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Targeting AMPK: a new therapeutic opportunity in breast cancer
Sirwan M Hadad1, Stewart Fleming, Alastair M Thompson
1Department of Surgery and Molecular Oncology, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom. s.hadad@dundee.ac.uk
Background:
This paper reviews the mammalian Target Of Rapamycin (mTOR) pathway dysregulation in breast cancer, and the current evidence targeting this pathway directly or through activation of AMP-activated protein kinase (AMPK) as an additional therapeutic opportunity for intervention in breast cancer.
Methods:
Relevant articles were identified through computerised searches of Medline and Pubmed. Secondary articles were identified from the reference lists of key papers and by hand searching.
Results And Conclusion:
The current consensus to target the AMPK/mTOR pathway in breast cancer is based on in vitro and epidemiological evidences. A low incidence of cancer in diabetic patients on metformin has been explained in vitro by the drug's anti-proliferative effect through activation of AMPK. There is a need to explore the anticancer effects of metformin and the potential to develop the therapeutic avenues offered by targeting the AMPK/mTOR pathway.
Insights
Targeting the AMP-activated protein kinase (AMPK)/mammalian Target Of Rapamycin (mTOR) pathway shows therapeutic potential for breast cancer intervention. Metformin
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Dysregulation of the mammalian Target Of Rapamycin (mTOR) pathway is implicated in breast cancer development.
- The AMP-activated protein kinase (AMPK) pathway is being investigated as a complementary target for breast cancer therapy.
Purpose of the Study:
- To review the evidence for targeting the AMPK/mTOR pathway in breast cancer.
- To explore the therapeutic potential of interventions targeting this pathway, including metformin.
Main Methods:
- Literature review using Medline and Pubmed databases.
- Hand searching of reference lists from key publications.
Main Results:
- In vitro and epidemiological data support targeting the AMPK/mTOR pathway in breast cancer.
- Metformin's anti-proliferative effects, mediated by AMPK activation, are observed in diabetic patients with lower cancer incidence.
Conclusions:
- There is a consensus for targeting the AMPK/mTOR pathway in breast cancer.
- Further research is needed to explore metformin's anticancer effects and its potential in targeting the AMPK/mTOR pathway for therapeutic benefit.
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