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Metformin embonate is a salt form of the biguanide metformin, specifically developed by the Università degli Studi di Milano-Bicocca for the treatment of IDH-wildtype glioblastoma. Unlike the standard hydrochloride salt, the embonate (pamoate) salt is characterized by low solubility, which facilitates its formulation into nanocrystals or other delivery systems designed to enhance therapeutic efficacy in the brain. Its mechanism of action involves the inhibition of mitochondrial complex I and the subsequent activation of AMP-activated protein kinase (AMPK), leading to the disruption of cancer cell metabolism and the inhibition of glioblastoma stem cell proliferation. This repositioning strategy aims to exploit the metabolic vulnerabilities of aggressive brain tumors.
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