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.

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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