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Exploitation of pleiotropic actions of statins by using tumour-targeted delivery systems
Emilia Licarete1,2, Alina Sesarman1,2, Manuela Banciu1,2
1a Department of Molecular Biology and Biotechnology, Faculty of Biology and Geology , Babes-Bolyai University , Cluj-Napoca , Romania and.
Abstract:
Statins are drugs traditionally used to lower cholesterol levels in blood. At concentrations 100- to 500-fold higher than those needed for reaching cholesterol lowering activity, they have anti-tumour activity. This anti-tumour activity is based on statins pleiotropic effects derived from their ability to inhibit the mevalonate synthesis and include anti-proliferative, pro-apoptotic, anti-angiogenic, anti-inflammatory, anti-metastatic actions and modulatory effects on intra-tumour oxidative stress. Thus, in this review, we summarise the possible pleiotropic actions of statins involved in tumour growth inhibition. Since the administration of these high doses of statins is accompanied by severe side effects, targeted delivery of statins seems to be the appropriate strategy for efficient application of statins in oncology. Therefore, we also present an overview of the current status of targeted delivery systems for statins with possible utilisation in oncology.
Insights
Statins exhibit anti-tumour properties through pleiotropic effects at high doses, inhibiting cancer growth. Targeted delivery systems are crucial for managing side effects and enhancing statin application in oncology.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Statins are primarily used for cholesterol reduction.
- High-concentration statins demonstrate significant anti-tumour activity.
- This activity stems from inhibiting mevalonate synthesis, impacting cancer cell processes.
Purpose of the Study:
- To review the pleiotropic anti-cancer effects of statins.
- To explore the mechanisms of statin-mediated tumour growth inhibition.
- To discuss targeted delivery systems for statins in cancer therapy.
Main Methods:
- Literature review of statin's role in oncology.
- Analysis of statin's pleiotropic effects on cancer pathways.
- Overview of current targeted delivery systems for statins.
Main Results:
- Statins possess anti-proliferative, pro-apoptotic, anti-angiogenic, anti-inflammatory, and anti-metastatic properties.
- Modulation of intra-tumour oxidative stress is another key effect.
- High-dose statin use is limited by severe side effects.
Conclusions:
- Statins have multifaceted anti-cancer actions via mevalonate pathway inhibition.
- Targeted statin delivery is essential for safe and effective oncological use.
- Further research into targeted delivery systems is warranted for clinical application.
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