Metformin-induced RBMS3 expression enhances ferroptosis and suppresses ovarian cancer progression

Yue Zhao1, Yixiao Wang1, Xinyi Zhang1

  • 1Department of Oncology and Gynecology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, China.

Reproductive Biology
|December 17, 2024
PubMed

Insights

Metformin, a diabetes drug, combats ovarian cancer by inducing ferroptosis, a cell death process. It achieves this by increasing RBMS3 expression, offering a potential new treatment strategy.

Area of Science:

  • Oncology
  • Cell Biology
  • Pharmacology

Background:

  • Metformin exhibits anti-cancer properties in various malignancies.
  • RBMS3 acts as a tumor suppressor in cancers, including ovarian cancer.
  • Ferroptosis, a distinct form of programmed cell death, is an emerging area in cancer research.

Purpose of the Study:

  • To investigate if metformin induces ferroptosis in ovarian cancer cells.
  • To determine if metformin inhibits ovarian cancer progression via the RBMS3 pathway.
  • To explore the potential of metformin as an ovarian cancer therapeutic.

Main Methods:

  • Cell viability assays (CCK-8, EdU), flow cytometry, and programmed cell death inhibitors were used.
  • Levels of malondialdehyde (MDA), glutathione (GSH), and Fe²⁺ were quantified.
  • Gene and protein expression of ferroptosis markers and RBMS3 were analyzed using RT-qPCR and Western blotting.
  • In vivo efficacy was assessed using a xenograft mouse model.

Main Results:

  • Metformin reduced ovarian cancer cell viability and promoted ferroptosis, indicated by increased MDA and Fe²⁺, and decreased GSH.
  • Metformin modulated ferroptosis-related genes, downregulating GPX4 and SLC7A11.
  • Metformin upregulated RBMS3 expression, which was diminished in cancer cells; RBMS3 knockdown abrogated metformin's anti-cancer effects.
  • Metformin inhibited tumor growth in vivo, an effect reversed by RBMS3 silencing.

Conclusions:

  • Metformin induces ferroptosis and suppresses ovarian cancer progression by upregulating RBMS3.
  • The metformin-RBMS3 pathway presents a promising therapeutic target for ovarian cancer.
  • Further clinical investigation of metformin for ovarian cancer treatment is warranted.