Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment

The dose makes the poison, the common motto of toxicology first expressed by Paracelsus more than 400 years ago, may effectively serve to guide potential applications for metformin and related biguanides in oncology. While Paracelsus' law for the dose-response effect has been commonly exploited...

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Autores: Menéndez Menéndez, Javier Abel, Quirantes Piné, Rosa, Rodríguez Gallego, Esther, Cufí González, Sílvia, Corominas Faja, Bruna, Cuyàs, Elisabet, Bosch Barrera, Joaquim, Martin Castillo, Begoña, Segura Carretero, Antonio, Joven, Jorge
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/9215
Acceso en línea:http://hdl.handle.net/10256/9215
Access Level:acceso abierto
Palabra clave:Metformina
Diabetis
Càncer
Metformin
Diabetes
Cancer
Cáncer
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spelling Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatmentMenéndez Menéndez, Javier AbelQuirantes Piné, RosaRodríguez Gallego, EstherCufí González, SílviaCorominas Faja, BrunaCuyàs, ElisabetBosch Barrera, JoaquimMartin Castillo, BegoñaSegura Carretero, AntonioJoven, JorgeMetforminaDiabetisCàncerMetforminDiabetesCancerMetforminDiabetesCáncerThe dose makes the poison, the common motto of toxicology first expressed by Paracelsus more than 400 years ago, may effectively serve to guide potential applications for metformin and related biguanides in oncology. While Paracelsus' law for the dose-response effect has been commonly exploited for the use of some anti-cancer drugs at lower doses in non-neoplastic diseases (e.g., methotrexate), the opposite scenario also holds true; in other words, higher doses of non-oncology drugs, such as anti-diabetic biguanides, might exert direct anti-neoplastic effects. Here, we propose that, as for any drug, there is a dose range for biguanides that is without any effect, one corresponding to"diabetobiguanides" with a pharmacological effect (e.g., insulin sensitization in type 2 diabetes, prevention of insulin-dependent carcinogenesis, indirect inhibition of insulin and growth factor-dependent cancer growth) but with minimal toxicity and another corresponding to 'oncobiguanides' with pharmacological (i.e., direct and strong anticancer activity against cancer cells) as well as toxic effects. Considering that biguanides demonstrate a better safety profile than most oncology drugs in current use, we should contemplate the possibility of administering biguanides through non-conventional routes (e.g., inhaled for carcinomas of the lung, topical for skin cancers, intravenous as an adjunctive therapy, rectal suppositories for rectal cancer) to unambiguously investigate the therapeutic value of high-dose transient biguanide exposure in cancer. Perhaps then, the oncobiguanides, as we call them here, could be viewed as a mechanistically different type of anti-cancer drugs employed at doses notably higher than those used chronically when functioning as diabetobiguanidesImpact Journals2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion5 p.application/pdfhttp://hdl.handle.net/10256/9215http://hdl.handle.net/10256/9215Oncotarget, 2014, vol. 5, núm. 9, p. 2344-2348Menéndez, Javier A. Quirantes-Piné, Rosa Rodríguez-Gallego, Esther Cufí, Sílvia Corominas-Faja, Bruna Cuyàs, Elisabet Bosch-Barrera, Joaquim Martin-Castillo, Begoña Segura-Carretero, Antonio Joven, Jorge 2014 Oncobiguanides: Paracelsus" law and nonconventional routes for administering diabetobiguanides for cancer treatment Oncotarget 5 9 2344 2348reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/issn/1949-2553Reconeixement 3.0 Espanyahttp://creativecommons.org/licenses/by/3.0/es/deed.cainfo:eu-repo/semantics/openAccessoai:recercat.cat:10256/92152026-05-29T05:05:01Z
dc.title.none.fl_str_mv Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
title Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
spellingShingle Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
Menéndez Menéndez, Javier Abel
Metformina
Diabetis
Càncer
Metformin
Diabetes
Cancer
Metformin
Diabetes
Cáncer
title_short Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
