Cation-selective transporters are critical to the AMPK-mediated antiproliferative effects of metformin in human breast cancer cells: Transporters in metformin effect against breast cancer cells
Open accessAbstract
The antidiabetic drug metformin exerts antineoplastic effects against breast cancer and other cancers. One mechanism by which metformin is believed to exert its anticancer effect involves activation of its intracellular target, adenosine monophosphate-activated protein kinase (AMPK), which is also implicated in the antidiabetic effect of metformin. It is proposed that in cancer cells, AMPK activation leads to inhibition of the mammalian target of rapamycin (mTOR) and the downstream pS6K that regulates cell proliferation. Due to its hydrophilic and cationic nature, metformin requires cation-selective transporters to enter cells and activate AMPK. This study demonstrates that expression levels of cation-selective transporters correlate with the antiproliferative and antitumor efficacy of metformin in breast cancer. Metformin uptake and antiproliferative activity were compared between a cation-selective transporter-deficient human breast cancer cell line, BT-20, and a BT-20 cell line that was engineered to overexpress organic cation transporter 3 (OCT3), a representative of cation-selective transporters and a predominant transporter in human breast tumors. Metformin uptake was minimal in BT-20 cells, but increased by >13-fold in OCT3-BT20 cells, and its antiproliferative potency was >4-fold in OCT3-BT20 versus BT-20 cells. This increase in antiproliferative activity was associated with greater AMPK phosphorylation and decreased pS6K phosphorylation in OCT3-BT20 cells. In vitro data were corroborated by in vivo observations of significantly greater antitumor efficacy of metformin in xenograft mice bearing OCT3-overexpressing tumors versus low transporter-expressing wildtype tumors. Collectively, these findings establish a clear relationship between cation-selective transporter expression, the AMPK-mTOR-pS6K signaling cascade, and the antiproliferative activity of metformin in breast cancer.
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[14C]-Metformin uptake was 13 times higher in OCT3-BT20 cells than in BT-20 cells, and associated with increased AMPK phosphorylation and decreased pS6K phosphorylation in OCT3-BT20 cells, and these results were substantiated in mice with OCT3 overexpressing tumors.
“[14C]-Metformin uptake was 13 times higher in OCT3-BT20 cells than in BT-20 cells, and associated with increased AMPK phosphorylation and decreased pS6K phosphorylation in OCT3-BT20 cells and these results were substantiated in mice with OCT3 overexpressing tumors (241).”
From A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021) · cites this paper as [241]
A logical target whereby metformin could mediate its putative antiproliferative effects in cancer is via inhibition of mTOR and pS6K, either via activation of AMPK or via an AMPK-independent pathway.
“A logical target whereby metformin could mediate its putative antiproliferative effects in cancer is via inhibition of mTOR and the serine-threonine kinase, ribosomal S6K (pS6K), either via activation of AMPK or via an AMPK-independent pathway (241, 242).”
From A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021) · cites this paper as [241]
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Metformin as a Potential In Vitro Anticancer Modulator of Adenosine Monophosphate Kinase: A Review
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- Authors
- Cai, H., Zhang, Y., Han, T. K., Everett, R. S., & Thakker, D. R.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Thakker, Dhiren R.
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2016-01-08
- Volume
- 138
- Issue
- 9
- Pages
- 2281-2292
- ISSN
- 0020-7136 (ISSN-L)
- OpenAlex
- W2220293484
- Cited by
- 46
- References
- 47
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 10 · 2018: 2 · 2017: 6 · 2016: 1
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- North Carolina Translational Clinical Research Sciences Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- metformin, OCT3, breast cancer, AMPK activation, mTOR signaling, drug uptake, antiproliferative activity, anticancer drug repurposing, tumor xenografts
- MeSH terms
- Organic Cation Transporter 3, Animals, Antineoplastic Agents, Breast Neoplasms, Female, Mammary Neoplasms, Experimental, Metformin, Mice, Nude, Signal Transduction, Xenograft Model Antitumor Assays, Organic Cation Transport Proteins, Ribosomal Protein S6 Kinases, 70-kDa, Cell Line, Tumor, Cell Proliferation, Mice, AMP-Activated Protein Kinases, TOR Serine-Threonine Kinases
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