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Review
. 2010 May;9(5):1092-9.
doi: 10.1158/1535-7163.MCT-09-1186. Epub 2010 May 4.

Metformin in cancer therapy: a new perspective for an old antidiabetic drug?

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Review

Metformin in cancer therapy: a new perspective for an old antidiabetic drug?

Issam Ben Sahra et al. Mol Cancer Ther. 2010 May.

Abstract

Metformin is the most widely used antidiabetic drug in the world, and there is increasing evidence of a potential efficacy of this agent as an anticancer drug. First, epidemiological studies show a decrease in cancer incidence in metformin-treated patients. Second, metformin decreases insulin resistance and indirectly reduces insulin level, a beneficial effect because insulin promotes cancer cell growth. Third, several reports outline a direct inhibitory effect of metformin on cancer cell growth and an antitumoral action. Finally, metformin activates the AMP activated protein kinase (AMPK) pathway, a major sensor of the energetic status of the cell, which has been proposed as a promising therapeutic target in cancer.

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