“…This involved down-regulation of specificity protein (Sp) transcription factors Sp1, Sp3, and Sp4 and pro-oncogenic Sp-regulated genes such as bcl2, fatty acid synthase (FAS), survivin, vascular endothelial growth factor (VEGF), and VEGF receptor 1 (VEGFR1) (31). The anticancer activities of metformin are also similar to * This work was supported, in whole or in part, by National Institutes of Health that observed after knockdown of Sp1 or all three Sp proteins by RNA interference in cancer cells, and this includes growth inhibition, induction of apoptosis, reversal of epithelial to mesenchymal transition, and decreased migration/invasion (32)(33)(34)(35)(36). Metformin also inhibits NFB and decreases cyclin D1 and ErbB2 in cancer cell lines (13,20,27,28), and these gene products are also decreased after Sp1, Sp3, and Sp4 silencing by RNAi or by other drugs that down-regulate Sp proteins (32)(33)(34)(35)(36).…”