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抗糖尿病药物二甲双胍:癌症治疗面临的挑战与前景

Anti-diabetic drug metformin: challenges and perspectives for cancer therapy.

作者信息

Snima Kaniyampadi Sreenivasan, Pillai Prathesha, Cherian Aleena Mary, Nair Shantikumar V, Lakshmanan Vinoth-Kumar

机构信息

Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham University, Kochi 682041, Kerala, India.

出版信息

Curr Cancer Drug Targets. 2014;14(8):727-36. doi: 10.2174/1568009614666141020105502.

DOI:10.2174/1568009614666141020105502
PMID:25329671
Abstract

Metformin, a biguanide, is a commonly administered drug for the management of type 2 diabetes mellitus. The drug received tremendous recognition, when retrospective studies proved metformin-associated reduction in cancer risk. Metformin has potential anticancer effects and an ability to suppress tumor growth both in vitro and in vivo. Activation of LKB1/AMPK pathway and cancer stem cell destruction along with cell cycle arrest and apoptosis induction are the proposed mechanisms of anticancer potential of metformin. Nanotechnology approaches have also been adopted for metformin delivery to cancer cells. This review directs on the application of metformin for the therapy of various cancers and also the different pathways responsible for the metformin derived anticancer effect. It also focuses on the pharmacological applications of metformin and the nanotechnology approaches for metformin delivery.

摘要

二甲双胍是一种双胍类药物,是治疗2型糖尿病的常用药物。当回顾性研究证明二甲双胍可降低癌症风险时,该药物获得了广泛认可。二甲双胍具有潜在的抗癌作用,在体外和体内均有抑制肿瘤生长的能力。LKB1/AMPK通路的激活、癌症干细胞的破坏以及细胞周期停滞和凋亡诱导是二甲双胍抗癌潜力的推测机制。纳米技术方法也已被用于将二甲双胍递送至癌细胞。本综述聚焦于二甲双胍在各种癌症治疗中的应用以及导致二甲双胍抗癌作用的不同途径。它还关注二甲双胍的药理学应用以及二甲双胍递送的纳米技术方法。

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Anti-diabetic drug metformin: challenges and perspectives for cancer therapy.抗糖尿病药物二甲双胍:癌症治疗面临的挑战与前景
Curr Cancer Drug Targets. 2014;14(8):727-36. doi: 10.2174/1568009614666141020105502.
2
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Anticancer effects of metformin and its potential use as a therapeutic agent for breast cancer.二甲双胍的抗癌作用及其作为乳腺癌治疗药物的潜在用途。
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Metformin in Oncology - How Far Is Its Repurposing as an Anticancer Drug?肿瘤学中的二甲双胍——其作为抗癌药物的再利用能走多远?
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[New perspectives for metformin in cancer therapy].二甲双胍在癌症治疗中的新视角
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A New Role for an Old Drug: Metformin Targets MicroRNAs in Treating Diabetes and Cancer.一种老药的新角色:二甲双胍在治疗糖尿病和癌症中靶向微小RNA
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引用本文的文献

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Metformin promotes female germline stem cell proliferation by upregulating Gata-binding protein 2 with histone β-hydroxybutyrylation.二甲双胍通过组蛋白β-羟丁酸化上调 Gata 结合蛋白 2 促进雌性生殖干细胞增殖。
Stem Cell Res Ther. 2023 May 26;14(1):144. doi: 10.1186/s13287-023-03360-1.
2
AMPK phosphorylates and stabilises copper transporter 1 to synergise metformin and copper chelator for breast cancer therapy.AMPK 使铜转运蛋白 1 磷酸化并稳定化,以协同二甲双胍和铜螯合剂进行乳腺癌治疗。
Br J Cancer. 2023 Apr;128(8):1452-1465. doi: 10.1038/s41416-022-02127-4. Epub 2023 Feb 17.
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Phenformin Down-Regulates c-Myc Expression to Suppress the Expression of Pro-Inflammatory Cytokines in Keratinocytes.
苯乙双胍下调 c-Myc 表达以抑制角质细胞中促炎细胞因子的表达。
Cells. 2022 Aug 5;11(15):2429. doi: 10.3390/cells11152429.
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Metformin - a new approach.二甲双胍——一种新方法。
Pediatr Endocrinol Diabetes Metab. 2021;27(2):134-140. doi: 10.5114/pedm.2021.107166.
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Targeting ACLY Attenuates Tumor Growth and Acquired Cisplatin Resistance in Ovarian Cancer by Inhibiting the PI3K-AKT Pathway and Activating the AMPK-ROS Pathway.靶向ACLY通过抑制PI3K-AKT通路和激活AMPK-ROS通路减弱卵巢癌的肿瘤生长和获得性顺铂耐药性。
Front Oncol. 2021 Mar 17;11:642229. doi: 10.3389/fonc.2021.642229. eCollection 2021.
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An exploratory study of metformin with or without rapamycin as maintenance therapy after induction chemotherapy in patients with metastatic pancreatic adenocarcinoma.一项关于在转移性胰腺腺癌患者诱导化疗后使用二甲双胍联合或不联合雷帕霉素作为维持治疗的探索性研究。
Oncotarget. 2020 May 26;11(21):1929-1941. doi: 10.18632/oncotarget.27586.
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Metabolic Remodelling: An Accomplice for New Therapeutic Strategies to Fight Lung Cancer.代谢重塑:对抗肺癌新治疗策略的帮凶
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Metformin enhances the radiosensitizing effect of cisplatin in non-small cell lung cancer cell lines with different cisplatin sensitivities.二甲双胍增强不同顺铂敏感性的非小细胞肺癌细胞系中顺铂的放射增敏作用。
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