“…[81][82][83] The overexpression of MAGL in nonaggressive cancer cells is sufficient to increase their pathogenicity by recapitulating this fatty acid network, thus revealing how cancer cells can co-opt a lipolytic enzyme to translate their lipogenic state into an array of protumorigenic signals. Indeed, MAGL's unique role of providing lipolytic sources of free fatty acids (FFAs) for the synthesis of oncogenic signaling lipids that promote cancer aggressiveness, together with the fact that MAGL blockade impairs cell migration, invasiveness, and tumorigenicity by lowering the levels of FFAs and protumorigenic signaling lipids, [84][85][86] strongly suggest that, in response to the expected chronic inactivation of several lipogenic enzymes and lipogenesis imposed by metformin, the metformin-refractory MCF-7/MET-R cells re-activate the very same lipogenic state that is commonly controlled by metformin's targets (AMPK, acetylCoA carboxylase, mTOR) via MAGL. The serine proteinase degradome gene FREM1 (FRAS1-related extracellular matrix 1/signalase-like 1) 87,88 and Wnt-induced signaling protein-2 (WISP2/CCN5), a gene coding for a metalloproteinase substrate implicated in the modification of the ECM, invasion, and angiogenesis that has been linked to a variety of human cancer types and may contribute to cancer metastasis, 89,90 were also significantly upregulated in the metformin-refractory MCF-7/ MET-R cells ( Table 2).…”