PMID- 31841183 OWN - NLM STAT- MEDLINE DCOM- 20201109 LR - 20221207 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 23 IP - 23 DP - 2019 Dec TI - Mechanism of metformin enhancing the sensitivity of human pancreatic cancer cells to gem-citabine by regulating the PI3K/Akt/mTOR signaling pathway. PG - 10283-10289 LID - 19666 [pii] LID - 10.26355/eurrev_201912_19666 [doi] AB - OBJECTIVE: To investigate the effect of metformin (MET) on enhancing the sensitivity of human pancreatic cancer cells to gemcitabine (GEM) by regulating the phosphatidylinositol-3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) signaling pathway. MATERIALS AND METHODS: The GEM-resistant human pancreatic cancer PANC-1/GEM cell line was established, and the proliferation ability of PANC-1 and PANC-1/GEM cell lines was detected using the Cell Counting Kit-8 (CCK-8), which was then detected by flow cytometry after they were labeled by Ki67. Quantitative Reverse Transcription-Polymerase Chain Reaction (qRT-PCR) and Western blotting were adopted to detect the difference in the mTOR expression between PANC-1 and PANC-1/GEM cell lines. The proliferation ability of PANC-1/GEM/MET and PANC-1/GEM cell lines was determined using CCK-8 after drug-resistant cell lines were treated with 20 mmol/L MET combined with 0.4 mumol/L GEM or 0.4 mumol/L GEM alone for 48 h. Colony formation assay was applied to detect the proliferation ability of cells. The difference in the expression of mTOR/PI3K/Akt between PANC-1/GEM/MET and PANC-1/GEM cell lines was tested via qRT-PCR and Western blotting, respectively. RESULTS: Compared with PANC-1 cells, PANC-1/GEM cells had significantly enhanced proliferation ability (p<0.01). Flow cytometry results showed that the proliferation ability of PANC-1/GEM cells was notably enhanced (p<0.01). The expression level and phosphorylation level of mTOR in drug-resistant cell lines were increased (p<0.01). After the drug-resistant cell lines were treated with 20 mmol/L MET for 48 h, the proliferation ability of PANC-1/GEM/MET cells was evidently decreased compared with that of PANC-1/GEM cells (p<0.01). The messenger ribonucleic acid (mRNA) and protein expression levels of mTOR/PI3K/Akt were markedly down-regulated (p<0.01). CONCLUSIONS: MET can regulate the PI3K/Akt/mTOR signaling pathway to enhance the sensitivity of human pancreatic cancer cells to GEM. FAU - Zhou, H-Y AU - Zhou HY AD - Department of Gastroenterology, Affiliated Wujiang Hospital of Nantong University, Suzhou, China. xiangyun19881015@126.com. FAU - Yao, X-M AU - Yao XM FAU - Chen, X-D AU - Chen XD FAU - Tang, J-M AU - Tang JM FAU - Qiao, Z-G AU - Qiao ZG FAU - Wu, X-Y AU - Wu XY LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0W860991D6 (Deoxycytidine) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Gemcitabine) SB - IM MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Deoxycytidine/*analogs & derivatives/pharmacology MH - Drug Resistance, Neoplasm/*drug effects MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Metformin/*pharmacology MH - Pancreatic Neoplasms/*metabolism MH - Phosphatidylinositol 3-Kinase/*biosynthesis MH - Phosphorylation/drug effects MH - Proto-Oncogene Proteins c-akt/*biosynthesis MH - TOR Serine-Threonine Kinases/*biosynthesis MH - Tumor Stem Cell Assay MH - Gemcitabine EDAT- 2019/12/17 06:00 MHDA- 2020/11/11 06:00 CRDT- 2019/12/17 06:00 PHST- 2019/12/17 06:00 [entrez] PHST- 2019/12/17 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] AID - 19666 [pii] AID - 10.26355/eurrev_201912_19666 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2019 Dec;23(23):10283-10289. doi: 10.26355/eurrev_201912_19666.