Mutations in gliclazide-associated genes may predict poor bladder cancer prognosis
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Updated: Jan 27, 2026

An Orthotopic Bladder Cancer Model for Gene Delivery Studies
Published on: December 1, 2013
Weiheng Wen1, Jinru Gong2, Peili Wu1
1Department of Endocrinology Zhujiang Hospital Southern Medical University Guangzhou China.
Abstract:
In recent years, an increasing number of patients have had diabetes and cancer simultaneously; thus, it is crucial for physicians to select hypoglycemic drugs with the lowest risk of inducing cancer. Gliclazide is a widely used sulfonylurea hypoglycemic drug, but its cancer risk remains controversial. Here, we explored the primary targets of gliclazide and its associated genes by querying an available database to construct a biological network. By using DrugBank and STRING, we found two primary targets of gliclazide and 50 gliclazide-associated genes, which were then enrolled for Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis using WebGestalt. From this analysis, we obtained the top 15 KEGG pathways. Accurate analysis of these KEGG pathways revealed that two pathways, one linked to bladder cancer and the other linked to the phosphoinositide 3-kinase-AKT signaling pathway, are functionally associated with gliclazide, and from these we identified four overlapping genes. Finally, genomic analysis using cBioPortal showed that genomic alterations of these four overlapping genes predict poor prognosis for patients with bladder cancer. In conclusion, gliclazide should be used with caution as a hypoglycemic drug for diabetic patients with cancer, especially bladder cancer. In addition, this study provides a functional network analysis to flexibly explore drug interaction systems and estimate their safety.
Insights
Gliclazide, a diabetes drug, may increase bladder cancer risk. Genomic analysis of associated genes suggests caution for diabetic cancer patients, particularly those with bladder cancer.
Area of Science:
- Oncology
- Pharmacology
- Bioinformatics
Background:
- Co-occurrence of diabetes and cancer presents treatment challenges.
- The oncogenic potential of gliclazide, a common sulfonylurea, requires clarification.
Purpose of the Study:
- To investigate the cancer-associated biological network of gliclazide.
- To assess the risk of gliclazide in cancer patients, particularly bladder cancer.
Main Methods:
- Utilized DrugBank and STRING to identify gliclazide targets and associated genes.
- Performed Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis.
- Conducted genomic analysis using cBioPortal.
Main Results:
- Identified two primary gliclazide targets and 50 associated genes.
- KEGG analysis revealed links to bladder cancer and the PI3K-AKT pathway, identifying four overlapping genes.
- Genomic alterations in these four genes correlate with poor prognosis in bladder cancer patients.
Conclusions:
- Gliclazide use warrants caution in diabetic cancer patients, especially those with bladder cancer.
- The study demonstrates a network analysis approach for evaluating drug safety and interactions.
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