Chen Zhaoyu, Wang Liantang, Chen Yanyang
Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China.
Zhongguo Fei Ai Za Zhi. 2013 Aug 20;16(8):427-32. doi: 10.3779/j.issn.1009-3419.2013.08.07.
Metformin, as a traditional oral hypoglycemic agent, is commonly used in the clinical treatment for type 2 diabetes. Recently, a large number of epidemiological researches have shown that metformin could reduce the tumor morbidity of type 2 diabetes, moreover, it has also been indicated that metformin could inhibit the growth, proliferation and transformation of cancer cells in metabolic pathways, cell cycle, oxidative stress and cancer/tumor stem cells transformation via AMPK pathway activation. But the antitumor effect of metformin via AMPK activation still exists arguments, and the definite mechanism remains to be further investigated and confirmed by extensive clinical trials.
二甲双胍作为一种传统的口服降糖药,常用于2型糖尿病的临床治疗。最近,大量的流行病学研究表明,二甲双胍可以降低2型糖尿病的肿瘤发病率,此外,也有研究表明,二甲双胍可以通过激活AMPK途径,在代谢途径、细胞周期、氧化应激以及癌细胞/肿瘤干细胞转化等方面抑制癌细胞的生长、增殖和转化。但是,二甲双胍通过激活AMPK产生的抗肿瘤作用仍存在争议,其确切机制仍有待进一步研究,并通过广泛的临床试验加以证实。