type 2 diabetes, metformin, anticancerogeniceffect, T-lymphocytes.

THE MODERN UNDERSTANDING OF THE MOLECULAR MECHANISMS OF METFORMIN ACTION

Author(s): UrazayevO.N., Iskakova S.S., Bekmukhambetov Ye.Zh., Dworacka M/, Dworacki G/

DOI: 10.34689/SH.2015.17.2.002

There view deals with the analysis of the molecular mechanism of the effect of metformin, the antidiabetic drug widely applied all over the world. In addition to the hypoglycemic effect, metformin was discovered to have several pleiotropic actions, particularly antitumor. The effect of metformin on proliferation of cancer cells is related to activation of AMP-sensitive kinase and suppression of mTOR, which plays an important role in regulation of cellular growth. Glucose drop by metformin was caused by its ability to suppress gluconeogenesis in liver through signal pathway from LKB1, loss of which contributes to the formation of some tumors. Since LKB1 is a key regulator of glucose and lipids metabolism in Т-cells, and is of significant importance for normal development and functioning of Т-cells.The existing research works show that this medication has it s antiproliferative effect in several ways including by direct impact and immune-mediated inhibition of tumor growth. Two main mechanisms of metformin’s antitumor effect were marked out: direct (insulin-independent) and indirect (insulin-dependent). At present the mechanism of metformin effect on carcinogenesis has not been completely explored. Further experiments and large-scale clinical studies are required to identify cellular and molecular mechanisms of metformin, which has high potential in diabetology and oncology

O. N. Urazayev ¹, S. S. Iskakova ¹,Ye. Zh. Bekmukhambetov ¹,

М. Dworacka ², G. Dworacki ²

¹West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan;

²Poznan University of Medical Sciences, Poland

Литература:

1. Дедов И. И., Бутрова С. А., Берковская М. А. Потенциальные возможности метформина в профилактике и лечении онкологических заболеваний у больных сахарным диабетом 2 типа // Ожирение и метаболизм. 2011. №1. С. 40-49.

2. Искакова С. С., Уразаев О. Н., Бекмухамбетов Е. Ж., Дворацка М., Дворацки Г. Иммуномодулирующее действие метформина при монотерапии сахарного диабета 2 типа субпопуляций Т-лимфоцитов // Сборник II Международного конгресса «Профилактика и лечение метаболических нарушений и сосудистых заболеваний. Междисциплинарный подход», Москва, 24-25 ноября, 2014. С. 47.

3. Adler A. I., Shaw E. J., Stokes T., Ruiz F. Newer agents for blood glucose control in type 2 diabetes: summary of NICE guidance // BMJ. 2009. N 338. Р. 1668.

4. Algire C., Zakikhani M., Blouin M. J., Shuai J. H., Pollak M. Metformin attenuates the stimulatory effect of a high-energy diet on in vivo LLC1 carcinoma growth // EndocrRelat Cancer. 2008. N 15. Р. 833-839.

5. Bailey C. J., Turner R. C. Metformin // N Engl J Med. 1996. N 334. Р. 574-579.

6. Basen-Engquist K, Chang M. Obesity and cancer risk: recent review and evidence // Curr Oncol Rep. 2011.N 13. Р. 71-76.

7. Ben Sahra, Laurent K., Loubat A., et al. The antidiabetic drug metformin exerts an antitumoral effect in vitro and in vivo through a decrease of cyclin D1 level // Oncogene. 2008. N.27. P.3576–3586.

8. Bodmer M., Meier C., Krähenbühl S., Jick S. S., Meier C. R. Long-term metformin use is associated with decreased risk of breast cancer // Diabetes Care. 2010.N 33(6). Р. 1304–1308.

9. Currie C. J., Poole C. D., Gale E. A. The influence of glucose-lowering therapies on cancer risk in type 2 diabetes // Diabetologia. 2009. N 52(9). Р. 1766–1777.

10. Cusi K., Consoli A., DeFronzo R. A. Metabolic effects of metformin on glucose and lactate metabolism in noninsulin-dependent diabetes mellitus // J ClinEndocrinolMetab. 1996. N 81. Р. 4059–4067.

11. Decensi A., et al. Metformin and cancer risk in diabetic patients: A systematic review and meta-analysis // Cancer Prev Res (Phila). 2010. N 3(11). Р. 1451–1461.

