Evidence mapPaperPMID 33071237Full record

Trial reportAging2020

Metformin alters skeletal muscle transcriptome adaptations to resistance training in older adults.

Ameya S Kulkarni, Bailey D Peck, R Grace Walton, Philip A Kern, Jessica C Mar, Samuel T Windham, Marcas M Bamman, Nir Barzilai, Charlotte A Peterson

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Review
  7. The direct targets of metformin in diabetes and beyond.Trends in endocrinology and metabolism: TEM · 2025
    Review
  8. Article
  9. Article
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  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Ameya S KulkarniInstitute for Aging Research, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Bailey D PeckCenter for Muscle Biology, College of Health Sciences, University of Kentucky, Lexington, KY 40504, USA.
R Grace WaltonCenter for Muscle Biology, College of Health Sciences, University of Kentucky, Lexington, KY 40504, USA.
Philip A KernDepartment of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, KY 40504, USA.
Jessica C MarAustralian Institute for Bioengineering and Nanotechnology, University of Queensland, Brisbane, Queensland, Australia.
Samuel T WindhamCenter for Exercise Medicine, University of Alabama, Birmingham, AL 35233, USA.
Marcas M BammanCenter for Exercise Medicine, University of Alabama, Birmingham, AL 35233, USA.
Nir BarzilaiInstitute for Aging Research, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Charlotte A PetersonCenter for Muscle Biology, College of Health Sciences, University of Kentucky, Lexington, KY 40504, USA.
Albert Einstein College of Medicine · USGeriatric Research Education and Clinical Center · USUniversity of Queensland · AU

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · UNIVERSITY OF KENTUCKY · 2025 to 2025
$3.3M
NYR-Diabetes Research Center (NYR-DRC)P30DK020541 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$2.4M
NCATS NIH HHS UL1 TR001998NCATS NIH HHS UL1 TR003096NIA NIH HHS P30 AG038072NIA NIH HHS R01 AG046920NIDDK NIH HHS P30 DK020541
6 · The paper itself

Abstract

Evidence from clinical trials and observational studies suggests that both progressive resistance exercise training (PRT) and metformin delay a variety of age-related morbidities. Previously, we completed a clinical trial testing the effects of 14 weeks of PRT + metformin (metPRT) compared to PRT with placebo (plaPRT) on muscle hypertrophy in older adults. We found that metformin blunted PRT-induced muscle hypertrophic response. To understand potential mechanisms underlying the inhibitory effect of metformin on PRT, we analyzed the muscle transcriptome in 23 metPRT and 24 plaPRT participants. PRT significantly increased expression of genes involved in extracellular matrix remodeling pathways, and downregulated RNA processing pathways in both groups, however, metformin attenuated the number of differentially expressed genes within these pathways compared to plaPRT. Pathway analysis showed that genes unique to metPRT modulated aging-relevant pathways, such as cellular senescence and autophagy. Differentially expressed genes from baseline biopsies in older adults compared to resting muscle from young volunteers were reduced following PRT in plaPRT and were further reduced in metPRT. We suggest that although metformin may blunt pathways induced by PRT to promote muscle hypertrophy, adjunctive metformin during PRT may have beneficial effects on aging-associated pathways in muscle from older adults.

Indexed as

Resistance TrainingAdaptation, PhysiologicalAgedAlabamaDouble-Blind MethodFemaleGene Expression ProfilingGene Expression RegulationGene Regulatory NetworksHumansHypoglycemic AgentsKentuckyMaleMetforminQuadriceps MuscleSkeletal Muscle EnlargementHypoglycemic AgentsMetforminagingexercise-drug interactiongene expressionmetforminstrength training

Identifiers

PMID33071237
PMCPMC7655218
OpenAlexW3093400327

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.