Zhu Zongjian, Jiang Weiqin, Thompson Matthew D, Echeverria Dimas, McGinley John N, Thompson Henry J
Cancer Prevention Laboratory, Colorado State University, Fort Collins, Colorado.
Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland.
Cancer Prev Res (Phila). 2015 Jun;8(6):518-27. doi: 10.1158/1940-6207.CAPR-14-0121. Epub 2015 Mar 24.
Metformin is a widely prescribed drug for the treatment of type II diabetes. Although epidemiologic data have provided a strong rationale for investigating the potential of this biguanide for use in cancer prevention and control, uncertainty exists whether metformin should be expected to have an impact in nondiabetic patients. Furthermore, little attention has been given to the possibility that other biguanides may have anticancer activity. In this study, the effects of clinically relevant doses of metformin (9.3 mmol/kg diet), buformin (7.6 mmol/kg diet), and phenformin (5.0 mmol/kg diet) were compared with rats fed control diet (AIN93-G) during the post-initiation stage of 1-methyl-1-nitrosourea-induced (50 mg/kg body weight) mammary carcinogenesis (n = 30/group). Plasma, liver, skeletal muscle, visceral fat, mammary gland, and mammary carcinoma concentrations of the biguanides were determined. In comparison with the control group, buformin decreased cancer incidence, multiplicity, and burden, whereas metformin and phenformin had no statistically significant effect on the carcinogenic process relative to the control group. Buformin did not alter fasting plasma glucose or insulin. Within mammary carcinomas, evidence was obtained that buformin treatment perturbed signaling pathways related to energy sensing. However, further investigation is needed to determine the relative contributions of host systemic and cell autonomous mechanisms to the anticancer activity of biguanides such as buformin.
二甲双胍是一种广泛用于治疗II型糖尿病的药物。尽管流行病学数据为研究这种双胍类药物在癌症预防和控制方面的潜力提供了有力依据,但对于二甲双胍是否有望对非糖尿病患者产生影响仍存在不确定性。此外,其他双胍类药物可能具有抗癌活性这一可能性很少受到关注。在本研究中,将临床相关剂量的二甲双胍(9.3 mmol/kg饮食)、丁双胍(7.6 mmol/kg饮食)和苯乙双胍(5.0 mmol/kg饮食)的作用与在1-甲基-1-亚硝基脲诱导(50 mg/kg体重)的乳腺癌发生起始后阶段喂食对照饮食(AIN93-G)的大鼠进行了比较(每组n = 30)。测定了双胍类药物在血浆、肝脏、骨骼肌、内脏脂肪、乳腺和乳腺癌中的浓度。与对照组相比,丁双胍降低了癌症发病率、多发性和负担,而二甲双胍和苯乙双胍相对于对照组在致癌过程中没有统计学上的显著影响。丁双胍没有改变空腹血糖或胰岛素水平。在乳腺癌组织中,有证据表明丁双胍治疗扰乱了与能量感知相关的信号通路。然而,需要进一步研究以确定宿主全身和细胞自主机制对丁双胍等双胍类药物抗癌活性的相对贡献。