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.

Abstract

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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