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Inhibition of Lung Tumorigenesis by Metformin Is Associated with Decreased Plasma IGF-I and Diminished Receptor Tyrosine Kinase Signaling
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Abstract
Metformin is the most commonly prescribed drug for type II diabetes and is associated with decreased cancer risk. Previously, we showed that metformin prevented tobacco carcinogen (NNK)-induced lung tumorigenesis in a non-diabetic mouse model, which was associated with decreased IGF-I/insulin receptor signaling but not activation of AMPK in lung tissues, as well as decreased circulating levels of IGF-I and insulin. Here, we used liver IGF-I-deficient (LID) mice to determine the importance of IGF-I in NNK-induced lung tumorigenesis and chemoprevention by metformin. LID mice had decreased lung tumor multiplicity and burden compared with wild-type (WT) mice. Metformin further decreased lung tumorigenesis in LID mice without affecting IGF-I levels, suggesting that metformin can act through IGF-I-independent mechanisms. In lung tissues, metformin decreased phosphorylation of multiple receptor tyrosine kinases (RTK) as well as levels of GTP-bound Ras independently of AMPK. Metformin also diminished plasma levels of several cognate ligands for these RTKs. Tissue distribution studies using [(14)C]-metformin showed that uptake of metformin was high in liver but four-fold lower in lungs, suggesting that the suppression of RTK activation by metformin occurs predominantly via systemic, indirect effects. Systemic inhibition of circulating growth factors and local RTK signaling are new AMPK-independent mechanisms of action of metformin that could underlie its ability to prevent tobacco carcinogen-induced lung tumorigenesis.
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AMPK is not required for the action of metformin on cancer cells.
“it is in line with reports showing that AMPK is not required for the action of metformin on cancer cells (Kalender et al., 2010; Quinn et al., 2013).”
From Combination of Hypoglycemia and Metformin Impairs Tumor Metabolic Plasticity and Growth by Modulating the PP2A-GSK3β-MCL-1 Axis (2019) · cites this paper as Quinn et al., 2013
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Metadata
- Authors
- Quinn, B. J., Dallos, M., Kitagawa, H., Kunnumakkara, A. B., Memmott, R. M., Hollander, M. C., Gills, J. J., & Dennis, P. A.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Dennis, Phillip A.
- Venue
- Cancer Prevention Research
- Published
- 2013-08-01
- Volume
- 6
- Issue
- 8
- Pages
- 801-810
- ISSN
- 1940-6207 (ISSN-L)
- 1940-6215
- PMC
- PMC3740378
- OpenAlex
- W2129620555
- Cited by
- 85
- References
- 61
- Citations by year
- 2025: 7 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 9 · 2015: 11 · 2014: 9 · 2013: 3
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Prevention Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (ZIASC010292)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- metformin, lung carcinogenesis, insulin-like growth factor I, receptor tyrosine kinase signaling, Ras, AMPK-independent mechanism, chemoprevention, type 2 diabetes
- MeSH terms
- Animals, Carcinogens, Cell Transformation, Neoplastic, Energy Metabolism, Enzyme-Linked Immunosorbent Assay, Female, Hypoglycemic Agents, Insulin-Like Growth Factor I, Lung Neoplasms, Male, Metformin, Mice, Inbred A, Nitrosamines, Phosphorylation, Tissue Distribution, Signal Transduction, Mice, Knockout, Receptor Protein-Tyrosine Kinases, Mice, AMP-Activated Protein Kinases
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