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World J Meta-Anal. Jun 18, 2023; 11(5): 144-150
Published online Jun 18, 2023. doi: 10.13105/wjma.v11.i5.144
Advances in the mechanism of action of metformin in pituitary tumors
Long-Yao Zhang, Yu-Hua Yin, Xue-Jian Wang
Long-Yao Zhang, Xue-Jian Wang, Department of Neurosurgery, The Affiliated Hospital 2 to Nantong University, Nantong 226000, Jiangsu Province, China
Yu-Hua Yin, Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University, Shanghai 226000, China
Author contributions: Wang XJ and Zhang LY contributed to conceptualization; Zhang LY contributed to writing the original draft preparation; Yin YH contributed to review and editing of the manuscript; All authors have read and agreed to the final version of the manuscript.
Supported by the Science and Technology Program of Nantong Health Committee, No. MA2019003, No. MA2021017, No. Key003; Science and Technology Program of Nantong City, NO. MS12015016, and No. JCZ2022040; and Kangda College of Nanjing Medical University, No. KD2021JYYJYB025, No. KD2022KYJJZD019, and No. KD2022KJJZZD022.
Conflict-of-interest statement: All the authors declare no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Jian Wang, MD, PhD, Professor, Surgeon, Department of Neurosurgery, The Affiliated Hospital 2 to Nantong University, No. 666 Victory Road, Chongchuan District, Nantong 226000 Jiangsu Province, China. 6841441@163.com
Received: February 24, 2023
Peer-review started: February 24, 2023
First decision: March 9, 2023
Revised: March 20, 2023
Accepted: April 14, 2023
Article in press: April 14, 2023
Published online: June 18, 2023
Processing time: 111 Days and 22.5 Hours
Abstract

Pituitary tumors are common intracranial tumors, but when faced with drug-resistant or aggressive tumors, existing medical measures may not provide good control, leading to progression and deterioration. Metformin, a traditional hypoglycemic drug, has recently been discovered to have multiple functions including antitumor effects. There have been studies on the mechanism of metformin for the treatment of pituitary tumors, but it is uncertain whether it will provide new adjuvant or alternative therapies for the treatment of these tumors. We analyzed the potential mechanisms of action of metformin with respect to the inhibition of pituitary tumor growth and hormone secretion by reviewing the available literature.

Keywords: Metformin; Pituitary tumor; Mechanism; Treatment; Study; Review

Core Tip: Pituitary tumors are common intracranial tumors, but when faced with drug-resistant or aggressive tumors, existing medical measures may not provide good control, leading to progression and deterioration. Metformin, a traditional hypoglycemic drug, has recently been discovered to have multiple functions including antitumor effects. There have been studies on the mechanism of metformin for the treatment of pituitary tumors, but it is uncertain whether it will provide new adjuvant or alternative therapies for the treatment of these tumors. We analyzed the potential mechanisms of action of metformin on the inhibition of pituitary tumor growth and hormone secretion by reviewing the available literature.