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Metformin Treatment for Diabetes Mellitus Correlates with Progression and Survival in Colorectal Carcinoma

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11320%2F20%3A10402259" target="_blank" >RIV/00216208:11320/20:10402259 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/20:10402259 RIV/00216208:11120/20:43919520 RIV/61989592:15110/20:73603565 RIV/61989100:27240/20:10243807 and 5 more

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=EG_zMLSVYf" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=EG_zMLSVYf</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.tranon.2019.10.011" target="_blank" >10.1016/j.tranon.2019.10.011</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Metformin Treatment for Diabetes Mellitus Correlates with Progression and Survival in Colorectal Carcinoma

  • Original language description

    BACKGROUND: Diabetes mellitus is unfavorably associated with cancer risk. The purpose of this multidisciplinary project was to evaluate a possible association of diabetes mellitus and other comorbidities and their treatment with progression of colorectal cancer. PATIENTS AND METHODS: We investigated the correlation between pathological characteristics and clinical course, including comorbidities in 1004 Czech patients diagnosed and surgically treated for colorectal adenocarcinoma (CRC) between 1999 and 2016. RESULTS: In our data set, CRC patients treated with metformin due to coexisting diabetes mellitus type 2 (T2DM) developed fewer distant metastases which clinically correlates with slower CRC progression. Survival in metformin subgroup was longer, particularly in men with CRC. Osteoporosis may be a negative factor of survival in CRC patients. CONCLUSIONS: Our findings also indicate that aging, higher tumor grade and TNM stage, coexistence of selected endocrine disorders, and metabolic abnormalities may change the tumor microenvironment and impact survival in colorectal cancer, although mechanism of these observations yet to be explained. Patients with diabetes mellitus type 2 treated with metformin may represent the altered microenvironment with specifically tuned metabolic molecular responses and with various epigenetic characteristics. More awareness and increased understanding of the mechanisms underlying the positive effect of metformin on patients&apos; survival could offer insight into new treatment methods and permit more individualized treatment plans.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30202 - Endocrinology and metabolism (including diabetes, hormones)

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2020

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Translational Oncology

  • ISSN

    1936-5233

  • e-ISSN

  • Volume of the periodical

    13

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    10

  • Pages from-to

    383-392

  • UT code for WoS article

    000513932000029

  • EID of the result in the Scopus database

    2-s2.0-85077127536