2011
DOI: 10.1016/j.ejphar.2010.11.005
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Metformin reduces cisplatin-mediated apoptotic death of cancer cells through AMPK-independent activation of Akt

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Cited by 96 publications
(64 citation statements)
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“…Metformin action is mainly mediated by AMPK activation; however, several recent reports indicate that some effects of metformin in cancer cell lines could be mediated by an AMPK-independent pathway (13,(27)(28)(29). In our model, AMPK inactivation by AMPK dominant-negative construct (30) or inhibition of AMPK expression by siRNA (data not shown) inhibits the effect of metformin on melanoma invasion, suggesting that the effects of this drug are mediated through an AMPKdependent mechanism.…”
Section: Discussionmentioning
confidence: 73%
“…Metformin action is mainly mediated by AMPK activation; however, several recent reports indicate that some effects of metformin in cancer cell lines could be mediated by an AMPK-independent pathway (13,(27)(28)(29). In our model, AMPK inactivation by AMPK dominant-negative construct (30) or inhibition of AMPK expression by siRNA (data not shown) inhibits the effect of metformin on melanoma invasion, suggesting that the effects of this drug are mediated through an AMPKdependent mechanism.…”
Section: Discussionmentioning
confidence: 73%
“…According to the research conducted by Gotlieb et al (11) and Rattan et al (13), metformin with cisplatin synergistically killed ovarian cancer cells. In contrast, Janjetovic et al (18) reported an antagonistic interaction between metformin and cisplatin in human glioma, rat glioma, human neuroblastoma, mouse fibrosarcoma, and human leukemia cell lines, possibly via an AMP kinase-independent upregulation of the Akt survival pathway. However, they also found augmented cisplatin sensitivity by metformin in a mouse melanoma cell line.…”
Section: Discussionmentioning
confidence: 86%
“…Despite these findings, the precise mechanisms of the metformin-induced effects are not fully understood. In particular, controversy remains about whether metformin is apoptotic (6,10) or just cytostatic (5,9) and whether it kills cancer cells synergistically with cytotoxic agents including cisplatin (11,13), paclitaxel (8), and doxorubicin (17), or if it is antagonistic to cisplatin (18,19).…”
Section: Introductionmentioning
confidence: 99%
“…Studies in vivo demonstrated that metformin can, at least to some extent, cross the blood-brain barrier (BBB) through an organic cation transporter-dependent mechanism and exert pharmacological effects, including AMPK activation, in intact brain (8,14) and glioma cells in vitro (4). Notably, the AMPK pathway appears to be critical for the growth of epidermal growth factor receptor-dependent glioblastoma multiforme (GBM), and the activation of AMPK by its agonist significantly reduces GBM proliferation (15).…”
Section: Introductionmentioning
confidence: 99%
“…The key mechanism of metformin action is the activation of its major effector molecule, the adenosine monophosphateactivated protein kinase (AMPK), a sensor of cellular energy that is normally activated under conditions of starvation (3)(4)(5). The upregulation of AMPK inhibits several anabolic/mitogenic pathways activated by growth factors and nutrients, including the phosphatidylinositol-3-kinase (PI-3K) pathway, the mammalian target of rapamycin (mTOR) and extracellular signal-regulated kinases 1 and 2 (ERK1/2) (6).…”
Section: Introductionmentioning
confidence: 99%