Related Experiment Video
Updated: Mar 19, 2026

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Enhancement of anti-proliferative activities of Metformin, when combined with Celecoxib, without increasing DNA
Asad Ullah1, Muhammad Ashraf1, Aqeel Javeed1
1Department of Pharmacology and Toxicology, University of Veterinary and Animal Sciences, Lahore, Pakistan.
Abstract:
Pathophysiological changes in diabetes like hyperglycemia, oxidative stress, insulin resistance and compensatory hyperinsulinemia predispose cells to malignant transformation and damage DNA repair mechanism. This study was designed to explore the potential synergistic toxic effects of anti-diabetic drug (Metformin), and an analgesic drug (Celecoxib) at cellular level. MTT assay run on Vero cell line revealed that the combinations of Metformin and Celecoxib augment the anti-proliferative effects, whereas Single cell gel electrophoresis spotlighted that Metformin produce non-significant DNA damage with the threshold concentration of 400μg/ml in peripheral blood mononuclear cells (lymphocytes and monocytes), while Celecoxib produced significant (P<0.05) DNA damage (class III comets) above the concentration of 75μg/ml, however the DNA damage or DNA tail protrusions by combinations of both drugs were less than what was observed with Celecoxib alone. Metformin or Celecoxib did not appear mutagenic against any mutant strains (TA 100 and TA 98) but their combination exhibited slight mutagenicity at much higher concentration. The results obtained at concentrations higher than the therapeutic level of drugs and reflect that Metformin in combination with Celecoxib synergistically inhibits the cell proliferation in a concentration dependent pattern. Since, this increase in cytotoxicity did not confer an increase in DNA damage; this combination could be adopted to inhibit the growth of malignant cell without producing any genotoxic or mutagenic effects at cellular level.
Insights
Metformin and Celecoxib combination synergistically inhibits cell proliferation and malignant cell growth. This drug combination shows potential for cancer therapy without significant genotoxic or mutagenic effects at the cellular level.
Area of Science:
- Pharmacology
- Toxicology
- Cell Biology
Background:
- Diabetes mellitus complications include hyperglycemia, oxidative stress, and insulin resistance, which can promote malignant transformation.
- These conditions can also impair DNA repair mechanisms, increasing susceptibility to cellular damage.
- Investigating drug interactions is crucial for understanding potential therapeutic and toxicological effects.
Purpose of the Study:
- To explore the synergistic toxic effects of Metformin (anti-diabetic) and Celecoxib (analgesic) at the cellular level.
- To evaluate the impact of this drug combination on cell proliferation and DNA integrity.
- To assess the genotoxic and mutagenic potential of the combined drug treatment.
Main Methods:
- MTT assay was used to determine the anti-proliferative effects of Metformin and Celecoxib on Vero cell lines.
- Single-cell gel electrophoresis (comet assay) was employed to assess DNA damage in peripheral blood mononuclear cells.
- Bacterial reverse mutation assays (Ames test) were performed to evaluate mutagenicity.
Main Results:
- The combination of Metformin and Celecoxib demonstrated augmented anti-proliferative effects.
- Celecoxib induced significant DNA damage (Class III comets) at concentrations above 75 μg/ml, while Metformin showed non-significant DNA damage up to 400 μg/ml.
- The combination of drugs resulted in less DNA damage than Celecoxib alone and exhibited slight mutagenicity only at very high concentrations.
Conclusions:
- Metformin and Celecoxib synergistically inhibit cell proliferation in a concentration-dependent manner.
- The observed increase in cytotoxicity did not correlate with increased DNA damage or mutagenicity.
- This drug combination holds promise for inhibiting malignant cell growth without inducing genotoxic or mutagenic effects at the cellular level.
Related Concept Videos
Oral Hypoglycemic Agents: Biguanides and Glitazones
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Drug toxicity: Drug–Drug Interaction
Targeted Cancer Therapies
There are several types of targeted therapies against...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Combined Effects of Drugs: Synergism
Such synergistic combinations...

