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二甲双胍:其抗癌潜力的深入了解,特别是涉及 AMPK 依赖和非依赖途径。

Metformin: Insights into its anticancer potential with special reference to AMPK dependent and independent pathways.

机构信息

Department of Biochemistry, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, India.

Department of Biochemistry, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, India.

出版信息

Life Sci. 2017 Sep 15;185:53-62. doi: 10.1016/j.lfs.2017.07.029. Epub 2017 Jul 26.


DOI:10.1016/j.lfs.2017.07.029
PMID:28755883
Abstract

Metformin has been known for its antidiabetic effects for decades and is used as a first line therapy in type 2 diabetes. But recently its anticancer potential has also been discovered. Metformin targets many pathways that play an important role in cancer cell proliferation and angiogenesis, mTORC1 signaling is a crucial pathway among them. Metformin inhibits mTORC1 via AMPK dependent and AMPK independent pathways, thereby inhibiting cancer cell growth and development. Encouraged by positive results of numerous preclinical studies on various types of cancer, many clinical trials are underway to study metformin's effect in chemoprevention and treatment of cancers in humans. Nowadays, applications of novel metformin analogues and nanotechnology based targeting have further enhanced the potential of metformin anticancer therapy. Here, we review both AMPK dependent and AMPK independent mechanisms involved in anticancer activity of metformin along with the outcome of preclinical and clinical studies.

摘要

二甲双胍几十年来一直以其降血糖作用而闻名,是治疗 2 型糖尿病的一线药物。但最近也发现了它的抗癌潜力。二甲双胍靶向许多在癌细胞增殖和血管生成中起重要作用的途径,mTORC1 信号通路就是其中一个关键途径。二甲双胍通过 AMPK 依赖和非依赖途径抑制 mTORC1,从而抑制癌细胞的生长和发育。在对各种类型癌症的大量临床前研究取得积极结果的鼓舞下,许多临床试验正在进行中,以研究二甲双胍在人类癌症的化学预防和治疗中的作用。如今,新型二甲双胍类似物的应用和基于纳米技术的靶向治疗进一步增强了二甲双胍抗癌治疗的潜力。在这里,我们回顾了二甲双胍在抗癌活性中涉及的 AMPK 依赖和非依赖机制,以及临床前和临床研究的结果。

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