Metformin, a first-line drug for type-2 diabetes, plays a potentially protective role in preventing Alzheimer's disease (AD), but its underlying mechanism is unclear. In this study, Aβ 25-35 -treated SH-SY5Y cells were used as a cell model of AD to investigate the neuroprotective effect of metformin, as well as its underlying mechanisms.We found that metformin decreased the cell apoptosis rate and death, ratio of Bcl-2/ Bax, and expression of NR2A and NR2B, and increased the expression of LC3 in Aβ 25-35 -treated SH-SY5Y cells. Metformin also reduced intracellular and extracellular Glu concentrations, as well as the intracellular concentration of Ca 2+ and ROS in Aβ 25-35 -treated SH-SY5Y cells. These findings suggest that metformin inhibits Aβ 25-35 -treated SH-SY5Y cell death by inhibiting apoptosis, decreasing intracellular Ca 2+ and ROS by reducing neurotoxicity of excitatory amino acids, and by possibly reversing autophagy disorder via regulating autophagy process. K E Y W O R D S apoptosis, Aβ 25-35 , metformin, neuroprotection, toxicity of excitatory amino acids How to cite this article: Li L-X, Liu M-Y, Jiang X, et al. Metformin inhibits Aβ 25-35 -induced apoptotic cell death in SH-SY5Y cells.