Metformin inhibits small intestinal neuroendocrine tumor growth in vivo - Report - MDSpire

Metformin inhibits small intestinal neuroendocrine tumor growth in vivo

  • By

  • Fredrik Axling

  • Samuel Backman

  • Per Hellman

  • Olov Norlén

  • Elham Barazeghi

  • Peter Stålberg

  • June 25, 2026

  • 0 min

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Clinical Report: Metformin Suppresses Growth of Small Intestinal Neuroendocrine Tumors

Overview

This study investigates the effects of metformin on small intestinal neuroendocrine tumors (SI-NETs) in animal models, demonstrating a significant reduction in tumor growth. The research also explores the miRNA expression profiles associated with metformin treatment.

Background

Small intestinal neuroendocrine tumors (SI-NETs) are the most common tumors of the small intestine, often presenting with metastases at diagnosis. Current treatment options are limited, highlighting the need for novel therapies. Metformin, primarily used for type 2 diabetes, has shown potential anticancer effects in preclinical studies.

Data Highlights

GroupMean Tumor Volume (mm³) ± SD
CNDT2.5 Control113.3 ± 27.08
CNDT2.5 Metformin75.22 ± 25.44
GOT1 Control108.78 ± 22.94
GOT1 Metformin91.45 ± 22.92

Key Findings

  • Metformin treatment resulted in a significant reduction in tumor volume in SI-NET xenografts.
  • In the CNDT2.5 cell line, mean tumor volume decreased from 113.3 mm³ to 75.22 mm³ with metformin treatment.
  • In the GOT1 cell line, mean tumor volume decreased from 108.78 mm³ to 91.45 mm³ with metformin treatment.
  • MicroRNA modulation may play a role in the anticancer effects of metformin in SI-NETs.

Clinical Implications

Further research is needed to elucidate the mechanisms of action of metformin in SI-NETs.

Conclusion

Metformin demonstrates significant anti-tumor effects in SI-NET models.

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  4. European Neuroendocrine Tumor Society (ENETS) 2024 guidance paper for the management of well‐differentiated small intestine neuroendocrine tumours
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  12. European Neuroendocrine Tumor Society (ENETS) 2024 guidance paper for the management of well‐differentiated small intestine neuroendocrine tumours - Lamarca - 2024 - Journal of Neuroendocrinology - Wiley Online Library
  13. Exelixis Announces U.S. FDA Approval of CABOMETYX® (cabozantinib) for Patients with Previously Treated Advanced Neuroendocrine Tumors | Exelixis, Inc.
  14. Symptom Management for Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors: ASCO Guideline | JCO Oncology Practice
  15. European Neuroendocrine Tumor Society (ENETS) 2024 guidance paper for the management of well‐differentiated small intestine neuroendocrine tumours - Lamarca - 2024 - Journal of Neuroendocrinology - Wiley Online Library
  16. METNET: a phase II trial of metformin in patients with well-differentiated neuroendocrine tumours - PMC
  17. The potential role of metformin in the treatment of patients with pancreatic neuroendocrine tumors: a review of preclinical to clinical evidence - PMC
  18. Peptide receptor radionuclide therapy (PRRT) in high grade neuroendocrine neoplasms: a systematic review and meta-analysis - PubMed

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