PMID- 25879666 OWN - NLM STAT- MEDLINE DCOM- 20160415 LR - 20211203 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 4 DP - 2015 TI - Metformin suppresses diethylnitrosamine-induced liver tumorigenesis in obese and diabetic C57BL/KsJ-+Leprdb/+Leprdb mice. PG - e0124081 LID - 10.1371/journal.pone.0124081 [doi] LID - e0124081 AB - Obesity and related metabolic disorders, such as diabetes mellitus, raise the risk of liver carcinogenesis. Metformin, which is widely used in the treatment of diabetes, ameliorates insulin sensitivity. Metformin is also thought to have antineoplastic activities and to reduce cancer risk. The present study examined the preventive effect of metformin on the development of diethylnitrosamine (DEN)-induced liver tumorigenesis in C57BL/KsJ-+Leprdb/+Leprdb (db/db) obese and diabetic mice. The mice were given a single injection of DEN at 2 weeks of age and subsequently received drinking water containing metformin for 20 weeks. Metformin administration significantly reduced the multiplicity of hepatic premalignant lesions and inhibited liver cell neoplasms. Metformin also markedly decreased serum levels of insulin and reduced insulin resistance, and inhibited phosphorylation of Akt, mammalian target of rapamycin (mTOR), and p70S6 in the liver. Furthermore, serum levels of leptin were decreased, while those of adiponectin were increased by metformin. These findings suggest that metformin prevents liver tumorigenesis by ameliorating insulin sensitivity, inhibiting the activation of Akt/mTOR/p70S6 signaling, and improving adipokine imbalance. Therefore, metformin may be a potent candidate for chemoprevention of liver tumorigenesis in patients with obesity or diabetes. FAU - Ohno, Tomohiko AU - Ohno T AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Shimizu, Masahito AU - Shimizu M AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Shirakami, Yohei AU - Shirakami Y AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Baba, Atsushi AU - Baba A AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Kochi, Takahiro AU - Kochi T AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Kubota, Masaya AU - Kubota M AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Tsurumi, Hisashi AU - Tsurumi H AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Tanaka, Takuji AU - Tanaka T AD - Department of Tumor Pathology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Moriwaki, Hisataka AU - Moriwaki H AD - Department of Gastroenterology/Internal Medicine, Gifu University Graduate School of Medicine, Gifu, Japan. LA - eng PT - Journal Article DEP - 20150416 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Adipokines) RN - 0 (Hypoglycemic Agents) RN - 3IQ78TTX1A (Diethylnitrosamine) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Oncogene Protein v-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adipokines/metabolism MH - Animals MH - Animals, Newborn MH - Carcinogenesis/*metabolism MH - Diabetes Mellitus, Experimental/*metabolism MH - Diethylnitrosamine MH - Female MH - Hypoglycemic Agents/pharmacology MH - Insulin Resistance MH - Liver/*drug effects MH - Liver Neoplasms/*metabolism MH - Male MH - Metformin/*pharmacology MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Obesity/*metabolism MH - Oncogene Protein v-akt/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC4399835 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/04/17 06:00 MHDA- 2016/04/16 06:00 PMCR- 2015/04/16 CRDT- 2015/04/17 06:00 PHST- 2014/09/19 00:00 [received] PHST- 2015/03/03 00:00 [accepted] PHST- 2015/04/17 06:00 [entrez] PHST- 2015/04/17 06:00 [pubmed] PHST- 2016/04/16 06:00 [medline] PHST- 2015/04/16 00:00 [pmc-release] AID - PONE-D-14-39992 [pii] AID - 10.1371/journal.pone.0124081 [doi] PST - epublish SO - PLoS One. 2015 Apr 16;10(4):e0124081. doi: 10.1371/journal.pone.0124081. eCollection 2015.