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Metformin: an emerging new therapeutic option for targeting cancer stem cells and metastasis
Ramandeep Rattan1, Rouba Ali Fehmi, Adnan Munkarah
1Division of Gynecology Oncology, Department of Women's Health Services, Henry Ford Health System, Detroit, MI 48202, USA.
Abstract:
Metastasis is an intricate process by which a small number of cancer cells from the primary tumor site undergo numerous alterations, which enables them to form secondary tumors at another and often multiple sites in the host. Transition of a cancer cell from epithelial to mesenchymal phenotype is thought to be the first step in the progression of metastasis. Recently, the recognition of cancer stem cells has added to the perplexity in understanding metastasis, as studies suggest cancer stem cells to be the originators of metastasis. All current and investigative drugs have been unable to prevent or reverse metastasis, as a result of which most metastatic cancers are incurable. A potential drug that can be considered is metformin, an oral hypoglycemic drug. In this review we discuss the potential of metformin in targeting both epithelial to mesenchymal transition and cancer stem cells in combating cancer metastases.
Insights
Metformin may combat cancer metastasis by targeting epithelial to mesenchymal transition and cancer stem cells. This review explores the potential of this hypoglycemic drug in treating incurable metastatic cancers.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastasis is a complex process involving cancer cell alterations and spread to secondary sites.
- Epithelial to mesenchymal transition (EMT) is a key early step in metastasis.
- Cancer stem cells (CSCs) are increasingly recognized as crucial drivers of metastasis.
Purpose of the Study:
- To review the potential of metformin in combating cancer metastasis.
- To explore metformin's ability to target both EMT and CSCs.
Main Methods:
- Literature review of existing studies on metformin, EMT, CSCs, and metastasis.
Main Results:
- Metformin, an oral hypoglycemic agent, shows potential therapeutic value.
- Metformin may inhibit EMT, a critical process in metastatic progression.
- Metformin could target CSCs, which are implicated in initiating metastasis.
Conclusions:
- Metformin presents a promising therapeutic strategy against cancer metastasis.
- Targeting both EMT and CSCs with metformin could offer a novel approach to treating metastatic disease.
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