Frito sent me this, this morning over a Facebook message. Ironically, I was skimming through the full-text of this article just a few days ago when I received it through an email subscription. Thanks Frito for bringing this topic up
From what I gathered, the author (of said article) goes on to erroneously compared statins to metformin.
I agree and have said many times before; cell-line (in-vitro/ex-vivo) cultures and animal models do not necessarily emulate to humans. In some cases, animal models show a close biological/pathological resemblance.
And it's a given to mitigate the potential drawbacks of Metformin. This has been discussed, many of times.
One thing the author of said article fails to elaborate upon is the dose dependent manner Metformin plays on decreasing mitochondrial respiration complex I (MRC-I). As well, diabetes is a possible precursor for AD.
For the sake of comparison of animal models, Bart Wessels
et al (2014)., shown that Metformin acts on mitochondrial respiration complex I in a dose dependent manner. What the team of researchers concluded of a human equivalent dose (HED) of approximately 515mg per day (30mg/kg/d used in animal models) there was no impact on MRC-I. In contrast, doses of 100-300mg/kg/d, this did have a significant impact on decreasing MRC-I. (I used the standard equation of rat-to-human of a 90.718kg individual).
Citation: Wessels B, Ciapaite J, van den Broek NMA, Nicolay K, Prompers JJ (2014) Metformin Impairs Mitochondrial Function in Skeletal Muscle of Both Lean and Diabetic Rats in a Dose-Dependent Manner. PLoS ONE 9(6): e100525. doi:10.1371/journal.pone.0100525
Antihistamine (anticholinergic) drugs pose a risk of developing AD. One can mitigate that as well.
Now if one is a carrier of APO-e 4/4 gene trait. I probably would limit my use of Metformin and anticholinergic drugs.
One could consider taking thymoquinone (black cumin) with Metformin for added neuroprotective measure's.
Another footnote: if you use insulin along with Metformin, this has been shown too offset to dreaded chances of developing Alzheimer's, IIRC.