Open research questions in Metabolism, Diabetes, and Cancer
109 unresolved questions extracted from the limitations and future-work sections of 322 Metabolism, Diabetes, and Cancer papers in our library. Each links back to the study that raised it.
What the literature leaves open
Further studies are needed to investigate the relationship between T2DM and cancer. Research should focus on the clinical characteristics and survival outcomes of patients with co-occurring T2DM and cancer. Studies should explore the potential confounding factors related to COVID-19 pandemic-associated disruptions.
Type 2 diabetes and cancer: A retrospective longitudinal comparative cohort study of disease sequence and comorbidity profiles · 2026 · DOIThe genetic background and biological mechanisms underlying the rapid loss of endogenous insulin secretion and reversible subcutaneous insulin resistance are not fully understood. There is a lack of understanding of the clinical evolution of patients with type 2 diabetes who develop this condition.
Case Report: Rapid loss of endogenous insulin secretion and reversible subcutaneous insulin resistance following exogenous insulin exposure in a patient initially diagnosed with type 2 diabetes · 2026 · DOIresidual confounding by baseline disease severity and treatment indication, - lack of laboratory or anthropometric measures of baseline disease severity, - no direct dissemination to individual study participants due to anonymized nature of dataset
Early insulin combined with metformin therapy and long-term risks of cardiovascular disease, kidney disease, and cancer in newly diagnosed type 2 diabetes: a real-world cohort study in China · 2026 · DOIexamination of cardiovascular effects of metformin and insulin therapies, - investigation of early insulin-based therapy for treatment of type 2 diabetes mellitus
Early insulin combined with metformin therapy and long-term risks of cardiovascular disease, kidney disease, and cancer in newly diagnosed type 2 diabetes: a real-world cohort study in China · 2026 · DOIthe study did not investigate the long-term effects of semaglutide on BMSCs, - the study did not examine the effects of semaglutide on other cell types, - the study used a limited number of concentrations of semaglutide
Semaglutide promotes the proliferation and osteogenic differentiation of bone-derived mesenchymal stem cells through activation of the Wnt/LRP5/β-catenin signaling pathway · 2025 · DOIThe underlying mechanism of Semaglutide's effect on osteogenic differentiation is unclear. The diagnostic criterion for osteoporosis in diabetic patients may need to be revised. The potential therapeutic application of Semaglutide in osteoporosis treatment is not fully understood.
Semaglutide promotes the proliferation and osteogenic differentiation of bone-derived mesenchymal stem cells through activation of the Wnt/LRP5/β-catenin signaling pathway · 2025 · DOItrial findings for non-cancer conditions remain controversial and insufficient, - most current clinical trials for PCOS and gynecological malignancies are ongoing phase II–III trials, - studies in women with endometriosis treated with metformin are scarce
There is a lack of effective treatments for gynecological disorders. Current treatments often have serious side effects. There is a need for affordable and low-toxicity treatments for these disorders.
Accurately predicting individual patient prognosis and identifying those likely to benefit from specific treatments remains a challenge. The discovery of novel and reliable prognostic biomarkers, as well as tools for monitoring treatment response, is of critical importance in improving outcomes for breast cancer patients.
Elucidating the Prognostic and Therapeutic Implications of Insulin Resistance Genes in Breast Cancer: A Machine Learning-Powered Analysis · 2025 · DOIThe prognostic relevance of insulin resistance in breast cancer has not been fully elucidated. The critical molecular markers linking insulin resistance to breast cancer outcomes remain insufficiently characterized.
Elucidating the Prognostic and Therapeutic Implications of Insulin Resistance Genes in Breast Cancer: A Machine Learning-Powered Analysis · 2025 · DOIFurther research to fully understand the mechanism of action of metformin in cancer therapy, - Exploration of metformin's potential for cancer prevention and treatment, - Investigation of the impact of metformin on aging-related diseases
The precise mechanism of action of metformin in cancer therapy is not fully understood. Conflicting outcomes in clinical trials and considerations regarding dosing and resistance development need to be addressed.
Future research should focus on maintaining normal glucose uptake and reducing peripheral glucose levels, - Dietary interventions to lower glucose levels could enhance the efficacy of glucose uptake-reducing therapies, - Preclinical studies demonstrated that lowering environmental glucose enhances the effects of traditional chemotherapy
Metformin improves metabolic health and remodels the intestinal microbiota, yet how these microbial changes contribute to therapeutic benefits remains incompletely understood.
The chemorepellent effect of metformin limits bacterial penetration into mammalian mucus by altering bacterial motility · 2026 · DOIPrevious studies have demonstrated that artemether (ATM) has anti-diabetes and anti-inflammation activities, but its mechanism has not been fully elucidated.
Exploring the glucose-lowering and anti-inflammatory immune mechanism of artemether by AMPK/mTOR pathway and microbiome based on multi-omics · 2025 · DOIHowever, the precise molecular mechanisms and physiological roles of this translocation remain elusive, hindering our understanding of how glucose metabolism supports brain function.
