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Metabolomic profiling for the identification of novel biomarkers and mechanisms related to common cardiovascular diseases: form and function

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Mechanistically, metformin enhances the expression and activity of SIRT1 and subsequently downregulates TLR4, p-NF-B, IL-1 and iNOS (the makers of proinflammatory M2 macrophages) and upregulates Arg1 (the maker of anti-inflammatory M1 macrophages) expressions to increase M2 macrophage polarization and inhibit M2 macrophage polarization (Liu H

[15] [16] This alternative route may be particularly relevant when endothelial function is compromised

Barton disclosed no relevant conflicts of interest

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