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Sitagliptin Modulates the Response of Ovarian Cancer Cells to Chemotherapeutic Agents
Agnieszka Kosowska1, Wojciech Garczorz1, Agnieszka Kłych-Ratuszny1
1Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medyków 18, 40-752 Katowice, Poland.
Abstract:
The strong association between diabetes mellitus type 2 and cancer is observed. The incidence of both diseases is increasing globally due to the interaction between them. Recent studies suggest that there is also an association between cancer incidence and anti-diabetic medications. An inhibitor of dipeptidyl-peptidase 4 (DPP-4), sitagliptin, is used in diabetes treatment. We examined the influence of sitagliptin alone or in combination with a cytostatic drug (paclitaxel) on the development of epithelial ovarian cancer cells and the process of metastasis. We examined migration, invasiveness, apoptosis, and metalloproteinases (MMPs) and their inhibitors' (TIMPs) production in two human ovarian cancer cell lines. Sitagliptin induced apoptosis by caspase 3/7 activation in paclitaxel-treated SKOV-3 and OVCAR-3 cells. Sitagliptin maintained paclitaxel influence on ERK and Akt signaling pathways. Sitagliptin additionally reduced migration and invasiveness of SKOV-3 cells. There were distinct differences of metalloproteinases production in sitagliptin-stimulated ovarian cancer cells in both cell lines, despite their identical histological classification. Only the SKOV-3 cell line expressed MMPs and TIMPs. SKOV-3 cells co-treated with sitagliptin and paclitaxel decreased concentrations of MMP-1, MMP-2, MMP-7, MMP-10, TIMP-1, TIMP-2. The obtained data showed that sitagliptin used with paclitaxel may be considered as a possibility of pharmacological modulation of intracellular transmission pathways to improve the response to chemotherapy.
Insights
Sitagliptin, a diabetes drug, enhances chemotherapy by inducing apoptosis and reducing ovarian cancer cell migration. Combined with paclitaxel, it modulates signaling pathways, potentially improving treatment response.
Area of Science:
- Oncology
- Endocrinology
- Pharmacology
Background:
- Type 2 diabetes mellitus and cancer share a strong association, with increasing global incidence.
- Anti-diabetic medications, including DPP-4 inhibitors like sitagliptin, are being investigated for their impact on cancer.
- Ovarian cancer remains a significant health concern, necessitating novel therapeutic strategies.
Purpose of the Study:
- To investigate the effects of sitagliptin, alone and with paclitaxel, on epithelial ovarian cancer cell development and metastasis.
- To analyze sitagliptin's influence on apoptosis, migration, invasiveness, and metalloproteinase (MMP) and tissue inhibitor of metalloproteinase (TIMP) production in ovarian cancer cells.
Main Methods:
- Utilized two human ovarian cancer cell lines (SKOV-3 and OVCAR-3).
- Assessed cell migration, invasiveness, and apoptosis (caspase 3/7 activation).
- Quantified MMP and TIMP production and analyzed ERK and Akt signaling pathways.
Main Results:
- Sitagliptin induced apoptosis in paclitaxel-treated ovarian cancer cells.
- Sitagliptin maintained paclitaxel's effects on ERK and Akt signaling.
- Sitagliptin reduced migration and invasiveness in SKOV-3 cells and altered MMP/TIMP profiles.
Conclusions:
- Sitagliptin combined with paclitaxel may offer a strategy for pharmacological modulation of intracellular pathways.
- This combination could potentially improve chemotherapy response in ovarian cancer treatment.
- Sitagliptin demonstrates potential as an adjunct therapy in ovarian cancer, warranting further investigation.
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