Evidence map›Paper›PMID 26265439›Full record

ArticleOncotarget2015

Metformin inhibits cell cycle progression of B-cell chronic lymphocytic leukemia cells.

Silvia Bruno, Bernardetta Ledda, Claudya Tenca, Silvia Ravera, Anna Maria Orengo, Andrea Nicola Mazzarello, Elisa Pesenti, Salvatore Casciaro, Omar Racchi, Fabio Ghiotto and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Research Progress on the Use of Metformin in Leukemia Treatment.Current treatment options in oncology · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Metformin Reshapes the Methylation Profile in Breast and Colorectal Cancer CellsAsian Pacific journal of cancer prevention : APJCP · 2018
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Silvia BrunoDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Bernardetta LeddaDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Claudya TencaDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Silvia RaveraDepartment of Pharmacology, University of Genova, Genova, Italy.
Anna Maria OrengoIRCCS AOU San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy.
Andrea Nicola MazzarelloDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Elisa PesentiDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Salvatore CasciaroDepartment of Internal Medicine and Medical Specialty, University of Genova, Genova, Italy.
Omar RacchiHematology-Oncology Unit - Ospedale Villa Scassi, Genova, Italy.
Fabio GhiottoDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
Cecilia MariniCNR Institute of Bioimages and Molecular Physiology, Milan, Section of Genoa, Genoa, Italy.
Gianmario SambucetiIRCCS AOU San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy.
Andrea DeCensiDivision of Cancer Prevention and Genetics, European Institute of Oncology, Milan, Italy.
Franco FaisDepartment of Experimental Medicine, University of Genoa, Genoa, Italy.
University of Genoa · ITOspedale Policlinico San Martino · ITEuropean Institute of Oncology · ITFeinstein Institute for Medical Research · USInstitute of Molecular Bioimaging and Physiology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

B-cell chronic lymphocytic leukemia (CLL) was believed to result from clonal accumulation of resting apoptosis-resistant malignant B lymphocytes. However, it became increasingly clear that CLL cells undergo, during their life, iterative cycles of re-activation and subsequent clonal expansion. Drugs interfering with CLL cell cycle entry would be greatly beneficial in the treatment of this disease. 1, 1-Dimethylbiguanide hydrochloride (metformin), the most widely prescribed oral hypoglycemic agent, inexpensive and well tolerated, has recently received increased attention for its potential antitumor activity. We wondered whether metformin has apoptotic and anti-proliferative activity on leukemic cells derived from CLL patients. Metformin was administered in vitro either to quiescent cells or during CLL cell activation stimuli, provided by classical co-culturing with CD40L-expressing fibroblasts. At doses that were totally ineffective on normal lymphocytes, metformin induced apoptosis of quiescent CLL cells and inhibition of cell cycle entry when CLL were stimulated by CD40-CD40L ligation. This cytostatic effect was accompanied by decreased expression of survival- and proliferation-associated proteins, inhibition of signaling pathways involved in CLL disease progression and decreased intracellular glucose available for glycolysis. In drug combination experiments, metformin lowered the apoptotic threshold and potentiated the cytotoxic effects of classical and novel antitumor molecules. Our results indicate that, while CLL cells after stimulation are in the process of building their full survival and cycling armamentarium, the presence of metformin affects this process.

Indexed as

Cell CycleCell ProliferationHumansHypoglycemic AgentsLeukemia, Lymphocytic, Chronic, B-CellMetforminSignal TransductionHypoglycemic AgentsMetformincancer therapycell activationcell proliferationchronic lymphocytic leukemiametformin

Identifiers

PMID26265439
PMCPMC4673187
OpenAlexW1945687110

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.