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Published on: June 20, 2015
Metformin and Cancer, an Ambiguanidous Relationship
Sarah J Skuli1, Safwan Alomari2, Hallie Gaitsch2,3
1Division of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Abstract:
The deregulation of energetic and cellular metabolism is a signature of cancer cells. Thus, drugs targeting cancer cell metabolism may have promising therapeutic potential. Previous reports demonstrate that the widely used normoglycemic agent, metformin, can decrease the risk of cancer in type 2 diabetics and inhibit cell growth in various cancers, including pancreatic, colon, prostate, ovarian, and breast cancer. While metformin is a known adenosine monophosphate-activated protein kinase (AMPK) agonist and an inhibitor of the electron transport chain complex I, its mechanism of action in cancer cells as well as its effect on cancer metabolism is not clearly established. In this review, we will give an update on the role of metformin as an antitumoral agent and detail relevant evidence on the potential use and mechanisms of action of metformin in cancer. Analyzing antitumoral, signaling, and metabolic impacts of metformin on cancer cells may provide promising new therapeutic strategies in oncology.
Insights
Metformin, a diabetes drug, shows promise in cancer treatment by affecting cell metabolism. Further research into its antitumoral mechanisms could lead to new oncology strategies.
Area of Science:
- Oncology
- Metabolic Research
- Pharmacology
Background:
- Cancer cells exhibit altered energetic and cellular metabolism.
- Metformin, a common diabetes medication, has demonstrated potential anticancer effects in various cancer types.
- The precise mechanisms by which metformin impacts cancer cell metabolism and growth are not fully understood.
Purpose of the Study:
- To review the role of metformin as an antitumoral agent.
- To detail evidence on the potential use and mechanisms of action of metformin in cancer.
- To explore the antitumoral, signaling, and metabolic impacts of metformin on cancer cells.
Main Methods:
- Literature review of existing studies on metformin and cancer.
- Analysis of metformin's effects on cancer cell signaling pathways.
- Examination of metformin's impact on cancer cell metabolism.
Main Results:
- Metformin is recognized as an adenosine monophosphate-activated protein kinase (AMPK) agonist and an inhibitor of the electron transport chain complex I.
- Evidence suggests metformin can inhibit cell growth in pancreatic, colon, prostate, ovarian, and breast cancers.
- The specific molecular targets and metabolic pathways affected by metformin in cancer cells require further elucidation.
Conclusions:
- Metformin exhibits antitumoral properties, making it a potential therapeutic agent in oncology.
- Understanding metformin's detailed mechanisms of action in cancer is crucial for developing novel therapeutic strategies.
- Targeting cancer cell metabolism with agents like metformin offers promising avenues for cancer treatment.
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