRNAs in VSMCs may be a therapeutic approach to reduce atherothrombotic events

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