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. 2024 Aug 23;45(5):258–267. doi: 10.4082/kjfm.24.0156

Figure. 1.

Figure. 1.

Proposed mechanisms for metformin-induced reductions in blood levels of glucose. Reprinted from Foretz M, et al. Nat Rev Endocrinol 2023;19:460-76.4) with permission from Springer Nature. NADH, nicotinamide adenine dinucleotide; ATP, adenosine triphosphate; AMPK, AMP-activated protein kinase; FBP1, fructose-1-6-bisphosphatase; mGPDH, mitochondrial glycerol-3-phosphate dehydrogenase; cGPDH, cytosolic glycerol-3-phosphate dehydrogenase; LDH, lactate dehydrogenase; GSH:GSSG, glutathione to oxidized glutathione ratio; TET3, Tet methylcytosine dioxygenase 3; HNF-4α, hepatocyte nuclear factor 4α; ATP6AP1, ATPase H+ transporting accessory protein 1; ACC, acetylCoA carboxylase; LKB1, liver kinase B1; GLP1, glucagon-like peptide 1; PEN2, presenilin enhancer 2.