Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou Medical College, Hangzhou, China.
Department of Cardiology, The Second Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, Zhanjiang, China.
Arch Pharm Res. 2023 May;46(5):389-407. doi: 10.1007/s12272-023-01445-2. Epub 2023 Mar 24.
Metformin has been used clinically for more than 60 years. As time goes by, more and more miraculous effects of metformin beyond the clinic have been discovered and discussed. In addition to the clinically approved hypoglycemic effect, it also has a positive metabolic regulation effect on the human body that cannot be ignored. Such as anti-cancer, anti-aging, brain repair, cardiovascular protection, gastrointestinal regulation, hair growth and inhibition of thyroid nodules, and other nonclinical effects. Metformin affects almost the entire body in the situation taking it over a long period, and the preventive effects of metformin in addition to treating diabetes are also beginning to be recommended in some guidelines. This review is mainly composed of four parts: the development history of metformin, the progress of clinical efficacy, the nonclinical efficacy of metformin, and the consideration and prospect of its application.
二甲双胍已经在临床上使用了 60 多年。随着时间的推移,人们发现并讨论了二甲双胍超越临床的越来越多的神奇效果。除了临床上被认可的降血糖作用外,它对人体的代谢调节作用也不容忽视。例如,具有抗癌、抗衰老、脑修复、心血管保护、胃肠道调节、促进毛发生长和抑制甲状腺结节等非临床作用。二甲双胍在长期服用的情况下几乎影响全身,二甲双胍除了治疗糖尿病之外的预防作用也开始在一些指南中被推荐。本综述主要由四个部分组成:二甲双胍的发展历史、临床疗效的进展、二甲双胍的非临床疗效,以及对其应用的考虑和展望。