Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness

Gulf War Illness (GWI) is a cluster of medically unexplained chronic symptoms, including neurological and gastrointestinal impairments, and muscle fatigue, suffered by veterans of the Persian Gulf War. A GWI model in C57BL/6 mice exposed to the nerve gas prophylactic pyridostigmine-bromide (PB) and...

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Main Authors: Lun Cai, Mundanattu Swetha, Abraham Raji, Alvin V. Terry, Jr., Raghavan Pillai Raju
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Redox Biology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213231725002277
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author Lun Cai
Mundanattu Swetha
Abraham Raji
Alvin V. Terry, Jr.
Raghavan Pillai Raju
author_facet Lun Cai
Mundanattu Swetha
Abraham Raji
Alvin V. Terry, Jr.
Raghavan Pillai Raju
author_sort Lun Cai
collection DOAJ
description Gulf War Illness (GWI) is a cluster of medically unexplained chronic symptoms, including neurological and gastrointestinal impairments, and muscle fatigue, suffered by veterans of the Persian Gulf War. A GWI model in C57BL/6 mice exposed to the nerve gas prophylactic pyridostigmine-bromide (PB) and the insecticide permethrin (PER) was used to test the effect of mitochondria-potentiating agents, metformin and MitoQ on chronic fatigue, observed in GWI. The exposure of mice to PB/PER resulted in enhanced oxidative stress, impaired mitochondrial function, and reduced autophagy. Treatment with the anti-diabetic drug metformin and the mitochondria-targeted antioxidant available as a dietary supplement, MitoQ, activated the AMPK signaling, reduced oxidative stress, and attenuated inflammation in gastrocnemius muscle tissue compared to untreated mice. The combination of metformin and MitoQ was found to be more effective than the individual treatments in activating AMPK. The combination treatment rescued autophagy and improved mitochondrial respiration. Chronic fatigue assessments by the hanging wire and rotarod tests, and voluntary wheel running activities showed improved physical activity/strength in mice treated with metformin and MitoQ. The results suggest the potential therapeutic benefit of a combination formulation of metformin and MitoQ in addressing the molecular and energetic impairments of skeletal muscle in GWI.
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spelling doaj-art-b8e870a43b8a4faa9ec06e75e8b0e6042025-08-24T05:12:16ZengElsevierRedox Biology2213-23172025-09-018510371410.1016/j.redox.2025.103714Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War IllnessLun Cai0Mundanattu Swetha1Abraham Raji2Alvin V. Terry, Jr.3Raghavan Pillai Raju4Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USADepartment of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USADepartment of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USADepartment of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USADepartment of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USA; Charlie Norwood Veterans Affairs Medical Center, Augusta, GA, USA; Corresponding author. Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, 30912 USA.Gulf War Illness (GWI) is a cluster of medically unexplained chronic symptoms, including neurological and gastrointestinal impairments, and muscle fatigue, suffered by veterans of the Persian Gulf War. A GWI model in C57BL/6 mice exposed to the nerve gas prophylactic pyridostigmine-bromide (PB) and the insecticide permethrin (PER) was used to test the effect of mitochondria-potentiating agents, metformin and MitoQ on chronic fatigue, observed in GWI. The exposure of mice to PB/PER resulted in enhanced oxidative stress, impaired mitochondrial function, and reduced autophagy. Treatment with the anti-diabetic drug metformin and the mitochondria-targeted antioxidant available as a dietary supplement, MitoQ, activated the AMPK signaling, reduced oxidative stress, and attenuated inflammation in gastrocnemius muscle tissue compared to untreated mice. The combination of metformin and MitoQ was found to be more effective than the individual treatments in activating AMPK. The combination treatment rescued autophagy and improved mitochondrial respiration. Chronic fatigue assessments by the hanging wire and rotarod tests, and voluntary wheel running activities showed improved physical activity/strength in mice treated with metformin and MitoQ. The results suggest the potential therapeutic benefit of a combination formulation of metformin and MitoQ in addressing the molecular and energetic impairments of skeletal muscle in GWI.http://www.sciencedirect.com/science/article/pii/S2213231725002277Gulf War IllnessMetforminMitoQAMPKMitochondria
spellingShingle Lun Cai
Mundanattu Swetha
Abraham Raji
Alvin V. Terry, Jr.
Raghavan Pillai Raju
Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
Redox Biology
Gulf War Illness
Metformin
MitoQ
AMPK
Mitochondria
title Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
title_full Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
title_fullStr Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
title_full_unstemmed Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
title_short Mitochondria-targeted therapy with metformin and MitoQ reduces oxidative stress, improves mitochondrial function, and restores metabolic homeostasis in a murine model of Gulf War Illness
title_sort mitochondria targeted therapy with metformin and mitoq reduces oxidative stress improves mitochondrial function and restores metabolic homeostasis in a murine model of gulf war illness
topic Gulf War Illness
Metformin
MitoQ
AMPK
Mitochondria
url http://www.sciencedirect.com/science/article/pii/S2213231725002277
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