Department of Pathology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Mol Carcinog. 2013 Sep;52(9):739-50. doi: 10.1002/mc.21916. Epub 2012 Apr 30.
There are several studies supporting the role of HMG-CoA reductase inhibitors such as atorvastatin against carcinogenesis, in which inhibiting the generation of prenyl intermediates involved in protein prenylation plays the crucial role. Mutation of Kras gene is the most common genetic alteration in pancreatic cancer and the Ras protein requires prenylation for its membrane localization and activity. In the present study, the effectiveness of atorvastatin against pancreatic carcinogenesis and its effect on protein prenylation were determined using the LSL-KrasG12D-LSL-Trp53R172H-Pdx1-Cre mouse model (called Pankras/p53 mice). Five-week-old Pankras/p53 mice were fed either an AIN93M diet or a diet supplemented with 100 ppm atorvastatin. Kaplan-Meier survival analysis with Log-Rank test revealed a significant increase in survival in mice fed 100 ppm atorvastatin (171.9 ± 6.2 d) compared to the control mice (144.9 ± 8.4 d, P < 0.05). Histologic and immunohistochemical analysis showed that atorvastatin treatment resulted in a significant reduction in tumor volume and Ki-67-labeled cell proliferation. Mechanistic studies on primary pancreatic tumors and the cultured murine pancreatic carcinoma cells revealed that atorvastatin inhibited prenylation in several key proteins, including Kras protein and its activities, and similar effect was observed in pancreatic carcinoma cells treated with farnesyltransferase inhibitor R115777. Microarray assay on the global gene expression profile demonstrated that a total of 132 genes were significantly modulated by atorvastatin; and Waf1p21, cyp51A1, and soluble epoxide hydrolase were crucial atorvastatin-targeted genes which involve in inflammation and carcinogenesis. This study indicates that atorvastatin has the potential to serve as a chemopreventive agent against pancreatic carcinogenesis.
有几项研究支持 HMG-CoA 还原酶抑制剂(如阿托伐他汀)在抗癌中的作用,其中抑制参与蛋白质异戊二烯化的 prenyl 中间体的生成起着关键作用。Kras 基因的突变是胰腺癌中最常见的遗传改变,Ras 蛋白需要异戊二烯化才能定位于膜并发挥活性。在本研究中,使用 LSL-KrasG12D-LSL-Trp53R172H-Pdx1-Cre 小鼠模型(称为 Pankras/p53 小鼠)确定了阿托伐他汀对胰腺癌发生的作用及其对蛋白质异戊二烯化的影响。将 5 周龄的 Pankras/p53 小鼠喂食 AIN93M 饮食或补充 100ppm 阿托伐他汀的饮食。通过对数秩检验的 Kaplan-Meier 生存分析显示,喂食 100ppm 阿托伐他汀的小鼠的生存率显著提高(171.9±6.2d),与对照组小鼠(144.9±8.4d,P<0.05)相比。组织学和免疫组织化学分析表明,阿托伐他汀治疗导致肿瘤体积和 Ki-67 标记的细胞增殖显著减少。对原发性胰腺肿瘤和培养的鼠胰腺癌细胞的机制研究表明,阿托伐他汀抑制了包括 Kras 蛋白及其活性在内的几种关键蛋白的异戊二烯化,而在用法尼基转移酶抑制剂 R115777 处理的胰腺癌细胞中也观察到了类似的作用。对全基因表达谱的微阵列检测表明,阿托伐他汀总共调节了 132 个基因;Waf1p21、cyp51A1 和可溶性环氧化物水解酶是阿托伐他汀靶向的关键基因,涉及炎症和癌变。这项研究表明,阿托伐他汀有可能作为一种预防胰腺癌发生的化学预防剂。
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