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Updated: Nov 21, 2025

An Orthotopic Mouse Model of Anaplastic Thyroid Carcinoma
Published on: April 17, 2013
Antineoplastic Activity of an Old Natural Antidiabetic Biguanide on the Human Thyroid Carcinoma Cell Line
Zahra Nozhat1, Maryam Zarkesh1, Enke Baldini2
1Cellular and Molecular Endocrine Research Center, Research Institute of Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background:
In the last decades, metformin (Met), an herbal anti-diabetic medicine, has been proposed as an anti-cancer agent.
Objective:
Thyroid cancers are the most common malignancy of the endocrine system. Therefore, the current study was performed to assess the effects of Met on cell proliferation and activation of the Phosphoinositide 3- Kinase (PI3K)/Protein kinase B (AKT)/Forkhead Box O1 (FOXO1) signaling pathway in the Medullary Thyroid Carcinoma (MTC) cells. The effects of Met on the expression of REarranged during Transfection (RET) proto-oncogene were also investigated.
Methods:
MTC cell line (TT) was treated with 0, 2.5, 5, 10, 20, 30, 40, 50, and 60 mM concentrations of Met for 24, 48, and 72h. The viability and apoptosis of the treated cells were measured by the 3-(4,5-Dimethylthiazol- 2-yl)-2,5-diphenyltetrazolium bromide (MTT) and Annexin V- Propidium Iodide (PI) assays. The expression level of PI3K, AKT, FOXO1, and RET genes was investigated by quantitative Real-Time Polymerase Chain Reaction (qRT-PCR), and phosphorylation of their proteins was determined by the Enzyme-Linked Immunosorbent Assay (ELISA).
Results:
Results showed that Met significantly decreased the viability of the MTC cells. Met also reduced the expression level of PI3K, AKT, and FOXO1 genes (P<0.05), whereas it elevated the expression level of RET proto-oncogene (P<0.05).
Conclusion:
It seems that the Met has a cytostatic effect on the TT cells. Our results showed that anti-tumoral effects of Met may be cell type-specific, and according to the induction of RET (as a proto-oncogene) and inhibition of FOXO1 (as a tumor suppressor gene), Met could not be an appropriate agent in the treatment of MTC. The antineoplastic activity of Met has been confirmed against several malignancies in "in vitro" and "in vivo" studies. However, its molecular mechanisms in the treatment of different carcinomas particularly in thyroid cancers are not clearly understood and more studies are required to confirm its exact effect on the MTC.
Insights
Metformin (Met) reduced Medullary Thyroid Carcinoma (MTC) cell viability but may not be suitable for MTC treatment due to RET proto-oncogene induction and FOXO1 inhibition. Further research is needed for thyroid cancer applications.
Area of Science:
- Endocrinology
- Oncology
- Pharmacology
Background:
- Metformin (Met), an anti-diabetic drug, has emerged as a potential anti-cancer agent.
- Thyroid cancers represent the most prevalent endocrine system malignancy.
Purpose of the Study:
- To investigate the effects of Met on Medullary Thyroid Carcinoma (MTC) cell proliferation.
- To assess Met's impact on the Phosphoinositide 3-Kinase (PI3K)/Protein kinase B (AKT)/Forkhead Box O1 (FOXO1) signaling pathway.
- To examine Met's influence on the REarranged during Transfection (RET) proto-oncogene expression in MTC cells.
Main Methods:
- MTC cell line (TT) exposure to varying Met concentrations (0-60 mM) for 24, 48, and 72 hours.
- Cell viability assessed via MTT assay; apoptosis evaluated using Annexin V-PI staining.
- Gene expression analysis (PI3K, AKT, FOXO1, RET) by qRT-PCR; protein phosphorylation determined by ELISA.
Main Results:
- Met significantly reduced MTC cell viability.
- Met decreased the expression of PI3K, AKT, and FOXO1 genes (P<0.05).
- Met increased the expression of the RET proto-oncogene (P<0.05).
Conclusions:
- Met exhibits a cytostatic effect on TT cells.
- Anti-tumoral effects of Met appear to be cell type-specific.
- Met is likely unsuitable for MTC treatment due to RET proto-oncogene induction and FOXO1 tumor suppressor gene inhibition, necessitating further research into its mechanisms in thyroid cancers.
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