Evidence map›Paper›PMID 32899806›Full record

ReviewPharmaceuticals (Basel, Switzerland)2020

Metformin: A Potential Therapeutic Tool for Rheumatologists.

Teresa Salvatore, Pia Clara Pafundi, Raffaele Galiero, Klodian Gjeloshi, Francesco Masini, Carlo Acierno, Anna Di Martino, Gaetana Albanese, Maria Alfano, Luca Rinaldi and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05607316 (Metformin as a Novel Treatment for Vitiligo by Targeting CD8+ T Cell Metabolism), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05607316 phase2withdrawnnot on this mapstarted 2025, after this paper: background citation

Metformin as a Novel Treatment for Vitiligo by Targeting CD8+ T Cell Metabolism

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2025 to 2028Enrolled0ConditionsVitiligoArmsMetformin Hydrochloride
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Gout risk in adults with pre-diabetes initiating metformin.Annals of the rheumatic diseases · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Teresa SalvatoreDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", Via de Crecchio, 7, I-80138 Naples, Italy.
Pia Clara PafundiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.ORCID 0000-0002-0310-3529
Raffaele GalieroDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.
Klodian GjeloshiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.ORCID 0000-0003-0874-9692
Francesco MasiniDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.ORCID 0000-0002-4184-2808
Carlo AciernoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.
Anna Di MartinoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.
Gaetana AlbaneseDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.
Maria AlfanoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.
Luca RinaldiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.ORCID 0000-0002-6541-3821
Ferdinando Carlo SassoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 2, I-80138 Naples, Italy.ORCID 0000-0002-9142-7848
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metformin is an oral antihyperglycemic drug widely used to treat type 2 diabetes, acting via indirect activation of 5' Adenosine Monophosphate-activated Protein Kinase (AMPK). Actually, evidence has accumulated of an intriguing anti-inflammatory activity, mainly mediated by AMPK through a variety of mechanisms such as the inhibition of cytokine-stimulated Nuclear Factor-κB (NF-κB) and the downregulation of the Janus Kinase/Signal Transducer and Activator of Transcription (JAK/STAT) signaling pathways. Moreover, AMPK plays an important role in the modulation of T lymphocytes and other pivotal cells of the innate immune system. The current understanding of these AMPK effects provides a strong rationale for metformin repurposing in the management of autoimmune and inflammatory conditions. Several studies demonstrated metformin's beneficial effects on both animal and human rheumatologic diseases, especially on rheumatoid arthritis. Unfortunately, even though data are large and remarkable, they almost exclusively come from experimental investigations with only a few from clinical trials. The lack of support from prospective placebo-controlled trials does not allow metformin to enter the therapeutic repertoire of rheumatologists. However, a large proportion of rheumatologic patients can currently benefit from metformin, such as those with concomitant obesity and type 2 diabetes, two conditions strongly associated with rheumatoid arthritis, osteoarthritis, and gout, as well as those with diabetes secondary to steroid therapy.

Indexed as

autoimmune diseasesinflammationmetforminrheumatologytype 2 diabetes

Identifiers

PMID32899806
PMCPMC7560003
OpenAlexW3083711579

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.