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2015 ; 6
(32
): 32930-43
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Metformin and temozolomide act synergistically to inhibit growth of glioma cells
and glioma stem cells in vitro and in vivo
#MMPMID26431379
Yu Z
; Zhao G
; Xie G
; Zhao L
; Chen Y
; Yu H
; Zhang Z
; Li C
; Li Y
Oncotarget
2015[Oct]; 6
(32
): 32930-43
PMID26431379
show ga
Glioblastoma (GBM) is the most frequent and aggressive brain tumor in adults. In
spite of advances in diagnosis and therapy, the prognosis of patients with GBM
has remained dismal. The fast recurrence and multi-drug resistance are some of
the key challenges in combating brain tumors. Glioma stem cells (GSCs) which are
considered the source of relapse and chemoresistance, the need for more effective
therapeutic options is overwhelming. In our present work, we found that combined
treatment with temozolomide (TMZ) and metformin (MET) synergistically inhibited
proliferation and induced apoptosis in both glioma cells and GSCs. Combination of
TMZ and MET significantly reduced the secondary gliosphere formation and
expansion of GSCs. We first demonstrated that MET effectively inhibited the AKT
activation induced by TMZ, and a combination of both drugs led to enhanced
reduction of mTOR, 4EBP1 and S6K phosphorylation. In addition, the combination of
the two drugs was accompanied with a powerful AMP-activated protein kinase (AMPK)
activation, while this pathway is not determinant. Xenografts performed in nude
mice demonstrate in vivo demonstrated that combined treatment significantly
reduced tumor growth rates and prolonged median survival of tumor-bearing mice.
In conclusion, TMZ in combination with MET synergistically inhibits the GSCs
proliferation through downregulation of AKT-mTOR signaling pathway. The combined
treatment of two drugs inhibits GSCs self-renewal capability and partly
eliminates GSCs in vitro and in vivo. This combined treatment could be a
promising option for patients with advanced GBM.