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二甲双胍在抗病毒治疗中的应用:证据与展望

Metformin in Antiviral Therapy: Evidence and Perspectives.

作者信息

Halabitska Iryna, Petakh Pavlo, Lushchak Oleh, Kamyshna Iryna, Oksenych Valentyn, Kamyshnyi Oleksandr

机构信息

Department of Therapy and Family Medicine, I. Horbachevsky Ternopil National Medical University, Voli Square, 1, 46001 Ternopil, Ukraine.

Department of Biochemistry and Pharmacology, Uzhhorod National University, 88017 Uzhhorod, Ukraine.

出版信息

Viruses. 2024 Dec 18;16(12):1938. doi: 10.3390/v16121938.


DOI:10.3390/v16121938
PMID:39772244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11680154/
Abstract

Metformin, a widely used antidiabetic medication, has emerged as a promising broad-spectrum antiviral agent due to its ability to modulate cellular pathways essential for viral replication. By activating AMPK, metformin depletes cellular energy reserves that viruses rely on, effectively limiting the replication of pathogens such as influenza, HIV, SARS-CoV-2, HBV, and HCV. Its role in inhibiting the mTOR pathway, crucial for viral protein synthesis and reactivation, is particularly significant in managing infections caused by HIV, CMV, and EBV. Furthermore, metformin reduces oxidative stress and reactive oxygen species (ROS), which are critical for replicating arboviruses such as Zika and dengue. The drug also regulates immune responses, cellular differentiation, and inflammation, disrupting the life cycle of HPV and potentially other viruses. These diverse mechanisms suppress viral replication, enhance immune system functionality, and contribute to better clinical outcomes. This multifaceted approach highlights metformin's potential as an adjunctive therapy in treating a wide range of viral infections.

摘要

二甲双胍是一种广泛使用的抗糖尿病药物,由于其能够调节病毒复制所必需的细胞途径,已成为一种有前景的广谱抗病毒药物。通过激活AMPK,二甲双胍耗尽病毒所依赖的细胞能量储备,有效限制流感、艾滋病毒、SARS-CoV-2、乙肝病毒和丙肝病毒等病原体的复制。其在抑制对病毒蛋白合成和再激活至关重要的mTOR途径方面的作用,在管理由艾滋病毒、巨细胞病毒和EB病毒引起的感染方面尤为重要。此外,二甲双胍可降低氧化应激和活性氧(ROS),这对寨卡病毒和登革热等虫媒病毒的复制至关重要。该药物还调节免疫反应、细胞分化和炎症,破坏人乳头瘤病毒及可能其他病毒的生命周期。这些多样的机制抑制病毒复制,增强免疫系统功能,并有助于获得更好的临床结果。这种多方面的方法突出了二甲双胍作为治疗多种病毒感染辅助疗法的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/11680154/5c318973c368/viruses-16-01938-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/11680154/eb099885d39d/viruses-16-01938-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/11680154/5c318973c368/viruses-16-01938-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/11680154/eb099885d39d/viruses-16-01938-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/11680154/5c318973c368/viruses-16-01938-g002.jpg

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[1]
Metformin in Antiviral Therapy: Evidence and Perspectives.

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[2]
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引用本文的文献

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Extracellular DNA, hyaluronic acid, HIF pathways, and LncRNAs as predictive biomarkers of severe COVID-19.

Virol J. 2025-7-23

[2]
The Application of S-Substituted Pteridine for CCl-Induced Acute Hepatitis Treatment in Rats.

Biomedicines. 2025-5-22

[3]
Molecular and Biochemical Mechanisms of Cardiomyopathy Development Following Prenatal Hypoxia-Focus on the NO System.

Antioxidants (Basel). 2025-6-16

[4]
Reactivation of Latent Tuberculosis Following COVID-19 and Epstein-Barr Virus Coinfection: A Case Report.

Pathogens. 2025-5-16

[5]
Unlocking the gut-liver axis: microbial contributions to the pathogenesis of metabolic-associated fatty liver disease.

Front Microbiol. 2025-4-25

[6]
Metformin as a disease-modifying therapy in osteoarthritis: bridging metabolism and joint health.

Front Pharmacol. 2025-3-19

本文引用的文献

[1]
Dysregulation in the microbiota by HBV and HCV infection induces an altered cytokine profile in the pathobiome of infection.

Braz J Infect Dis. 2025

[2]
Pharmacokinetics of Atorvastatin and Metformin after Coadministration with Islatravir in Healthy Adults.

J Clin Pharmacol. 2025-5

[3]
Predictive analysis of osteoarthritis and chronic pancreatitis comorbidity: complications and risk factors.

Front Endocrinol (Lausanne). 2024

[4]
Metformin use and its association with various outcomes in COVID-19 patients with diabetes mellitus: a retrospective cohort study in a tertiary care facility.

Ann Med. 2024-12

[5]
The interplay of gut microbiota, obesity, and depression: insights and interventions.

Cell Mol Life Sci. 2024-10-30

[6]
Future applications of host direct therapies for infectious disease treatment.

Front Immunol. 2024

[7]
Exploring the Efficacy of Alpha-Lipoic Acid in Comorbid Osteoarthritis and Type 2 Diabetes Mellitus.

Nutrients. 2024-10-2

[8]
Preadmission Metformin Use Is Associated with Reduced Mortality in Patients with Diabetes Mellitus Hospitalized with COVID-19.

J Gen Intern Med. 2024-12

[9]
Genomic insight into COVID-19 severity in MAFLD patients: a single-center prospective cohort study.

Front Genet. 2024-9-4

[10]
A comprehensive review of influenza B virus, its biological and clinical aspects.

Front Microbiol. 2024-9-4

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