Colorectal and Prostate Cancer Risk in Diabetes: Metformin, an Actor Behind the Scene
Open accessAbstract
Both diabetes and cancer are prevalent diseases whose incidence rates are increasing worldwide, especially in countries that are undergoing rapid industrialization changes. Apparently, lifestyle risk factors including diet, physical inactivity and obesity play pivotal, yet preventable, roles in the etiology of both diseases. Epidemiological studies provide strong evidence that subjects with diabetes are at significantly higher risk of developing many forms of cancer and especially solid tumors. In addition to pancreatic and breast cancer, the incidence of colorectal cancer and prostate cancer is increased in type 2 diabetes. While diabetes (type 2) and cancer share many risk factors, the biological links between the two diseases are poorly characterized. In this review, we highlight the mechanistic pathways that link diabetes to colorectal and prostate cancer and the use of Metformin, a diabetes drug, to prevent and/or treat colorectal and prostate cancer. We review the role of AMPK activation in autophagy, oxidative stress, inflammation, apoptosis, and cell cycle progression.
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The link between metformin and activation of AMPK has been emphasized as the basis for the anti-proliferative effects of metformin.
“Similarly, the link between metformin and the activation of AMPK has been emphasized as the basis for the anti-proliferative effects of metformin (43).”
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 [43]
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Chung, H. H., Moon, J. S., Yoon, J. S., Lee, H. W., & Won, K. C. (2013) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2013.37.2.125 · Cited by 22 · see citing works
Epigenetics and cancer, 2nd IARC meeting, Lyon, France, 6 and 7 December 2007
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Ashokkumar, N., Pari, L., & Rao, C. A. (2006) · Archives of Physiology and Biochemistry · doi:10.1080/13813450600935339 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Mohammed, I., Hollenberg, M. D., Ding, H., & Triggle, C. R. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.718942 · Cited by 278 · see citing works
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El Massry, M., Alaeddine, L. M., Ali, L., Saad, C., & Eid, A. A. (2021) · Current Medicinal Chemistry · doi:10.2174/0929867327666200908114902 · Cited by 27 · see citing works
Self-citation
- Authors
- Anwar, M. A., Kheir, W. A., Eid, S., Fares, J., Liu, X., Eid, A. H., & Eid, A. A.
- Affiliations
- Qatar University (QA)
- American University of Beirut (LB)
- Purdue University West Lafayette (US)
- Corresponding author
- Eid, Ali H.
- Venue
- Journal of Cancer
- Publisher
- Ivyspring International Publisher
- Published
- 2014
- Volume
- 5
- Issue
- 9
- Pages
- 736-744
- ISSN
- 1837-9664 (ISSN-L)
- PMC
- PMC4216797
- OpenAlex
- W2162068421
- Cited by
- 35
- References
- 99
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 7
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Cancer (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Qatar University QSpace (Qatar University) (submittedVersion)
- Funders
- Qatar Foundation
- Fonds National de la Recherche Luxembourg
- Qatar National Research Fund
- 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 › Cancer Research › Cancer, Lipids, and Metabolism
- Keywords
- type 2 diabetes, colorectal cancer, prostate cancer, metformin, AMPK activation, autophagy, oxidative stress, inflammation, apoptosis, cell cycle progression, cancer risk, cancer prevention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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