RT Journal Article T1 Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses A1 Garcia-Contreras, Consolación A1 Vázquez Gómez, Marta A1 Pesantez-Pacheco, José Luis A1 Torres-Rovira, Laura A1 De las Heras Molina, Ana A1 Encinas Cerezo, María Teresa A1 Astiz, Susana A1 González Bulnes, Antonio AB Metformin is an anti-hyperglycemic drug widely used for the treatment of insulin resistance and glucose intolerance and is currently considered for preventing large-for-gestational-age (LGA) offspring in pregnant women affected by obesity or diabetes. Our hypothesis was the opposite—metformin may be used for improving the development of offspring affected by intrauterine growth restriction (IUGR) and preventing the appearance of small-for-gestational-age (SGA) neonates in non-obese and non-diabetic but malnourished pregnancies. The current study, performed in a swine preclinical model of IUGR by undernutrition, showed that fetuses in the treated group showed no significant increases in body-weight, but showed a significantly higher weight of the brain, the total thoracic and abdominal viscera, the liver, the kidneys, the spleen, and the adrenal glands. Maternal metformin treatment was also related to significant increases in the fetal plasma concentration of parameters indicative of glycemic (glucose and fructosamine) and lipid profiles (triglycerides). Overall, these results suggest a protective effect of the treatment on the developmental competence of the fetuses. These findings may be of high value for human medicine in case of maternal malnutrition, since metformin is a cheap drug easily available, but also in case of placental deficiency, since metformin seems to improve placental development and function. PB MDPI SN 2218-273X YR 2019 FD 2019-04-29 LK https://hdl.handle.net/20.500.14352/12505 UL https://hdl.handle.net/20.500.14352/12505 LA eng NO Ministerio de Economía y Competitividad (MINECO)/FEDER NO Ministerio de Ciencia e Innovación (MICINN) DS Docta Complutense RD 18 abr 2025