Evidence map›Paper›PMID 40091035›Full record

ArticleBiological research2025

Investigation of the synergistic effect of metformin and FX11 on PANC-1 cell lines.

Melike Bayindir-Bilgic, Ezgi Duman, Deniz Turgut, Ayse Naz Kadikoylu, Nur Ekimci-Gurcan, Utku Ozbey, Aysegul Kuskucu, Omer F Bayrak

Abstract read
In one paragraph

Article in Biological research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

8 authors.

Melike Bayindir-BilgicDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0684-8905
Ezgi DumanDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Deniz TurgutDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Ayse Naz KadikoyluDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Nur Ekimci-GurcanDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Utku OzbeyDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Aysegul KuskucuDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey.
Omer F BayrakDepartment of Medical Genetics, School of Medicine, Yeditepe University, Istanbul, Turkey. ofbayrak@yeditepe.edu.tr.ORCID http://orcid.org/0000-0001-7562-6604

Funding

The Scientific and Technological Research Council of Turkey 919B011602944
6 · The paper itself

Abstract

backgroundPancreatic cancer is among the most aggressive and malignant tumors and is a leading cause of cancer-related mortality. It is characterized by its metabolic Warburg effect and glucose dependence. Aerobic glycolysis is a key feature of metabolic reprogramming in cancer cells. This study investigates the combined effect of metformin and FX11, hypothesizing that disrupting cancer cell energetics through complementary mechanisms may result in a synergistic therapeutic effect. The combination of metformin and FX11 affects the axis that regulates vital functions in cancer cells; thus, the uncontrolled growth of tumor cells, especially those that use a lactose-dependent energy pathway, can be controlled. Several in vitro experiments were conducted to evaluate this hypothesis. PANC-1 cell proliferation was assessed using an MTS assay, lactate levels were measured via an LDH assay, and apoptosis was determined using a flow cytometry-based PE-annexin V assay. The downstream effects of metformin and FX11 treatment were evaluated via western blot analysis.

resultsThe findings of this study revealed that metformin and FX11 significantly decreased the viability of PANC-1 cells when used in combination, and this effect was achieved by significantly affecting the energy mechanism of the cells through the AMPKα axis. Furthermore, the lactate levels in PANC1 cells co-treated with metformin and FX11 were significantly decreased, while the increased cellular stress led the cells to apoptosis.

conclusionsCompared with metformin treatment alone, the combination treatment of metformin and FX11 stimulates cellular stress in pancreatic cancer and targets various energy processes that encourage cancer cells to undergo apoptosis. This study provides a novel therapeutic strategy for the treatment of pancreatic cancer.

Indexed as

MetforminPancreatic NeoplasmsApoptosisBlotting, WesternCell Line, TumorCell ProliferationCell SurvivalDrug SynergismFlow CytometryHumansMetforminLactateMetforminPancreatic neoplasmsWarburg Effect

Identifiers

PMID40091035
PMCPMC11912783

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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.