12. Diamanti-Kandarakis E., Economou F., Palimeri S., Christakou C. Metformin in polycystic ovary syndrome // Ann N Y Acad Sci.2009. N 1205. Р.192-198.

13. Dowling R. J., Zakikhani M., Fantus I. G., Pollak M., Sonenberg N. Metformin inhibits mammalian target of rapamycin-dependent translation initiation in breast cancer cells // Cancer Res. 2007.N 67. Р. 10804-10812.

14. Dowling R. J., Goodwin P. J., Stambolic V. Understanding the benefit of metformin use in cancer treatment // BMC Med. 2011. N 9. Р. 33.

15. Eikawa S., Nishida M., Mizukami S., Yamazaki C., Nakayama E., Udono H. Immune-mediated antitumor effect by type 2 diabetes drug, metformin // ProcNatlAcadSci U S A. 2015. N 10.112(6). Р. 1809-1814.

16. Evans J. M., Donnelly L. A., Emslie-Smith A. M., Alessi D. R., Morris A. D. Metformin and reduced risk of cancer in diabetic patients // BMJ. 2005. N330. Р. 1304–1305.

17. Foretz M., He´brard S., Leclerc J., Zarrinpashneh E., Soty M. et al. Metformin inhibits hepatic gluconeogenesis in mice independently of the LKB1/ AMPK pathway via a decrease in hepatic energy state // J Clin Invest.2010. N120. Р. 2355– 2369.

18. Frasca F., Pandini G., Sciacca L., Pezzino V., Squatrito S., Belfiore A., Vigneri R. The role of insulin receptors and IGF-I receptors in cancer and other diseases // Arch PhysiolBiochem. 2008.N 114. Р. 23-37.

19. Gallagher E. J., Le Roith D. Diabetes, cancer, and metformin: connections of metabolism and cell proliferation // Ann N Y Acad Sci. 2011. N1243. Р. 54-68.

20. Goodwin P. J., Pritchard K. I., Ennis M., Clemons M., Graham M., Fantus I. G. Insulin-lowering effects of metformin in women with early breast cancer // Clin Breast Cancer. 2008. N 8. Р. 501-505.

21. Hemkens L. G., et al. Risk of malignancies in patients with diabetes treated with human insulin or insulin analogues. A cohort study // Diabetologia. 2009. N 52(9). Р. 1732–1744.

22. Hosono K., Endo H., Takahashi H., Sugiyama M., Sakai E., Uchiyama T., Suzuki K., Iida H., Sakamoto Y., Yoneda K., Koide T., Tokoro C., Abe Y., Inamori M., Nakagama H., Nakajima A. Metformin suppresses colorectal aberrant crypt foci in a short-term clinical trial // Cancer Prev Res (Phila). 2010.N 3. Р. 1077-1083.

23. Hundal R. S., Krssak M., Dufour S., Laurent D., Lebon V., Chandramouli V., Inzucchi S. E., Schumann W. C., Petersen K. F., Landau B. R., Shulman G. I. Mechanism by which metformin reduces glucose production in type 2 diabetes // Diabetes. 2000. N 49. P. 2063–2069.

24. Inoki K., Zhu T., Guan K. L. TSC2 mediates cellular energy response to control cell growth and survival // Cell 2003. N 115. P. 577-590.

25. Jalving M., Gietema J. A., Lefrandt J. D., de Jong S., Reyners A. K., Gans R. O., de Vries E. G. Metformin: taking away the candy for cancer? // Eur J Cancer. 2010. N 46. P. 2369–2380.

26. Kirpichnikov D., McFarlane S. I., Sowers J. R. Metformin: an update // Ann Intern Med. N 137 (1). 2002. Р. 25–33.

27. LandmanG. W., Kleefstra N., van Hateren K. J., Groenier K. H., Gans R. O., Bilo H. J. Metformin associated withlowercancermortality in type 2 diabetes: ZODIAC-16 // Diabetes Care. 2010. N 33(2). Р. 322—326.

28. Lee J. W., Soung Y. H., Kim S. Y., Lee H. W., Park W. S., Nam S. W., Kim S. H., Lee J. Y., Yoo N. J., Lee S. H. PIK3CA gene is frequently mutated in breast carcinomas and hepatocellular carcinomas // Oncogene. 2005. N 24. P. 1477-1480.

