Although many chemotherapeutic strategies against
cancer have been developed,
pancreatic cancer is one of the most aggressive and intractable types of
malignancies. Therefore, new strategies and anti-
cancer agents are necessary to treat this disease.
Metformin is a widely used drug for type-2 diabetes, and is also known as a promising candidate anti-
cancer agent from recent studies in vitro and in vivo. However, the mechanisms of
metformin's anti-
cancer effects have not been elucidated. We demonstrated that
metformin suppressed the expression of miR-221, one of the most well-known oncogenic
microRNAs, in human
pancreatic cancer PANC-1 cells. Moreover, we showed that the down-regulation of miR-221 by
metformin caused G1-phase arrest via the up-regulation of p27, one of the direct targets of miR-221.
Tumor necrosis factor-related apoptosis-inducing
ligand (TRAIL) is also a promising agent for
cancer treatment. While recent studies showed that treatment with only TRAIL was not effective against
pancreatic cancer cells, the present data showed that
metformin sensitized p53-mutated
pancreatic cancer cells to TRAIL.
Metformin induced the expressions of
death receptor 5 (DR5), a receptor for TRAIL, and Bim with a pro-apoptotic function in the downstream of TRAIL-DR5 pathway. We suggest that the up-regulation of these
proteins may contribute to sensitization of TRAIL-induced apoptosis. The combination
therapy of
metformin and TRAIL could therefore be effective in the treatment of
pancreatic cancer.