The effect of the oral antidiabetic agent metformin on insulin regulation of glycogen metabolism, tyrosine-aminotransferase
activity, and [1-
14C]aminoisobutyric acid uptake was studied in H4IIE cultured rat hepatoma cells. Metformin enhanced both basal (from 0.213±0.016
to 0.262±0.024 nmol/mg protein,
p<0.01) and insulin stimulated [
3H] glucose incorporation into glycogen in a time-dependent and dose-dependent manner. A small effect of metformin was seen
at 1 μmol/l, and its greatest effects were obtained at 10 μmol/l. At the same concentrations, metformin did not influence
basal tyrosine-aminotransferase activity but it potentiated insulin stimulated tyrosine-aminotransferase activity (+ 29.2±1.4%,
p<0.01) and prevented the loss of tyrosine-aminotransferase responsiveness to insulin in H4IIE cells desensitised by a previous
exposure to insulin. In contrast, metformin had no effect on basal or insulin-stimulated [1-
14C]aminoisobutyric acid uptake. Over the concentrations of metformin that enhanced insulin action in H4IIE cells, the drug
had no significant effect on insulin binding to its receptor. These studies suggest, therefore, that metformin may influence
cellular metabolism by potentiating certain insulin actions through mechanisms that may be beyond insulin receptor binding.
Key words Metformin - insulin action - hepatoma cells