Therapeutic Repurposing of Biguanides in Cancer.

Therapeutic Repurposing of Biguanides in Cancer.
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DOI:
10.1016/j.trecan.2021.03.001
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发表时间:
2021-08
期刊:
影响因子:
18.4
通讯作者:
Zheng B
Zheng B
中科院分区:
医学1区
文献类型:
--
作者:
Zhao H;Swanson KD;Zheng B

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Biguanides are a class of anti-diabetic drugs that includes phenformin and metformin, however, the former was withdrawn from approval in many countries due to its toxicity. Findings from retrospective epidemiological studies in diabetic populations and pre-clinical laboratory models have demonstrated that biguanides possess anti-tumor activities that suggest their repurposing for cancer prevention and treatment. However, a better understanding of how these biguanides behave as anti-tumor agents is needed to guide their improved applications in cancer therapy, spurring increased interest in their pharmacology. Here, we present evidence for proposed mechanisms of action related to their anti-tumor activity, including their effects on central carbon metabolism in cancer cells and immune-modulating activity, and then review progress on biguanide repurposing in cancer therapeutics and the possible re-evaluation of phenformin as a cancer therapeutic agent.
癌细胞对葡萄糖限制和双胍类药物敏感性的代谢决定因素。
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