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  1. General Info
  2. Effects Info
  3. Reference
Drug Details
01. General Information
Name Metformin
PubChem CID 4091
Molecular Weight 129.16g/mol
Synonyms

metformin, 657-24-9, 1,1-Dimethylbiguanide, N,N-dimethylimidodicarbonimidic diamide, Fluamine, Metiguanide, Dimethylbiguanide, Flumamine, Gliguanid, Haurymelin, Metformine, Melbin, Imidodicarbonimidic diamide, N,N-dimethyl-, N,N-Dimethylbiguanide, Islotin, Dimethyldiguanide, N1,N1-Dimethylbiguanide, DMGG, NNDG, N,N-Dimethyldiguanide, Diabetosan, Metformina, Metforminum, Glifage, Siofor, Metformine [INN-French], Metforminum [INN-Latin], LA-6023, BIGUANIDE, 1,1-DIMETHYL-, 3-(diaminomethylidene)-1,1-dimethylguanidine, Dimethylbiguanid, 1,1-Dimethyl biguanide, Metformin extended release, EINECS 211-517-8, CCRIS 9321, CHEBI:6801, DTXSID2023270, UNII-9100L32L2N, 9100L32L2N, CHEMBL1431, DTXCID803270, Imidodicarbonimidic diamide-, N,N-dimethyl-, Metformina [DCIT], Metformina [Spanish], Metformine (INN-French), Metforminum (INN-Latin), Dimethylguanylguanidine, Metformin [USAN:INN:BAN], C4H11N5, MLS000028493, [14C]metformin, [14C]-metformin, Metformin (USAN/INN), NCGC00016564-01, SMR000058277, CAS-1115-70-4, N,N-dimethylguanylguanidine, Dianben, Obimet, N-dimethylbiguanide, MF8, Metforminum (Latin), DMBG, Glucophage (Salt/Mix), METFORMIN [INN], n',n'-dimethylbiguanide, METFORMIN [MI], METFORMIN [USAN], Prestwick0_000004, Prestwick1_000004, Prestwick2_000004, Prestwick3_000004, METFORMIN [VANDF], N,N-Dimethylguanylguanidin, METFORMIN [WHO-DD], SCHEMBL8944, BSPBio_000007, BSPBio_002314, KBioGR_002310, KBioSS_002312, cid_14219, LA 6023 (Salt/Mix), BIDD:GT0697, SPBio_001928, N(1),N(1)-dimethylbiguanide, BPBio1_000009, GTPL4503, GTPL4779, SCHEMBL9913821, SCHEMBL10276396, BDBM57047, KBio2_002310, KBio2_004878, KBio2_007446, KBio3_002790, A10BA02, cMAP_000016, HMS2089D19, HY-B0627, Tox21_302370, BBL012337, BDBM50229665, HSCI1_000295, MFCD00242652, NSC813213, s5958, STK011633, STL483693, STL484070, N,N-Dimethyltriimidodicarbonic diamide, AKOS000121065, AKOS005206848, AKOS015966566, CCG-102605, DB00331, NSC-813213, 3-carbamimidoyl-1,1-dimethyl-guanidine, NCGC00016564-02, NCGC00016564-03, NCGC00016564-05, NCGC00016564-07, NCGC00188959-01, NCGC00255255-01, AC-32484, AS-65365, CAS-657-24-9, SBI-0206876.P001, 1-carbamimidamido-N,N-dimethylmethanimidamide, CS-0009563, FT-0628266, NS00000333, EN300-23696, A19551, C07151, D04966, D72476, EN300-746417, Q19484, (E)-3-[Amino(dimethylamino)methylidene]guanidine, 1-[(E)-amino(dimethylamino)methylidene]guanidine, W-109589, {[amino(dimethylamino)methylidene]amino}methanimidamide, BRD-K79602928-003-04-1, BRD-K79602928-003-08-2, 3-(diaminomethylene)-1,1-dimethyl-guanidine;hydrochloride, [(E)-[AMINO(DIMETHYLAMINO)METHYLIDENE]AMINO]METHANIMIDAMIDE, 3-[bis(azanyl)methylidene]-1,1-dimethyl-guanidine;hydrochloride

Drug Type Small molecule
Formula C₄H₁₁N₅
SMILES CN(C)C(=N)N=C(N)N
InChI 1S/C4H11N5/c1-9(2)4(7)8-3(5)6/h1-2H3,(H5,5,6,7,8)
