Evidence map›Paper›PMID 40465114›Full record

ArticleJournal of neurovirology2025

Metformin promotes PEN2 expression to attenuate microglia-mediated neurotoxicity induced by HIV-1 Tat.

Ya Shen, Tianli Xu, Yezi Sun, Kelun Zhang, Xiaojun Cao, Limin Shen, Mengjie Tang

Abstract read
In one paragraph

Article in Journal of neurovirology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Ya Shen *Department of Endocrinology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China.
Tianli Xu *Department of Orthopedics, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China.
Yezi SunDepartment of Endocrinology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China.
Kelun ZhangDepartment of Orthopedics, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China.
Xiaojun CaoDepartment of Endocrinology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China.
Limin ShenDepartment of Endocrinology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China. slmsisi@163.com.
Mengjie TangDepartment of Endocrinology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, 215123, Jiangsu, China. 931736923@qq.com.

Funding

the Science and Technology Xingwei Youth projects of Suzhou KJXW2021062the Science and Technology Youth projects of Zhang Jiagang ZJGQNKJ202201
6 · The paper itself

Abstract

Metformin, a first-line drug used to treat type 2 diabetes mellitus (T2DM), also reduces neuroinflammation and improves motor and cognitive outcomes. Metformin binds to presenilin enhancer 2 (PEN2) and further enhances its therapeutic benefits. The mechanisms of HIV-associated neurocognitive disorders (HANDs) remain unclear. HIV-1 trans-activator of transcription (Tat) contributes to neurotoxicity in HAND. We revealed that PEN2 expression decreased markedly in HAND patients and Tat-infected microglia. Metformin (200 µM) treatment significantly reduced Tat-induced decreases in cell viability, oxidative stress, the proinflammatory response and excessive glutamate and iNOS release and had neuroprotective effects. Tat subsequently increased NF-κB activity, which was prominently suppressed during treatment. In addition, PEN2 knockdown in microglia dramatically reversed the neuroprotective effect of metformin against Tat. Our findings indicate that metformin binds PEN2 and modulates microglia-mediated HIV-1 Tat neurotoxicity in HAND.

Indexed as

AIDS Dementia ComplexMetforminMicrogliaNeuroprotective Agentstat Gene Products, Human Immunodeficiency VirusCell SurvivalFemaleHIV-1HumansMaleMiddle AgedNF-kappa BOxidative StressMetforminNeuroprotective AgentsNF-kappa Btat Gene Products, Human Immunodeficiency VirusHAND TatMetforminNeurotoxicityPEN2

Identifiers

PMID40465114
PMCPMC12446413

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.