» Articles » PMID: 36033393

The Effects of 6 Common Antidiabetic Drugs on Anti-PD1 Immune Checkpoint Inhibitor in Tumor Treatment

Overview
Journal J Immunol Res
Publisher Wiley
Date 2022 Aug 29
PMID 36033393
Authors
Affiliations
Soon will be listed here.
Abstract

Diabetes and cancer are common diseases and are frequently diagnosed in the same individual. These patients need to take antidiabetic drugs while receiving antitumor drugs therapy. Recently, immunotherapy offers significant advances for cancer treatment. However, it is unclear whether antidiabetic drugs affect immunotherapy. Here, by employing syngeneic mouse colon cancer model and melanoma model, we studied the effects of 6 common antidiabetic drugs on anti-PD1 immune checkpoint inhibitor in tumor treatment, including acarbose, sitagliptin, metformin, glimepiride, pioglitazone, and insulin. We found that acarbose and sitagliptin enhanced the tumor inhibition of anti-PD1, and metformin had no effect on the tumor inhibition of anti-PD1, whereas glimepiride, pioglitazone, and insulin weakened the tumor inhibition of anti-PD1. Our study suggests that cancer patients receiving anti-PD1 antibody therapy need serious consideration when choosing antidiabetic drugs. In particular, acarbose significantly inhibited tumor growth and further enhanced the therapeutic effect of anti-PD1, which can be widely used in tumor therapy. Based on this study, further clinical trials are expected.

Citing Articles

Combining Sulfonylureas with Anticancer Drugs: Evidence of Synergistic Efficacy with Doxorubicin In Vitro and In Vivo.

Tomczyk M, Matczak K, Denel-Bobrowska M, Dzido G, Kubicka A, Gendosz de Carrillo D Int J Mol Sci. 2025; 26(4).

PMID: 40003896 PMC: 11855866. DOI: 10.3390/ijms26041429.


Anti-Diabetic Therapies and Cancer: From Bench to Bedside.

Kounatidis D, Vallianou N, Karampela I, Rebelos E, Kouveletsou M, Dalopoulos V Biomolecules. 2024; 14(11).

PMID: 39595655 PMC: 11591849. DOI: 10.3390/biom14111479.


Repurposing metabolic regulators: antidiabetic drugs as anticancer agents.

Dhas Y, Biswas N, M R D, Jones L, Ashili S Mol Biomed. 2024; 5(1):40.

PMID: 39333445 PMC: 11436690. DOI: 10.1186/s43556-024-00204-z.


Associations between Diabetes Mellitus and Selected Cancers.

Pliszka M, Szablewski L Int J Mol Sci. 2024; 25(13).

PMID: 39000583 PMC: 11242587. DOI: 10.3390/ijms25137476.


Diabetes Mellitus and Thyroid Cancers: Risky Correlation, Underlying Mechanisms and Clinical Prevention.

Wu R, Zhang J, Zou G, Li S, Wang J, Li X Diabetes Metab Syndr Obes. 2024; 17:809-823.

PMID: 38380275 PMC: 10878320. DOI: 10.2147/DMSO.S450321.


References
1.
Noto H, Goto A, Tsujimoto T, Noda M . Cancer risk in diabetic patients treated with metformin: a systematic review and meta-analysis. PLoS One. 2012; 7(3):e33411. PMC: 3308971. DOI: 10.1371/journal.pone.0033411. View

2.
Pernicova I, Korbonits M . Metformin--mode of action and clinical implications for diabetes and cancer. Nat Rev Endocrinol. 2014; 10(3):143-56. DOI: 10.1038/nrendo.2013.256. View

3.
Evans J, Donnelly L, Emslie-Smith A, Alessi D, Morris A . Metformin and reduced risk of cancer in diabetic patients. BMJ. 2005; 330(7503):1304-5. PMC: 558205. DOI: 10.1136/bmj.38415.708634.F7. View

4.
Libby G, Donnelly L, Donnan P, Alessi D, Morris A, Evans J . New users of metformin are at low risk of incident cancer: a cohort study among people with type 2 diabetes. Diabetes Care. 2009; 32(9):1620-5. PMC: 2732153. DOI: 10.2337/dc08-2175. View

5.
Cha J, Yang W, Xia W, Wei Y, Chan L, Lim S . Metformin Promotes Antitumor Immunity via Endoplasmic-Reticulum-Associated Degradation of PD-L1. Mol Cell. 2018; 71(4):606-620.e7. PMC: 6786495. DOI: 10.1016/j.molcel.2018.07.030. View