The skeletal muscle atrophy and sarcopenia are negative prognostic factors in the treatment of the diabetic
aged-population. Insulin therapy stimulated protein anabolism in younger but not older patients and failed to prevent atrophy.
The insulin- sensitizer glitazones are promising agents against atrophy but the un-favorable benefit/risk profile limits
their use. Metformin is an AMPK agonist potentiating insulin actions in the adult human muscle, but not in the aged individuals.
The AMPK agonists have the potential to induce atrophy. The KATP channel blockers such as the sulfonylureas
and glinide may induce atrophy. Glibenclamide indeed induces atrophy in rat and in human. Within the glinides, repaglinide
is the most potent atrophic agent “in vitro” in animals. The GLP-1 and incretins showed beneficial effects in skeletal
muscle but their effects on the age-dependent muscle atrophy in human and animals are not known. The novel sodium
glucose co-transporter inhibitors may not have been recognized as drug-induced atrophic/anti-atrophic effects. Here we
reviewed the effects of the anti-diabetic drugs on the age-related muscle atrophy.
Keywords: Antidiabetic drugs, sarcopenia, skeletal muscle, aging.
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