Evidence map›Paper›PMID 33236135›Full record

ArticleMolecular medicine reports2021

Metformin induces apoptosis and inhibits migration by activating the AMPK/p53 axis and suppressing PI3K/AKT signaling in human cervical cancer cells.

Ya-Hui Chen, Shun-Fa Yang, Chueh-Ko Yang, Horng-Der Tsai, Tze-Ho Chen, Ming-Chih Chou, Yi-Hsuan Hsiao

Open access · hybridAbstract read
In one paragraph

Article in Molecular medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.3field-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, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
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  11. Hsa_circ_0101308 adjusted by N6-methyladenosine (mCancer biomarkers : section A of Disease markers · 2025
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  14. Review
  15. Current issues in molecular biology · 2025
    Article
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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

7 authors at 2 institutions in 1 country.

Ya-Hui ChenInstitute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan, R.O.C.
Shun-Fa YangInstitute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan, R.O.C.
Chueh-Ko YangWomen's Health Research Laboratory, Changhua Christian Hospital, Changhua 500, Taiwan, R.O.C.
Horng-Der TsaiDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua 500, Taiwan, R.O.C.
Tze-Ho ChenDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua 500, Taiwan, R.O.C.
Ming-Chih ChouInstitute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan, R.O.C.
Yi-Hsuan HsiaoInstitute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan, R.O.C.
Chung Shan Medical University · TWChanghua Christian Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human cervical cancer is the fourth most common malignancy among women worldwide, and it is expected to result in 460,000 deaths per year by 2040. Moreover, patients with cervical cancer often display drug resistance and severe side effects; therefore, the development of effective novel chemotherapeutic agents is important. In the present study, the effects of metformin, a first‑line therapeutic drug for type 2 diabetes mellitus, were evaluated in cervical cancer. Compared with the control group, metformin significantly inhibited cell viability and migration, and induced apoptosis and cell cycle arrest in human cervical cancer cell lines (CaSki and HeLa). Following metformin treatment, the protein expression levels of p‑AMP‑activated protein kinase (p‑AMPK), which promotes cell death, and the tumor suppressor protein p‑p53 were remarkably upregulated in CaSki and C33A cells compared with the control group. Furthermore, compared with the control group, metformin significantly suppressed the PI3K/AKT signaling pathway in CaSki, C33A and HeLa cells. Compound C (an AMPK inhibitor) significantly reversed the effects of metformin on CaSki, C33A and HeLa cell viability, and AMPK and p53 phosphorylation. The results of the present study suggested that metformin induced AMPK‑mediated apoptosis, thus metformin may serve as a chemotherapeutic agent for human cervical cancer.

Indexed as

AMP-Activated Protein KinasesApoptosisCell MovementFemaleHeLa CellsHumansMetforminPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionTumor Suppressor Protein p53Uterine Cervical NeoplasmsAMP-Activated Protein KinasesMetforminPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTP53 protein, humanTumor Suppressor Protein p53AMPK‑activated protein kinase/p53apoptosiscervical cancermetforminmigrationPI3K/AKT

Identifiers

PMID33236135
PMCPMC7716426
OpenAlexW3108066201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.