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Updated: Feb 5, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Effects of metformin on the PI3K/AKT/FOXO1 pathway in anaplastic thyroid Cancer cell lines
Zahra Nozhat1,2, Samira Mohammadi-Yeganeh1, Feridoun Azizi3
1Department of Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background:
The PI3K/AKT/FOXO signaling pathway plays an important role in the survival, proliferation and apoptosis of tumor cells. The aim of the present study was to explore whether metformin could affect insulin-promoting cell growth by regulation of this pathway.
Material And Methods:
Anaplastic thyroid cancer cells were treated with 0-60 mM metformin for 24, 48 and 72 h. Cell viability, morphology, apoptosis and migration were investigated by MTT assay, microscopy observation, AnexinV-PI and the wound healing assay, respectively. Expression levels of PI3K, AKT and FOXO1 were detected by RT-qPCR, and proteins phosphorylated levels were determined by ELISA.
Results:
Metformin decreased cell viability and migration in a significant time-and dose-dependent manner, and induced apoptosis and morphological changes in the cells. RT-qPCR results showed that expression levels of PI3K, AKT and FOXO1 was inhibited by metformin (P < 0.05). However, there was no significant change in the expression level of AKT following metformin treatment for C643 cell line (P > 0.05). ELISA results showed that metformin treatment had no significant effects on the phosphorylated levels of PI3K, AKT and FOXO1 (P > 0.05).
Conclusuion:
The downregulation of FOXO1 was intensified by metformin, but no increase in cell viability was observed following FOXO1 downregulation by metformin. However, the exact molecular mechanism of metformin on inhibition of the PI3K/AKT pathway and subsequent decrease in cell viability remains unclear and further studies are required for its clarification.
Insights
Metformin reduced anaplastic thyroid cancer cell viability and migration while inducing apoptosis. Although metformin affected PI3K/AKT/FOXO pathway gene expression, its precise mechanism on this pathway and cell viability remains unclear.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The PI3K/AKT/FOXO signaling pathway is crucial for tumor cell survival, proliferation, and apoptosis.
- Metformin's potential to modulate insulin-driven cancer cell growth via this pathway requires investigation.
Purpose of the Study:
- To investigate the effect of metformin on insulin-promoting cell growth in anaplastic thyroid cancer.
- To determine if metformin regulates the PI3K/AKT/FOXO signaling pathway in this context.
Main Methods:
- Anaplastic thyroid cancer cells were treated with varying concentrations of metformin over different time periods.
- Cell viability, morphology, apoptosis, and migration were assessed using MTT assays, microscopy, AnnexinV-PI staining, and wound healing assays.
- Gene expression of PI3K, AKT, and FOXO1 was analyzed by RT-qPCR, and protein phosphorylation by ELISA.
Main Results:
- Metformin significantly decreased cell viability and migration in a time- and dose-dependent manner, inducing apoptosis and morphological changes.
- Metformin inhibited the expression of PI3K, AKT, and FOXO1 genes (P < 0.05), with no significant change in AKT expression in the C643 cell line (P > 0.05).
- No significant effects on the phosphorylated levels of PI3K, AKT, and FOXO1 were observed following metformin treatment (P > 0.05).
Conclusions:
- Metformin intensifies FOXO1 downregulation, but this did not correlate with increased cell viability.
- The precise molecular mechanism by which metformin inhibits the PI3K/AKT pathway and reduces cell viability is not fully elucidated.
- Further research is necessary to clarify the exact molecular mechanisms involved.
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