Metformin induces apoptosis and inhibits migration by activating the AMPK/p53 axis and suppressing PI3K/AKT signaling in human cervical cancer cells

Human cervical cancer is the fourth most common malignancy among women worldwide, and it is expected to result in 460,000 deaths per year by 2040. Moreover, patients with cervical cancer often display drug resistance and severe side effects; therefore, the development of effective novel chemotherape...

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Veröffentlicht in:Molecular medicine reports 2021-01, Vol.23 (1), Article 88
Hauptverfasser: Chen, Ya-Hui, Yang, Shun-Fa, Yang, Chueh-Ko, Tsai, Horng-Der, Chen, Tze-Ho, Chou, Ming-Chih, Hsiao, Yi-Hsuan
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container_title Molecular medicine reports
container_volume 23
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Yang, Shun-Fa
Yang, Chueh-Ko
Tsai, Horng-Der
Chen, Tze-Ho
Chou, Ming-Chih
Hsiao, Yi-Hsuan
description Human cervical cancer is the fourth most common malignancy among women worldwide, and it is expected to result in 460,000 deaths per year by 2040. Moreover, patients with cervical cancer often display drug resistance and severe side effects; therefore, the development of effective novel chemotherapeutic agents is important. In the present study, the effects of metformin, a first‑line therapeutic drug for type 2 diabetes mellitus, were evaluated in cervical cancer. Compared with the control group, metformin significantly inhibited cell viability and migration, and induced apoptosis and cell cycle arrest in human cervical cancer cell lines (CaSki and HeLa). Following metformin treatment, the protein expression levels of p‑AMP‑activated protein kinase (p‑AMPK), which promotes cell death, and the tumor suppressor protein p‑p53 were remarkably upregulated in CaSki and C33A cells compared with the control group. Furthermore, compared with the control group, metformin significantly suppressed the PI3K/AKT signaling pathway in CaSki, C33A and HeLa cells. Compound C (an AMPK inhibitor) significantly reversed the effects of metformin on CaSki, C33A and HeLa cell viability, and AMPK and p53 phosphorylation. The results of the present study suggested that metformin induced AMPK‑mediated apoptosis, thus metformin may serve as a chemotherapeutic agent for human cervical cancer.
doi_str_mv 10.3892/mmr.2020.11725
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Moreover, patients with cervical cancer often display drug resistance and severe side effects; therefore, the development of effective novel chemotherapeutic agents is important. In the present study, the effects of metformin, a first‑line therapeutic drug for type 2 diabetes mellitus, were evaluated in cervical cancer. Compared with the control group, metformin significantly inhibited cell viability and migration, and induced apoptosis and cell cycle arrest in human cervical cancer cell lines (CaSki and HeLa). Following metformin treatment, the protein expression levels of p‑AMP‑activated protein kinase (p‑AMPK), which promotes cell death, and the tumor suppressor protein p‑p53 were remarkably upregulated in CaSki and C33A cells compared with the control group. Furthermore, compared with the control group, metformin significantly suppressed the PI3K/AKT signaling pathway in CaSki, C33A and HeLa cells. Compound C (an AMPK inhibitor) significantly reversed the effects of metformin on CaSki, C33A and HeLa cell viability, and AMPK and p53 phosphorylation. The results of the present study suggested that metformin induced AMPK‑mediated apoptosis, thus metformin may serve as a chemotherapeutic agent for human cervical cancer.