The cell-autonomous mechanisms underlying the activity of metformin as an anticancer drug

Francesca Sacco1, Alberto Calderone2, Luisa Castagnoli3

  • 1Department of Biochemistry, Max Plank Institute, Martinsried (Munich) 82152, Germany.

British Journal of Cancer
|November 23, 2016
PubMed

Insights

Metformin, a diabetes drug, impacts cell metabolism and energy balance, potentially reducing cancer risk. This review explores the molecular mechanisms behind metformin's anticancer effects, focusing on cancer cell growth and death.

Area of Science:

  • Biochemistry
  • Cancer Biology
  • Pharmacology

Background:

  • Metformin is a widely used biguanide drug for diabetes.
  • Metformin significantly impacts cellular metabolism and energy balance.
  • Epidemiological studies suggest a reduced cancer risk in diabetic patients treated with metformin.

Purpose of the Study:

  • To review the current understanding of molecular mechanisms underlying metformin's anticancer effects.
  • To focus on cell-autonomous mechanisms influencing cancer cell growth and death.

Main Methods:

  • Review of in vivo and in vitro studies on metformin's anticancer properties.
  • Discussion of molecular pathways perturbed by metformin treatment relevant to antitumour activity.

Main Results:

  • Metformin treatment perturbs cell metabolism and energy balance.
  • Evidence suggests metformin possesses antitumour activities through various mechanisms.
  • Cell-autonomous effects on cancer cell proliferation and apoptosis are key areas of investigation.

Conclusions:

  • Metformin's profound effects on cell metabolism are linked to its potential anticancer properties.
  • Further elucidation of molecular mechanisms is crucial for understanding metformin's antitumour role.
  • Focusing on cell-autonomous pathways provides insight into how metformin affects cancer cells directly.

Related Concept Videos

Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
7.3K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

4.2K
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
8.3K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
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...
6.3K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
783