PMID- 27362768 OWN - NLM STAT- MEDLINE DCOM- 20170320 LR - 20200106 IS - 2299-5684 (Electronic) IS - 1734-1140 (Linking) VI - 68 IP - 5 DP - 2016 Oct TI - Molecular targets of metformin antitumor action. PG - 918-25 LID - S1734-1140(16)30039-1 [pii] LID - 10.1016/j.pharep.2016.04.021 [doi] AB - Epidemiological studies have shown that metformin, a first line therapeutic agent for diabetes mellitus, reduced the risk of developing various malignancies. Several preclinical studies established some possible mechanisms of its anticancer effects. The primary effect of metformin action is a decrease in cell energy status, which activates AMP-activated kinase (AMPK), a cellular metabolic sensor. This event is followed by a decrease in serum concentrations of insulin and insulin growth factor I (IGF-I), the potent mitogens for cancer cells. In addition to the indirect mode of action, metformin may exhibit direct inhibitory effect on cancer cells by targeting mammalian target of rapamycin (mTOR) signaling and anabolic processes. This review gathers information on mechanisms of metformin antitumor activity, with special attention given to the impact of this antidiabetic drug on insulin/PI3K/mTOR and AMPK signaling. Furthermore, the factors required for this novel activity of metformin are discussed. CI - Copyright (c) 2016 Institute of Pharmacology, Polish Academy of Sciences. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved. FAU - Sosnicki, Stanislaw AU - Sosnicki S AD - School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia, Katowice, Poland, Department of Biochemistry, Sosnowiec, Poland. Electronic address: ssosnicki88@gmail.com. FAU - Kapral, Malgorzata AU - Kapral M AD - School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia, Katowice, Poland, Department of Biochemistry, Sosnowiec, Poland. Electronic address: mkapral@sum.edu.pl. FAU - Weglarz, Ludmila AU - Weglarz L AD - School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia, Katowice, Poland, Department of Biochemistry, Sosnowiec, Poland. Electronic address: lweglarz@sum.edu.pl. LA - eng PT - Journal Article PT - Review DEP - 20160509 PL - Switzerland TA - Pharmacol Rep JT - Pharmacological reports : PR JID - 101234999 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology/*therapeutic use MH - Drug Delivery Systems/methods MH - Humans MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Metformin/*pharmacology/*therapeutic use MH - Molecular Targeted Therapy/methods MH - Neoplasms/*drug therapy MH - Signal Transduction/drug effects OTO - NOTNLM OT - Antitumor properties OT - Metformin OT - Molecular mechanisms EDAT- 2016/07/01 06:00 MHDA- 2017/03/21 06:00 CRDT- 2016/07/01 06:00 PHST- 2016/03/18 00:00 [received] PHST- 2016/04/29 00:00 [revised] PHST- 2016/04/29 00:00 [accepted] PHST- 2016/07/01 06:00 [entrez] PHST- 2016/07/01 06:00 [pubmed] PHST- 2017/03/21 06:00 [medline] AID - S1734-1140(16)30039-1 [pii] AID - 10.1016/j.pharep.2016.04.021 [doi] PST - ppublish SO - Pharmacol Rep. 2016 Oct;68(5):918-25. doi: 10.1016/j.pharep.2016.04.021. Epub 2016 May 9.