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Carbon source and myc expression influence the antiproliferative actions of metformin
Shiva Javeshghani1, Mahvash Zakikhani, Shane Austin
1Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada.
Abstract:
Epidemiologic and experimental data have led to increased interest in possible roles of biguanides in cancer prevention and/or treatment. Prior studies suggest that the primary action of metformin is inhibition of oxidative phosphorylation, resulting in reduced mitochondrial ATP production and activation of AMPK. In vitro, this may lead to AMPK-dependent growth inhibition if AMPK and its effector pathways are intact or to an energetic crisis if these are defective. We now show that the effect of exposure of several transformed cell lines to metformin varies with carbon source: in the presence of glutamine and absence of glucose, a 75% decrease in cellular ATP and an 80% decrease in cell number is typical; in contrast, when glucose is present, metformin exposure leads to increased glycolysis, with only a modest reduction in ATP level and cell number. Overexpression of myc was associated with sensitization to the antiproliferative effects of metformin, consistent with myc involvement in "glutamine addiction". Our results reveal previously unrecognized factors that influence metformin sensitivity and suggest that metformin-induced increase in glycolysis attenuates the antiproliferative effects of the compound.
Insights
Metformin
Area of Science:
- Biochemistry
- Cell Biology
- Oncology
Background:
- Biguanides, including metformin, are being investigated for cancer prevention and treatment.
- Metformin's known mechanism involves inhibiting oxidative phosphorylation and activating AMPK.
- This can lead to growth inhibition or an energetic crisis depending on cellular pathways.
Purpose of the Study:
- To investigate how different carbon sources affect metformin's impact on cancer cells.
- To explore the role of MYC in mediating metformin sensitivity.
Main Methods:
- Exposure of transformed cell lines to metformin in the presence or absence of glucose.
- Measurement of cellular ATP levels and cell number.
- Assessment of metformin sensitivity in cells with MYC overexpression.
Main Results:
- Metformin significantly reduced ATP and cell number when glucose was absent but glutamine was present.
- In the presence of glucose, metformin increased glycolysis, leading to only modest reductions in ATP and cell number.
- MYC overexpression sensitized cells to metformin's antiproliferative effects, suggesting a role in "glutamine addiction".
Conclusions:
- Metformin's effects on cancer cells are significantly influenced by the available carbon source.
- Increased glycolysis, stimulated by glucose, can attenuate metformin's antiproliferative activity.
- These findings highlight novel factors affecting metformin sensitivity and suggest therapeutic implications.
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