29. Libby G., et al. New users of metformin are at low risk of incident cancer: a cohort study among people with type 2 diabetes // Diabetes Care. 2009. N 32(9). P. 1620–1625.

30. MacIver N. J., Blagih J., Saucillo D. C., Tonelli L., Griss T., et al. The Liver Kinase B1 Is a Central Regulator of T Cell Development, Activation, and Metabolism // The Journal of Immunology. 2011. N 187. P. 4187–4198.

31. Markman B., Atzori F., Perez-Garcia J., Tabernero J., Baselga J. Status of PI3K inhibition and biomarker development in cancer therapeutics // Ann Oncol. 2010.N 21. P. 683-691.

32. McFarland M. S., Cripps R. Diabetes mellitus and increased risk of cancer: focus on metformin and the insulin analogs // Pharmacotherapy.2010. N 30(11). P. 1159–1178.

33. Natali A., Ferrannini E. Effects of metformin and thiazolidinediones on suppression of hepatic glucose production and stimulation of glucose uptake in type 2 diabetes: a systematic review // Diabetologia. 2006. N 49 P. 434-441.

34. Nathan D. M., Buse J. B., Davidson M. B., Ferrannini E., Holman R. R., Sherwin R., Zinman B. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes // Diabetes Care. 2009. N 32. P. 193–203.

35. Niraula S., Stambolic V., Dowling R. J., Ennis M., Chang M. C., Done S. J., Hallak S., Hood N., Goodwin P. J. Clinical and biologic effects of metformin in early stage breast cancer // Cancer Res. 2010. N 70(24). 104s. Abs No. P. 03-06.

36. Noto H., Goto A., Tsujimoto T., Noda M. Cancer risk in diabetic patients treated with metformin: a systematic review and meta-analysis // PLoS ONE. 2012. N7(3). P. 33411.

37. Oakhill J. S., Steel R., Chen Z. P., Scott J. W., Ling N., Tam S., Kemp B. E. AMPK is a direct adenylatecharge-regulated protein kinase // Science. 2011. N 332. P. 1433–1435.

38. Oliveria S. A, Koro C. E., Yood M. U., Sowell M. Cancer incidence among patients treated with antidiabetic pharmacotherapy // Diabetes. Metabol. Syndrome. Clin. Res. Reviews. 2008. N 2. Р. 47-57.

39. Pearce E. L., et al. Enhancing CD8 T-cell memory by modulating fatty acid metabolism // Nature.2009. N 60(7251). P. 103–107.

40. Rotella C. M., Monami M., Mannucci E. Metformin beyond diabetes: new life for an old drug // Curr Diabetes Rev. 2006. N 2. P. 307-315.

41. Shackelford D. B., Shaw R. J. The LKB1-AMPK pathway: metabolism and growth control in tumor suppression // Nat. Rev. Cancer. 2009. N 8. P. 563-575.

42. Shaw R. J., et al. The kinase LKB1 mediates glucose homeostasis in liver and therapeutic effects of metformin // Science. 2005. N 310(5754). P. 1642–1646.

43. Shikata K., Ninomiya T., Kiyohara Y. Diabetes mellitus and cancer risk: review of the epidemiological evidence // Cancer Sci. 2013. N 104(1). P. 9-14.

44. UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group // Lancet. 1998. N 352. P. 854-865.

45. Viollet B., Guigas B., Leclerc J., Hebrard S., Lantier L., Mounier R., Andreelli F., Foretz M. AMP-activated protein kinase in the regulation of hepatic energy metabolism: from physiology to therapeutic perspectives // ActaPhysiol (Oxf). 2009. N. 196. P. 81–98.

46. Viollet B., Guigas B., SanzGarcia N., Leclerc J., Foretz M., Andreelli F. Cellular and molecular mechanisms of metformin: an overview // ClinSci (Lond). 2012. N 122(6). P. 253-70.

47. Wang Z., Lai S. T., Xie L., Zhao J. D., Ma N. Y., Zhu J., Ren Z. G., Jiang G.L. Metformin is associated with reduced risk of pancreatic cancerin patients with type 2 diabetesmellitus: asystematicreviewandmeta-analysis // Diabetes Res ClinPract. 2014. N 106(1). P. 19-26.