InChIKey XZWYZXLIPXDOLR-UHFFFAOYSA-N
CAS Number 657-24-9
ChEMBL ID CHEMBL1431
ChEBI ID CHEBI:6801
TTD ID D0D7LA
Drug Bank ID DB00331
KEGG ID C07151
Toxicity Organism Test Type Route(Dose)
rat LD50 intraperitoneal(165 mg/kg)
mouse LD50 intraperitoneal(254 mg/kg)
rat LD50 oral(322 mg/kg)
Structure 2D-img
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2D MOL 3D MOL
02. Combinatorial Therapeutic Effect(s)
Synergistic Effect
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Enhancing Drug Efficacy
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Combination Pair ID: 86
Pair Name Tangeretin, Metformin
Partner Name Tangeretin
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Biological Phenomena Induction-->ROS accumulation
Gene Regulation Down-regulation Phosphorylation ABCB1 hsa5243
Down-regulation Phosphorylation ABCC1 hsa4363
Down-regulation Phosphorylation AKT1 hsa207
Up-regulation Cleavage CASP3 hsa836
Up-regulation Cleavage CASP7 hsa840
Down-regulation Expression CDK2 hsa1017
Down-regulation Expression CDK4 hsa1019
Down-regulation Phosphorylation MAPK1 hsa5594
Up-regulation Cleavage PARP1 hsa142
Up-regulation Phosphorylation PRKAA1 hsa5562
Up-regulation Activity ROS1 hsa6098
In Vitro Model MCF-7 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0031
MDA-MB-231 Breast adenocarcinoma Homo sapiens (Human) CVCL_0062
Result The current work underscores the importance of metformin as an ERMA in tackling breast cancer and as a novel approach to boost its anticancer activity via a synergistic combination with tangeretin.
Combination Pair ID: 543
Pair Name Sulforaphane, Metformin
Partner Name Sulforaphane
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Biological Phenomena Induction-->Apoptosis
Gene Regulation Up-regulation Expression BAX hsa581
Down-regulation Expression BCL2 hsa596
Down-regulation Expression CD44 hsa960
Down-regulation Expression CTNNB1 hsa1499
Down-regulation Expression ERBB2 hsa2064
Down-regulation Expression SRC hsa6714
Down-regulation Expression WNT1 hsa7471
In Vitro Model BT-474 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0179
Result Our data indicate that SLFN and MTFN can reduce cancer cell viability via both collaborative and differential effects and suggest that MTFN increases SLFN effectiveness by targeting common molecules/pathways downstream of HER2 and key for CSC signaling.
Combination Pair ID: 98
Pair Name Silibinin, Metformin
Partner Name Silibinin
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Biological Phenomena Induction-->Proliferation
Gene Regulation Down-regulation Expression CCND1 hsa595
Down-regulation Expression TERT hsa7015
In Vitro Model T-47D Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0553
Result The results provide evidence that synergistic antiproliferative effects of MET and SIL, linking to the down-regulation of Cyclin D1 and hTERT genes, and propose that MET+SIL may have therapeutic value in breast cancer therapy.
