Objective:To observe effects of metformin on proliferation and related gene expression of human pancreatic cancer cell line Patu8988 treated by diabetic serum.Methods:Patu8988 cells were cultured with diabetic serum,or healthy human serum as control.The two groups were treated with different concentrations of metformin (2.5,5.0,10.0,20.0,and 40.0 mmol/L.The proliferation was measured by cell counting kit-8 (CCK-8) assay,and the expressions of matrix metalloproteinase-2 (MMP-2),matrix metalloproteinase-8 (MMP-8) and matrix metalloproteinase-11 (MMP-11) were examined by real-time PCR.Results:Compared with the control group,the proliferation of Patu8988 was promoted after treatment with diabetic serum (0.74±0.03 vs.0.62±0.02,P<0.01):Metformin inhibited the proliferation of Patu8988 treated with diabetic serum (P<0.01),and the expressions of MMP-2,MMP-8 and MMP-11 were downregulated.Conclusion:Metformin inhibits the proliferation of cancer cells induced by the serum from patients with diabetes,which may be related to the down regulation of MMP-2,MMP-8, and MMP-11.