Ethological and Physiological Harmful Effects of Metformin, An Antidiabetic Used to Treat Type 2-Diabetes: A Study on Ants as Biological Models

M. Cammaerts, D. Cammaerts
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Abstract

Metformin is a drug mainly used for caring of persons suffering from type 2-diabetes. Over time, it was found to be efficient for treating others illness. Its use increasing, it is nowadays the second active pharmaceutical ingredient more present pollutant in natural water. It could therefore affect the biology of the aquatic fauna through harmful physiological effects. Using ants as biological models, we studied the potential physiological and ethological adverse effects of Metformin. We found that it largely reduced or impacted these insects’ food intake, activity, audacity, social relationships, state of stress, cognition, and learning abilities. No adaptation and no habituation to the effects of Metformin were observed, and ants developed some dependence on its consumption. After weaning, the effect of Metformin became significantly lower than its initial one as soon as after four hours and fully vanished in a total of 13 hours. Metformin could thus harmfully impact the freshwater fauna rich in insect species, especially if chronic exposures occur. As regards patients treated with Metformin, our study suggests that they may suffer from side effects not mentioned in the drug notice. For instance, they may develop dependence and increase their daily dose, accentuating so the drug side effects, e.g., they may suffer from anorexia. Practitioners should know the side effects of Metformin and monitor patients as for their occurrence.
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用于治疗2型糖尿病的降糖药二甲双胍的行为学和生理学有害影响:以蚂蚁为生物模型的研究
二甲双胍是一种主要用于治疗2型糖尿病患者的药物。随着时间的推移,人们发现它对治疗其他疾病很有效。其使用量日益增加,是当今天然水体中较常见的第二大活性药物成分。因此,它可以通过有害的生理效应影响水生动物的生物学。以蚂蚁为生物模型,研究了二甲双胍潜在的生理和行为学不良反应。我们发现,它在很大程度上减少或影响了这些昆虫的食物摄入量、活动、胆识、社会关系、压力状态、认知和学习能力。蚂蚁对二甲双胍的作用没有适应和习惯化,并且对其消费产生了一定的依赖性。断奶后,二甲双胍的效果在4小时后就明显低于初始效果,在13小时内完全消失。因此,二甲双胍可能对富含昆虫物种的淡水动物群产生有害影响,特别是如果长期暴露在二甲双胍中。对于接受二甲双胍治疗的患者,我们的研究表明,他们可能会遭受药物通知中未提及的副作用。例如,他们可能会产生依赖性,增加每日剂量,从而加重药物的副作用,例如,他们可能会患上厌食症。医生应该了解二甲双胍的副作用,并监测患者的发生情况。
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