An Ancient, Unified Mechanism for Metformin Growth Inhibition in C. Elegans and Cancer
Open accessAbstract
Metformin has utility in cancer prevention and treatment, though the mechanisms for these effects remain elusive. Through genetic screening in C. elegans, we uncover two metformin response elements: the nuclear pore complex (NPC) and acyl-CoA dehydrogenase family member-10 (ACAD10). We demonstrate that biguanides inhibit growth by inhibiting mitochondrial respiratory capacity, which restrains transit of the RagA-RagC GTPase heterodimer through the NPC. Nuclear exclusion renders RagC incapable of gaining the GDP-bound state necessary to stimulate mTORC1. Biguanide-induced inactivation of mTORC1 subsequently inhibits growth through transcriptional induction of ACAD10. This ancient metformin response pathway is conserved from worms to humans. Both restricted nuclear pore transit and upregulation of ACAD10 are required for biguanides to reduce viability in melanoma and pancreatic cancer cells, and to extend C. elegans lifespan. This pathway provides a unified mechanism by which metformin kills cancer cells and extends lifespan, and illuminates potential cancer targets. PAPERCLIP.
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In C. elegans the beneficial effects of metformin on lifespan are, at least in part, argued to be mediated through changing the microbiome and modifying microbial folate and methionine metabolism and potentially due to an anti-oxidant action via transcription factors SKN-1/Nrf2, a requirement for AMPK and the upstream serine-threonine kinase LKB1.
“In C. elegans the beneficial effects of metformin on lifespan are, at least in part, argued to be mediated through changing the microbiome and modifying microbial folate and methionine metabolism and potentially due to an anti-oxidant action via transcription factors, SKN-1/Nrf2, a requirement for AMPK and the upstream serine-threonine kinase, liver kinase B1 (LKB1) (67, 71, 86).”
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 [86]
In C. elegans studies, very high concentrations of metformin, from 10 to 150 mM, were used, and are equivalent to a dose in humans of approximately 5 kg/day.
“However, in these studies with C. elegans, very high concentrations of metformin, from 10 to 150 mM, were used (67, 86), and are the equivalent to a dose in humans of approximately 5 kg/day.”
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 [86]
Metformin exerts many of its growth inhibitory and anti-neoplastic effects through the nuclear pore complex and ACAD10.
“Metformin exerts many of its growth inhibitory and anti-neoplastic effects through the nuclear pore complex and acyl-CoA dehydrogensase family member-10 (ACAD10)(278).”
From Metformin, the Aspirin of the 21st Century: Its Role in Gestational Diabetes Mellitus, Prevention of Preeclampsia and Cancer, and the Promotion of Longevity (2017) · cites this paper as [278]
Nucleocytoplasmic shuttling regulates mTORC activity, and this effect can be reversed by RNA silencing.
“Nucleocytoplasmic shuttling regulates mTORC activity, an effect that can be reversed by RNA silencing.”
From Metformin, the Aspirin of the 21st Century: Its Role in Gestational Diabetes Mellitus, Prevention of Preeclampsia and Cancer, and the Promotion of Longevity (2017) · cites this paper as [278]
By preventing access to the nucleus, RagC becomes incapable of stimulating mTORC1 and therefore stimulates cellular growth.
“By preventing access to the nucleus, RagC becomes incapable of stimulating mTORC1 and, therefore, stimulates cellular growth (Figure 12)(278).”
From Metformin, the Aspirin of the 21st Century: Its Role in Gestational Diabetes Mellitus, Prevention of Preeclampsia and Cancer, and the Promotion of Longevity (2017) · cites this paper as [278]
Biguanides inhibit growth by suppressing mitochondrial respiration, which limits the transit of the RagA-RagC GTPase heterodimer through the nuclear pore complex.
“Biguanides inhibit growth by suppressing mitochondrial respiration, which limits the transit of the complex RagA-RagC GTPase heterodimer through the nuclear pore complex(278).”
From Metformin, the Aspirin of the 21st Century: Its Role in Gestational Diabetes Mellitus, Prevention of Preeclampsia and Cancer, and the Promotion of Longevity (2017) · cites this paper as [278]
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- Authors
- Wu, L., Zhou, B., Oshiro-Rapley, N., Li, M., Paulo, J. A., Webster, C. M., Mou, F., Kacergis, M. C., Talkowski, M. E., Carr, C. E., Gygi, S. P., Zheng, B., & Soukas, A. A.
- Affiliations
- Broad Institute (US)
- Massachusetts General Hospital (US)
- Harvard University (US)
- Corresponding author
- Soukas, Alexander A.
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 167
- Issue
- 7
- Pages
- 1705-1718.e13
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC5390486
- OpenAlex
- W2564326418
- Cited by
- 227
- References
- 48
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 26 · 2023: 17 · 2022: 19 · 2021: 22 · 2020: 26 · 2019: 24 · 2018: 35 · 2017: 26 · 2016: 1
- FWCI
- 14.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (P40 OD010440, R03DK098436, K08DK087941, R01DK072041, R01CA166717)
- Broad Institute SPARC Grant
- NORC of Harvard (P30DK040561)
- Boston Area DERC (P30DK057521)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- metformin, biguanides, growth inhibition, nuclear pore complex, acyl-CoA dehydrogenase, mTORC1, mitochondrial respiration, nuclear exclusion, melanoma, pancreatic cancer, lifespan extension, cancer therapy, Caenorhabditis elegans
- MeSH terms
- Mechanistic Target of Rapamycin Complex 1, Aging, Animals, DNA-Binding Proteins, Humans, Longevity, Metformin, Mitochondria, Neoplasms, Oxidative Phosphorylation, Transcription Factors, Signal Transduction, Caenorhabditis elegans, Monomeric GTP-Binding Proteins, Nuclear Pore, Caenorhabditis elegans Proteins, Acyl-CoA Dehydrogenase, Cell Line, Tumor, Multiprotein Complexes, Body Size, TOR Serine-Threonine Kinases
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