PMID- 25895126 OWN - NLM STAT- MEDLINE DCOM- 20160229 LR - 20220330 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 13 DP - 2015 May 10 TI - Metformin prevents aggressive ovarian cancer growth driven by high-energy diet: similarity with calorie restriction. PG - 10908-23 AB - Caloric restriction (CR) was recently demonstrated by us to restrict ovarian cancer growth in vivo. CR resulted in activation of energy regulating enzymes adenosine monophosphate activated kinase (AMPK) and sirtuin 1 (SIRT1) followed by downstream inhibition of Akt-mTOR. In the present study, we investigated the effects of metformin on ovarian cancer growth in mice fed a high energy diet (HED) and regular diet (RD) and compared them to those seen with CR in an immunocompetent isogeneic mouse model of ovarian cancer. Mice either on RD or HED diet bearing ovarian tumors were treated with 200 mg/kg metformin in drinking water. Metformin treatment in RD and HED mice resulted in a significant reduction in tumor burden in the peritoneum, liver, kidney, spleen and bowel accompanied by decreased levels of growth factors (IGF-1, insulin and leptin), inflammatory cytokines (MCP-1, IL-6) and VEGF in plasma and ascitic fluid, akin to the CR diet mice. Metformin resulted in activation of AMPK and SIRT1 and inhibition of pAkt and pmTOR, similar to CR. Thus metformin can closely mimic CR's tumor suppressing effects by inducing similar metabolic changes, providing further evidence of its potential not only as a therapeutic drug but also as a preventive agent. FAU - Al-Wahab, Zaid AU - Al-Wahab Z AD - Wayne State University, Detroit, MI, USA. FAU - Mert, Ismail AU - Mert I AD - Wayne State University, Detroit, MI, USA. AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. FAU - Tebbe, Calvin AU - Tebbe C AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. FAU - Chhina, Jasdeep AU - Chhina J AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. FAU - Hijaz, Miriana AU - Hijaz M AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. FAU - Morris, Robert T AU - Morris RT AD - Wayne State University, Detroit, MI, USA. FAU - Ali-Fehmi, Rouba AU - Ali-Fehmi R AD - Department of Pathology, Karmanos Cancer Institute, Wayne State University, Detroit, MI, USA. FAU - Giri, Shailendra AU - Giri S AD - Department of Neurology, Henry Ford Hospital, Detroit, MI, USA. AD - Josephine Cancer Institute, Henry Ford Hospital, Detroit, MI, USA. FAU - Munkarah, Adnan R AU - Munkarah AR AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. AD - Josephine Cancer Institute, Henry Ford Hospital, Detroit, MI, USA. FAU - Rattan, Ramandeep AU - Rattan R AD - Division of Gynecologic Oncology, Department of Women's Health, Henry Ford Hospital, Detroit, MI, USA. AD - Josephine Cancer Institute, Henry Ford Hospital, Detroit, MI, USA. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Anticarcinogenic Agents) RN - 0 (Inflammation Mediators) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.5.1.- (SIRT1 protein, human) RN - EC 3.5.1.- (Sirtuin 1) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Anticarcinogenic Agents/*pharmacology MH - *Caloric Restriction MH - Cell Line, Tumor MH - Disease Models, Animal MH - Energy Metabolism/*drug effects MH - Enzyme Activation MH - Female MH - Inflammation Mediators/metabolism MH - Intercellular Signaling Peptides and Proteins/metabolism MH - Metformin/*pharmacology MH - Mice, Inbred C57BL MH - Ovarian Neoplasms/metabolism/pathology/*prevention & control MH - Phosphorylation MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors/metabolism MH - Signal Transduction/drug effects MH - Sirtuin 1/metabolism MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism MH - Time Factors MH - Tumor Burden PMC - PMC4484428 OTO - NOTNLM OT - AMPK OT - calorie restriction OT - mTOR OT - metformin OT - ovarian cancer COIS- CONFLICTS OF INTEREST Authors have no conflicts of interest to report. EDAT- 2015/04/22 06:00 MHDA- 2016/03/02 06:00 PMCR- 2015/05/10 CRDT- 2015/04/21 06:00 PHST- 2015/02/05 00:00 [received] PHST- 2015/02/23 00:00 [accepted] PHST- 2015/04/21 06:00 [entrez] PHST- 2015/04/22 06:00 [pubmed] PHST- 2016/03/02 06:00 [medline] PHST- 2015/05/10 00:00 [pmc-release] AID - 3434 [pii] AID - 10.18632/oncotarget.3434 [doi] PST - ppublish SO - Oncotarget. 2015 May 10;6(13):10908-23. doi: 10.18632/oncotarget.3434.