48. Xiao B., Sanders M. J., Underwood E., Heath R., Mayer F. V., Carmena D., Jing C., Walker P. A., Eccleston J. F., Haire L. F., Saiu P., Howell S. A., Aasland R., Martin S. R., Carling D., Gamblin S. J. Structure of mammalian AMPK and its regulation by ADP // Nature. 2011. N 472. P. 230-233.

49. Xu C. X., Zhu H. H., Zhu Y. M. Diabetes and cancer: Associations, mechanisms, and implications for medical practice // World J Diabetes. 2014. N 15. 5(3). P. 372-380.

50. Zakikhani M., Dowling R., Fantus I. G., Sonenberg N., Pollak M. Metformin is an AMP kinase-dependent growth inhibitor for breast cancer cells // Cancer Res. 2006.N 66. P. 10269-10273.

51. Zarrouk M., Finlay D. K., Foretz M., Viollet B., Cantrell D. A. Adenosine-mono-phosphate-activated protein kinase independent effects of metformin in T cells // PLoS One. 2014. N 2;9(9). P. 106710.

52. Zhou G., Myers R., Li Y., Chen Y., Shen X., Fenyk-Melody J., Wu M., Ventre J., Doebber T., Fujii N., Musi N., Hirshman M. F., Goodyear L. J., Moller D. E. Role of AMP-activated protein kinase in mechanism of metformin action // J Clin Invest. 2001. N 108. P. 1167-1174.

53. Zhou G. R., Myers, Li Y. et al. Role of AMP-activated protein kinase in mechanism of metformin action // J. Clin. Invest. 2001. N 8. Р. 1167-1174.

References:

1. Dedov I.I., Butrova S.A., Berkovskaja M.A. Potencial'nye vozmozhnosti metformina v profilaktike i lechenii onkologicheskikh zabolevanii u bol'nykh sakharnym diabetom 2 tipa [The potential of metformin in the prevention and treatment of cancer in patients with type 2 diabetes]. Ozhirenie i metabolizm [Obesity and Metabolism]. 2011, 1, рр. 40-49.

2. Iskakova S.S., Urazaev O.N., Bekmukhambetov E.Zh., Dvoracka M., Dvoracki G. Immunomoduliruyushchee deistvie metformina pri monoterapii sakharnogo diabeta 2 tipa subpopulyatsii T-limfotsitov [Immunomodulatory effects of metformin monotherapy for type 2 diabetes of T-lymphocytes subpopulations] Sbornik II Mezhdunarodnogo kongressa «Profilaktika i lechenie metabolicheskikh narushe-nii i sosudistykh zabolevanii. Mezhdistsiplinarnyi podkhod» [Digest of II International Congress "Prevention and treatment of metabolic disorders and cardiovascular disease. Interdisciplinary approach"]. Moscow, 2014, 47 p.

3. Adler A. I., Shaw E. J., Stokes T., Ruiz F. Newer agents for blood glucose control in type 2 diabetes: summary of NICE guidance. BMJ. 2009. N 338. Р. 1668.

4. Algire C., Zakikhani M., Blouin M. J., Shuai J. H., Pollak M. Metformin attenuates the stimulatory effect of a high-energy diet on in vivo LLC1 carcinoma growth. EndocrRelat Cancer. 2008. N 15. Р. 833-839.

5. Bailey C. J., Turner R. C. Metformin // N Engl J Med. 1996. N 334. Р. 574-579.

6. Basen-Engquist K, Chang M. Obesity and cancer risk: recent review and evidence // Curr Oncol Rep. 2011.N 13. Р. 71-76.

7. Ben Sahra, Laurent K., Loubat A., et al. The antidiabetic drug metformin exerts an antitumoral effect in vitro and in vivo through a decrease of cyclin D1 level. Oncogene. 2008. N.27. P.3576–3586.

8. Bodmer M., Meier C., Krähenbühl S., Jick S. S., Meier C. R. Long-term metformin use is associated with decreased risk of breast cancer. Diabetes Care. 2010. N 33(6). Р. 1304-1308.

9. Currie C. J., Poole C. D., Gale E. A. The influence of glucose-lowering therapies on cancer risk in type 2 diabetes. Diabetologia. 2009. N 52(9). Р. 1766-1777.

