Three May Be Better Than Two: A Proposal for Metformin Addition to PI3K/Akt Inhibitor-antiandrogen Combination in

Mohamed Islam Delma1

  • 1Endocrinology, Colonel Chaabani Hospital, El Menia, DZA.

Cureus
|December 12, 2018
PubMed

Insights

Metformin may enhance prostate cancer treatment by targeting pathways shared with antiandrogens and PI3K/Akt inhibitors. This research hypothesizes metformin addition optimizes dual blockade therapy for castration-resistant prostate cancer (CRPC).

Area of Science:

  • Oncology
  • Pharmacology
  • Cancer Research

Background:

  • Prostate cancer is a common malignancy.
  • Castration-resistant prostate cancer (CRPC) presents a poor prognosis due to resistance to androgen deprivation therapy.
  • Current research focuses on novel therapeutics for this refractory state.

Purpose of the Study:

  • To review the effects of metformin on prostate cancer.
  • To explore metformin's shared therapeutic targets with antiandrogens and PI3K/Akt inhibitors.
  • To hypothesize metformin's role in optimizing dual blockade therapy for CRPC.

Main Methods:

  • Literature review on metformin's mechanisms in prostate cancer.
  • Analysis of shared therapeutic targets between metformin, antiandrogens, and PI3K/Akt inhibitors.
  • Deduction of a hypothesis for combination therapy.

Main Results:

  • Metformin exhibits effects on prostate cancer relevant to current treatment strategies.
  • Identified shared molecular targets between metformin and other CRPC therapies.
  • Established a rationale for investigating metformin in combination therapy.

Conclusions:

  • Metformin's properties suggest potential as an adjunct therapy in CRPC.
  • Combination therapy involving metformin, antiandrogens, and PI3K/Akt inhibitors warrants further investigation.
  • Optimizing dual blockade strategies with metformin could improve CRPC treatment outcomes.

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