Article
RAP1A Variant rs7525578 Modifies Glycemic Response to Metformin But Not to Pioglitazone or Gliclazide in the UK Biobank.
Clinical neuropharmacology - 1 Jan 2026
Lehrer Steven, Rheinstein Peter
Abstract excerpt
OBJECTIVES: Metformin is the first-line treatment for type 2 diabetes (T2D), yet interindividual variability in glycemic response remains poorly understood. Preclinical studies demonstrate that low-dose metformin lowers glucose via Rap1 signaling in ventromedial hypothalamic neurons, a pathway not required for sulfonylurea or thiazolidinedione efficacy. We investigated whether a common intronic RAP1A variant...
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