James H-C. Wang, PhD, is Professor and Albert B. Ferguson, Jr., MD Chair in Orthopaedic Surgery at the University of Pittsburgh School of Medicine. He holds additional appointments in the Departments of Bioengineering and Physical Medicine and Rehabilitation and is a faculty member of the McGowan Institute for Regenerative Medicine. He serves as Vice Chair of Research in the Department of Orthopaedic Surgery and Director of the MechanoBiology Laboratory, a core laboratory of the Orland Bethel Family Musculoskeletal Research Center.
Dr. Wang joined the University of Pittsburgh Department of Orthopaedic Surgery in 1998. He became Director of the MechanoBiology Laboratory in 2004, was promoted to Professor in 2012, and was appointed Vice Chair of Research in 2017. His longstanding work in tendon mechanobiology, tendon stem/progenitor-cell biology, inflammation, and tissue healing provides the scientific foundation for his current metformin-based therapeutic development program.
James H-C. Wang, PhD, is Professor and Albert B. Ferguson, Jr., MD Chair in Orthopaedic Surgery at the University of Pittsburgh School of Medicine. He holds additional appointments in the Departments of Bioengineering and Physical Medicine and Rehabilitation and is a faculty member of the McGowan Institute for Regenerative Medicine. He serves as Vice Chair of Research in the Department of Orthopaedic Surgery and Director of the MechanoBiology Laboratory, a core laboratory of the Orland Bethel Family Musculoskeletal Research Center.
Dr. Wang joined the University of Pittsburgh Department of Orthopaedic Surgery in 1998. He became Director of the MechanoBiology Laboratory in 2004, was promoted to Professor in 2012, and was appointed Vice Chair of Research in 2017. His longstanding work in tendon mechanobiology, tendon stem/progenitor-cell biology, inflammation, and tissue healing provides the scientific foundation for his current metformin-based therapeutic development program.
Research Program
Dr. Wang leads a multidisciplinary translational R&D program developing locally delivered metformin-based therapies for musculoskeletal injuries. Its lead program is a topical metformin lotion designed to deliver metformin through the skin to superficial tendons, prevent or treat tendinopathy, reduce inflammation and fibrosis, and promote tissue repair while limiting systemic exposure. The program has established an integrated preclinical evidence base spanning formulation optimization and stability, human and porcine skin permeation, tissue-targeting pharmacokinetics, efficacy in experimental tendinopathy, mechanistic validation, and safety evaluation.
His team is also developing injectable metformin conjugates, including a hyaluronic acid-metformin gel engineered for sustained local delivery. Preclinical studies have demonstrated prolonged intra-articular retention and protection against post-traumatic osteoarthritis. By integrating tendon mechanobiology, pharmaceutics, biomaterials, pharmacokinetics, preclinical safety, and clinical collaboration, the program advances metformin-based therapeutic concepts from biological discovery toward clinical translation.
- Postdoctoral Training (Biomedical Engineering), Johns Hopkins University School of Medicine and Washington University in St. Louis
- PhD, University of Cincinnati
- MS, Tongji University, Shanghai, China
- BS, Tongji University, Shanghai, China
Education & Training
- Zhang J, Pastukh V, Zhao C, Hattori S, Maloney D, Hogan MV, Wang JH-C. Comparative pharmacokinetics and tendon tissue targeting of topical metformin lotion with protection against experimental tendinopathy. European Journal of Pharmaceutical Sciences. 2026;225:107615.
- Pastukh V, Zhang J, Alexander PG, Bhargava S, Shams A, Zhao C, Hogan MV, Wang JH-C. Repurposing metformin to promote fracture callus maturation via AMPK-driven mitochondrial activation. Journal of Orthopaedic Research. 2026;44(7):e70246. doi:10.1002/jor.70246.
- Zhao C, Zhang J, Pastukh V, Wang JH-C. Impact of porcine ear skin processing on metformin lotion permeation in vitro. European Journal of Pharmaceutical Sciences. 2026;223:107564. doi:10.1016/j.ejps.2026.107564.
- Pastukh V, Zhang J, Hattori S, Tan S, Bhargava S, Maloney D, Hogan MV, Wang JH-C. Injectable hyaluronic acid-metformin conjugate gel for sustained intra-articular delivery and prevention of post-traumatic osteoarthritis. Bioengineering & Translational Medicine. 2026;11(1):e70100. doi:10.1002/btm2.70100.
- Zhao C, Zhang J, Pastukh V, Ejaz A, Wang JH-C. Comparative human and porcine skin permeation profiles of novel metformin lotion formulations. Scientific Reports. 2026;16:567. doi:10.1038/s41598-025-30189-w.
- Zhang J, Maloney D, Pastukh V, Hattori S, Hogan MV, Wang JH-C. Metformin lotion as a novel approach to prevent tendinopathy induced by mechanical overuse. Scientific Reports. 2025;15:31474. doi:10.1038/s41598-025-16279-9.
- Maloney DJ, Zhang J, Bhargava S, Hogan MV, Wang JH-C. Quantifying skin permeation of a novel metformin lotion using modified hydrophilic interaction liquid chromatography. Bioanalysis. 2024;16:1115-1124. doi:10.1080/17576180.2024.2412438.
- Zhang J, Shimozaki K, Hattori S, Pastukh V, Maloney D, Hogan MV, Wang JH-C. Metformin lotion promotes scarless skin tissue formation through AMPK activation, TGF-beta1 inhibition, and reduced myofibroblast numbers. PLOS ONE. 2024;19(9):e0311147. doi:10.1371/journal.pone.0311147.
- Zhang J, Brown R, Hogan MV, Wang JH-C. Mitigating scar tissue formation in tendon injuries: Targeting HMGB1, AMPK activation, and myofibroblast migration all at once. Pharmaceuticals. 2023;16(12):1739. doi:10.3390/ph16121739.
- Zhang J, Brown R, Hogan MV, Onishi K, Wang JH-C. Metformin improves tendon degeneration by blocking translocation of HMGB1 and suppressing tendon inflammation and senescence in aging mice. Journal of Orthopaedic Research. 2023;41(6):1162-1176. doi:10.1002/jor.25470.
- Topical metformin lotion for the prevention and treatment of tendinopathy and related musculoskeletal injuries
- Metformin conjugates and sustained local drug delivery for musculoskeletal tissue repair and regeneration
- Hyaluronic acid-metformin therapy for post-traumatic osteoarthritis and joint preservation
- HMGB1-, AMPK-, TGF-beta1-, and mTOR-mediated regulation of inflammation, fibrosis, and cellular senescence
- Formulation, dermal permeation, pharmacokinetics, tissue targeting, preclinical safety, and clinical translation of locally delivered metformin
Repurposed Metformin as a Preventative Therapeutic for Tendon Overuse Injuries
DOD-MTEC, W81XWH2290016
Role: PI
10/01/2022 - 02/28/2028
Recovery of Tendon Injury by Targeting Its Root Cause and Enhancing Tendon Stem Cells
DOD OR220017
Role: PI
09/30/2023 - 08/31/2027
Managing Chronic Tendon Pain by Repurposing Metformin
DOD CP220013
Role: PI
09/30/2023 - 09/30/2025
