PMID- 27181081 OWN - NLM STAT- MEDLINE DCOM- 20170201 LR - 20181202 IS - 1347-5215 (Electronic) IS - 0918-6158 (Linking) VI - 39 IP - 8 DP - 2016 Aug 1 TI - Synergistic Antiproliferative Effects of Zoledronic Acid and Fluvastatin on Human Pancreatic Cancer Cell Lines: An in Vitro Study. PG - 1238-46 LID - 10.1248/bpb.b15-00746 [doi] AB - Bisphosphonates and statins are known to have antitumor activities against different types of cancer cell lines. In the present study, we investigated the antiproliferative effects of the combination of zoledronic acid (ZOL), a bisphophosphonate, and fluvastatin (FLU), a statin, in vitro on two types of human pancreatic cancer cell lines, Mia PaCa-2 and Suit-2. The pancreatic cancer cell lines were treated with ZOL and FLU both individually and in combination to evaluate their antiproliferative effects using WST-8 cell proliferation assay. In this study, we demonstrated a potent synergistic antiproliferative effect of both drugs when used in combination in both cell lines. Moreover, we studied the molecular mechanism behind this synergistic effect, which was inhibited by the addition of the mevalonate pathway products, farnesyl pyrophosphate (FPP) and geranylgeranyl pyrophosphate (GGPP). Furthermore, we aimed to determine the effect of ZOL and FLU combination on RhoA and Ras guanosine 5'-triphosphate (GTP)-proteins. The combination induced a marked accumulation in RhoA and unprenylated Ras. GGPP and FPP reversed the increase in the amount of both proteins. These results indicated that the combination treatment impaired RhoA and Ras signaling pathway by the inhibition of geranylgeranylation and/or farnesylation. This study provides a potentially effective approach for the treatment of pancreatic cancer using a combination treatment of ZOL and FLU. FAU - Elsayed, Mahitab AU - Elsayed M AD - Department of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University. FAU - Kobayashi, Daisuke AU - Kobayashi D FAU - Kubota, Toshio AU - Kubota T FAU - Matsunaga, Naoya AU - Matsunaga N FAU - Murata, Ryusei AU - Murata R FAU - Yoshizawa, Yuko AU - Yoshizawa Y FAU - Watanabe, Natsuki AU - Watanabe N FAU - Matsuura, Tohru AU - Matsuura T FAU - Tsurudome, Yuya AU - Tsurudome Y FAU - Ogino, Takashi AU - Ogino T FAU - Ohdo, Shigehiro AU - Ohdo S FAU - Shimazoe, Takao AU - Shimazoe T LA - eng PT - Journal Article DEP - 20160514 PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (Anticholesteremic Agents) RN - 0 (Antineoplastic Agents) RN - 0 (Antioxidants) RN - 0 (Diphosphonates) RN - 0 (Fatty Acids, Monounsaturated) RN - 0 (Imidazoles) RN - 0 (Indoles) RN - 0 (Polyisoprenyl Phosphates) RN - 124671-05-2 (RHOA protein, human) RN - 4L066368AS (Fluvastatin) RN - 6XC1PAD3KF (Zoledronic Acid) RN - EC 3.6.5.2 (ras Proteins) RN - EC 3.6.5.2 (rhoA GTP-Binding Protein) RN - N21T0D88LX (geranylgeranyl pyrophosphate) RN - S5UOB36OCZ (Mevalonic Acid) SB - IM MH - Anticholesteremic Agents/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Antioxidants/pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Diphosphonates/*pharmacology MH - Fatty Acids, Monounsaturated/*pharmacology MH - Fluvastatin MH - Humans MH - Imidazoles/*pharmacology MH - Indoles/*pharmacology MH - Mevalonic Acid/metabolism MH - Pancreatic Neoplasms/metabolism MH - Polyisoprenyl Phosphates/metabolism MH - Zoledronic Acid MH - ras Proteins/metabolism MH - rhoA GTP-Binding Protein/metabolism EDAT- 2016/05/18 06:00 MHDA- 2017/02/02 06:00 CRDT- 2016/05/17 06:00 PHST- 2016/05/17 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2017/02/02 06:00 [medline] AID - 10.1248/bpb.b15-00746 [doi] PST - ppublish SO - Biol Pharm Bull. 2016 Aug 1;39(8):1238-46. doi: 10.1248/bpb.b15-00746. Epub 2016 May 14.