reviewJournal of Translational MedicineJun 21, 2023GOLD OA

Metformin and cancer hallmarks: shedding new lights on therapeutic repurposing

Shanghai Jiao Tong University · Shanghai Ninth People's Hospital · +2 more institutions

PubMed
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Abstract

Metformin is a well-known anti-diabetic drug that has been repurposed for several emerging applications, including as an anti-cancer agent. It boasts the distinct advantages of an excellent safety and tolerability profile and high cost-effectiveness at less than one US dollar per daily dose. Epidemiological evidence reveals that metformin reduces the risk of cancer and decreases cancer-related mortality in patients with diabetes; however, the exact mechanisms are not well understood. Energy metabolism may be central to the mechanism of action. Based on altering whole-body energy metabolism or cellular state, metformin's modes of action can be divided into two broad, non-mutually exclusive categories: "direct…

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