Metformin: review of epidemiology and mechanisms of action in pancreatic cancer.

Metformin: review of epidemiology and mechanisms of action in pancreatic cancer.
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代谢:流行病学和胰腺癌作用机制的回顾。

DOI:
10.1007/s10555-021-09977-z
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发表时间:
2021-09
期刊:
Cancer metastasis reviews
影响因子:
--
通讯作者:
Rozengurt E
Rozengurt E
中科院分区:
其他
文献类型:
--
作者:
Eibl G;Rozengurt E

文献摘要

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胰腺导管腺癌仍然是一种致命的疾病,其有效的治疗选择非常有限。越来越多的努力已经采取了了解如何预防或拦截这种疾病的早期阶段。来自流行病学和临床前研究的令人信服的证据表明,抗糖尿病药物二甲双胍对胰腺癌具有有益作用,包括降低发展疾病的风险和改善早期疾病患者的生存率。本文综述了二甲双胍与胰腺癌相关的流行病学资料,并介绍了二甲双胍在胰腺癌中抗癌作用的临床前证据。还将讨论二甲双胍的潜在机制和靶点。这些包括对转化的胰腺上皮细胞的直接作用和对胰腺外组织的间接全身作用。
Pancreatic ductal adenocarcinoma continues to be a lethal disease, for which efficient treatment options are very limited. Increasing efforts have been taken to understand how to prevent or intercept this disease at an early stage. There is convincing evidence from epidemiologic and preclinical studies that the anti-diabetic drug metformin possesses beneficial effects in pancreatic cancer, including reducing the risk of developing the disease and improving survival in patients with early stage disease. This review will summarize the current literature about the epidemiological data on metformin and pancreatic cancer as well as describe the preclinical evidence illustrating the anti-cancer effects of metformin in pancreatic cancer. Underlying mechanisms and targets of metformin will also be discussed. These include direct effects on transformed pancreatic epithelial cells and indirect, systemic effects on extra-pancreatic tissues.
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