Evidence map›Paper›PMID 38711049›Full record

ArticleBMC complementary medicine and therapies2024

Molecular interactions between metformin and D-limonene inhibit proliferation and promote apoptosis in breast and liver cancer cells.

Elsayed I Salim, Mona M Alabasy, Eman M El Nashar, Norah S Al-Zahrani, Mohammed A Alzahrani, Zihu Guo, Doha M Beltagy, Mohamed Shahen

Abstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Applications of Limonene in Neoplasms and Non-Neoplastic Diseases.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Article
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

8 authors.

Elsayed I SalimDepartment of Zoology, Research Lab of Molecular Carcinogenesis, Faculty of Science, Tanta University, Tanta, 31527, Egypt. elsayed.salim@science.tanta.edu.eg.
Mona M AlabasyDepartment of Zoology, Research Lab of Molecular Carcinogenesis, Faculty of Science, Tanta University, Tanta, 31527, Egypt.
Eman M El NasharDepartment of Anatomy, College of Medicine, King Khalid University, Abha, 62529, Saudi Arabia.
Norah S Al-ZahraniDepartment of Clinical Biochemistry, College of Medicine, King Khalid University, Abha, 62529, Saudi Arabia.
Mohammed A AlzahraniInternal Medicine Department, College of Medicine, King Khalid University, Abha, 62529, Saudi Arabia.
Zihu GuoCollege of Life Science, Center of Bioinformatics, Northwest A and F University, Yangling, Shaanxi, 712100, China.
Doha M BeltagyBiochemistry Department, Faculty of Science, Damanhour University, Damanhour, Egypt.
Mohamed ShahenDepartment of Zoology, Research Lab of Molecular Carcinogenesis, Faculty of Science, Tanta University, Tanta, 31527, Egypt. Mshahen@science.tanta.edu.eg.

Funding

Deanship of Scientific Research at King Khalid University RGP2/291/44
6 · The paper itself

Abstract

backgroundCancer is a fatal disease that severely affects humans. Designing new anticancer strategies and understanding the mechanism of action of anticancer agents is imperative. HYPOTHESIS/PURPOSE: In this study, we evaluated the utility of metformin and D-limonene, alone or in combination, as potential anticancer therapeutics using the human liver and breast cancer cell lines HepG2 and MCF-7. STUDY

designAn integrated systems pharmacology approach is presented for illustrating the molecular interactions between metformin and D-limonene.

methodsWe applied a systems-based analysis to introduce a drug-target-pathway network that clarifies different mechanisms of treatment. The combination treatment of metformin and D-limonene induced apoptosis in both cell lines compared with single drug treatments, as indicated by flow cytometric and gene expression analysis.

resultsThe mRNA expression of Bax and P53 genes were significantly upregulated while Bcl-2, iNOS, and Cox-2 were significantly downregulated in all treatment groups compared with normal cells. The percentages of late apoptotic HepG2 and MCF-7 cells were higher in all treatment groups, particularly in the combination treatment group. Calculations for the combination index (CI) revealed a synergistic effect between both drugs for HepG2 cells (CI = 0.14) and MCF-7 cells (CI = 0.22).

conclusionOur data show that metformin, D-limonene, and their combinations exerted significant antitumor effects on the cancer cell lines by inducing apoptosis and modulating the expression of apoptotic genes.

Indexed as

ApoptosisBreast NeoplasmsCell ProliferationLimoneneLiver NeoplasmsMetforminAntineoplastic AgentsCyclohexenesFemaleHep G2 CellsHumansMCF-7 CellsTerpenesAntineoplastic AgentsCyclohexenesLimoneneMetforminTerpenesD-limoneneDrug–target–pathway networkGene analysisHepG2MCF-7Metformin

Identifiers

PMID38711049
PMCPMC11071183

What OpenQuestion holds

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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.