Abstract
The current study used a human-equivalent therapeutic dose of metformin to address cardioprotective properties of the drug in ovariectomized rats. Sixty adult female rats were divided equally into four groups. Animals in Group 1 were sham-operated (n = 15), and rats in Groups 2–4 (n = 45) were ovariectomized. After one month, animals Groups 3 and 4 were treated with E2 (100µg/kg, i.m., every other day, n = 15) and MF, (100 mg/kg/day orally, n = 15), respectively. These treatments continued for one month. Ovariectomized rats (Group 2) showed significant elevation in serum heart enzyme markers. MF-treated animals (Group4) showed a superior response to treatment compared to E2 treated rats (Group 3) in restoring enzyme levels of CK-MB and LDH toward control levels. Compared to Group 2 animals, MF and E2-treated rats showed a significant decrease in serum angiotensin II, cardiac MDA, and NOx levels and a significant increase in cardiac CAT activity and Total antioxidant capacity. Group 2 animals showed dyslipidemia. MF treatment renormalized lipid profile markers, but E2 treatment did not induce a significant effect. Group 2 animals also showed significant elevation in proinflammatory markers. Both MF and E2 treatment significantly decrease levels of TNF-α and IL-6. A focus on cardiac dysfunction markers, dyslipidemia and cardiac oxidative insult allowed the demonstration that MF is superior to E2 for attenuating cardiotoxicity. Further, MF and estradiol are similar in their ability to mitigate inflammation.