a Department of Oncology , the First Affiliated Hospital of Zhengzhou University , Zhengzhou , China.
b Department of Obstetrics and Gynecology , the Affiliated Hospital of Jiangnan University , Wuxi , China.
Cancer Biol Ther. 2018 Jun 3;19(6):507-517. doi: 10.1080/15384047.2018.1433504. Epub 2018 Feb 27.
Buformin is an old anti-diabetic agent and manifests potent anti-tumor activities in several malignancies. In the present study, we aimed to explore the functions of buformin in human cervical cancer. As our data shown, buformin exhibited significant anti-proliferative effects in a dose-dependent manner in 4 cervical cancer cell lines. Compared to the control, buformin notably suppressed colony formation and increased ROS production in C33A, Hcc94 and SiHa cells. Flow cytometric analysis showed that buformin induced marked cell cycle arrest but only resulted in mild apoptosis. The invasion of C33A and SiHa cells sharply declined with buformin treatment. Consistently, western blotting showed that buformin activated AMPK and suppressed S6, cyclin D1, CDK4, and MMP9. Moreover, we found that buformin enhanced glucose uptake and LDH activity, increased lactate level, while decreased ATP production in cervical cancer cells. In addition, low doses of buformin synergized with routine chemotherapeutic drugs (such as paclitaxel, cisplatin, and 5-FU) to achieve more significant anti-tumor effects. In vivo, a single use of buformin exerted moderate anti-tumor effects, and the combination with buformin and paclitaxel exhibited even greater suppressive effects. Buformin also consistently showed synergistic effects with paclitaxel in treating primary cultures of cervical cancer cells. Take together, we are the first to demonstrate that buformin suppresses cellular proliferation and invasion through the AMPK/S6 signaling pathway, which arrests cell cycle and inhibits cellular invasion. Buformin also could synergize with routine chemotherapies, producing much more powerful anti-tumor effects. With these findings, we strongly support buformin as a potent choice for treating cervical cancer, especially in combination with routine chemotherapy.
苯乙双胍是一种古老的抗糖尿病药物,在几种恶性肿瘤中表现出很强的抗肿瘤活性。在本研究中,我们旨在探索苯乙双胍在人宫颈癌中的作用。正如我们的数据所示,苯乙双胍在 4 种宫颈癌细胞系中呈剂量依赖性显著抑制增殖。与对照组相比,苯乙双胍明显抑制 C33A、Hcc94 和 SiHa 细胞的集落形成,并增加 ROS 产生。流式细胞术分析显示,苯乙双胍诱导明显的细胞周期停滞,但仅导致轻度细胞凋亡。C33A 和 SiHa 细胞的侵袭能力随着苯乙双胍处理而急剧下降。同样,Western blot 显示,苯乙双胍激活 AMPK 并抑制 S6、cyclin D1、CDK4 和 MMP9。此外,我们发现苯乙双胍增强了宫颈癌细胞的葡萄糖摄取和 LDH 活性,增加了乳酸水平,同时降低了细胞内 ATP 水平。此外,低剂量的苯乙双胍与常规化疗药物(如紫杉醇、顺铂和 5-FU)协同作用,达到更显著的抗肿瘤效果。在体内,苯乙双胍单次使用具有中等的抗肿瘤效果,与苯乙双胍和紫杉醇联合使用则表现出更大的抑制效果。苯乙双胍在治疗宫颈癌原代培养细胞时也表现出与紫杉醇的协同作用。综上所述,我们首次证明苯乙双胍通过 AMPK/S6 信号通路抑制细胞增殖和侵袭,从而阻止细胞周期并抑制细胞侵袭。苯乙双胍还可以与常规化疗协同作用,产生更强大的抗肿瘤效果。基于这些发现,我们强烈支持苯乙双胍作为治疗宫颈癌的有效选择,特别是与常规化疗联合使用。