Inhibition of lung tumorigenesis by metformin is associated with decreased plasma IGF-I and diminished receptor tyrosine kinase signaling

Cancer Prev Res (Phila). 2013 Aug;6(8):801-10. doi: 10.1158/1940-6207.CAPR-13-0058-T. Epub 2013 Jun 14.

Abstract

Metformin is the most commonly prescribed drug for type II diabetes and is associated with decreased cancer risk. Previously, we showed that metformin prevented tobacco carcinogen (NNK)-induced lung tumorigenesis in a non-diabetic mouse model, which was associated with decreased IGF-I/insulin receptor signaling but not activation of AMPK in lung tissues, as well as decreased circulating levels of IGF-I and insulin. Here, we used liver IGF-I-deficient (LID) mice to determine the importance of IGF-I in NNK-induced lung tumorigenesis and chemoprevention by metformin. LID mice had decreased lung tumor multiplicity and burden compared with wild-type (WT) mice. Metformin further decreased lung tumorigenesis in LID mice without affecting IGF-I levels, suggesting that metformin can act through IGF-I-independent mechanisms. In lung tissues, metformin decreased phosphorylation of multiple receptor tyrosine kinases (RTK) as well as levels of GTP-bound Ras independently of AMPK. Metformin also diminished plasma levels of several cognate ligands for these RTKs. Tissue distribution studies using [(14)C]-metformin showed that uptake of metformin was high in liver but four-fold lower in lungs, suggesting that the suppression of RTK activation by metformin occurs predominantly via systemic, indirect effects. Systemic inhibition of circulating growth factors and local RTK signaling are new AMPK-independent mechanisms of action of metformin that could underlie its ability to prevent tobacco carcinogen-induced lung tumorigenesis.

MeSH terms

  • AMP-Activated Protein Kinases / physiology*
  • Animals
  • Carcinogens / toxicity
  • Cell Transformation, Neoplastic / drug effects*
  • Cell Transformation, Neoplastic / pathology
  • Energy Metabolism / drug effects
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Hypoglycemic Agents / pharmacokinetics
  • Hypoglycemic Agents / pharmacology*
  • Insulin-Like Growth Factor I / antagonists & inhibitors
  • Insulin-Like Growth Factor I / physiology*
  • Lung Neoplasms / chemically induced
  • Lung Neoplasms / prevention & control*
  • Male
  • Metformin / pharmacokinetics
  • Metformin / pharmacology*
  • Mice
  • Mice, Inbred A
  • Mice, Knockout
  • Nitrosamines / toxicity
  • Phosphorylation / drug effects
  • Receptor Protein-Tyrosine Kinases / antagonists & inhibitors*
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Signal Transduction / drug effects
  • Tissue Distribution

Substances

  • Carcinogens
  • Hypoglycemic Agents
  • Nitrosamines
  • Insulin-Like Growth Factor I
  • 4-(N-methyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone
  • Metformin
  • Receptor Protein-Tyrosine Kinases
  • AMPK alpha1 subunit, mouse
  • AMP-Activated Protein Kinases