Fluvastatin suppresses breast cancer initiation and progression via targeting CYP4Z1

Huilong Li1, Ying Chen1, Wanjin Shi1

  • 1School of Life Science and Technology, Department of Medicinal Chemistry, School of Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu Province, China.

Communications Biology
|January 12, 2026
PubMed

Insights

Fluvastatin inhibits breast cancer growth by targeting CYP4Z1. This repurposed drug reduced tumor progression and metastasis in preclinical models, offering a potential new therapy for breast cancer.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Breast cancer is a leading cause of cancer mortality in women worldwide.
  • Identifying novel therapeutic targets and agents for breast cancer is a critical unmet need.
  • Drug repurposing offers a strategy to accelerate the development of new cancer therapies.

Purpose of the Study:

  • To identify FDA-approved CYP4Z1 inhibitors with anti-breast cancer activity using a drug repurposing approach.
  • To evaluate Fluvastatin as a potential therapeutic agent targeting CYP4Z1 in breast cancer.
  • To provide preclinical evidence for Fluvastatin's efficacy as an adjuvant therapy for breast cancer.

Main Methods:

  • Molecular docking and site-directed mutagenesis were used to identify Fluvastatin as a CYP4Z1 inhibitor.
  • In vitro studies assessed Fluvastatin's effects on breast cancer cell lines, including stemness, migration, invasion, and epithelial-mesenchymal transition.
  • In vivo studies utilized xenograft and transgenic mouse models to evaluate Fluvastatin's impact on tumor growth, metastasis, and tumorigenesis.

Main Results:

  • Fluvastatin was identified as a concentration-dependent inhibitor of CYP4Z1, binding to key active site residues.
  • Fluvastatin treatment significantly reduced cancer stem cell properties, migration, invasion, and epithelial-mesenchymal transition in breast cancer cells.
  • In vivo, Fluvastatin suppressed primary tumor growth and lung metastasis in xenograft models and delayed mammary tumor development in relevant transgenic mice.

Conclusions:

  • Fluvastatin demonstrates significant anti-breast cancer activity through CYP4Z1 inhibition.
  • This study validates Fluvastatin as a novel therapeutic candidate targeting CYP4Z1 for breast cancer treatment.
  • Preclinical data support the potential of Fluvastatin in combination therapies for breast cancer.

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