4T1 cells seeded in 4 wells plate and after 24hours treated with 5mM metformin, after 24hours of treatment plate were ready for ICC test and fluorescent microscopy. We have found that treatment with metformin improved the expression of CAV-1, compare with control (a group of untreated cells cultured in high glutamine media) (P value: 0/0392) (Fig. 1). It is probable that metformin by inhibiting glutamine metabolism affect CAV-1 expression, which may also affect cancer metabolism and behavior. Also re-expression of CAV-1 by metformin could rearrange the shape of cancer cell membrane as shown in Fig. 2.
CAV-1 is a pivotal molecule in cellular functions, including metabolism, cell growth, and cell death(7). Previous studies confirmed that decrease in stromal CAV-1 abrogate the outcome of breast cancer (12). However, no study has verified whether the expression of CAV-1 in cancer cells is related to the metabolism of glutamine. In this study, we found for the first time that increase in glutamine metabolism down-regulates CAV-1, which is approximately compensated by administrating 5 mM metformin. Based on previous studies, decrease in CAV-1 promoted breast cancer cell progression via increase in aerobic glycolysis pathway, MCT4 expression, and matrix metalloproteinase MMP9 and MMP2 (13). Moreover, CAV-1 is considered as a prognosis marker in breast cancer, and knockdown of endogenous CAV-1 resulted in stimulating the proliferation of breast cancer cells. However, decrease in CAV1 is a strong predictor of tumor recurrence(14). Not only activating pro-survival signals such as PI3K/Akt and MAPK, but also inactivation of tumor suppressors BRCA1, P53 and PTEN were occurred as a result of loss of CAV-1(15).
Glutamine, however, compensate for the lack of enough nutritious and serve rapid tumor growth via glutaminolysis (GLS) pathway (conversion of glutamine to α-ketoglutarate). Therefore, the glutamine metabolism is urgent for tumor progression, metastasis, and drug resistance. Hence, tumor cells are known as glutamine addicted cells(16). Metformin by reducing the glucose metabolism improved the efficacy of BPTES-nanoparticles (GLS inhibitor) in hindering tumor growth. This combination therapy also decreased lactate level, glucose-6-phosphate, glucose-1-phosphate, and UDP-glucose, regarding metabolic stress and lack of enough ATP for tumor proliferation (17). In metabolic compartments, myofibroblasts lacking CAV-1 secrete more glutamine for cross-feeding of cancer cells. In addition, culturing cancer associated fibroblasts (CAFs) in high glutamine media suppressed CAV-1 via lysosomal degradation (18). However, study on 4T1 cell line revealed that highly metastatic 4T1.2 and 4T1.13 tumors express very low CAV1, and after inoculation of these cells into the mammary gland, moderate level of CAV-1 could suppress tumor growth and metastasis, and subsequently high level of CAV-1 could inhibit metastasis into bone, and lung(19). Thereby, metformin via re-expressing CAV-1 may hinder tumor metastasis.
Moreover, metformin as a promising drug in cancer therapy effectively improved the efficacy of anti cancer drugs via up-regulation of CAV-1 (20). In addition, re-expression of CAV-1 promotes better overall survival, and delayed onset age of breast cancer patients by metabolic reprogramming in cancer stem cells(21). Notably, metformin impaired glutamine metabolism (by down regulating glutaminase activity) in breast cancer cell lines, resulted in inhibiting tumor growth (6). Therefore, as we shown it is probable that glutamine metabolism affect CAV-1 expression and function, and on the other side, metformin by modulating glutamine metabolism re-expressed CAV-1. Hence, metformin may impact on tumor growth, and metastasis via metabolic reprogramming and modulation of CAV-1. However, further studies need to evaluate this idea in detail.