10. Cusi K., Consoli A., DeFronzo R. A. Metabolic effects of metformin on glucose and lactate metabolism in noninsulin-dependent diabetes mellitus. J ClinEndocrinolMetab. 1996. N 81. Р. 4059-4067.

11. Decensi A., et al. Metformin and cancer risk in diabetic patients: A systematic review and meta-analysis. Cancer Prev Res (Phila).2010. N 3(11). Р. 1451-1461.

12. Diamanti-Kandarakis E., Economou F., Palimeri S., Christakou C. Metformin in polycystic ovary syndrome. Ann N Y Acad Sci.2009. N 1205. Р.192-198.

13. Dowling R. J., Zakikhani M., Fantus I. G., Pollak M., Sonenberg N. Metformin inhibits mammalian target of rapamycin-dependent translation initiation in breast cancer cells. Cancer Res. 2007.N 67. Р. 10804-10812.

14. Dowling R. J., Goodwin P. J., Stambolic V. Understanding the benefit of metformin use in cancer treatment. BMC Med. 2011. N 9. Р. 33.

15. Eikawa S., Nishida M., Mizukami S., Yamazaki C., Nakayama E., Udono H. Immune-mediated antitumor effect by type 2 diabetes drug, metformin. ProcNatlAcadSci U S A. 2015. N 10.112(6). Р. 1809-1814.

16. Evans J. M., Donnelly L. A., Emslie-Smith A. M., Alessi D. R., Morris A. D. Metformin and reduced risk of cancer in diabetic patients. BMJ. 2005. N330. Р. 1304–1305.

17. Foretz M., He´brard S., Leclerc J., Zarrinpashneh E., Soty M. et al. Metformin inhibits hepatic gluconeogenesis in mice independently of the LKB1/ AMPK pathway via a decrease in hepatic energy state. J Clin Invest.2010. N120. Р. 2355– 2369.

18. Frasca F., Pandini G., Sciacca L., Pezzino V., Squatrito S., Belfiore A., Vigneri R. The role of insulin receptors and IGF-I receptors in cancer and other diseases. Arch PhysiolBiochem. 2008.N 114. Р. 23-37.

19. Gallagher E. J., LeRoith D. Diabetes, cancer, and metformin: connections of metabolism and cell proliferation. Ann N Y Acad Sci. 2011. N1243. Р. 54-68.

20. Goodwin P. J., Pritchard K. I., Ennis M., Clemons M., Graham M., Fantus I. G. Insulin-lowering effects of metformin in women with early breast cancer. Clin Breast Cancer. 2008. N 8. Р. 501-505.

21. Hemkens L. G., et al. Risk of malignancies in patients with diabetes treated with human insulin or insulin analogues. A cohort study. Diabetologia. 2009. N 52(9). Р. 1732–1744.

22. Hosono K., Endo H., Takahashi H., Sugiyama M., Sakai E., Uchiyama T., Suzuki K., Iida H., Sakamoto Y., Yoneda K., Koide T., Tokoro C., Abe Y., Inamori M., Nakagama H., Nakajima A. Metformin suppresses colorectal aberrant crypt foci in a short-term clinical trial // Cancer Prev Res (Phila). 2010. N 3. Р. 1077-1083.

23. Hundal R. S., Krssak M., Dufour S., Laurent D., Lebon V., Chandramouli V., Inzucchi S. E., Schumann W. C., Petersen K. F., Landau B. R., Shulman G. I. Mechanism by which metformin reduces glucose production in type 2 diabetes. Diabetes. 2000. N 49. P. 2063–2069.

24. Inoki K., Zhu T., Guan K. L. TSC2 mediates cellular energy response to control cell growth and survival. Cell 2003. N 115. P. 577-590.

25. Jalving M., Gietema J. A., Lefrandt J. D., de Jong S., Reyners A. K., Gans R. O., de Vries E. G. Metformin: taking away the candy for cancer? Eur J Cancer. 2010. N 46. P. 2369–2380.

