Metformin in Reproductive Biology

Initially produced in Europe in 1958, metformin is still one of the most widely prescribed drugs to treat type II diabetes and other comorbidities associated with insulin resistance. Metformin has been shown to improve fertility outcomes in females with insulin resistance associated with polycystic...

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Main Authors: Melanie Faure, Michael J. Bertoldo, Rita Khoueiry, Alice Bongrani, François Brion, Cecilia Giulivi, Joelle Dupont, Pascal Froment
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-11-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fendo.2018.00675/full
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author Melanie Faure
Michael J. Bertoldo
Rita Khoueiry
Alice Bongrani
François Brion
Cecilia Giulivi
Cecilia Giulivi
Joelle Dupont
Pascal Froment
author_facet Melanie Faure
Michael J. Bertoldo
Rita Khoueiry
Alice Bongrani
François Brion
Cecilia Giulivi
Cecilia Giulivi
Joelle Dupont
Pascal Froment
author_sort Melanie Faure
collection DOAJ
description Initially produced in Europe in 1958, metformin is still one of the most widely prescribed drugs to treat type II diabetes and other comorbidities associated with insulin resistance. Metformin has been shown to improve fertility outcomes in females with insulin resistance associated with polycystic ovary syndrome (PCOS) and in obese males with reduced fertility. Metformin treatment reinstates menstrual cyclicity, decreases the incidence of cesareans, and limits the number of premature births. Notably, metformin reduces steroid levels in conditions associated with hyperandrogenism (e.g., PCOS and precocious puberty) in females and improves fertility of adult men with metabolic syndrome through increased testosterone production. While the therapeutical use of metformin is considered to be safe, in the last 10 years some epidemiological studies have described phenotypic differences after prenatal exposure to metformin. The goals of this review are to briefly summarize the current knowledge on metformin focusing on its effects on the female and male reproductive organs, safety concerns, including the potential for modulating fetal imprinting via epigenetics.
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spelling doaj.art-0c4f2607af9249cb848a95b018b42a402022-12-21T23:48:08ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922018-11-01910.3389/fendo.2018.00675393399Metformin in Reproductive BiologyMelanie Faure0Michael J. Bertoldo1Rita Khoueiry2Alice Bongrani3François Brion4Cecilia Giulivi5Cecilia Giulivi6Joelle Dupont7Pascal Froment8Unité de Physiologie de la Reproduction et des Comportements, Centre Val de Loire, Institut National de la Recherche Agronomique, UMR85, Nouzilly, FranceDiscipline of Obstetrics and Gynaecology, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, AustraliaDepartment of Development and Regeneration, Stem Cell Institute, KU Leuven, Leuven, BelgiumUnité de Physiologie de la Reproduction et des Comportements, Centre Val de Loire, Institut National de la Recherche Agronomique, UMR85, Nouzilly, FranceINERIS, Direction des Risques Chroniques, Pole VIVA, Unite d'ecotoxicologie in vitro et in vivo, BP2, Verneuil-en-Halatte, FranceDepartment of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United StatesMedical Investigations of Neurodevelopmental Disorders Institute, University of California, Davis, Davis, CA, United StatesUnité de Physiologie de la Reproduction et des Comportements, Centre Val de Loire, Institut National de la Recherche Agronomique, UMR85, Nouzilly, FranceUnité de Physiologie de la Reproduction et des Comportements, Centre Val de Loire, Institut National de la Recherche Agronomique, UMR85, Nouzilly, FranceInitially produced in Europe in 1958, metformin is still one of the most widely prescribed drugs to treat type II diabetes and other comorbidities associated with insulin resistance. Metformin has been shown to improve fertility outcomes in females with insulin resistance associated with polycystic ovary syndrome (PCOS) and in obese males with reduced fertility. Metformin treatment reinstates menstrual cyclicity, decreases the incidence of cesareans, and limits the number of premature births. Notably, metformin reduces steroid levels in conditions associated with hyperandrogenism (e.g., PCOS and precocious puberty) in females and improves fertility of adult men with metabolic syndrome through increased testosterone production. While the therapeutical use of metformin is considered to be safe, in the last 10 years some epidemiological studies have described phenotypic differences after prenatal exposure to metformin. The goals of this review are to briefly summarize the current knowledge on metformin focusing on its effects on the female and male reproductive organs, safety concerns, including the potential for modulating fetal imprinting via epigenetics.https://www.frontiersin.org/article/10.3389/fendo.2018.00675/fulltestisovarymetforminoocytesspermatogenesis
spellingShingle Melanie Faure
Michael J. Bertoldo
Rita Khoueiry
Alice Bongrani
François Brion
Cecilia Giulivi
Cecilia Giulivi
Joelle Dupont
Pascal Froment
Metformin in Reproductive Biology
Frontiers in Endocrinology
testis
ovary
metformin
oocytes
spermatogenesis
title Metformin in Reproductive Biology
title_full Metformin in Reproductive Biology
title_fullStr Metformin in Reproductive Biology
title_full_unstemmed Metformin in Reproductive Biology
title_short Metformin in Reproductive Biology
title_sort metformin in reproductive biology
topic testis
ovary
metformin
oocytes
spermatogenesis
url https://www.frontiersin.org/article/10.3389/fendo.2018.00675/full
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AT alicebongrani metformininreproductivebiology
AT francoisbrion metformininreproductivebiology
AT ceciliagiulivi metformininreproductivebiology
AT ceciliagiulivi metformininreproductivebiology
AT joelledupont metformininreproductivebiology
AT pascalfroment metformininreproductivebiology