%0 Journal Article %T Long-Term Metformin Effect on Endometrial Cancer Development Depending on Glucose Environment <i>In Vitro</i> %A Amanda Machado Weber %A Carsten Lange %A Julia Jauckus %A Thomas Strowitzki %A Ariane Germeyer %J Open Journal of Obstetrics and Gynecology %P 1172-1189 %@ 2160-8806 %D 2021 %I Scientific Research Publishing %R 10.4236/ojog.2021.119111 %X Objectives: Hyperinsulinemia as well as prolonged and elevated estrogen exposure are considered as risk factors for endometrial cancer (EC) development. Metformin, an anti-hyperglycemic and insulin-sensitizing biguanide, displayed anti-proliferative effects in recent studies. In the present study, the effects of long-term exposure of endometrial cancer cells to low and moderate concentrations of metformin on cell viability, proliferation, clonogenicity and migration were investigated under different metabolic conditions. Study Design: EC cell lines HEC-1A and Ishikawa were cultured under normo- (NG, 5.5 mM) or hyperglycemic (HG, 17.0 mM) conditions and treated with metformin (0.01 - 5.0 mM) in the presence of ¦Â-estradiol (E2) for 7 d. Results: