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二甲双胍对糖尿病和非糖尿病绝经后女性的潜在及实际“抗肿瘤”和代谢作用。

Potential and real 'antineoplastic' and metabolic effect of metformin in diabetic and nondiabetic postmenopausal females.

作者信息

Berstein Lev M, Vasilyev Dmitry A, Iyevleva Aglaya G, Boyarkina Marina P, Poroshina Tatyana E, Khadzhimba Angela S, Imyanitov Evgeny N

机构信息

Laboratory of Oncoendocrinology, NN Petrov Research Institute of Oncology, St Petersburg, Russia 197758.

出版信息

Future Oncol. 2015;11(5):759-70. doi: 10.2217/fon.14.317.

Abstract

AIM

The goal of this study was to determine if the single nucleotide polymorphisms marking potential sensitivity to metformin (MF) correlate with hormone-metabolic status as well as with actual response to MF in postmenopausal cancer patients with or without Type 2 diabetes mellitus and in diabetics without cancer.

PATIENTS & METHODS: The carriage of ten different SNPs was evaluated in all patients by PCR, and hormone-metabolic status was estimated by anthropometry, ELISA and enzyme colorimetric assays. The response to daily 1-1.7 g of MF was studied based on hormone-metabolic parameters and indirect end points (endometrium thickness, mammographic breast density).

RESULTS & CONCLUSION: The changes in evaluated 'antineoplastic' and metabolic response marker values were seen in 33.3 and 61.8% of the cases, respectively. Several genetic markers were found that showed an inclination to less frequent 'antineoplastic' or more frequent metabolic response to MF which may be helpful in further studies of this drug in cancer patients.

摘要

目的

本研究的目的是确定标记对二甲双胍(MF)潜在敏感性的单核苷酸多态性是否与激素代谢状态以及绝经后癌症患者(无论有无2型糖尿病)和无癌症糖尿病患者对MF的实际反应相关。

患者与方法

通过聚合酶链反应(PCR)评估所有患者中十种不同单核苷酸多态性(SNP)的携带情况,并通过人体测量、酶联免疫吸附测定(ELISA)和酶比色法评估激素代谢状态。基于激素代谢参数和间接终点(子宫内膜厚度、乳腺钼靶密度)研究对每日1 - 1.7克MF的反应。

结果与结论

分别在33.3%和61.8%的病例中观察到评估的“抗肿瘤”和代谢反应标志物值的变化。发现了几个遗传标记,显示出对MF的“抗肿瘤”反应频率较低或代谢反应频率较高的倾向,这可能有助于在癌症患者中对该药物进行进一步研究。

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