Evidence map›Paper›PMID 41269477›Full record

ArticleInflammopharmacology2026

Metformin alleviates presbycusis by activating the SIRT1/PINK1/GPX4 pathway in vitro and in vivo.

Chaojun Zeng, Wei Lin, Xi Gu, Xihang Chen, Yanchun Lin, Yuqing Chen, Zhifeng Chen, Chang Lin

Abstract read
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Article in Inflammopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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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

8 authors.

Chaojun Zeng *Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Wei Lin *Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Xi Gu *Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Xihang Chen *Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Yanchun LinDepartment of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Yuqing ChenDepartment of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Zhifeng ChenDepartment of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Chang LinDepartment of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China. linc301@sina.com.

Funding

Fujian Provincial Healthcare Young and Middle-aged Backbone Talent Training Project 2023GGA035Joint Funds for the Innovation of Science and Technology 2023Y9019Medical Research Foundation of Putian University 2024109Natural Science Foundation of Fujian Province 2025J011523Science and Technology Innovation Joint Funding Project of Fujian Province 2021Y9099
6 · The paper itself

Abstract

backgroundPresbycusis is a neurodegenerative disease associated with chronic inflammation. Metformin is an anti-inflammatory agent used to treat diabetes. However, its efficacy in delaying presbycusis has not been established.

aimThe study aimed to investigate the protective effects of metformin against presbycusis and elucidate its mechanistic role in modulating the SIRT1/PINK1/GPX4 signaling pathway in vitro and in vivo. MATERIALS AND

methodsThe target genes of presbycusis were identified using bioinformatics. The HEI-OC1 cells were subsequently induced with D-galactose (D-gal) and co-treated with metformin in vitro. Their viability, mitochondrial function, and molecular markers were subsequently monitored. Meanwhile, C57BL/6J mice were injected with metformin, and their auditory brainstem response (ABR) thresholds were assessed by ABR test. Animal histopathological examination, immunofluorescence staining, and western blotting were used to assess the protective effects of metformin against presbycusis in mice.

resultsMetformin increased the viability of senescent auditory cells, enhanced mitochondrial function by reducing reactive oxygen species production, and inhibited ferroptosis in vitro. It also improved the auditory function of C57BL/6J mice, reduced their cochlear concentrations of Fe

conclusionMetformin activates the SIRT1/PINK1/GPX4 signaling pathway, and it may be effective for treating presbycusis.

Indexed as

MetforminPhospholipid Hydroperoxide Glutathione PeroxidasePresbycusisProtein KinasesSirtuin 1AnimalsCell LineCell SurvivalDisease Models, AnimalEvoked Potentials, Auditory, Brain StemGalactoseHair Cells, AuditoryHumansMaleMiceMice, Inbred C57BLGalactoseMetforminPhospholipid Hydroperoxide Glutathione PeroxidaseProtein KinasesReactive Oxygen SpeciesSirt1 protein, mouseSirtuin 1AgingFerroptosisMetforminPresbycusisROS

Identifiers

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Registered trials

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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.