PMID- 21270604 OWN - NLM STAT- MEDLINE DCOM- 20110701 LR - 20181030 IS - 1525-1438 (Electronic) IS - 1048-891X (Linking) VI - 21 IP - 2 DP - 2011 Feb TI - Metformin reverses progestin resistance in endometrial cancer cells by downregulating GloI expression. PG - 213-21 LID - 10.1097/IGC.0b013e318207dac7 [doi] AB - INTRODUCTION: A long-term treatment with progestin commonly results in progestin resistance in endometrial cancer. So, the aim of this study was to investigate the role of glyoxalase I (GloI), a mediator of chemotherapy resistance, in metformin reversal of progestin resistance in endometrial carcinoma. METHODS: The proliferation variety of endometrial cancer cells was determined by 3-(4, 5-dimethylthiazol-2-yl)-2, 5-Diphenyltetrazolium (MTT) assay after exposure to medroxyprogesterone acetate, metformin, or both reagents; apoptosis rates were assessed by flow cytometry. Real-time polymerase chain reaction was used to evaluate the effect of small interfering RNA sequence on target gene expression. Western immunoblotting was performed to determine the expression of GloI and the molecules of the mammalian target of rapamycin (mTOR) pathway. RESULT: Knocking down GloI sensitized progestin-resistant Ishikawa cells to progestin. Metformin downregulated GloI expression, reversed progestin resistance, enhanced progestin-induced cell proliferation inhibition, and induced apoptosis in progestin-resistant Ishikawa cells. In addition, medroxyprogesterone acetate-induced mTOR phosphorylation was blocked by metformin. Metformin abolishes mTOR phosphorylation and inhibits GloI expression, attenuating proliferation and inducing apoptosis in progestin-resistant Ishikawa cells. CONCLUSIONS: Dysregulation of GloI expression in endometrial cancer may be part of the molecular mechanisms for progestin resistance. FAU - Zhang, Zhenbo AU - Zhang Z AD - Department of Obstetrics and Gynecology, Shanghai Jiao Tong University, Shanghai, China. FAU - Dong, Lingling AU - Dong L FAU - Sui, Long AU - Sui L FAU - Yang, Yixia AU - Yang Y FAU - Liu, Xuelian AU - Liu X FAU - Yu, Yinhua AU - Yu Y FAU - Zhu, Yaping AU - Zhu Y FAU - Feng, Youji AU - Feng Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Int J Gynecol Cancer JT - International journal of gynecological cancer : official journal of the International Gynecological Cancer Society JID - 9111626 RN - 0 (Enzyme Inhibitors) RN - 0 (Progestins) RN - 9100L32L2N (Metformin) RN - EC 4.4.1.5 (Lactoylglutathione Lyase) SB - IM CIN - Int J Gynecol Cancer. 2012 Feb;22(2):181. PMID: 22274313 MH - Apoptosis MH - Carcinoma, Endometrioid/*drug therapy/metabolism MH - Down-Regulation MH - Drug Resistance, Neoplasm/*drug effects MH - Endometrial Neoplasms/*drug therapy/metabolism MH - Enzyme Inhibitors/*pharmacology MH - Female MH - Humans MH - Lactoylglutathione Lyase/*metabolism MH - Metformin/*pharmacology MH - Progestins/*metabolism MH - Tumor Cells, Cultured EDAT- 2011/01/29 06:00 MHDA- 2011/07/02 06:00 CRDT- 2011/01/29 06:00 PHST- 2011/01/29 06:00 [entrez] PHST- 2011/01/29 06:00 [pubmed] PHST- 2011/07/02 06:00 [medline] AID - 00009577-201102000-00005 [pii] AID - 10.1097/IGC.0b013e318207dac7 [doi] PST - ppublish SO - Int J Gynecol Cancer. 2011 Feb;21(2):213-21. doi: 10.1097/IGC.0b013e318207dac7.