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Metformin and feeding increase levels of the appetite-suppressing metabolite Lac-Phe in humans

Barry Scott, Emily A. Day, Katie O’Brien, John Scanlan, Grace Cromwell, Aine Ni Scannail, Marie E. McDonnell, David K. Finlay, Lydia Lynch

2024Nature Metabolism81 citationsDOIOpen Access PDF

Abstract

Metformin, a widely used first-line treatment for type 2 diabetes (T2D), is known to reduce blood glucose levels and suppress appetite. Here we report a significant elevation of the appetite-suppressing metabolite N-lactoyl phenylalanine (Lac-Phe) in the blood of individuals treated with metformin across seven observational and interventional studies. Furthermore, Lac-Phe levels were found to rise in response to acute metformin administration and post-prandially in patients with T2D or in metabolically healthy volunteers.

Topics & Concepts

MetforminAppetiteMetaboliteType 2 diabetesMedicineInternal medicineEndocrinologyObservational studyDiabetes mellitusPharmacologyMetabolism, Diabetes, and CancerDiet and metabolism studiesBiochemical Analysis and Sensing Techniques
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