Are steroid hormones and autistic traits affected by metformin? First insights from a pilot

Background: Different lines of evidence imply that metformin could alter steroid hormone homeostasis and thereby improve social impairment. Here, we tried to correlate the impact of metformin treatment on alterations in steroid hormones and autism spectrum traits before versus after treatment with m...

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Main Authors: Benedikt Gasser, Genevieve Escher, Anca-Elena Calin, Michael Deppeler, Miriam Marchon, Johann Kurz, Markus Mohaupt
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Comprehensive Psychoneuroendocrinology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666497623000309
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author Benedikt Gasser
Genevieve Escher
Anca-Elena Calin
Michael Deppeler
Miriam Marchon
Johann Kurz
Markus Mohaupt
author_facet Benedikt Gasser
Genevieve Escher
Anca-Elena Calin
Michael Deppeler
Miriam Marchon
Johann Kurz
Markus Mohaupt
author_sort Benedikt Gasser
collection DOAJ
description Background: Different lines of evidence imply that metformin could alter steroid hormone homeostasis and thereby improve social impairment. Here, we tried to correlate the impact of metformin treatment on alterations in steroid hormones and autism spectrum traits before versus after treatment with metformin. Material & methods: Urine steroid hormones were measured using gas chromatography mass spectrometry in 12 male subjects (54.2 ± 9.1 years, 177.3 ± 4.1 cm, 80 ± 10.4 kg) and 7 female subjects (64.14 ± 18.0 years, 162.7 ± 4.1 cm, 76.1 ± 10.4 kg). Furthermore, a questionnaire on autism spectrum traits (Autism Spectrum Questionnaire]) was administered prior to and after metformin treatment. Results: Overall, a decrease of steroid hormones were detected, which were most pronounced in the metabolites of corticosterone, deoxycortisol, cortisol, as well as androgens. These remained after Bonferroni correction (three classes: glucocorticoid, mineralocorticoid, androgens). No effect on autism spectrum traits (social skills, attention switching skills, attention to detail skills, communication skills, imagination skills), was identified pre versus post metformin treatment. Discussion: The decreased steroid hormone levels are based on different mechanisms; one effect is likely via mitochondria, another effect via activated protein kinase prior to post treatment. The finding on autistic traits must be taxed as negative and do not directly provide an argument for using metformin in the treatment of autism.
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spelling doaj.art-975a7ed27ac14c77bba14a1da0e63ee32023-12-10T06:18:04ZengElsevierComprehensive Psychoneuroendocrinology2666-49762023-11-0116100196Are steroid hormones and autistic traits affected by metformin? First insights from a pilotBenedikt Gasser0Genevieve Escher1Anca-Elena Calin2Michael Deppeler3Miriam Marchon4Johann Kurz5Markus Mohaupt6Department of Sport, Exercise and Health, Division Sport and Exercise Medicine, University of Basel, Grosse Allee 6, CH-4052, Basel, Switzerland; Corresponding author. Department of Sport, Movement and Health Division Sport and Exercise Medicine, University of Basel, Grosse Allee 6, CH-4052, Basel, Switzerland.Lindenhofgruppe, Teaching Hospital of Internal Medicine, Lindenhofgruppe, 3006, Berne, SwitzerlandDepartment of Biomedical Research, University Bern, SwitzerlandLindenhofgruppe, Teaching Hospital of Internal Medicine, Lindenhofgruppe, 3006, Berne, SwitzerlandLindenhofgruppe, Teaching Hospital of Internal Medicine, Lindenhofgruppe, 3006, Berne, SwitzerlandInterscience Research Collaboration, SwitzerlandLindenhofgruppe, Teaching Hospital of Internal Medicine, Lindenhofgruppe, 3006, Berne, Switzerland; Department of Biomedical Research, University Bern, SwitzerlandBackground: Different lines of evidence imply that metformin could alter steroid hormone homeostasis and thereby improve social impairment. Here, we tried to correlate the impact of metformin treatment on alterations in steroid hormones and autism spectrum traits before versus after treatment with metformin. Material & methods: Urine steroid hormones were measured using gas chromatography mass spectrometry in 12 male subjects (54.2 ± 9.1 years, 177.3 ± 4.1 cm, 80 ± 10.4 kg) and 7 female subjects (64.14 ± 18.0 years, 162.7 ± 4.1 cm, 76.1 ± 10.4 kg). Furthermore, a questionnaire on autism spectrum traits (Autism Spectrum Questionnaire]) was administered prior to and after metformin treatment. Results: Overall, a decrease of steroid hormones were detected, which were most pronounced in the metabolites of corticosterone, deoxycortisol, cortisol, as well as androgens. These remained after Bonferroni correction (three classes: glucocorticoid, mineralocorticoid, androgens). No effect on autism spectrum traits (social skills, attention switching skills, attention to detail skills, communication skills, imagination skills), was identified pre versus post metformin treatment. Discussion: The decreased steroid hormone levels are based on different mechanisms; one effect is likely via mitochondria, another effect via activated protein kinase prior to post treatment. The finding on autistic traits must be taxed as negative and do not directly provide an argument for using metformin in the treatment of autism.http://www.sciencedirect.com/science/article/pii/S2666497623000309Gas chromatographieMass spectrometry24h measurementsGlucocorticoidMineralocorticoidAndrogens
spellingShingle Benedikt Gasser
Genevieve Escher
Anca-Elena Calin
Michael Deppeler
Miriam Marchon
Johann Kurz
Markus Mohaupt
Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
Comprehensive Psychoneuroendocrinology
Gas chromatographie
Mass spectrometry
24h measurements
Glucocorticoid
Mineralocorticoid
Androgens
title Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
title_full Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
title_fullStr Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
title_full_unstemmed Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
title_short Are steroid hormones and autistic traits affected by metformin? First insights from a pilot
title_sort are steroid hormones and autistic traits affected by metformin first insights from a pilot
topic Gas chromatographie
Mass spectrometry
24h measurements
Glucocorticoid
Mineralocorticoid
Androgens
url http://www.sciencedirect.com/science/article/pii/S2666497623000309
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