Repurposing metformin for the prevention of cancer and cancer recurrence.

Abstract:

:Multiple epidemiological studies have documented an association between metformin, used for treatment of type 2 diabetes, and reduced cancer incidence and mortality. Cell line models may not accurately reflect the effects of metformin in the clinical setting. Moreover, findings from animal model studies have been inconsistent, whilst those from more recent epidemiological studies have tempered the overall effect size. The purpose of this review is to examine metformin's chemopreventive potential by outlining relevant mechanisms of action, the most recent epidemiologic evidence, and recently completed and ongoing clinical trials. Although repurposing drugs with excellent safety profiles is an appealing strategy for cancer prevention and treatment in the adjuvant setting, there is no substitute for well-executed, large randomised clinical trials to define efficacy and determine the populations that are most likely to benefit from an intervention. Thus, enthusiasm remains for understanding the role of metformin in cancer through ongoing clinical research.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Heckman-Stoddard BM,DeCensi A,Sahasrabuddhe VV,Ford LG

doi

10.1007/s00125-017-4372-6

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1639-1647

issue

9

eissn

0012-186X

issn

1432-0428

pii

10.1007/s00125-017-4372-6

journal_volume

60

pub_type

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