Combined cancer therapy with non-conventional drugs: all roads lead to AMPK
Suning Chen, Xingmei Zhu, Xiaofeng Lai
1State Key Laboratory of Cancer Biology, Department of Biochemistry and Molecular Biology, The Fourth Military Medical University, No. 169 Changle West Road, 710032, Xi'an, PR China. biozhangj@hotmail.com.
Abstract:
AMP-activated protein kinase (AMPK) is a key energy sensor that regulates cellular energy homeostasis. AMPK activation is associated with decreased phosphorylation of mammalian target of rapamycin (mTOR) and S6 kinase and causes a general reduction in mRNA translation and protein synthesis. Therefore, AMPK is a novel target for anticancer therapy. Metformin and aspirin are two traditional drugs that are widely used as anti-diabetes and non-steroidal anti-inflammatory drugs (NSAIDs), respectively. Much evidence has confirmed that these two drugs demonstrated encouraging anti-cancer properties. Most importantly, both inhibited tumor proliferation and were mainly dependent on the AMPK/mTOR signaling pathway. In addition, several other drugs, such as resveratrol, berberine, statins, epigallocatechin gallate (EGCG) and capsaicin, have provided a similar capacity for tumor inhibition, and the anti-cancer effects of most of them were mainly the result of AMPK activation. In the current review, we summarize the literature on combination therapy based on these non-classical drugs and their potential mechanisms for activating AMPK. Combinations of these drugs will provide a novel cancer therapeutic regimen.
Insights
AMP-activated protein kinase (AMPK) is a promising anticancer target. Activating AMPK with drugs like metformin and resveratrol shows potential for novel combination cancer therapies by inhibiting tumor growth.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- AMP-activated protein kinase (AMPK) regulates cellular energy balance and protein synthesis.
- AMPK activation inhibits mTOR signaling, reducing mRNA translation and protein synthesis.
- AMPK is a potential therapeutic target for cancer treatment.
Purpose of the Study:
- To review the literature on non-classical drugs that activate AMPK.
- To explore the potential of combination therapies using AMPK-activating drugs for cancer treatment.
- To summarize the mechanisms by which these drugs activate AMPK.
Main Methods:
- Literature review of studies on AMPK activators and their anticancer effects.
- Analysis of the AMPK/mTOR signaling pathway in relation to drug mechanisms.
- Examination of evidence for combination therapy strategies.
Main Results:
- Metformin and aspirin demonstrate anticancer properties, primarily through AMPK/mTOR pathway activation.
- Resveratrol, berberine, statins, EGCG, and capsaicin also inhibit tumors via AMPK activation.
- These drugs show potential for synergistic anticancer effects when used in combination.
Conclusions:
- AMPK-activating drugs represent a novel approach to cancer therapy.
- Combination therapies involving these agents could offer a new therapeutic regimen.
- Targeting the AMPK pathway provides a unified mechanism for diverse drug actions in cancer treatment.
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