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Angiogenesis outcomes of metformin utilization in diabetes mellitus: a systematic review and meta-analysis

To review relevant literature regarding the role of metformin in angiogenesis among diabetic patients. The systematic review and meta-analysis conducted from May to September 2022, and comprised search on Medline, ScienceDirect, ProQuest, Web of Science, EBSCOhost and Cochrane Library databases. The...

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Published in:Journal of the Pakistan Medical Association 2024-06, Vol.74 (6 (Supple-6)), p.S34-S40
Main Authors: Harsoyo, Primasitha Maharani, Hermawan, Hanestya Oky, Hariftyani, Arisvia Sukma, Shabrina, Farah Aisha, Paramitha, Anisya Dinda, Desita, Saskia Ratna, Oktaviono, Yudi Her
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container_issue 6 (Supple-6)
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container_title Journal of the Pakistan Medical Association
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creator Harsoyo, Primasitha Maharani
Hermawan, Hanestya Oky
Hariftyani, Arisvia Sukma
Shabrina, Farah Aisha
Paramitha, Anisya Dinda
Desita, Saskia Ratna
Oktaviono, Yudi Her
description To review relevant literature regarding the role of metformin in angiogenesis among diabetic patients. The systematic review and meta-analysis conducted from May to September 2022, and comprised search on Medline, ScienceDirect, ProQuest, Web of Science, EBSCOhost and Cochrane Library databases. The studies included were published in the English language and were human studies having angiogenesis endothelial markers as the outcomes of interest among patients of type 2 diabetes mellitus undergoing metformin therapy. Endothelial markers, including vascular endothelial growth factor, von-Willebrand-factor, plasminogen activator inhibitor-1, soluble vascular adhesion molecule- 1, intercellular adhesion molecule-1, soluble endothelialselectin, tissue plasminogen activator, urinary albumin excretion, platelet endothelial cell adhesion molecule-1 and thrombin-activatable fibrinolysis inhibitor, were assessed as angiogenesis outcomes. Data was statistically analysed using Review Manager 5.4. Of the 413 studies identified, 8(1.9%) were included; 5(62.5%) randomised control trials, 2(25.0%) cross-sectional, and 1(12.5%) cohort studies, with overall 1199 patients. Among the outcomes, von-Willebrandfactor (p=0.01), soluble vascular adhesion molecule-1 (p
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Of the 413 studies identified, 8(1.9%) were included; 5(62.5%) randomised control trials, 2(25.0%) cross-sectional, and 1(12.5%) cohort studies, with overall 1199 patients. Among the outcomes, von-Willebrandfactor (p=0.01), soluble vascular adhesion molecule-1 (p&lt;0.00001), intercellular adhesion molecule-1 (p=0.0003), soluble endothelial-selectin (p=0.007), and tissue plasminogen activator (p&lt;0.00001) showed significantly lower levels after metformin treatment using the random effect methods. 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subjects Angiogenesis
Diabetes Mellitus, Type 2 - drug therapy
E-Selectin - blood
Humans
Hypoglycemic Agents - therapeutic use
Intercellular Adhesion Molecule-1 - blood
Intercellular Adhesion Molecule-1 - metabolism
Metformin - therapeutic use
Plasminogen Activator Inhibitor 1 - blood
Plasminogen Activator Inhibitor 1 - metabolism
Tissue Plasminogen Activator
Vascular Cell Adhesion Molecule-1 - blood
Vascular Endothelial Growth Factor A - blood
Vascular Endothelial Growth Factor A - metabolism
von Willebrand Factor - metabolism
title Angiogenesis outcomes of metformin utilization in diabetes mellitus: a systematic review and meta-analysis
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