Markowska Anna, Antoszczak Michał, Markowska Janina, Huczyński Adam
Department of Perinatology and Women's Health, Poznań University of Medical Sciences, 60-535 Poznań, Poland.
Department of Medical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, 61-614 Poznań, Poland.
Pharmaceuticals (Basel). 2020 Nov 25;13(12):422. doi: 10.3390/ph13120422.
Statins, also known as HMG-CoA inhibitors, are a class of bioactive small molecules that efficiently reduce the levels of cholesterol, and therefore are commonly used to manage and prevent various cardiovascular diseases. With respect to their original medical indications, statins are currently in the group of the most prescribed drugs worldwide. Of note is that statins are perceived actually rather as agents that have pleiotropic activities; in addition to their inhibitory activity on the production of endogenous cholesterol. Statins may also affect cell proliferation, angiogenesis and/or migration (metastasis) of different cancer cells, and play a positive role in the chemoprevention of cancer, thus being the excellent candidates to be repurposed in oncology. Particularly intriguing in this context seems to be the promising role of statins on both the incidence and course of common malignant neoplasms in women. In this article, we review and discuss the effect of the use of statins in the treatment of three types of cancer, i.e., breast, endometrial and ovarian cancer, with the highest mortality among gynecological cancers.
他汀类药物,也被称为HMG-CoA抑制剂,是一类能有效降低胆固醇水平的生物活性小分子,因此常用于治疗和预防各种心血管疾病。就其最初的医学适应症而言,他汀类药物目前是全球处方量最大的药物类别之一。值得注意的是,他汀类药物实际上被认为具有多效性;除了对内源性胆固醇产生的抑制作用外,他汀类药物还可能影响不同癌细胞的细胞增殖、血管生成和/或迁移(转移),并在癌症化学预防中发挥积极作用,因此是肿瘤学领域重新利用的优秀候选药物。在这方面,特别引人关注的似乎是他汀类药物对女性常见恶性肿瘤的发病率和病程都具有的潜在作用。在本文中,我们回顾并讨论了他汀类药物在治疗三种癌症(即乳腺癌、子宫内膜癌和卵巢癌,这三种癌症在妇科癌症中死亡率最高)中的作用。