Evidence map›Paper›PMID 23257779›Full record

ArticleCell cycle (Georgetown, Tex.)2013

Mitochondrial dysfunction in breast cancer cells prevents tumor growth: understanding chemoprevention with metformin.

Rosa Sanchez-Alvarez, Ubaldo E Martinez-Outschoorn, Rebecca Lamb, James Hulit, Anthony Howell, Ricardo Gandara, Marina Sartini, Emanuel Rubin, Michael P Lisanti, Federica Sotgia

Open access · bronzeAbstract read
In one paragraph

Article in Cell cycle (Georgetown, Tex.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 86 citations in OpenAlex.

  1. Review
  2. Dysregulation of Mitochondrial Function in Cancer Cells.International journal of molecular sciences · 2025
    Review
  3. Role of Innate Immunity in Cancer.Advances in experimental medicine and biology · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Targeting of the tumor immune microenvironment by metformin.Journal of cell communication and signaling · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Crosstalk of the Caspase Family and Mammalian Target of Rapamycin Signaling.International journal of molecular sciences · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Rosa Sanchez-AlvarezKimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.
Ubaldo E Martinez-Outschoorn
Rebecca Lamb
James Hulit
Anthony Howell
Ricardo Gandara
Marina Sartini
Emanuel Rubin
Michael P Lisanti
Federica Sotgia
University of Manchester · GBSidney Kimmel Cancer Center · USPhiladelphia University · USThomas Jefferson University · USUniversity of Genoa · IT

Funding

EFFECTS OF ALCOHOL ON THE LIVER &THE INTESTINET32AA007467 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI MEZEY, ESTEBAN · 1987 to 2008
$919k
NIAAA NIH HHS T32 AA007467
6 · The paper itself

Abstract

Metformin is a well-established diabetes drug that prevents the onset of most types of human cancers in diabetic patients, especially by targeting cancer stem cells. Metformin exerts its protective effects by functioning as a weak "mitochondrial poison," as it acts as a complex I inhibitor and prevents oxidative mitochondrial metabolism (OXPHOS). Thus, mitochondrial metabolism must play an essential role in promoting tumor growth. To determine the functional role of "mitochondrial health" in breast cancer pathogenesis, here we used mitochondrial uncoupling proteins (UCPs) to genetically induce mitochondrial dysfunction in either human breast cancer cells (MDA-MB-231) or cancer-associated fibroblasts (hTERT-BJ1 cells). Our results directly show that all three UCP family members (UCP-1/2/3) induce autophagy and mitochondrial dysfunction in human breast cancer cells, which results in significant reductions in tumor growth. Conversely, induction of mitochondrial dysfunction in cancer-associated fibroblasts has just the opposite effect. More specifically, overexpression of UCP-1 in stromal fibroblasts increases β-oxidation, ketone body production and the release of ATP-rich vesicles, which "fuels" tumor growth by providing high-energy nutrients in a paracrine fashion to epithelial cancer cells. Hence, the effects of mitochondrial dysfunction are truly compartment-specific. Thus, we conclude that the beneficial anticancer effects of mitochondrial inhibitors (such as metformin) may be attributed to the induction of mitochondrial dysfunction in the epithelial cancer cell compartment. Our studies identify cancer cell mitochondria as a clear target for drug discovery and for novel therapeutic interventions.

Indexed as

Antineoplastic AgentsAutophagyBreast NeoplasmsCaveolin 1Cell LineCell ProliferationCoculture TechniquesDown-RegulationFemaleFibroblastsHumansIon ChannelsKetone BodiesMetforminMitochondriaMitochondrial ProteinsAntineoplastic AgentsCaveolin 1Ion ChannelsKetone BodiesMetforminMitochondrial ProteinsUCP1 protein, humanUncoupling Protein 1Uncoupling Protein 2Uncoupling Protein 3

Identifiers

PMID23257779
PMCPMC3570509
OpenAlexW2153356162

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.