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Mechanisms of metformin inhibiting cancer invasion and migration
Yong Chang Chen1,2, He Li1, Jing Wang1
1Gynecologic Oncology Clinical Research Center, Hunan Cancer Hospital, Central South University Changsha 410013, Hunan, China.
Abstract:
Cancer currently ranks among the leading causes of death globally. Cancer invasion and metastasis transform locally grown cancers to a systemic and life-threatening disease, which accounts for the most significant challenge in cancer treatment. Recent studies showed that Metformin, the most commonly used first-line oral drug for the treatment of type 2 diabetes (T2DM), could prevent and treat various cancers. Moreover, multiple evidence suggested that metformin inhibited cancer invasion and metastasis, which could improve the prognosis of cancer patients administrated with metformin. To better understand the anti-cancer role of metformin, the present review summarized the potential mechanisms of inhibiting cancer invasion and metastasis by metformin, including AMPK signaling pathway, EMT signaling pathway, epigenetic modification and so on. However, multiple problems remain unresolved and more clinical trials are needed to prove the inhibition of cancer invasion and metastasis by metformin.
Insights
Metformin, a common type 2 diabetes drug, shows potential in preventing and treating cancer by inhibiting cancer invasion and metastasis. Further clinical trials are needed to confirm its anti-cancer effects.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Cancer metastasis is a primary cause of cancer-related deaths globally.
- Metformin, a widely used type 2 diabetes medication, has demonstrated potential anti-cancer properties.
- Evidence suggests metformin can inhibit cancer invasion and metastasis, potentially improving patient outcomes.
Purpose of the Study:
- To review the mechanisms by which metformin inhibits cancer invasion and metastasis.
- To consolidate current understanding of metformin's anti-cancer role in metastasis.
Main Methods:
- Literature review of studies investigating metformin's effects on cancer invasion and metastasis.
- Analysis of proposed molecular pathways involved in metformin's action.
- Summary of findings related to AMPK and EMT signaling pathways, and epigenetic modifications.
Main Results:
- Metformin exhibits inhibitory effects on cancer invasion and metastasis through various pathways.
- Key mechanisms include modulation of the AMPK signaling pathway and the epithelial-mesenchymal transition (EMT) pathway.
- Epigenetic modifications are also implicated in metformin's anti-metastatic actions.
Conclusions:
- Metformin demonstrates significant potential as an anti-cancer agent, particularly in combating metastasis.
- Understanding these mechanisms provides a basis for further therapeutic development.
- Further clinical trials are essential to validate metformin's efficacy in inhibiting cancer invasion and metastasis in human patients.
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