</description><identifier>ISSN: 1791-2997</identifier><identifier>EISSN: 1791-3004</identifier><identifier>DOI: 10.3892/mmr.2020.11725</identifier><identifier>PMID: 33236135</identifier><language>eng</language><publisher>Greece: Spandidos Publications</publisher><subject>1-Phosphatidylinositol 3-kinase ; AKT protein ; AMP ; AMP-activated protein kinase ; AMP-Activated Protein Kinases - genetics ; AMP-Activated Protein Kinases - metabolism ; Antidiabetics ; Apoptosis ; Apoptosis - drug effects ; Apoptosis - genetics ; Breast cancer ; Cancer therapies ; Cell adhesion &amp; migration ; Cell cycle ; Cell death ; Cell migration ; Cell Movement - drug effects ; Cell Movement - genetics ; Cell viability ; Cervical cancer ; Cervix ; Chemotherapy ; Development and progression ; Diabetes mellitus (non-insulin dependent) ; Drug resistance ; Drug therapy ; Female ; Growth factors ; Health aspects ; HeLa Cells ; Humans ; Insulin ; Kinases ; Laboratories ; Malignancy ; Membranes ; Metformin ; Metformin - pharmacology ; Ovaries ; p53 Protein ; Pancreatic cancer ; Phosphatidylinositol 3-Kinases - genetics ; Phosphatidylinositol 3-Kinases - metabolism ; Phosphorylation ; Physiological aspects ; Prostate ; Protein kinases ; Proteins ; Proto-Oncogene Proteins c-akt - genetics ; Proto-Oncogene Proteins c-akt - metabolism ; Signal transduction ; Signal Transduction - drug effects ; Signal Transduction - genetics ; Tumor cell lines ; Tumor proteins ; Tumor suppressor genes ; Tumor Suppressor Protein p53 - genetics ; Tumor Suppressor Protein p53 - metabolism ; Tumors ; Uterine Cervical Neoplasms - drug therapy ; Uterine Cervical Neoplasms - genetics ; Uterine Cervical Neoplasms - metabolism ; Uterine Cervical Neoplasms - pathology</subject><ispartof>Molecular medicine reports, 2021-01, Vol.23 (1), Article 88</ispartof><rights>COPYRIGHT 2021 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2021</rights><rights>Copyright: © Chen et al. 2020</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-7eddc86252e9f8906f695bf551335e6c00887488e4a1d1892be5fceb348c22843</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33236135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Ya-Hui</creatorcontrib><creatorcontrib>Yang, Shun-Fa</creatorcontrib><creatorcontrib>Yang, Chueh-Ko</creatorcontrib><creatorcontrib>Tsai, Horng-Der</creatorcontrib><creatorcontrib>Chen, Tze-Ho</creatorcontrib><creatorcontrib>Chou, Ming-Chih</creatorcontrib><creatorcontrib>Hsiao, Yi-Hsuan</creatorcontrib><title>Metformin induces apoptosis and inhibits migration by activating the AMPK/p53 axis and suppressing PI3K/AKT signaling in human cervical cancer cells</title><title>Molecular medicine reports</title><addtitle>Mol Med Rep</addtitle><description>Human cervical cancer is the fourth most common malignancy among women worldwide, and it is expected to result in 460,000 deaths per year by 2040. Moreover, patients with cervical cancer often display drug resistance and severe side effects; therefore, the development of effective novel chemotherapeutic agents is important. In the present study, the effects of metformin, a first‑line therapeutic drug for type 2 diabetes mellitus, were evaluated in cervical cancer. Compared with the control group, metformin significantly inhibited cell viability and migration, and induced apoptosis and cell cycle arrest in human cervical cancer cell lines (CaSki and HeLa). Following metformin treatment, the protein expression levels of p‑AMP‑activated protein kinase (p‑AMPK), which promotes cell death, and the tumor suppressor protein p‑p53 were remarkably upregulated in CaSki and C33A cells compared with the control group. Furthermore, compared with the control group, metformin significantly suppressed the PI3K/AKT signaling pathway in CaSki, C33A and HeLa cells. Compound C (an AMPK inhibitor) significantly reversed the effects of metformin on CaSki, C33A and HeLa cell viability, and AMPK and p53 phosphorylation. The results of the present study suggested that metformin induced AMPK‑mediated apoptosis, thus metformin may serve as a chemotherapeutic agent for human cervical cancer.</description><subject>1-Phosphatidylinositol 3-kinase</subject><subject>AKT protein</subject><subject>AMP</subject><subject>AMP-activated protein kinase</subject><subject>AMP-Activated Protein Kinases - genetics</subject><subject>AMP-Activated Protein Kinases - metabolism</subject><subject>Antidiabetics</subject><subject>Apoptosis</subject><subject>Apoptosis - drug effects</subject><subject>Apoptosis - genetics</subject><subject>Breast cancer</subject><subject>Cancer therapies</subject><subject>Cell adhesion &amp; migration</subject><subject>Cell cycle</subject><subject>Cell death</subject><subject>Cell migration</subject><subject>Cell Movement - drug effects</subject><subject>Cell Movement - genetics</subject><subject>Cell viability</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Chemotherapy</subject><subject>Development and progression</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Drug resistance</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Growth factors</subject><subject>Health aspects</subject><subject>HeLa Cells</subject><subject>Humans</subject><subject>Insulin</subject><subject>Kinases</subject><subject>Laboratories</subject><subject>Malignancy</subject><subject>Membranes</subject><subject>Metformin</subject><subject>Metformin - pharmacology</subject><subject>Ovaries</subject><subject>p53 Protein</subject><subject>Pancreatic cancer</subject><subject>Phosphatidylinositol 3-Kinases - genetics</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Phosphorylation</subject><subject>Physiological aspects</subject><subject>Prostate</subject><subject>Protein kinases</subject><subject>Proteins</subject><subject>Proto-Oncogene Proteins c-akt - genetics</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>Signal transduction</subject><subject>Signal Transduction - drug effects</subject><subject>Signal Transduction - genetics</subject><subject>Tumor cell lines</subject><subject>Tumor proteins</subject><subject>Tumor suppressor genes</subject><subject>Tumor Suppressor Protein p53 - genetics</subject><subject>Tumor Suppressor Protein p53 - metabolism</subject><subject>Tumors</subject><subject>Uterine Cervical Neoplasms - drug therapy</subject><subject>Uterine Cervical Neoplasms - genetics</subject><subject>Uterine Cervical Neoplasms - metabolism</subject><subject>Uterine Cervical Neoplasms - pathology</subject><issn>1791-2997</issn><issn>1791-3004</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptUk1v1DAQtRCIloUrR2SJC5fd9bedC9KqolBtK3ooZ8txnF1XiR3sZEX_Bz-4TlnKhyofPDN-741n9AB4i9GKqoqs-z6tCCJohbEk_Bk4xbLCS4oQe36MSVXJE_Aq51uEBCe8eglOKCVUYMpPwc8rN7Yx9T5AH5rJugzNEIcxZl-i0JTq3td-zLD3u2RGHwOs76Cxoz-ULOzguHdwc3W9XQ-cQvPjSMvTMCSX84y4vqDb9WZ7A7PfBdPNpdJuP_UmQOvSwVvTQWtCiUvedfk1eNGaLrs3x3sBvp1_ujn7srz8-vnibHO5tEzxcSld01glCCeualWFRCsqXrecY0q5ExYhpSRTyjGDG1y2VTveWldTpiwhitEF-PhLd5jq3jXWhTGZTg_J9ybd6Wi8_vcl-L3exYOWEgtGRBH4cBRI8fvk8qh7n-cRTHBxypowwbBSovxoAd7_B72NUyrreEApoQhF9A9qZzqnfWhj6WtnUb0RTFIhuawKavUEqpzG9d7G4Fpf6k8RbIo5J9c-zoiRnn2ki4_07CP94KNCePf3Zh7hv41D7wFYR8Py</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Chen, Ya-Hui</creator><creator>Yang, Shun-Fa</creator><creator>Yang, Chueh-Ko</creator><creator>Tsai, Horng-Der</creator><creator>Chen, Tze-Ho</creator><creator>Chou, Ming-Chih</creator><creator>Hsiao, Yi-Hsuan</creator><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><general>D.A. 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subjects 1-Phosphatidylinositol 3-kinase
AKT protein
AMP
AMP-activated protein kinase
AMP-Activated Protein Kinases - genetics
AMP-Activated Protein Kinases - metabolism
Antidiabetics
Apoptosis
Apoptosis - drug effects
Apoptosis - genetics
Breast cancer
Cancer therapies
Cell adhesion & migration
Cell cycle
Cell death
Cell migration
Cell Movement - drug effects
Cell Movement - genetics
Cell viability
Cervical cancer
Cervix
Chemotherapy
Development and progression
Diabetes mellitus (non-insulin dependent)
Drug resistance
Drug therapy
Female
Growth factors
Health aspects
HeLa Cells
Humans
Insulin
Kinases
Laboratories
Malignancy
Membranes
Metformin
Metformin - pharmacology
Ovaries
p53 Protein
Pancreatic cancer
Phosphatidylinositol 3-Kinases - genetics
Phosphatidylinositol 3-Kinases - metabolism
Phosphorylation
Physiological aspects
Prostate
Protein kinases
Proteins
Proto-Oncogene Proteins c-akt - genetics
Proto-Oncogene Proteins c-akt - metabolism
Signal transduction
Signal Transduction - drug effects
Signal Transduction - genetics
Tumor cell lines
Tumor proteins
Tumor suppressor genes
Tumor Suppressor Protein p53 - genetics
Tumor Suppressor Protein p53 - metabolism
Tumors
Uterine Cervical Neoplasms - drug therapy
Uterine Cervical Neoplasms - genetics
Uterine Cervical Neoplasms - metabolism
Uterine Cervical Neoplasms - pathology
title Metformin induces apoptosis and inhibits migration by activating the AMPK/p53 axis and suppressing PI3K/AKT signaling in human cervical cancer cells
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