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Updated: Jun 26, 2026

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Ezetimibe is an inhibitor of tumor angiogenesis
Keith R Solomon1, Kristine Pelton, Kelly Boucher
1Dept. of Orthopaedic Surgery, Harvard Medical School, Boston, MA 02115, USA. keith.solomon@childrens.harvard.edu
Abstract:
Epidemiological and preclinical observations have suggested a role for one or more products of the mevalonate/cholesterol biosynthesis pathway in the progression of prostate cancer. In this study, we used ezetimibe (Zetia), a specific, FDA-approved, cholesterol uptake-blocking drug, in combination with either a hyper- or hypocholesterolemic diet, to show that elevated circulating cholesterol levels promote, whereas a reduction in circulating cholesterol levels retard, the growth of human prostate cancer xenograft tumors in mice. Circulating cholesterol levels also modified tumor angiogenesis; higher cholesterol levels increased microvessel density and other indicators of vascularity. Consistent with these data, the reduction of cholesterol levels also increased the levels of the angiogenesis inhibitor thrombospondin-1 in the xenografts. Our results thus suggest that hypercholesterolemia directly accelerates the growth of prostate carcinomas, and that the pharmacological reduction of serum cholesterol levels may retard prostate cancer growth by inhibiting tumor angiogenesis.
Insights
High cholesterol levels accelerate prostate cancer growth, while lowering cholesterol with medication like ezetimibe can slow tumor progression and inhibit blood vessel formation, aiding cancer treatment.
Area of Science:
- Oncology
- Metabolic Pathways
- Pharmacology
Background:
- Epidemiological and preclinical data suggest the mevalonate/cholesterol biosynthesis pathway influences prostate cancer progression.
- Cholesterol metabolism is increasingly recognized as a potential factor in cancer development and growth.
Purpose of the Study:
- To investigate the direct impact of circulating cholesterol levels on prostate cancer xenograft tumor growth.
- To determine if pharmacological cholesterol reduction affects tumor angiogenesis and related molecular markers.
Main Methods:
- Utilized ezetimibe, an FDA-approved cholesterol uptake inhibitor, in combination with hyper- and hypocholesterolemic diets in mice bearing human prostate cancer xenografts.
- Assessed tumor growth, microvessel density, and levels of thrombospondin-1 (an angiogenesis inhibitor) in xenografts.
Main Results:
- Elevated circulating cholesterol levels promoted prostate cancer xenograft tumor growth.
- Reduced circulating cholesterol levels retarded tumor growth and decreased tumor angiogenesis, indicated by lower microvessel density.
- Lowering cholesterol levels increased the expression of thrombospondin-1 within the tumors.
Conclusions:
- Hypercholesterolemia directly accelerates prostate carcinoma growth.
- Pharmacological reduction of serum cholesterol may inhibit prostate cancer progression by suppressing tumor angiogenesis.
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