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Title: Insights into the action of the pharmaceutical metformin: Targeted inhibition of the gut microbial enzyme agmatinase
Metformin is the first-line treatment for type 2 diabetes, yet its mechanism of action is not fully under- stood. Recent studies suggest metformin’s interactions with gut microbiota are responsible for exerting therapeutic effects. In this study, we report that metformin targets the gut microbial enzyme agmatinase, as a competitive inhibitor, which may impair gut agmatine catabolism. The metformin inhibition constant (Ki) of E. coli agmatinase is 1 mM and relevant in the gut where the drug concentration is 1–10 mM. Met- formin analogs phenformin, buformin, and galegine are even more potent inhibitors of E. coli agmatinase (Ki = 0.6, 0.1, and 0.007 mM, respectively) suggesting a shared mechanism. Agmatine is a known effector of human host metabolism and has been reported to augment metformin’s therapeutic effects for type 2 diabetes. This gut-derived inhibition mechanism gives new insights on metformin’s action in the gut and may lead to significant discoveries in improving metformin therapy.  more » « less
Award ID(s):
2203750
PAR ID:
10511594
Author(s) / Creator(s):
;
Corporate Creator(s):
Editor(s):
Muzzio, Michelle
Publisher / Repository:
Cell Press
Date Published:
Journal Name:
iScience
Edition / Version:
Cell Press journal iScience
Volume:
27
Issue:
2
ISSN:
2589-0042
Page Range / eLocation ID:
108900
Subject(s) / Keyword(s):
metformin agmatinase inhibition microbiome
Format(s):
Medium: X Size: 2.8 MB Other: html; pdf
Size(s):
2.8 MB
Sponsoring Org:
National Science Foundation
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