Abstract

Tumor hypoxia is a negative prognostic factor for prostate cancer (PCa) radiation therapy (RT) in part due to radioresistance of hypoxic cells. Inhibition of oxygen consumption is a strategy to increase diffusion of oxygen in tumor tissue, reduce tumor hypoxia and increase radiation response. Metformin, a common anti-diabetic agent, reduces cellular oxygen consumption by inhibiting complex I in the mitochondrial electron transport chain. Using both pre-clinical and clinical studies we tested whether metformin decreased therapeutically relevant hypoxia and improved outcomes following PCa RT.

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