The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors

Abstract Tumor-infiltrated lymphocytes are exposed to many toxic metabolites and molecules in the tumor microenvironment (TME) that suppress their anti-tumor activity. Toxic metabolites, such as lactate and ketone bodies, are produced mainly by catabolic cancer-associated fibroblasts (CAFs) to feed...

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Main Authors: Samaneh Mostafavi, Hamidreza Zalpoor, Zuhair Mohammad Hassan
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Cellular & Molecular Biology Letters
Subjects:
Online Access:https://doi.org/10.1186/s11658-022-00356-2
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author Samaneh Mostafavi
Hamidreza Zalpoor
Zuhair Mohammad Hassan
author_facet Samaneh Mostafavi
Hamidreza Zalpoor
Zuhair Mohammad Hassan
author_sort Samaneh Mostafavi
collection DOAJ
description Abstract Tumor-infiltrated lymphocytes are exposed to many toxic metabolites and molecules in the tumor microenvironment (TME) that suppress their anti-tumor activity. Toxic metabolites, such as lactate and ketone bodies, are produced mainly by catabolic cancer-associated fibroblasts (CAFs) to feed anabolic cancer cells. These catabolic and anabolic cells make a metabolic compartment through which high-energy metabolites like lactate can be transferred via the monocarboxylate transporter channel 4. Moreover, a decrease in molecules, including caveolin-1, has been reported to cause deep metabolic changes in normal fibroblasts toward myofibroblast differentiation. In this context, metformin is a promising drug in cancer therapy due to its effect on oncogenic signal transduction pathways, leading to the inhibition of tumor proliferation and downregulation of key oncometabolites like lactate and succinate. The cross-feeding and metabolic coupling of CAFs and tumor cells are also affected by metformin. Therefore, the importance of metabolic reprogramming of stromal cells and also the pivotal effects of metformin on TME and oncometabolites signaling pathways have been reviewed in this study.
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spelling doaj.art-5f4748b69d5b4c368911f4393c7fd1852022-12-22T03:04:50ZengBMCCellular & Molecular Biology Letters1425-81531689-13922022-07-0127112410.1186/s11658-022-00356-2The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumorsSamaneh Mostafavi0Hamidreza Zalpoor1Zuhair Mohammad Hassan2Department of Immunology, Faculty of Medical Sciences, Tarbiat Modares UniversityShiraz Neuroscience Research Center, Shiraz University of Medical SciencesDepartment of Immunology, Faculty of Medical Sciences, Tarbiat Modares UniversityAbstract Tumor-infiltrated lymphocytes are exposed to many toxic metabolites and molecules in the tumor microenvironment (TME) that suppress their anti-tumor activity. Toxic metabolites, such as lactate and ketone bodies, are produced mainly by catabolic cancer-associated fibroblasts (CAFs) to feed anabolic cancer cells. These catabolic and anabolic cells make a metabolic compartment through which high-energy metabolites like lactate can be transferred via the monocarboxylate transporter channel 4. Moreover, a decrease in molecules, including caveolin-1, has been reported to cause deep metabolic changes in normal fibroblasts toward myofibroblast differentiation. In this context, metformin is a promising drug in cancer therapy due to its effect on oncogenic signal transduction pathways, leading to the inhibition of tumor proliferation and downregulation of key oncometabolites like lactate and succinate. The cross-feeding and metabolic coupling of CAFs and tumor cells are also affected by metformin. Therefore, the importance of metabolic reprogramming of stromal cells and also the pivotal effects of metformin on TME and oncometabolites signaling pathways have been reviewed in this study.https://doi.org/10.1186/s11658-022-00356-2Tumor microenvironmentMyofibroblastsCancer-associated fibroblastsMetforminLactic acidStromal cells
spellingShingle Samaneh Mostafavi
Hamidreza Zalpoor
Zuhair Mohammad Hassan
The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
Cellular & Molecular Biology Letters
Tumor microenvironment
Myofibroblasts
Cancer-associated fibroblasts
Metformin
Lactic acid
Stromal cells
title The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
title_full The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
title_fullStr The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
title_full_unstemmed The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
title_short The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors
title_sort promising therapeutic effects of metformin on metabolic reprogramming of cancer associated fibroblasts in solid tumors
topic Tumor microenvironment
Myofibroblasts
Cancer-associated fibroblasts
Metformin
Lactic acid
Stromal cells
url https://doi.org/10.1186/s11658-022-00356-2
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