PMID- 18628479 OWN - NLM STAT- MEDLINE DCOM- 20080916 LR - 20211203 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 14 DP - 2008 Jul 15 TI - Statin-dependent suppression of the Akt/mammalian target of rapamycin signaling cascade and programmed cell death 4 up-regulation in renal cell carcinoma. PG - 4640-9 LID - 10.1158/1078-0432.CCR-07-5232 [doi] AB - PURPOSE: Statins are pharmacologic inhibitors of the 3-hydroxy-3-methylglutaryl-coenzyme A reductase with potent regulatory effects on cholesterol biosynthesis in vitro and in vivo. There is accumulating evidence that, beyond their cholesterol-lowering properties, statins inhibit cell proliferation and promote apoptosis of malignant cells in vitro, but the mechanisms by which they generate such responses remain to be defined. EXPERIMENTAL DESIGN: Combinations of experimental approaches were used, including immunoblotting and cell proliferation and apoptosis assays. RESULTS: We provide evidence that fluvastatin is a potent inducer of apoptosis and suppresses proliferation of renal cell carcinoma (RCC) cells in vitro. Such effects are mediated by direct targeting of the Akt/mammalian target of rapamycin (mTOR) pathway, as evidenced by the suppression of phosphorylation/activation of Akt, resulting in inhibition of its downstream effectors, mTOR and p70 S6 kinase. In addition, fluvastatin blocks the mTOR-dependent phosphorylation/deactivation of the translational repressor eukaryotic initiation factor 4E (eIF4E)-binding protein, leading to the formation of eIF4E-binding protein-eIF4E complexes that suppress initiation of cap-dependent mRNA translation. Importantly, inhibition of p70 S6 kinase activity by fluvastatin results in the up-regulation of expression of programmed cell death 4 (PDCD4), a tumor suppressor protein with inhibitory effects on the translation initiation factor eIF4A, suggesting a mechanism for the generation of antitumor responses. CONCLUSIONS: Altogether, our findings establish that fluvastatin exhibits potent anti-RCC activities via inhibitory effects on the Akt/mTOR pathway and raise the possibility that combinations of statins and Akt inhibitors may be of future therapeutic value in the treatment of RCC. FAU - Woodard, Jennifer AU - Woodard J AD - Robert H. Lurie Comprehensive Cancer Center , Northwestern University Medical School, Chicago, Illinois, USA. FAU - Sassano, Antonella AU - Sassano A FAU - Hay, Nissim AU - Hay N FAU - Platanias, Leonidas C AU - Platanias LC LA - eng GR - CA100579/CA/NCI NIH HHS/United States GR - CA121192/CA/NCI NIH HHS/United States GR - CA77816/CA/NCI NIH HHS/United States GR - T32CA009560/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (PDCD4 protein, human) RN - 0 (RNA-Binding Proteins) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Apoptosis Regulatory Proteins/*drug effects/metabolism MH - Carcinoma, Renal Cell/*metabolism MH - Cell Line, Tumor MH - Electrophoresis, Polyacrylamide Gel MH - Flow Cytometry MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*pharmacology MH - Immunoblotting MH - Kidney Neoplasms/*metabolism MH - Protein Kinases/*drug effects/metabolism MH - Proto-Oncogene Proteins c-akt/*drug effects/metabolism MH - RNA-Binding Proteins/*drug effects/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Signal Transduction/drug effects/physiology MH - TOR Serine-Threonine Kinases MH - Up-Regulation EDAT- 2008/07/17 09:00 MHDA- 2008/09/17 09:00 CRDT- 2008/07/17 09:00 PHST- 2008/07/17 09:00 [pubmed] PHST- 2008/09/17 09:00 [medline] PHST- 2008/07/17 09:00 [entrez] AID - 14/14/4640 [pii] AID - 10.1158/1078-0432.CCR-07-5232 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Jul 15;14(14):4640-9. doi: 10.1158/1078-0432.CCR-07-5232.