PMID- 33603734 OWN - NLM STAT- MEDLINE DCOM- 20210614 LR - 20210614 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 11 DP - 2020 TI - Pleiotropic Effects of Metformin on the Antitumor Efficiency of Immune Checkpoint Inhibitors. PG - 586760 LID - 10.3389/fimmu.2020.586760 [doi] LID - 586760 AB - Cancer is an important threat to public health because of its high morbidity and mortality. In recent decades, immune checkpoint inhibitors (ICIs) have ushered a new therapeutic era in clinical oncology. The rapid development of immune checkpoint therapy is due to its inspiring clinical efficacy in a group of cancer types. Metformin, an effective agent for the management of type 2 diabetes mellitus (T2DM), has shown beneficial effects on cancer prevention and cancer treatment. Emerging studies have suggested that metformin in combination with ICI treatment could improve the anticancer effects of ICIs. Hence, we conducted a review to summarize the effects of metformin on ICI therapy. We also review the pleiotropic mechanisms of metformin combined with ICIs in cancer therapy, including its direct and indirect effects on the host immune system. CI - Copyright (c) 2021 Liu, Wang, Luo, Liu and Luo. FAU - Liu, Wenhui AU - Liu W AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Wang, Ying AU - Wang Y AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Luo, Jianquan AU - Luo J AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Liu, Mouze AU - Liu M AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Luo, Zhiying AU - Luo Z AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210202 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Immune Checkpoint Inhibitors) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Humans MH - Immune Checkpoint Inhibitors/*pharmacology MH - Metformin/*pharmacology MH - Neoplasms/*drug therapy PMC - PMC7884468 OTO - NOTNLM OT - PD-1 OT - PD-L1 OT - gut microbiome OT - immune check inhibitors OT - metformin OT - pleiotropic COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/02/20 06:00 MHDA- 2021/06/16 06:00 PMCR- 2020/01/01 CRDT- 2021/02/19 06:05 PHST- 2020/07/24 00:00 [received] PHST- 2020/12/16 00:00 [accepted] PHST- 2021/02/19 06:05 [entrez] PHST- 2021/02/20 06:00 [pubmed] PHST- 2021/06/16 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2020.586760 [doi] PST - epublish SO - Front Immunol. 2021 Feb 2;11:586760. doi: 10.3389/fimmu.2020.586760. eCollection 2020.