title_full Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
title_fullStr Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
title_full_unstemmed Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
title_sort Oncobiguanides: Paracelsus' law and nonconventional routes for administering diabetobiguanides for cancer treatment
dc.creator.none.fl_str_mv Menéndez Menéndez, Javier Abel
Quirantes Piné, Rosa
Rodríguez Gallego, Esther
Cufí González, Sílvia
Corominas Faja, Bruna
Cuyàs, Elisabet
Bosch Barrera, Joaquim
Martin Castillo, Begoña
Segura Carretero, Antonio
Joven, Jorge
author Menéndez Menéndez, Javier Abel
author_facet Menéndez Menéndez, Javier Abel
Quirantes Piné, Rosa
Rodríguez Gallego, Esther
Cufí González, Sílvia
Corominas Faja, Bruna
Cuyàs, Elisabet
Bosch Barrera, Joaquim
Martin Castillo, Begoña
Segura Carretero, Antonio
Joven, Jorge
author_role author
author2 Quirantes Piné, Rosa
Rodríguez Gallego, Esther
Cufí González, Sílvia
Corominas Faja, Bruna
Cuyàs, Elisabet
Bosch Barrera, Joaquim
Martin Castillo, Begoña
Segura Carretero, Antonio
Joven, Jorge
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Metformina
Diabetis
Càncer
Metformin
Diabetes
Cancer
Metformin
Diabetes
Cáncer
topic Metformina
Diabetis
Càncer
Metformin
Diabetes
Cancer
Metformin
Diabetes
Cáncer
description The dose makes the poison, the common motto of toxicology first expressed by Paracelsus more than 400 years ago, may effectively serve to guide potential applications for metformin and related biguanides in oncology. While Paracelsus' law for the dose-response effect has been commonly exploited for the use of some anti-cancer drugs at lower doses in non-neoplastic diseases (e.g., methotrexate), the opposite scenario also holds true; in other words, higher doses of non-oncology drugs, such as anti-diabetic biguanides, might exert direct anti-neoplastic effects. Here, we propose that, as for any drug, there is a dose range for biguanides that is without any effect, one corresponding to"diabetobiguanides" with a pharmacological effect (e.g., insulin sensitization in type 2 diabetes, prevention of insulin-dependent carcinogenesis, indirect inhibition of insulin and growth factor-dependent cancer growth) but with minimal toxicity and another corresponding to 'oncobiguanides' with pharmacological (i.e., direct and strong anticancer activity against cancer cells) as well as toxic effects. Considering that biguanides demonstrate a better safety profile than most oncology drugs in current use, we should contemplate the possibility of administering biguanides through non-conventional routes (e.g., inhaled for carcinomas of the lung, topical for skin cancers, intravenous as an adjunctive therapy, rectal suppositories for rectal cancer) to unambiguously investigate the therapeutic value of high-dose transient biguanide exposure in cancer. Perhaps then, the oncobiguanides, as we call them here, could be viewed as a mechanistically different type of anti-cancer drugs employed at doses notably higher than those used chronically when functioning as diabetobiguanides
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/9215
http://hdl.handle.net/10256/9215
url http://hdl.handle.net/10256/9215
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/issn/1949-2553
dc.rights.none.fl_str_mv Reconeixement 3.0 Espanya
http://creativecommons.org/licenses/by/3.0/es/deed.ca
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Reconeixement 3.0 Espanya
http://creativecommons.org/licenses/by/3.0/es/deed.ca
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 5 p.
application/pdf
dc.publisher.none.fl_str_mv Impact Journals
publisher.none.fl_str_mv Impact Journals
dc.source.none.fl_str_mv Oncotarget, 2014, vol. 5, núm. 9, p. 2344-2348
Menéndez, Javier A. Quirantes-Piné, Rosa Rodríguez-Gallego, Esther Cufí, Sílvia Corominas-Faja, Bruna Cuyàs, Elisabet Bosch-Barrera, Joaquim Martin-Castillo, Begoña Segura-Carretero, Antonio Joven, Jorge 2014 Oncobiguanides: Paracelsus" law and nonconventional routes for administering diabetobiguanides for cancer treatment Oncotarget 5 9 2344 2348
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instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
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