Metformin Induces PARP1-mediated Cell Death in NPC/HK1 Human Nasopharyngeal Carcinoma Cells

Chih-Chun Wang1,2,3, Yaw-Chang Huang1,2, Chief-Chung Wang1,2

  • 1School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan, R.O.C.

Anticancer Research
|April 28, 2026
PubMed
Abstract

Insights

Metformin inhibits nasopharyngeal carcinoma cell viability through PARP1-mediated cell death, not apoptosis or autophagy. This highlights the PARP1/PAR/AIF pathway as a potential therapeutic target for NPC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Death Pathways

Background:

  • Nasopharyngeal carcinoma (NPC) frequently metastasizes, leading to treatment failure and poor prognosis.
  • Metformin shows anticancer potential in NPC, but its precise mechanism for inhibiting tumor cell viability is unclear.

Purpose of the Study:

  • To investigate the molecular mechanisms by which metformin reduces the viability of NPC cells.
  • To elucidate the specific cell death pathways involved in metformin's anti-NPC effects.

Main Methods:

  • NPC/HK1 cells were treated with metformin.
  • Cell viability was assessed using MTT assays.
  • Apoptosis, autophagy, and parthanatos markers (PAR accumulation, MMP, PARP1/AIF localization) were analyzed.
  • PARP inhibitors (3-ABA, DPQ) were used for functional validation.

Main Results:

  • Metformin dose-dependently decreased NPC/HK1 cell viability.
  • Metformin did not significantly induce apoptosis or autophagy.
  • Metformin activated parthanatos, evidenced by increased PAR accumulation, disrupted mitochondrial membrane potential, and nuclear translocation of PARP1 and AIF.
  • PARP inhibitors partially reversed metformin's effect on cell viability.

Conclusions:

  • Metformin suppresses NPC cell viability primarily through PARP1-mediated parthanatos.
  • The PARP1/PAR/AIF signaling axis represents a promising therapeutic target and potential biomarker for NPC.