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

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

摘要

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.