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Published on: August 23, 2019
Metformin inhibits ovarian cancer via decreasing H3K27 trimethylation
Guiju Tang1, Jianfeng Guo1, Yapei Zhu1
1Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, P.R. China.
Abstract:
Metformin has been used for the treatment of type II diabetes mellitus for decades. Recently, used of metformin in the therapy of diverse human cancer types has received widespread attention, while the underlying mechanisms have been not fully elucidated. In the current study, 5-ethynyl-20-deoxyuridine assay to detect cell proliferation, flow cytometry to detect apoptosis, scratch wound healing and Transwell migration assay to detect cell migration capacity. The current study reported that metformin inhibited cell proliferation and migration, and promoted apoptosis in ovarian cancer cells, particularly under normoglycemic conditions in vitro. Metformin treatment significantly promoted the phosphorylation of AMP-activated protein kinase (AMPK), and reduced histone H3 lysine 27 trimethylation (H3K27me3) and polycomb repressor complex 2 (PRC2) levels. Additionally, overexpression of EZH2 to increase H3K27me3 abrogated the effect of metformin on the cell proliferation, migration and apoptosis in SKOV3 and ES2 cells. Similar to metformin, another AMPK agonist, 2-deoxy-D-glucose, reduced the H3K27me3 level and PRC2 expression. In cells pretreated with Compound C, an AMPK inhibitor, metformin was not able to induce AMPK phosphorylation or reduce H3K27me3. Metformin-mediated AMPK activation and H3K27me3 inhibition were more robust in cells exposed to low glucose (5.5 mM) compared with those exposed to high glucose (25 mM). These findings implicate H3K27me3 repression mediated by AMPK phosphorylation in the antitumor effect of metformin in ovarian cancer, indicating that metformin alters epigenetic modifications by targeting PRC2 and supports the use of metformin in treatment of patients with epithelial ovarian cancer without diabetes.
Insights
Metformin, an AMPK activator, inhibits ovarian cancer cell proliferation and migration by reducing H3K27me3 epigenetic modifications. This study supports metformin use in non-diabetic ovarian cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Metformin is a widely used type II diabetes drug.
- Its anticancer mechanisms, particularly in ovarian cancer, are under investigation.
- Understanding these mechanisms can reveal new therapeutic strategies.
Purpose of the Study:
- To investigate the effects of metformin on ovarian cancer cells in vitro.
- To elucidate the molecular mechanisms underlying metformin's potential antitumor activity.
- To explore the role of AMP-activated protein kinase (AMPK) and histone H3 lysine 27 trimethylation (H3K27me3) in metformin's action.
Main Methods:
- Cell proliferation was assessed using the 5-ethynyl-20-deoxyuridine assay.
- Apoptosis was detected by flow cytometry.
- Cell migration capacity was evaluated using scratch wound healing and Transwell assays.
- AMPK phosphorylation, H3K27me3, and polycomb repressor complex 2 (PRC2) levels were measured.
- Experiments involved genetic manipulation (EZH2 overexpression) and pharmacological inhibition (Compound C).
Main Results:
- Metformin inhibited ovarian cancer cell proliferation and migration while promoting apoptosis, especially under normoglycemic conditions.
- Metformin treatment increased AMPK phosphorylation and reduced H3K27me3 and PRC2 levels.
- Overexpression of EZH2 reversed metformin's effects, indicating H3K27me3's crucial role.
- AMPK activation and H3K27me3 reduction by metformin were dependent on AMPK activity and glucose levels.
- Similar effects were observed with another AMPK agonist, 2-deoxy-D-glucose.
Conclusions:
- Metformin exerts antitumor effects in ovarian cancer by activating AMPK, which leads to the repression of H3K27me3 via targeting PRC2.
- These findings highlight metformin's ability to alter epigenetic modifications.
- Metformin shows promise for treating epithelial ovarian cancer patients without diabetes.
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