The invention provides an application of
metformin in preparation of a
medicine for preventing or treating
immune checkpoint inhibitor related
colitis. It is found through experiments that when the
immune checkpoint inhibitor causes
colitis, change of metabolic level represented by
glycolysis caused by change of a PI3K / AKT / mTOR pathway in the colon is obviously accompanied, then Treg / Th17
steady state in the colon is affected, and a high inflammatory state is shown in the colon. According to the present invention, the influence on
glycolysis and other metabolic pathways is achieved through the targeted interference of the
metformin on the PI3K / AKT / mTOR pathway, the
colitis caused by the
immune checkpoint inhibitor can be significantly improved, the anti-tumor
drug effect of the immune checkpoint inhibitor is not affected, and the method is generally superior to the original clinical
methylprednisolone intervention scheme.