EVOLUTION OF METFORMIN IN BREAST CANCER THERAPY IN LAST TWO DECADES: A REVIEW.

R Sarathi, S Sarumathy, V M Durai Mavalavan
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Abstract

Among women, breast cancer is one of the most prevalent cancers. The disease has a complex etiology, with multiple biological pathways contributing to its development. As insulin signaling has mitogenic effects, glucose is a necessary cellular metabolic substrate, and the growth and metastasis of breast cancer are closely related to cellular glucose metabolism. Anti-diabetic medications have drawn increased attention as a potential treatment for breast cancer. Metformin lowers cancer incidence and death rates in patients with type 2 diabetes, according to epidemiologic studies. Preclinical studies conducted in vivo and in vitro offer fascinating new insights into the cellular mechanisms underlying metformin oncostatic action. We present an overview of the mechanisms of anticancer effects of metformin and discuss its potential function as an adjuvant in the treatment of breast cancer.

近二十年来二甲双胍在乳腺癌治疗中的进展综述。
在女性中,乳腺癌是最常见的癌症之一。该疾病具有复杂的病因学,多种生物学途径有助于其发展。由于胰岛素信号具有促有丝分裂作用,葡萄糖是细胞必需的代谢底物,乳腺癌的生长和转移与细胞葡萄糖代谢密切相关。抗糖尿病药物作为一种潜在的乳腺癌治疗方法已经引起了越来越多的关注。根据流行病学研究,二甲双胍可以降低2型糖尿病患者的癌症发病率和死亡率。在体内和体外进行的临床前研究为二甲双胍肿瘤稳态作用的细胞机制提供了令人着迷的新见解。我们概述了二甲双胍的抗癌作用机制,并讨论了其作为辅助治疗乳腺癌的潜在功能。
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