Higurashi Takuma, Nakajima Atsushi
Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Japan.
Front Endocrinol (Lausanne). 2018 Oct 23;9:622. doi: 10.3389/fendo.2018.00622. eCollection 2018.
Colorectal Cancer (CRC) is one of the most frequently encountered neoplasms in humans. The incidence of CRC has been increasing and new strategies for prevention, including chemoprevention, are required to lower its incidence and associated mortality. Metformin is a biguanide compound commonly used for the treatment of diabetes mellitus. Many recent basic research, epidemiological and clinical trial studies have indicated that metformin has benefits not only in diabetes treatment, but also in lowering the risk of developing cancer (including CRC). These studies indicate that metformin may be a candidate chemoprevention agent for CRC. This review article shall discuss the present evidence of metformin treatment and CRC, as well as outline our challenge in the investigation of metformin use in chemoprevention therapy for colorectal tumors.
结直肠癌(CRC)是人类最常遇到的肿瘤之一。CRC的发病率一直在上升,需要新的预防策略,包括化学预防,以降低其发病率和相关死亡率。二甲双胍是一种常用于治疗糖尿病的双胍类化合物。最近许多基础研究、流行病学和临床试验研究表明,二甲双胍不仅在糖尿病治疗中有益,而且在降低患癌(包括CRC)风险方面也有好处。这些研究表明,二甲双胍可能是CRC的一种化学预防候选药物。这篇综述文章将讨论二甲双胍治疗与CRC的现有证据,并概述我们在研究二甲双胍用于结直肠肿瘤化学预防治疗方面所面临的挑战。