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Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Statins and cholesterol lowering after a cancer diagnosis: why not?
Mark A Moyad1, Gregory S Merrick
1Phil F. Jenkins Director of Complementary & Alternative Medicine, Department of Urology, University of Michigan Medical Center, Ann Arbor, 48109-0330, USA. moyad@umich.edu
Abstract:
The pleiotropic effects of statins continue to garner attention. One area of interest that requires more attention is their potential, or that of another heart healthy agent, to impact favorably or inhibit the progression of numerous cancers, especially prostate cancer. Statins have accumulated a plethora of data in the area of general cancer cell line inhibition, and the potential to have a synergistic impact in patients receiving a variety of conventional treatments for a diversity of cancers is endorsed at least by laboratory and some preliminary small clinical studies. However, prostate cancer is unique compared to other cancers because, despite a high prevalence, some men choose watchful waiting or no treatment, especially if they are older and/or have a well-differentiated tumor. Thus, prostate cancer is a good candidate for the potential investigation of statins after diagnosis, with or without standard therapy. Regardless, because the number 1 or 2 cause of death in men with prostate cancer is cardiovascular disease than even in the worst-case scenario, these agents appear attractive for more immediate clinical study because they could impact a major cause of morbidity and mortality in these men. It is time to see the forest over the tree, and statins seem to have an argument as good as many other agents for allocating more money and time to test their ability as adjuvant therapy in a randomized trial or, in some cases, of nonaggressive disease as a potential monotherapy.
Insights
Statins show promise in inhibiting cancer cell growth and may benefit prostate cancer patients. Further clinical trials are warranted to explore their use as adjuvant therapy or monotherapy.
Area of Science:
- Cardiovascular Pharmacology
- Oncology
- Drug Repurposing
Background:
- Statins exhibit pleiotropic effects, with growing interest in their anticancer properties.
- Existing research indicates statins can inhibit various cancer cell lines and potentially synergize with conventional treatments.
Purpose of the Study:
- To evaluate the potential of statins as an intervention for numerous cancers, with a specific focus on prostate cancer.
- To explore statins as a therapeutic option for prostate cancer, considering its unique treatment landscape and the high prevalence of cardiovascular disease in affected men.
Main Methods:
- Review of existing laboratory and preliminary clinical data on statins' effects on cancer.
- Consideration of prostate cancer patient characteristics, including watchful waiting for well-differentiated tumors and co-existing cardiovascular disease.
Main Results:
- Statins demonstrate potential for inhibiting cancer cell lines and may offer synergistic effects with existing cancer therapies.
- Prostate cancer, particularly in older men or those with less aggressive disease, presents a unique opportunity for investigating statins as monotherapy or adjuvant treatment.
Conclusions:
- Statins represent a promising therapeutic avenue for prostate cancer, potentially impacting both cancer progression and cardiovascular disease, a leading cause of mortality in these patients.
- Randomized clinical trials are recommended to establish the efficacy of statins as adjuvant therapy or monotherapy in prostate cancer management.
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