Combination Pair ID: 122
Pair Name Epigallocatechin gallate, Metformin
Partner Name Epigallocatechin gallate
Disease Info [ICD-11: 2C12] Hepatocellular carcinoma Investigative
Biological Phenomena Induction-->Blockade of cell cycle in G0/G1 phase
Gene Regulation Up-regulation Expression CASP3 hsa836
Down-regulation Expression CCND1 hsa595
Down-regulation Expression GPC3 hsa2719
Down-regulation Expression VEGFA hsa7422
In Vitro Model Hep-G2 Hepatoblastoma Homo sapiens (Human) CVCL_0027
Result Anti-proliferative and anti-apoptotic potential effects of epigallocatechin-3-gallate and/or metformin on hepatocellular carcinoma cells: in vitro study
Combination Pair ID: 241
Pair Name Crocin, Metformin
Partner Name Crocin
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Biological Phenomena Inhibition-->Cell metastasis
Gene Regulation Down-regulation Expression MMP9 hsa4318
Down-regulation Expression VEGFA hsa7422
In Vitro Model 4T1 Malignant neoplasms of the mouse mammary gland Mus musculus (Mouse) CVCL_0125
In Vivo Model 1×10⁶ 4T1 cells suspended in 0.2 ml phosphate-buffered saline and inoculated into the left dorsal flank regions of the mice.
Result These findings suggest that a combination of crocin and metformin could serve as a novel therapeutic approach to enhance the effectiveness of metastatic breast cancer therapy.
Combination Pair ID: 103
Pair Name Chrysin, Metformin
Partner Name Chrysin
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Gene Regulation Down-regulation Expression CCND1 hsa595
Down-regulation Expression TERT hsa7015
In Vitro Model T-47D Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0553
Result The conmbination of metformin and chrysin suppressing hTERT and cyclin D1 gene expression might offer an appropriate approach for breast cancer therapy.
Combination Pair ID: 1008
Pair Name Artesunate, Metformin
Partner Name Artesunate
Disease Info [ICD-11: 2A00] Glioblastoma multiforme Investigative
Biological Phenomena Induction-->Autophagy
Gene Regulation Up-regulation Expression CASP9 hsa842
Down-regulation Expression MAP1LC3A hsa84557
Up-regulation Expression MAP1LC3B hsa81631
Down-regulation Phosphorylation MTOR hsa2475
Up-regulation Phosphorylation PRKAA1 hsa5562
Down-regulation Expression SQSTM1 hsa8878
In Vitro Model U-118MG Astrocytoma Homo sapiens (Human) CVCL_0633
U-251MG Astrocytoma Homo sapiens (Human) CVCL_0021
Result The study findings suggest that MET used in combination with ART can induce autophagy-dependent apoptosis in GBM cells by activating the ROS-AMPK-mTOR pathway, providing a potential new treatment for GBM.
Combination Pair ID: 314
Pair Name Aloin, Metformin
Partner Name Aloin
Disease Info [ICD-11: 2C12] Hepatocellular carcinoma Investigative
Biological Phenomena Induction-->Autophagy
Gene Regulation Up-regulation Activity AKT1 hsa207
Up-regulation Activity MTOR hsa2475
Up-regulation Activity PIK3CA hsa5290
In Vitro Model Hep-G2 Hepatoblastoma Homo sapiens (Human) CVCL_0027
BEL-7402 Human papillomavirus-related cervical adenocarcinoma Homo sapiens (Human) CVCL_5492
In Vivo Model For xenograft study, mice were inoculated subcutaneously into the right-back with 7.5×10⁶ HepG2 cells in 200 μl PBS and Matrigel (1:1).
Result Our research demonstrated that the concomitant treatment with aloin and MET enhances the antitumor effect by inhibiting the growth and invasion as well as inducing apoptosis and autophagy in HCC through PI3K/AKT/mTOR pathway.
Reversing Drug Resistance
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Combination Pair ID: 771
Pair Name Honokiol, Metformin
Partner Name Honokiol
Disease Info [ICD-11: 2C60] Breast cancer Investigative
Gene Regulation Down-regulation Expression BCL2 hsa596
Up-regulation Cleavage PARP1 hsa142
Down-regulation Phosphorylation RPS6KB1 hsa6198
In Vitro Model MCF-7 Invasive breast carcinoma of no special type Homo sapiens (Human) CVCL_0031
MDA-MB-231 Breast adenocarcinoma Homo sapiens (Human) CVCL_0062
SK-BR-3 Breast adenocarcinoma Homo sapiens (Human) CVCL_0033
Result The combination of honokiol with metformin is considered an effective approach to induce death in hormone-resistant cells. Honokiol is of interest as a natural compound with antiproliferative activity against breast cancers, including resistant tumors.
