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Tocotrienols potentiate lovastatin-mediated growth suppression in vitro and in vivo
Jennifer A McAnally1, Jagriti Gupta, Shradha Sodhani
1Department of Biology, Texas Woman's University, P. O. Box 425888, Denton, TX 76204, USA.
Abstract:
3-Hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase is the rate-limiting enzyme in the mevalonate pathway that provides essential intermediates for the membrane anchorage and biologic functions of growth-related proteins. Contrary to preclinical studies showing the growth-suppressive activity of statins, competitive inhibitors of HMG CoA reductase, clinical application of statins in cancer is precluded by their lack of activity at levels prescribed for the prevention of cardiovascular disease and by their dose-limiting toxicities at high doses. The dysregulated and elevated HMG CoA reductase activity in tumors retains sensitivity to the isoprenoid-mediated posttranscriptional down-regulation, an action that complements the statin-mediated inhibition and may lead to synergistic impact of blends of isoprenoids and lovastatin on tumor HMG CoA reductase activity and consequently tumor growth. d-gamma- and d-delta-tocotrienols, vitamin E isomers containing an isoprenoid moiety, and lovastatin-induced concentration-dependent inhibition of the 48-hr proliferation of murine B16 melanoma cells with IC50 values of 20 +/- 3, 14 +/- 3, and 1.5 +/- 0.4 microM respectively. A blend of lovastatin (1 microM) and d-gamma-tocotrienol (5 microM) totally blocked cell growth, an impact far exceeding the sum of inhibitions induced by lovastatin (12%) and d-gamma-tocotrienol (8%) individually. Synergistic impact of these two agents was also shown in human DU145 prostate carcinoma and human A549 lung carcinoma cells. C57BL6 mice were fed diets supplemented with 12.5 mg lovastatin/kg body weight, 62.5 mg d-delta-tocotrienol/kg body weight, or a blend of both agents for 22 days following B16 cell implantation; only the latter had significantly lower tumor weight than those with no supplementation. Co-administration of isoprenoids that posttranscriptionally down-regulate tumor reductase may lower the effective dose of statins and offer a novel approach to cancer chemo-prevention and/or therapy.
Insights
Combining statins with vitamin E isomers like tocotrienols may offer a novel cancer therapy. This approach synergistically inhibits tumor growth by targeting HMG CoA reductase, potentially lowering effective statin doses.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- 3-Hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase is crucial for the mevalonate pathway, essential for cell growth.
- Statins, HMG CoA reductase inhibitors, show preclinical anti-cancer activity but are limited in clinical use by low efficacy at cardiovascular disease doses and dose-limiting toxicities at higher doses.
- Tumor cells often have elevated HMG CoA reductase activity, which remains sensitive to isoprenoid-mediated down-regulation.
Purpose of the Study:
- To investigate the synergistic effects of lovastatin and tocotrienols (vitamin E isomers) on tumor growth.
- To explore the potential of combining isoprenoids with statins for cancer chemo-prevention and therapy.
Main Methods:
- In vitro studies using murine B16 melanoma, human DU145 prostate carcinoma, and human A549 lung carcinoma cells to assess proliferation inhibition by lovastatin and tocotrienols alone and in combination.
- In vivo studies using C57BL6 mice implanted with B16 melanoma cells, fed diets supplemented with lovastatin, d-delta-tocotrienol, or a combination of both.
Main Results:
- Lovastatin, d-gamma-tocotrienol, and d-delta-tocotrienol demonstrated concentration-dependent inhibition of cancer cell proliferation.
- A combination of lovastatin and d-gamma-tocotrienol exhibited synergistic inhibition of cell growth, significantly exceeding the additive effects of each agent alone in multiple cancer cell lines.
- In vivo, only the combined administration of lovastatin and d-delta-tocotrienol significantly reduced tumor weight in mice.
Conclusions:
- Co-administration of isoprenoids with statins can achieve synergistic inhibition of tumor HMG CoA reductase activity and tumor growth.
- This combination therapy may allow for lower effective doses of statins, potentially mitigating toxicity and offering a novel strategy for cancer chemo-prevention and therapy.
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