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2017 ; 8
(2
): e2626
Nephropedia Template TP
gab.com Text
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English Wikipedia
Simvastatin-induced cell cycle arrest through inhibition of STAT3/SKP2 axis and
activation of AMPK to promote p27 and p21 accumulation in hepatocellular
carcinoma cells
#MMPMID28230855
Wang ST
; Ho HJ
; Lin JT
; Shieh JJ
; Wu CY
Cell Death Dis
2017[Feb]; 8
(2
): e2626
PMID28230855
show ga
Hepatocellular carcinoma (HCC) is characterized by a poor prognosis and is one of
the leading causes of cancer-related death worldwide. Simvastatin, an HMG-CoA
reductase inhibitor, which decreases cholesterol synthesis by inhibiting
mevalonate pathways and is widely used to treat cardiovascular diseases.
Simvastatin exhibits anticancer effects against several malignancies. However,
the molecular mechanisms underlying the anticancer effects of simvastatin on HCC
are still not well understood. In this study, we demonstrated simvastatin-induced
G0/G1 arrest by inducing p21 and p27 accumulation in HepG2 and Hep3B cells.
Simvastatin also promoted AMP-activated protein kinase (AMPK) activation, which
induced p21 upregulation by increasing its transcription. Consistent with this
finding, we found genetic silencing of AMPK reduced p21 expression; however, AMPK
silencing had no effect on p27 expression in HCC cells. Simvastatin decreased
Skp2 expression at the transcriptional level, which resulted in p27 accumulation
by preventing proteasomal degradation, an effect mediated by signal transducer
and activator of transcription 3 (STAT3) inhibition. Constitutive STAT3
activation maintained high-level Skp2 expression and lower level p27 expression
and significantly prevented G0/G1 arrest in simvastatin-treated HCC cells.
Mevalonate decreased simvastatin-induced AMPK activation and rescued
phospho-STAT3 and Skp2 expression in HCC cells, which resulted in the prevention
of G0/G1 arrest through inhibition of p21 and p27 accumulation. Moreover,
simvastatin significantly decreased tumor growth in HepG2 xenograft mice.
Consistently, we found that simvastatin also increased p21 and p27 expression in
tumor sections by reducing Skp2 expression and inducing AMPK activation and STAT3
suppression in the same tumor tissues. Taken together, these findings are
demonstrative of the existence of a novel pathway in which simvastatin induces
G0/G1 arrest by upregulating p21 and p27 by activating AMPK and inhibiting the
STAT3-Skp2 axis, respectively. The results identify novel targets that explain
the beneficial anticancer effects of simvastatin treatment on HCC in vitro and in
vivo.