26. Kirpichnikov D., McFarlane S. I., Sowers J. R. Metformin: an update. Ann Intern Med. N 137 (1). 2002. Р. 25–33.

27. LandmanG. W., Kleefstra N., van Hateren K. J., Groenier K. H., Gans R. O., Bilo H. J. Metformin associated withlowercancermortality in type 2 diabetes: ZODIAC-16. Diabetes Care. 2010. N 33(2). Р. 322—326.

28. Lee J. W., Soung Y. H., Kim S. Y., Lee H. W., Park W. S., Nam S. W., Kim S. H., Lee J. Y., Yoo N. J., Lee S. H. PIK3CA gene is frequently mutated in breast carcinomas and hepatocellular carcinomas. Oncogene. 2005. N 24. P. 1477-1480.

29. Libby G., et al. New users of metformin are at low risk of incident cancer: a cohort study among people with type 2 diabetes. Diabetes Care. 2009. N 32(9). P. 1620–1625.

30. MacIver N. J., Blagih J., Saucillo D. C., Tonelli L., Griss T., et al. The Liver Kinase B1 Is a Central Regulator of T Cell Development, Activation, and Metabolism. The Journal of Immunology. 2011. N 187. P. 4187–4198.

31. Markman B., Atzori F., Perez-Garcia J., Tabernero J., Baselga J. Status of PI3K inhibition and biomarker development in cancer therapeutics. Ann Oncol. 2010.N 21. P. 683-691.

32. McFarland M. S., Cripps R. Diabetes mellitus and increased risk of cancer: focus on metformin and the insulin analogs. Pharmacotherapy.2010. N 30(11). P. 1159–1178.

33. Natali A., Ferrannini E. Effects of metformin and thiazolidinediones on suppression of hepatic glucose production and stimulation of glucose uptake in type 2 diabetes: a systematic review. Diabetologia. 2006. N 49 P. 434-441.

34. Nathan D. M., Buse J. B., Davidson M. B., Ferrannini E., Holman R. R., Sherwin R., Zinman B. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2009. N 32. P. 193–203.

35. Niraula S., Stambolic V., Dowling R. J., Ennis M., Chang M. C., Done S. J., Hallak S., Hood N., Goodwin P. J. Clinical and biologic effects of metformin in early stage breast cancer. Cancer Res. 2010. N 70(24). 104s. Abs No. P. 03-06.

36. Noto H., Goto A., Tsujimoto T., Noda M. Cancer risk in diabetic patients treated with metformin: a systematic review and meta-analysis. PLoS ONE. 2012. N7(3). P. 33411.

37. Oakhill J. S., Steel R., Chen Z. P., Scott J. W., Ling N., Tam S., Kemp B. E. AMPK is a direct adenylatecharge-regulated protein kinase. Science. 2011. N 332. P. 1433–1435.

38. Oliveria S. A, Koro C. E., Yood M. U., Sowell M. Cancer incidence among patients treated with antidiabetic pharmacotherapy. Diabetes. Metabol. Syndrome. Clin. Res. Reviews. 2008. N 2. Р. 47-57.

39. Pearce E. L., et al. Enhancing CD8 T-cell memory by modulating fatty acid metabolism. Nature.2009. N 60(7251). P. 103–107.

40. Rotella C. M., Monami M., Mannucci E. Metformin beyond diabetes: new life for an old drug. Curr Diabetes Rev. 2006. N 2. P. 307-315.

41. Shackelford D. B., Shaw R. J. The LKB1-AMPK pathway: metabolism and growth control in tumor suppression. Nat. Rev. Cancer. 2009. N 8. P. 563-575.

42. Shaw R. J., et al. The kinase LKB1 mediates glucose homeostasis in liver and therapeutic effects of metformin. Science. 2005. N 310(5754). P. 1642–1646.

43. Shikata K., Ninomiya T., Kiyohara Y. Diabetes mellitus and cancer risk: review of the epidemiological evidence. Cancer Sci. 2013. N 104(1). P. 9-14.

45. Viollet B., Guigas B., Leclerc J., Hebrard S., Lantier L., Mounier R., Andreelli F., Foretz M. AMP-activated protein kinase in the regulation of hepatic energy metabolism: from physiology to therapeutic perspectives. ActaPhysiol (Oxf). 2009. N. 196. P. 81–98.

46. Viollet B., Guigas B., SanzGarcia N., Leclerc J., Foretz M., Andreelli F. Cellular and molecular mechanisms of metformin: an overview. ClinSci (Lond). 2012. N 122(6). P. 253-70.

