Metformin inhibits the development, and promotes the resensitization, of treatment-resistant breast cancer

Autor: Gary Groot, Gerald F. Davies, John R. Gordon, Liubov Lobanova, Wojciech Dawicki, Matthew Bowen, Troy A. A. Harkness, Terra Arnason
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
medicine.medical_treatment
Cancer Treatment
lcsh:Medicine
Drug resistance
Biochemistry
Histones
Mice
0302 clinical medicine
Breast Tumors
Medicine and Health Sciences
Medicine
Enzyme assays
Colorimetric assays
lcsh:Science
Bioassays and physiological analysis
Energy-Producing Organelles
Multidisciplinary
MTT assay
Pharmaceutics
Histone deacetylase inhibitor
Drug Synergism
Metformin
Mitochondria
Oncology
030220 oncology & carcinogenesis
Female
Cellular Structures and Organelles
Cancer Prevention
medicine.drug
Research Article
Drug Research and Development
medicine.drug_class
Breast Neoplasms
Bioenergetics
03 medical and health sciences
Breast cancer
Drug Therapy
In vivo
Cell Line
Tumor

Breast Cancer
DNA-binding proteins
Animals
Humans
Cell Proliferation
Pharmacology
Chemotherapy
Cancer prevention
business.industry
lcsh:R
Estrogen Receptor alpha
Cancer
Cancers and Neoplasms
Biology and Life Sciences
Proteins
Cell Biology
medicine.disease
Xenograft Model Antitumor Assays
Research and analysis methods
030104 developmental biology
Doxorubicin
Drug Resistance
Neoplasm

Biochemical analysis
Cancer research
lcsh:Q
business
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 12, p e0187191 (2017)
ISSN: 1932-6203
Popis: Multiple drug resistant (MDR) malignancy remains a predictable and often terminal event in cancer therapy, and affects individuals with many cancer types, regardless of the stage at which they were originally diagnosed or the interval from last treatment. Protein biomarkers of MDR are not globally used for clinical decision-making, but include the overexpression of drug-efflux pumps (ABC transporter family) such as MDR-1 and BCRP, as well as HIF1α, a stress responsive transcription factor found elevated within many MDR tumors. Here, we present the important in vitro discovery that the development of MDR (in breast cancer cells) can be prevented, and that established MDR could be resensitized to therapy, by adjunct treatment with metformin. Metformin is prescribed globally to improve insulin sensitivity, including in those individuals with Type 2 Diabetes Mellitus (DM2). We demonstrate the effectiveness of metformin in resensitizing MDR breast cancer cell lines to their original treatment, and provide evidence that metformin may function through a mechanism involving post-translational histone modifications via an indirect histone deacetylase inhibitor (HDACi) activity. We find that metformin, at low physiological concentrations, reduces the expression of multiple classic protein markers of MDR in vitro and in preliminary in vivo models. Our demonstration that metformin can prevent MDR development and resensitize MDR cells to chemotherapy in vitro, provides important medical relevance towards metformin's potential clinical use against MDR cancers.
Databáze: OpenAIRE