Anti-Androgen Abiraterone Acetate Improves the Therapeutic Efficacy of Statins on Castration-Resistant Prostate

Dannah R Miller1, Matthew A Ingersoll1, Yu-Wei Chou1,2

  • 1Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, USA.

Journal of Oncology Research and Therapy
|July 23, 2019
PubMed

Insights

Statins like simvastatin inhibit castration-resistant prostate cancer (CR PCa) growth by targeting androgen synthesis. Combining statins with abiraterone acetate enhances anti-androgen therapy for CR PCa.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Castration-resistant prostate cancer (CR PCa) presents limited treatment options.
  • Some CR PCa tumors sustain growth via intracrine androgen receptor (AR) activation through de novo androgen synthesis.
  • Targeting androgen biosynthesis is a potential therapeutic strategy for CR PCa.

Purpose of the Study:

  • To investigate the efficacy of androgen biosynthesis inhibitors, specifically statins (simvastatin, atorvastatin) and ketoconazole, against CR PCa cells.
  • To evaluate the synergistic effects of statins in combination with the anti-androgen abiraterone acetate.

Main Methods:

  • In vitro assessment of growth, migration, and colony formation inhibition in LNCaP C-81 cells (a model for de novo androgen synthesis in CR PCa).
  • Evaluation of combination treatments involving statins and abiraterone acetate.

Main Results:

  • Simvastatin, atorvastatin, and ketoconazole directly inhibited growth, migration, and colony formation of LNCaP C-81 cells.
  • Simvastatin demonstrated the most potent inhibitory effect.
  • Combination therapy with statins and abiraterone acetate showed enhanced growth suppression compared to individual treatments.

Conclusions:

  • Statins are effective inhibitors of androgen biosynthesis in CR PCa cells.
  • Statins can potentiate the effects of abiraterone acetate, suggesting a role in combination therapy to improve treatment outcomes for CR PCa.

Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K
Lipid-Lowering Drugs: Statins and Miscellaneous Agents01:20

Lipid-Lowering Drugs: Statins and Miscellaneous Agents

Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
1.3K
Self-Efficacy01:29

Self-Efficacy

Self-efficacy is the belief in one's capacity to organize and execute actions necessary to manage prospective situations. This belief significantly influences how individuals approach goals, tasks, and challenges across different domains of life.Psychological and Educational ImpactsIndividuals with strong self-efficacy are more resilient in the face of difficulties. They are more likely to adopt effective problem-solving strategies, persist through obstacles, and regulate emotions such as...
208
Acetals and Thioacetals as Protecting Groups for Aldehydes and Ketones01:24

Acetals and Thioacetals as Protecting Groups for Aldehydes and Ketones

Acetals are formed by reacting two equivalents of alcohol with carbonyl compounds like aldehydes or ketones. Acetals are unaffected by bases, nucleophiles, oxidizing agents, and reducing agents. They serve as protecting groups for aldehydes and ketones. Acetals can be easily formed and also easily removed via mild acid hydrolysis.
In the presence of multiple functional groups, when selective reduction of one group over the other is desired, groups like aldehydes and ketones that form acetals...
5.7K
Resistivity01:22

Resistivity

When a voltage is applied to a conductor, an electrical field is generated, and charges in the conductor feel the force due to the electrical field. The current density that results depends on the electrical field and the properties of the material. In some materials, including metals at a given temperature, the current density is approximately proportional to the electrical field. In these cases, the current density can be modeled as:
4.4K
Resistance01:19

Resistance

When a current moves through any conductor, the conductor causes some level of difficulty for the current to flow. The measure of that difficulty is known as the resistance of the material and is represented by R. Every material has its own resistance. In the case of conductors, heat is emitted whenever a current passes through them. Resistance depends on the resistivity of the material. Resistivity is a characteristic of the material used to fabricate electrical components, whereas the...
5.7K