Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents

Oncological diseases are one of the leading causes of mortality in the world. Despite the intensive search for new methods to increase the efficacy and safety of antineoplastic therapy and to reduce resistance to it by malignant tumors, treatment issues still remain unresolved in clinical oncology....

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Main Authors: E. R. Radkevich, A. S. Severina, M. S. Shamkhalova, M. V. Shestakova
Format: Article
Language:English
Published: Endocrinology Research Centre 2025-05-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/13224
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author E. R. Radkevich
A. S. Severina
M. S. Shamkhalova
M. V. Shestakova
author_facet E. R. Radkevich
A. S. Severina
M. S. Shamkhalova
M. V. Shestakova
author_sort E. R. Radkevich
collection DOAJ
description Oncological diseases are one of the leading causes of mortality in the world. Despite the intensive search for new methods to increase the efficacy and safety of antineoplastic therapy and to reduce resistance to it by malignant tumors, treatment issues still remain unresolved in clinical oncology. This review analyses experimental data on the antineoplastic effect of sodium-glucose cotransporter 2 (SGLT2) inhibitors: the reasons why SGLT2 inhibitors can be used for the treatment of malignant tumors are presented, class-specificity and dose-dependence of the antineoplastic effect of the drugs are determined. Possible mechanisms of antitumor effect of glyflozins are described in detail, among which, in addition to reduction of glucose entry into tumor cells, inhibition of Wnt/β-catenin signalling pathway, enhancement of AMP activated protein kinase activity with subsequent change of lipid profile of tumor cells and inhibition of mTOR protein kinase (mammalian target of rapamycin), disruption of DNA and RNA synthesis in malignant tumor cells, etc. play a significant role. Considerable space is devoted to the pro-oncogenic effect of SGLT2 inhibitors, previously undisputed and now disproved, as well as to the interaction of this class of antidiabetic agents with other antitumor treatment in the context of efficacy, safety and therapeutic resistance.
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spelling doaj-art-7eaca4de9a38453f98bfc8b7ca61c25f2025-08-20T03:47:54ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782025-05-0128224325110.14341/DM1322411136Sodium-glucose cotransporter 2 inhibitors as potential anticancer agentsE. R. Radkevich0A. S. Severina1M. S. Shamkhalova2M. V. Shestakova3Endocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreOncological diseases are one of the leading causes of mortality in the world. Despite the intensive search for new methods to increase the efficacy and safety of antineoplastic therapy and to reduce resistance to it by malignant tumors, treatment issues still remain unresolved in clinical oncology. This review analyses experimental data on the antineoplastic effect of sodium-glucose cotransporter 2 (SGLT2) inhibitors: the reasons why SGLT2 inhibitors can be used for the treatment of malignant tumors are presented, class-specificity and dose-dependence of the antineoplastic effect of the drugs are determined. Possible mechanisms of antitumor effect of glyflozins are described in detail, among which, in addition to reduction of glucose entry into tumor cells, inhibition of Wnt/β-catenin signalling pathway, enhancement of AMP activated protein kinase activity with subsequent change of lipid profile of tumor cells and inhibition of mTOR protein kinase (mammalian target of rapamycin), disruption of DNA and RNA synthesis in malignant tumor cells, etc. play a significant role. Considerable space is devoted to the pro-oncogenic effect of SGLT2 inhibitors, previously undisputed and now disproved, as well as to the interaction of this class of antidiabetic agents with other antitumor treatment in the context of efficacy, safety and therapeutic resistance.https://www.dia-endojournals.ru/jour/article/view/13224cancerantineoplastic therapytype 2 diabetes mellitussugar-lowering drugssodium-glucose cotransporter 2sodium-glucose cotransporter 2 inhibitorsgliflozins
spellingShingle E. R. Radkevich
A. S. Severina
M. S. Shamkhalova
M. V. Shestakova
Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
Сахарный диабет
cancer
antineoplastic therapy
type 2 diabetes mellitus
sugar-lowering drugs
sodium-glucose cotransporter 2
sodium-glucose cotransporter 2 inhibitors
gliflozins
title Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
title_full Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
title_fullStr Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
title_full_unstemmed Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
title_short Sodium-glucose cotransporter 2 inhibitors as potential anticancer agents
title_sort sodium glucose cotransporter 2 inhibitors as potential anticancer agents
topic cancer
antineoplastic therapy
type 2 diabetes mellitus
sugar-lowering drugs
sodium-glucose cotransporter 2
sodium-glucose cotransporter 2 inhibitors
gliflozins
url https://www.dia-endojournals.ru/jour/article/view/13224
work_keys_str_mv AT erradkevich sodiumglucosecotransporter2inhibitorsaspotentialanticanceragents
AT asseverina sodiumglucosecotransporter2inhibitorsaspotentialanticanceragents
AT msshamkhalova sodiumglucosecotransporter2inhibitorsaspotentialanticanceragents
AT mvshestakova sodiumglucosecotransporter2inhibitorsaspotentialanticanceragents