Metformin enhances LDL-cholesterol uptake by suppressing the expression of the pro-protein convertase subtilisin/kexin type 9 (PCSK9) in liver cells.
Amjad AliHema UnnikannanJasmin ShafarinKhuloud BajboujJalal TaneeraJibran Sualeh MuhammadHaydar HasanAlbert SalehiSamir AwadallahMawieh HamadPublished in: Endocrine (2022)
These findings suggest that MF treatment reduces circulating LDL-C levels by suppressing PCSK9 expression and enhancing LDLR expression; hence the potential therapeutic utility of MF in hypercholesterolemia.