Statins affect human glioblastoma and other cancers through TGF-β inhibition

Aizhen Xiao1, Breanna Brenneman1, Desiree Floyd1

  • 1Departments of Neurology, University of Virginia, Charlottesville, VA 22908, USA.

Oncotarget
|March 23, 2019
PubMed

Insights

Statins show anti-cancer effects by reducing transforming growth factor-beta (TGF-β) activity, particularly in glioblastoma. These findings suggest statins as potential adjunct therapies for cancers with high TGF-β signaling.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Cholesterol-lowering statins possess anti-cancer properties, but their mechanisms and therapeutic applications in oncology remain unclear.
  • Transforming growth factor-beta (TGF-β) signaling plays a significant role in glioblastoma (GBM) development and progression.
  • Identifying novel therapeutic strategies for GBM is critical due to its aggressive nature and limited treatment options.

Purpose of the Study:

  • To investigate the anti-cancer mechanisms of statins, focusing on their impact on TGF-β activity in glioblastoma.
  • To determine the correlation between statin efficacy and TGF-β target gene expression in cancer cell lines.
  • To evaluate the potential of statins as adjunct therapies for GBM and other TGF-β-driven cancers.

Main Methods:

  • Analysis of the CellMiner database to identify correlations between statin activity and TGF-β target gene expression (e.g., SERPINE1, ZYX).
  • In vitro studies using glioblastoma (GBM) and glioblastoma-initiating cell (GIC) lines to assess statin effects on TGF-β activity, cell viability, invasiveness, Rho/ROCK signaling, and Smad3 phosphorylation.
  • In vivo studies involving subcutaneous and intracranial GIC grafts in mice to evaluate simvastatin's efficacy in inhibiting tumor growth and prolonging survival.

Main Results:

  • Statins reduced TGF-β activity, cell viability, invasiveness, Rho/ROCK activity, Smad3 phosphorylation, and expression of TGF-β targets (ZYX, SERPINE1) in GBM and GIC lines.
  • Statin potency was highest in cancer cells exhibiting high TGF-β activity; exogenous TGF-β sensitized mesenchymal GICs to statins.
  • Statin-induced toxicity was reversed by mevalonolactone or geranylgeranyl pyrophosphate, confirming HMG CoA-reductase inhibition.
  • Simvastatin significantly inhibited GIC graft growth and improved survival in mouse models of GBM.

Conclusions:

  • Statins effectively inhibit TGF-β signaling and exhibit anti-cancer effects in glioblastoma models.
  • Statins are most effective against cancers with high TGF-β activity, positioning them as potential adjunct therapies for GBM and similar malignancies.
  • These findings have implications for expanding the therapeutic roles of statins beyond cholesterol management, particularly in oncology.

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