Review

Evaluation of toxic effects of statins and their possible role in treatment of cancer

Volume: 51 Number: 1 April 30, 2021
  • Aysun Ökçesiz
  • Ülkü Ündeğer Bucurgat *

Evaluation of toxic effects of statins and their possible role in treatment of cancer

Abstract

Hydroxymethyl glutaryl CoA (HMG-CoA) reductase inhibitors (statins) are drugs that show hypolipidemic effect via inhibition of hydroxymethyl glutaryl CoA reductase (HMG CoA R), a rate-limiting step in the synthesis of cholesterol. The effects of statins, independent of lipid-lowering ones , are termed pleiotropic effects and these have gained importance in recent years. Potential anticancer effect, one of the pleotropic effects of statins, is remarkable. In this review we aim to summarize the possible use of statins in the treatment of cancer. Pleiotropic effects include antioxidant and antiinflammatory activities due to inhibition of new vessel formation in cancer cells, reduction of resistance to chemotherapeutic agents and inhibition of the production of reactive oxygen species (ROS) with the induction of apoptosis. The potential anticancer activity of statins against different tumor models is emphasized in vitro and in vivo conditions. For this reason, current efforts are directed to providing therapeutic benefits from statins in the treatment of cancer. This study shows that statins can be effective in preclinical models in advanced or recurrent metastatic diseases when administered alone or in combination with molecularly targeted agents. Future studies may shed further light on this topic.

Keywords

References

  1. • Abdoli, N., Azarmi, Y., & Eghbal, M. A. (2015). Mitigation of statinsinduced cytotoxicity and mitochondrial dysfunction by L-carnitine in freshly-isolated rat hepatocytes. Research in Pharmaceutical Sciences, 10(2), 143–151.
  2. • Ahmadi, M., Amiri, S., Pecic, S., Machaj, F., Rosik, J., Łos, M. J., ... & Shojaei, S. (2020). Pleiotropic effects of statins: a focus on cancer. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1866(12):165968.
  3. • Al-Qatati, A., & Aliwaini, S. (2017). Combined pitavastatin and dacarbazine treatment activates apoptosis and autophagy resulting in synergistic cytotoxicity in melanoma cells. Oncology letters. 14(6):7993-7999.
  4. • Baykara, O. (2016). Kanser tedavisinde güncel yaklaşımlar [Current modalities in treatment of cancer]. Balıkesir Sağlık Bilimleri Dergisi, 5(3), 154-165.
  5. • Bedi, O., Dhawan, V., Sharma, P. L., & Kumar, P. (2016). Pleiotropic effects of statins: new therapeutic targets in drug design. Naunyn- Schmiedeberg’s archives of pharmacology, 389(7), 695-712.
  6. • Berber, A. A., Celik, M., & Aksoy, H. (2014). Genotoxicity evaluation of HMG CoA reductase inhibitor rosuvastatin. Drug and chemical toxicology, 37(3), 316-321.
  7. • Campos-Lara, M., & Mendoza-Espinoza, J. A. (2011). Cytotoxic evaluation of fluvastatin and rosuvastatin and effect of fluvastatin in the hela cell cycle. African Journal of Pharmacy and Pharmacology, 5(2), 189-193.
  8. • Chae, Y. K., Yousaf, M., Malecek, M. K., Carneiro, B., Chandra, S., Kaplan, J., ... & Giles, F. (2015). Statins as anti-cancer therapy; Can we translate preclinical and epidemiologic data into clinical benefit?. Discovery medicine, 20(112), 413-427. Retrieved from https:// www.discoverymedicine.com

Details

Primary Language

English

Subjects

Pharmacology and Pharmaceutical Sciences, Health Care Administration

Journal Section

Review

Authors

Aysun Ökçesiz This is me
0000-0001-9130-2853
Türkiye

Ülkü Ündeğer Bucurgat * This is me
0000-0002-6692-0366
Türkiye

Publication Date

April 30, 2021

Submission Date

January 20, 2020

Acceptance Date

September 4, 2020

Published in Issue

Year 2021 Volume: 51 Number: 1

APA
Ökçesiz, A., & Ündeğer Bucurgat, Ü. (2021). Evaluation of toxic effects of statins and their possible role in treatment of cancer. İstanbul Journal of Pharmacy, 51(1), 154-160. https://izlik.org/JA82CK93CM
AMA
1.Ökçesiz A, Ündeğer Bucurgat Ü. Evaluation of toxic effects of statins and their possible role in treatment of cancer. iujp. 2021;51(1):154-160. https://izlik.org/JA82CK93CM
Chicago
Ökçesiz, Aysun, and Ülkü Ündeğer Bucurgat. 2021. “Evaluation of Toxic Effects of Statins and Their Possible Role in Treatment of Cancer”. İstanbul Journal of Pharmacy 51 (1): 154-60. https://izlik.org/JA82CK93CM.
EndNote
Ökçesiz A, Ündeğer Bucurgat Ü (April 1, 2021) Evaluation of toxic effects of statins and their possible role in treatment of cancer. İstanbul Journal of Pharmacy 51 1 154–160.
IEEE
[1]A. Ökçesiz and Ü. Ündeğer Bucurgat, “Evaluation of toxic effects of statins and their possible role in treatment of cancer”, iujp, vol. 51, no. 1, pp. 154–160, Apr. 2021, [Online]. Available: https://izlik.org/JA82CK93CM
ISNAD
Ökçesiz, Aysun - Ündeğer Bucurgat, Ülkü. “Evaluation of Toxic Effects of Statins and Their Possible Role in Treatment of Cancer”. İstanbul Journal of Pharmacy 51/1 (April 1, 2021): 154-160. https://izlik.org/JA82CK93CM.
JAMA
1.Ökçesiz A, Ündeğer Bucurgat Ü. Evaluation of toxic effects of statins and their possible role in treatment of cancer. iujp. 2021;51:154–160.
MLA
Ökçesiz, Aysun, and Ülkü Ündeğer Bucurgat. “Evaluation of Toxic Effects of Statins and Their Possible Role in Treatment of Cancer”. İstanbul Journal of Pharmacy, vol. 51, no. 1, Apr. 2021, pp. 154-60, https://izlik.org/JA82CK93CM.
Vancouver
1.Aysun Ökçesiz, Ülkü Ündeğer Bucurgat. Evaluation of toxic effects of statins and their possible role in treatment of cancer. iujp [Internet]. 2021 Apr. 1;51(1):154-60. Available from: https://izlik.org/JA82CK93CM