Stryjkowska-Góra Aleksandra, Karczmarek-Borowska Bożenna, Góra Tomasz, Krawczak Katarzyna
Department of Clinical Oncology, Podkarpacie Oncology Center, Rzeszow, Poland.
Department of Clinical Oncology, Podkarpacie Oncology Center, Rzeszow, Poland ; Department of Oncology, Faculty of Medicine, University of Rzeszow, Poland.
Contemp Oncol (Pozn). 2015;19(3):167-75. doi: 10.5114/wo.2014.44294. Epub 2014 Aug 29.
Statins (inhibitors of 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase) are a group of drugs used to treat lipid disorders. They inhibit cholesterol synthesis at an early stage of the biosynthesis pathway, thus eliminating numerous metabolites involved in the cycle. Numerous studies point to different possible effects of statins on cancer cells. Statins inhibit growth of a tumor, invasion and metastasis formation. They block the production of isoprenoids, which are necessary for post-translational modifications of many proteins, including those involved in normal cell signaling. They also contribute to the reduction in the expression of vascular endothelial growth factor, sensitize tumor cells to NK cell activity, and modify the body inflammatory response. Due to different pharmacokinetic properties of individual statins, they may have opposite effects on the risk of cancer. Currently, most information on the effects of statins on the risk of developing cancer is obtained from observational studies. The studies have different results depending on the location of cancer. The protective effect of statins was observed in the meta-analysis of numerous studies including prostate cancer, stomach cancer, esophagus cancer, and hepatocellular carcinoma; however, it has not yet been confirmed that statins influence the risk of developing colorectal cancer, breast cancer, or lung cancer. The protective effect of statins on the development of many kinds of cancer can be a valuable and easy way to reduce morbidity. However, further research is necessary to thoroughly determine the value of this group of drugs.
他汀类药物(3-羟基-3-甲基戊二酰辅酶A还原酶抑制剂)是一类用于治疗脂质紊乱的药物。它们在生物合成途径的早期阶段抑制胆固醇合成,从而消除该循环中涉及的众多代谢产物。大量研究指出他汀类药物对癌细胞可能有不同的作用。他汀类药物可抑制肿瘤生长、侵袭和转移形成。它们阻断类异戊二烯的产生,而类异戊二烯是许多蛋白质(包括参与正常细胞信号传导的蛋白质)翻译后修饰所必需的。它们还有助于降低血管内皮生长因子的表达,使肿瘤细胞对自然杀伤细胞活性敏感,并改变机体的炎症反应。由于各他汀类药物的药代动力学特性不同,它们对癌症风险可能有相反的影响。目前,关于他汀类药物对患癌风险影响的大多数信息来自观察性研究。这些研究根据癌症发生部位的不同而有不同结果。在包括前列腺癌、胃癌、食管癌和肝细胞癌在内的众多研究的荟萃分析中观察到了他汀类药物的保护作用;然而,尚未证实他汀类药物会影响患结直肠癌、乳腺癌或肺癌的风险。他汀类药物对多种癌症发生的保护作用可能是一种降低发病率的有价值且简便的方法。然而,有必要进行进一步研究以全面确定这类药物的价值。