Metformin in Cancer Therapy: A New Perspective for an Old Antidiabetic Drug?
+ Author Affiliations
- Corresponding Author:
Frédéric Bost, INSERM U895, Bât. Archimed, 151 route de St Antoine de Ginestière BP 2 3194, 06204 NICE Cedex 3 France. Phone: 33-489064229; Fax: 33-489064221. E-mail: bost@unice.fr
Abstract
Metformin is the most widely used
antidiabetic drug in the world, and there is increasing evidence of a
potential efficacy
of this agent as an anticancer drug. First,
epidemiological studies show a decrease in cancer incidence in
metformin-treated
patients. Second, metformin decreases insulin
resistance and indirectly reduces insulin level, a beneficial effect
because
insulin promotes cancer cell growth. Third, several
reports outline a direct inhibitory effect of metformin on cancer cell
growth and an antitumoral action. Finally,
metformin activates the AMP activated protein kinase (AMPK) pathway, a
major sensor
of the energetic status of the cell, which has been
proposed as a promising therapeutic target in cancer. Mol Cancer Ther;
9(5); 1092–99. ©2010 AACR.
Footnotes
- Received December 18, 2009.
- Revision received March 8, 2010.
- Accepted March 12, 2010.
- ©2010 American Association for Cancer Research.
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