[HTML][HTML] Metformin promotes apoptosis in hepatocellular carcinoma through the CEBPD-induced autophagy pathway

HH Tsai, HY Lai, YC Chen, CF Li, HS Huang, HS Liu… - Oncotarget, 2017 - ncbi.nlm.nih.gov
HH Tsai, HY Lai, YC Chen, CF Li, HS Huang, HS Liu, YS Tsai, JM Wang
Oncotarget, 2017ncbi.nlm.nih.gov
Metformin, as an AMP-activated protein kinase (AMPK) activator, can activate autophagy. A
study showed that metformin decreased the risk of hepatocellular carcinoma (HCC) in
diabetic patients. However, the detailed mechanism in the metformin-mediated anticancer
effect remains an open question. Transcription factor CCAAT/enhancer-binding protein delta
(CEBPD) has been suggested to serve as a tumor suppressor and is responsive to multiple
anticancer drugs in HCC. In this study, we found that CEBPD and autophagy are involved in …
Abstract
Metformin, as an AMP-activated protein kinase (AMPK) activator, can activate autophagy. A study showed that metformin decreased the risk of hepatocellular carcinoma (HCC) in diabetic patients. However, the detailed mechanism in the metformin-mediated anticancer effect remains an open question. Transcription factor CCAAT/enhancer-binding protein delta (CEBPD) has been suggested to serve as a tumor suppressor and is responsive to multiple anticancer drugs in HCC. In this study, we found that CEBPD and autophagy are involved in metformin-induced cell apoptosis in Huh7 cells. The underlying mechanisms in this process included a reduction in Src-mediated CEBPD protein degradation and an increase in CEBPD-regulated LC3B and ATG3 gene transcription under metformin treatment. We also found that AMPK is involved in metformin-induced CEBPD expression. Combined treatment with metformin and rapamycin can enhance autophagic cell death through the AMPK-dependent and AMPK-independent pathway, respectively. Taken together, we provide a new insight and therapeutic approach by targeting autophagy in the treatment of HCC.
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