Abstract

The ability of metformin, an antidiabetic drug with wide applications, to inhibit tumor cell growth has recently been discovered. The PI3K/Akt signaling pathway has been found to play an important role in the survival, proliferation and apoptosis of tumor cells. The aim of the present study was to explore the effect of metformin on the proliferation of A431 human squamous cell carcinoma cells and the underlying molecular mechanisms. A431 cells in the logarithmic growth phase were treated with 0, 15, 30, 45 and 60 mM metformin for 12, 24 and 36 h, respectively. Cell morphology with 45 mM metformin treatment for 24 h was observed under a microscope. The proliferation of A431 cells was detected by the Cell Counting kit-8 colorimetric method. The mRNA expression levels of PI3K and Akt were detected by reverse transcription-polymerase chain reaction (RT-PCR). The protein expression levels of PI3K, Akt and phosphorylated (p)-Akt were detected by western blot analysis. Metformin treatment caused morphological change in A431 cells and inhibited their proliferation in a significant time- and dose-dependent manner. RT-PCR results showed that the mRNA expression of PI3K was inhibited by metformin in a time- and dose-dependent manner (P<0.05). However, there was no significant change in the mRNA expression of Akt following metformin treatment (P>0.05). Western blotting results showed that the protein expression levels of PI3K and p-Akt were inhibited by metformin in a time- and dose-dependent manner (P<0.05). In conclusion, metformin significantly inhibited the proliferation of A431 cells in the current study, which may be strongly associated with the inhibition of the PI3K/Akt signaling pathway.

Highlights

  • Cutaneous squamous cell carcinoma (SCC) originates in the epidermis or adnexal keratinocytes and has the highest incidence rate, next to basal cell carcinoma (BCC), of any non‐melanocyte cell carcinoma [1]

  • With the increase in treatment concentration and duration, the inhibitory effect of metformin on A431 cell proliferation gradually increased (Table II and Fig. 2). These results demonstrated that metformin inhibited the proliferation of A431 cells in a time‐ and dose‐dependent manner

  • Decensi et al performed a meta‐analysis on 11 studies and found that compared with other antidiabetic drugs, metformin led to a 31% reduction in the total relative risk (RR) of cancer (RR, 0.69; 95% confidence interval, 0.61‐0.79) [8]

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Summary

Introduction

Cutaneous squamous cell carcinoma (SCC) originates in the epidermis or adnexal keratinocytes and has the highest incidence rate, next to basal cell carcinoma (BCC), of any non‐melanocyte cell carcinoma [1]. Metformin has been used in a wide range of applications for more than half a century It is the first‐line oral hypoglycemic agent for the treatment of type 2 diabetes and is recommended by the American Diabetes Association and the European Association for the Study of Diabetes [6]. Previous studies have demonstrated that metformin is able to reduce the incidence rate of a variety of tumors in patients with diabetes [7,8,9,10,11,12]. Previous studies have shown that the increased activities of PI3K and Akt play an important role in the development of numerous types of tumors [18]

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