Neuronal activity-induced GLUT3 plasma translocation supports energy demands for memory acquisition · 2025 · DOIARTICLE HIGHLIGHTS: Insulin-stimulated GLUT4 translocation in skeletal muscle is crucial for whole-body glucose homeostasis, but direct methods to measure endogenous GLUT4 translocation in adult muscle are lacking.
Analysis of Multiple Insulin Actions in Single Muscle Fibers From Insulin-Resistant Mice Reveals Selective Defect in Endogenous GLUT4 Translocation · 2025 · DOIWhile regulation by activation segment phosphorylation of Ser/Thr residues is well understood, relatively little is known about how oxidation of cysteine residues modulate catalysis.
Redox regulation and dynamic control of brain-selective kinases BRSK1/2 in the AMPK family through cysteine-based mechanisms · 2025 · DOIHowever, the role of dapagliflozin in sunitinib-induced cardiotoxicity remains unclear.
Dapagliflozin alleviates sunitinib-induced cardiotoxicity through AMPKα-PPARα axis and enhances the sensitivity of renal cell carcinoma to sunitinib · 2025 · DOIHowever, the key effector(s) of AMPK and the regulatory mechanisms remain unclear.
AMPK phosphorylation of FNIP1 (S220) controls mitochondrial function and muscle fuel utilization during exercise · 2024 · DOIHowever, the full network of intracellular signaling pathways that control exercise-induced glucose uptake and that overlap with the insulin-stimulated pathway upstream of the RabGAPs is not fully understood.
AMPK and Beyond: The Signaling Network Controlling RabGAPs and Contraction-Mediated Glucose Uptake in Skeletal Muscle · 2024 · DOIDespite extensive research, the precise molecular pathways and intracellular mechanisms activated by IGF-1, in cancer, remain poorly understood.
Despite the observed beneficial effects of metformin on IM, its molecular mechanism remains not fully elucidated.
Literature has also shown its effect on enhanced insulin secretion, whereas its mechanism on glucose stimulated insulin secretion (GSIS) in pancreatic β cells remains unexplored.
Exploring the potential of pheophorbide A, a chlorophyll-derived compound in modulating GLUT for maintaining glucose homeostasis · 2024 · DOIThe association between metabolic health and obesity categories and cancer risk remains unclear.
Metabolic obesity phenotypes and the risk of cancer: a prospective study of the Kailuan cohort · 2024 · DOI
Most-cited papers in Metabolism, Diabetes, and Cancer
- Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34) · The Lancet · 1998 · 6,643 citations
- Low-dose metformin targets the lysosomal AMPK pathway through PEN2 · Nature · 2022 · 598 citations
- Insulin: The master regulator of glucose metabolism · Metabolism · 2022 · 313 citations
- Glucagon-Like Peptide 1 Receptor Agonists and 13 Obesity-Associated Cancers in Patients With Type 2 Diabetes · JAMA Network Open · 2024 · 261 citations
- Risk of Fatal and Nonfatal Lactic Acidosis With Metformin Use in Type 2 Diabetes Mellitus · Archives of Internal Medicine · 2003 · 238 citations
- Metformin and Insulin Resistance: A Review of the Underlying Mechanisms behind Changes in GLUT4-Mediated Glucose Transport · International Journal of Molecular Sciences · 2022 · 237 citations
- The Antihyperglycaemic Effect of Metformin · Drugs · 1999 · 236 citations
- Therapeutic Use of Metformin in Prediabetes and Diabetes Prevention · Drugs · 2015 · 236 citations
- Emerging Role of cAMP/AMPK Signaling · Cells · 2022 · 223 citations
- AMPK and the Adaptation to Exercise · Annual Review of Physiology · 2022 · 210 citations
Most recent work
- Bioactives and exercise synergize to modulate AMPK and inflammation · Frontiers in Immunology · 2026
- AMPKγ2 Regulates Cardiac Hypertrophy and Arrhythmias via Interacting With Myosin · Circulation Research · 2026
- Translational control of AMPK activity in melanoma · Cell Communication and Signaling · 2026
- Inavolisib-induced fulminant-like diabetes and hyperosmolar hyperglycemic state: a case report · Frontiers in Endocrinology · 2026
- Metformin Is Associated With a Reduced Risk of Gastric Cancer, but Not Dysplasia, in Patients With Diabetes · The Korean Journal of Helicobacter and Upper Gastrointestinal Research · 2026
- Trends and disparities in colorectal cancer among adults with diabetes mellitus in the United States: A retrospective analysis, 1999-2023. · Journal of Clinical Oncology · 2026
- Anti‐Diabetic Effects of Ayanin, a Flavonoid Compound, in STZ / HFD ‐Induced Diabetic Mice by Upregulating GLUT4 and Suppressing Macrophage‐Driven Inflammation in Adipose Tissues · Food Science & Nutrition · 2026
- Identification of a bacterial NCS1 family transporter enabling high-affinity uptake of the antidiabetic drug metformin · Applied and Environmental Microbiology · 2026
- Disulfidptosis induced by intermittent fasting and metformin enhances the efficacy of anti-PD-1 therapy in renal cancer · Cell Communication and Signaling · 2026
- Metformin Does Not Significantly Alter Longitudinal Dynamics of Clonal Hematopoiesis · Clinical Cancer Research · 2026
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