Introduction/Objective. Many drugs registered for various other indications
can act selectively on tumor receptors, signaling pathways, metabolic
processes, bioenergetic factors, enzymes, proteins and genes that regulate
tumor proliferation, apoptosis and neoangiogenesis without affecting these
activities in healthy cells. Introduction of new drugs is a very long,
complex and expensive process of research. Detecting an anticancer effect in
drugs already registered for other indications and forming their
combinations may directly reduce the time and cost of such research.
Methods. Anticancer efficacy of metformin and its combinations with
caffeine, itraconazole and nitroglycerin was tested on fibrosarcoma
experimentally induced by BHK21/C13 cells in Syrian golden hamsters (six
animals per group, randomly allocated to control and experimental groups,
doses equivalent to usual human doses). After animal sacrifice, tumors were
excised and their size, biophysical characteristics, histology and
immunohistochemistry were assessed. Blood samples were collected for
hematological and biochemical analyses and the main organs were
toxicologically analyzed. Statistical significance was determined by one-way
ANOVA followed by the Student-Newman-Keuls post hoc test. Results. Two-drug
combinations of metformin with caffeine or itraconazole or nitroglycerin
showed significant antitumor effects on hamster fibrosarcoma compared to
control, regarding all tested tumor parameters (p < 0.05) without toxicity.
Conclusion. Administration of metformin in combination with caffeine or
itraconazole or nitroglycerin might be an effective and safe approach in
novel nontoxic adjuvant anticancer treatment.