PMID- 33921222 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210502 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 8 DP - 2021 Apr 12 TI - The Influence of Anti-Diabetic Drugs on Prostate Cancer. LID - 10.3390/cancers13081827 [doi] LID - 1827 AB - The incidences of prostate cancer (PC) and diabetes are increasing, with a sustained trend. The occurrence of PC and type 2 diabetes mellitus (T2DM) is growing with aging. The correlation between PC occurrence and diabetes is noteworthy, as T2DM is correlated with a reduced risk of incidence of prostate cancer. Despite this reduction, diabetes mellitus increases the mortality in many cancer types, including prostate cancer. The treatment of T2DM is based on lifestyle changes and pharmacological management. Current available drugs, except insulin, are aimed at increasing insulin secretion (sulfonylureas, incretin drugs), improving insulin sensitivity (biguanides, thiazolidinediones), or increasing urinary glucose excretion (gliflozin). Comorbidities should be taken into consideration during the treatment of T2DM. This review describes currently known information about the mechanism and impact of commonly used antidiabetic drugs on the incidence and progression of PC. Outcomes of pre-clinical studies are briefly presented and their correlations with available clinical trials have also been observed. Available reports and meta-analyses demonstrate that most anti-diabetic drugs do not increase the risk during the treatment of patients with PC. However, some reports show a potential advantage of treatment of T2DM with specific drugs. Based on clinical reports, use of metformin should be considered as a therapeutic option. Moreover, anticancer properties of metformin were augmented while combined with GLP-1 analogs. FAU - Knura, Milosz AU - Knura M AUID- ORCID: 0000-0002-4522-2112 AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - Garczorz, Wojciech AU - Garczorz W AUID- ORCID: 0000-0002-5343-1205 AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - Borek, Adam AU - Borek A AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - Drzymala, Franciszek AU - Drzymala F AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - Rachwal, Krystian AU - Rachwal K AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - George, Kurian AU - George K AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. FAU - Francuz, Tomasz AU - Francuz T AUID- ORCID: 0000-0002-6321-6090 AD - Department of Biochemistry, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland. LA - eng GR - PCN-1-010/N/0/0/Slaski Uniwersytet Medyczny/ PT - Journal Article PT - Review DEP - 20210412 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8068793 OTO - NOTNLM OT - DPP-4 inhibitors OT - androgen deprivation therapy OT - diabetes OT - gliflozin OT - incretin OT - insulin OT - metabolic pathway OT - metformin OT - prostate cancer OT - therapy OT - thiazolidinediones COIS- The authors declare no conflict of interest. EDAT- 2021/05/01 06:00 MHDA- 2021/05/01 06:01 PMCR- 2021/04/12 CRDT- 2021/04/30 01:18 PHST- 2021/02/24 00:00 [received] PHST- 2021/03/27 00:00 [revised] PHST- 2021/04/08 00:00 [accepted] PHST- 2021/04/30 01:18 [entrez] PHST- 2021/05/01 06:00 [pubmed] PHST- 2021/05/01 06:01 [medline] PHST- 2021/04/12 00:00 [pmc-release] AID - cancers13081827 [pii] AID - cancers-13-01827 [pii] AID - 10.3390/cancers13081827 [doi] PST - epublish SO - Cancers (Basel). 2021 Apr 12;13(8):1827. doi: 10.3390/cancers13081827.