47. Wang Z., Lai S. T., Xie L., Zhao J. D., Ma N. Y., Zhu J., Ren Z. G., Jiang G.L. Metformin is associated with reduced risk of pancreatic cancerin patients with type 2 diabetesmellitus: asystematicreviewandmeta-analysis. Diabetes Res ClinPract. 2014. N 106(1). P. 19-26.

48. Xiao B., Sanders M. J., Underwood E., Heath R., Mayer F. V., Carmena D., Jing C., Walker P. A., Eccleston J. F., Haire L. F., Saiu P., Howell S. A., Aasland R., Martin S. R., Carling D., Gamblin S. J. Structure of mammalian AMPK and its regulation by ADP. Nature. 2011. N 472. P. 230-233.

49. Xu C. X., Zhu H. H., Zhu Y. M. Diabetes and cancer: Associations, mechanisms, and implications for medical practice. World J Diabetes. 2014. N 15. 5(3). P. 372-380.

50. Zakikhani M., Dowling R., Fantus I. G., Sonenberg N., Pollak M. Metformin is an AMP kinase-dependent growth inhibitor for breast cancer cells. Cancer Res. 2006.N 66. P. 10269-10273.

51. Zarrouk M., Finlay D. K., Foretz M., Viollet B., Cantrell D. A. Adenosine-mono-phosphate-activated protein kinase independent effects of metformin in T cells. PLoS One. 2014. N 2;9(9). P. 106710.

52. Zhou G., Myers R., Li Y., Chen Y., Shen X., Fenyk-Melody J., Wu M., Ventre J., Doebber T., Fujii N., Musi N., Hirshman M. F., Goodyear L. J., Moller D. E. Role of AMP-activated protein kinase in mechanism of metformin action. J Clin Invest. 2001. N 108. P. 1167-1174.

Zhou G. R., Myers, Li Y. et al. Role of AMP-activated protein kinase in mechanism of metformin action. J. Clin. Invest. 2001. N 8. Р. 1167-1174.

Number of Views: 774

Key words: type 2 diabetes, metformin, anticancerogeniceffect, T-lymphocytes.

Category of articles: Reviews

Bibliography link

Уразаев О. Н., Искакова С. С., Бекмухамбетов Е. Ж., Дворацка М., Дворацки Г. Современное представление о молекулярных механизмах действий метформина / / Наука и Здравоохранение. 2015. №2. С. 19-29. Urazayev O. N., Iskakova S. S., Bekmukhambetov Ye. Zh., Dworacka М., Dworacki G. The modern understanding of the molecular mechanisms of metformin action. Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 2, pp. 19-29. Уразаев О. Н., Искакова С. С., Бекмухамбетов Е. Ж., Дворацка М., Дворацки Г. Метформин әрекет молекулалық механизмдерін қазіргі заманғы түсінік / / Ғылым және Денсаулық сақтау. 2015. №2. Б. 19-29.

Related publications:

INTERRELATION OF INTRAABDOMINAL HYPERTENSION AND MARKERS OF GASTROINTESTINAL TRACT INJURY IN PATIENTS WITH MULTIORGAN DYSFUNCTION

DRUG-INDUCED LIVER INJURY AND GENDER DIFFERENCES

QUALITY OF LIFE IN PRIMARY BILIARY CHOLANGITIS AND ITS ASSESSMENT

DIAGNOSTIC AND THERAPEUTIC LAPAROSCOPY FOR ABDOMINAL INJURIES. REVIEW

METHODS FOR SCHOOL-AGE CHILDREN NUTRITIONAL STATUS ASSESSMENT: FOCUS ON ANTHROPOMETRIC PARAMETERS. A REVIEW.

Авторизируйтесь для отправки комментариев

Science & Healthcare

Archives

Send manuscript

THE MODERN UNDERSTANDING OF THE MOLECULAR MECHANISMS OF METFORMIN ACTION

Bibliography link

Related publications:

Chief editor

News and announcements

Contact us

Archives

Send manuscript

THE MODERN UNDERSTANDING OF THE MOLECULAR MECHANISMS OF METFORMIN ACTION

Bibliography link

Related publications:

Chief editor

News and announcements

Contact us

Tags cloud