Cellular hypoxia was detected by adding pimonidazole hydrochloride (200 mmol/L hypoxyprobe-1; Hydroxyprobe, Burlington, MA), which binds to cells or tissues with pO2 levels <10 mmHg, to HRPTECs that were treated with 1 mmol/L metformin or 1 mmol/L AICAR and exposed to hypoxia (1% O2) for 4 h. To detect hypoxic conditions in each group of rats, pimonidazole (60 mg/kg) was injected intraperitoneally 1 h before they were killed. Staining was performed according to the manufacturer’s instructions.