Anděl M, Skrha P, Trnka J
Centrum vyzkumu diabetu, metabolizmu a vyzivy Ustavu vyzivy a II. Interni kliniky 3.
Vnitr Lek. 2013 Aug;59(8):738-42.
Type 2 diabetes moderately increases predisposition for manifestation of tumor disease. Both drugs stimulating insulin secretion (insulin secretagogues) and insulin injection therapy also moderately increases risk of tumor manifestation (OR approx 1.3). According to some reports pyoglitazon therapy could be of increased risk of bladder cancer. On the other hand, hundreds of study on isolated cells, experimental animal models and retrospective studies in patients have shown preventive effect of metformin therapy on manifestation tumors of pancreas, breast, colorectum, liver, endometrium and ovary. More over, the prognosis of diabetic cancer patients on metformin therapy seems be better, than in diabetics without metformin treatment. These data are promising for future use of metformin for prevention and therapy of some malignant tumors.
2型糖尿病会适度增加患肿瘤疾病的易感性。刺激胰岛素分泌的药物(胰岛素促泌剂)和胰岛素注射疗法也会适度增加肿瘤发生的风险(比值比约为1.3)。根据一些报道,吡格列酮治疗可能会增加膀胱癌的风险。另一方面,数百项针对分离细胞、实验动物模型以及患者回顾性研究表明,二甲双胍治疗对胰腺、乳腺、结肠、肝脏、子宫内膜和卵巢肿瘤的发生具有预防作用。此外,接受二甲双胍治疗的糖尿病癌症患者的预后似乎比未接受二甲双胍治疗的糖尿病患者更好。这些数据为二甲双胍未来用于预防和治疗某些恶性肿瘤带来了希望。