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Metformin: Insights into its anticancer potential with special reference to AMPK dependent and independent pathways
1Department of Biochemistry, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, India.
Abstract:
Metformin has been known for its antidiabetic effects for decades and is used as a first line therapy in type 2 diabetes. But recently its anticancer potential has also been discovered. Metformin targets many pathways that play an important role in cancer cell proliferation and angiogenesis, mTORC1 signaling is a crucial pathway among them. Metformin inhibits mTORC1 via AMPK dependent and AMPK independent pathways, thereby inhibiting cancer cell growth and development. Encouraged by positive results of numerous preclinical studies on various types of cancer, many clinical trials are underway to study metformin's effect in chemoprevention and treatment of cancers in humans. Nowadays, applications of novel metformin analogues and nanotechnology based targeting have further enhanced the potential of metformin anticancer therapy. Here, we review both AMPK dependent and AMPK independent mechanisms involved in anticancer activity of metformin along with the outcome of preclinical and clinical studies.
Insights
Metformin, a diabetes drug, shows anticancer potential by inhibiting cancer cell growth through mTORC1 signaling. Ongoing studies explore its use in cancer prevention and treatment, enhanced by new analogues and nanotechnology.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Metformin is a primary treatment for type 2 diabetes.
- Emerging research highlights metformin's anticancer properties.
- Metformin influences key cancer pathways like mTORC1 signaling.
Purpose of the Study:
- To review metformin's anticancer mechanisms, focusing on mTORC1 inhibition.
- To summarize preclinical and clinical study outcomes on metformin's anti-cancer effects.
- To discuss advancements in metformin-based cancer therapy.
Main Methods:
- Review of AMPK-dependent and independent pathways.
- Analysis of preclinical cancer models.
- Evaluation of human clinical trial data.
Main Results:
- Metformin inhibits mTORC1 signaling, crucial for cancer cell proliferation and angiogenesis.
- Preclinical studies show metformin's efficacy across various cancer types.
- Clinical trials are investigating metformin for cancer chemoprevention and treatment.
Conclusions:
- Metformin exhibits significant anticancer potential via mTORC1 pathway modulation.
- Further clinical investigations are warranted to establish metformin's role in cancer therapy.
- Novel metformin analogues and nanomedicine enhance its therapeutic prospects.
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