Antagonistic Effect
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Reducing Drug Efficacy
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Combination Pair ID: 1047
Pair Name Niacinamide, Metformin
Partner Name Niacinamide
Result The efficacy of insulin and other antidiabetic agents may be diminished by certain drugs, including atypical antipsychotics, corticosteroids, diuretics, estrogens, gonadotropin-releasing hormone agonists, human growth hormone, phenothiazines, progestins, protease inhibitors, sympathomimetic amines, thyroid hormones, L-asparaginase, alpelisib, copanlisib, danazol, diazoxide, isoniazid, megestrol, omacetaxine, phenytoin, tagraxofusp, temsirolimus, as well as pharmacologic dosages of nicotinic acid and adrenocorticotropic agents. These drugs may interfere with blood glucose control because they can cause hyperglycemia, glucose intolerance, new-onset diabetes mellitus, and/or exacerbation of preexisting diabetes.
03. Reference
No. Title Href
1 DDInter: an online drug-drug interaction database towards improving clinical decision-making and patient safety. Nucleic Acids Res. 2022;50(D1):D1200-D1207. doi:10.1093/nar/gkab880 Click
2 Tangeretin boosts the anticancer activity of metformin in breast cancer cells via curbing the energy production. Phytomedicine. 2021 Mar;83:153470. doi: 10.1016/j.phymed.2021.153470. Click
3 Co-Treatment with Sulforaphane and Nano-Metformin Molecules Accelerates Apoptosis in HER2+ Breast Cancer Cells by Inhibiting Key Molecules. Nutr Cancer. 2020;72(5):835-848. doi: 10.1080/01635581.2019.1655073. Click
4 Synergistic Anti-proliferative Effects of Metformin and Silibinin Combination on T47D Breast Cancer Cells via hTERT and Cyclin D1 Inhibition. Drug Res (Stuttg). 2018 Dec;68(12):710-716. doi: 10.1055/a-0631-8046. Click
5 Anti-proliferative and anti-apoptotic potential effects of epigallocatechin-3-gallate and/or metformin on hepatocellular carcinoma cells: in vitro study. Mol Biol Rep. 2019 Apr;46(2):2039-2047. doi: 10.1007/s11033-019-04653-6. Click
6 Crocin and Metformin suppress metastatic breast cancer progression via VEGF and MMP9 downregulations: in vitro and in vivo studies. Mol Cell Biochem. 2021 Sep;476(9):3341-3351. doi: 10.1007/s11010-020-04043-8. Click
7 Synergistic Growth Inhibitory Effects of Chrysin and Metformin Combination on Breast Cancer Cells through hTERT and Cyclin D1 Suppression. Asian Pac J Cancer Prev. 2018 Apr 25;19(4):977-982. doi: 10.22034/APJCP.2018.19.4.977. Click
8 Lower dose of metformin combined with artesunate induced autophagy-dependent apoptosis of glioblastoma by activating ROS-AMPK-mTOR axis. Exp Cell Res. 2023 Sep 1;430(1):113691. doi: 10.1016/j.yexcr.2023.113691. Click
9 Combination of aloin and metformin enhances the antitumor effect by inhibiting the growth and invasion and inducing apoptosis and autophagy in hepatocellular carcinoma through PI3K/AKT/mTOR pathway. Cancer Med. 2020 Feb;9(3):1141-1151. doi: 10.1002/cam4.2723. Click
10 Honokiol inhibits the growth of hormone-resistant breast cancer cells: its promising effect in combination with metformin. Res Pharm Sci. 2023 Aug 20;18(5):580-591. doi: 10.4103/1735-5362.383712. Click
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