国际肿瘤学杂志 ›› 2016, Vol. 43 ›› Issue (7): 541-544.doi: 10.3760/cma.j.issn.1673422X.2016.07.016

• 综述 • 上一篇    下一篇

二甲双胍与结直肠癌

 赵晓彤, 陈明卫   

  1. 安徽医科大学第一附属医院内分泌科
  • 出版日期:2016-07-08 发布日期:2016-06-03

Metformin and colorectal cancer

ZHAO  Xiao-Tong, CHEN  Ming-Wei   

  1. Department of Endocrinology, First Affiliated Hospital of Anhui Medical University, Hefei 230000, China
  • Online:2016-07-08 Published:2016-06-03

摘要: 二甲双胍是治疗2型糖尿病的一线用药,除发挥降糖作用外,还具有抑制结直肠癌等肿瘤细胞增殖的作用。近年来大量证据表明二甲双胍能降低结直肠癌等肿瘤的发病风险及死亡率,其机制主要包括激活单磷酸腺苷活化的蛋白激酶通路,干扰细胞周期,改善胰岛素抵抗,抑制炎症反应,杀伤结直肠癌干细胞等。

关键词: 结直肠肿瘤, 二甲双胍, 糖尿病

Abstract: Mefformin is the firstline oral medicine used to treat type 2 diabetes.Besides its glucoselowering effect, Mefformin can inhibit the proliferation of cancer cells, especially colorectal cancer cells. In recent years, there is mounting evidence that mefformin could reduce the risk and mortality of colorectal cancer, and its mechanism includes activating AMP activated protein kinase pathway, interfering with cell cycle, reducing insulin resistance, inhibiting the inflammatory response and killing colorectal cancer stem cells, etc.

Key words: Colorectal neoplasms, Metformin,  , Diabetes mellitus