Statins and Cancer: A Potential Link?

被引:10
作者
Thompson, Joseph S. [2 ]
Sood, Aditya [2 ]
Arora, Rohit [1 ]
机构
[1] NCVA, Chicago Med Sch, N Chicago, IL 60064 USA
[2] Chicago Med Sch, Chicago, IL USA
关键词
cancer; ezetimibe; ENHANCE; HMG-CoA reductase; IDEAL; IMPROVE-IT; PROSPER; Zetia; simvastatin; Vytorin; Zocor; SHARP; SEAS; CHOLESTEROL ABSORPTION; BREAST-CANCER; EZETIMIBE; RISK; SIMVASTATIN; INHIBITION; METABOLISM; STILL;
D O I
10.1097/MJT.0b013e31819df9cd
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Hypercholesterolemia is a growing health concern in the United States. Pharmacotherapy is increasingly being used to combat the long-term consequences of elevated cholesterol levels. One of the primary pharmacological treatments for hypercholesterolemia is a class of lipid lowering drugs collectively referred to as statins. After introduction of the first statin in 1987, their use quickly became the norm. Recent release of the results from the Simvastatin and Ezetimibe in Aortic Stenosis (SEAS) study unveiled a potential increased risk of cancer and cancer death for individuals taking the well-known drug combination of ezetimibe/simvastatin. Our aim with this review is to look at previous studies to see if any other studies have shown a similar correlation between statins or other lipid-lowering drugs and cancer. The associated studies gathered are reviews, randomized, controlled trials, editorials, and commentaries. We obtained these studies by using electronic searches such as PubMed, Medline, and Cochrane Library. Searches were limited in that certain keywords took precedence, and articles mainly focusing on statins and ezetimibe as opposed to other lipid-lowering drugs were chosen. We have shown that aside from the SEAS study, there are numerous other studies that have also found potential links between statins and various forms of cancer. However, there is also an abundance of literature showing the contrary. Currently, scientific data are slightly in favor of the notion that statins do not cause a significant increase in cancer rates. However, there are many studies that show small correlations between statin use and increased incidence of cancer and therefore, we feel further prospective studies are needed. Whether statins do cause cancer remains uncertain at this point in time.
引用
收藏
页码:E100 / E104
页数:5
相关论文
共 36 条
[1]   Statin use and risk of prostate cancer: Results from a population-based epidemiologic study [J].
Agalliu, Ilir ;
Salinas, Claudia A. ;
Hansten, Philip D. ;
Ostrander, Elaine A. ;
Stanford, Janet L. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2008, 168 (03) :250-260
[2]   Effect of the magnitude of lipid lowering on risk of elevated liver enzymes, rhabdomyolysis, and cancer - Insights from large randomized statin trials [J].
Alsheikh-Ali, Alawi A. ;
Maddukuri, Prasad V. ;
Han, Hui ;
Karas, Richard H. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (05) :409-418
[3]  
ALSHEIKHALI AA, 2008, J AM COLL CARDI 0820
[4]  
ARCIACALVO M, 2005, P NATL ACAD SCI USA, V102, P8132
[5]   Study of Heart and Renal Protection (SHARP) [J].
Baigent, C ;
Landry, M .
KIDNEY INTERNATIONAL, 2003, 63 :S207-S210
[6]   Statins and cancer risk: A literature-based meta-analysis and meta-regression analysis of 35 randomized controlled trials [J].
Bonovas, Stefanos ;
Filioussi, Kalitsa ;
Tsavaris, Nikolaos ;
Sitaras, Nikolaos M. .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (30) :4808-4817
[7]   HMG-CoA reductase expression in breast cancer is associated with a less aggressive phenotype and influenced by anthropometric factors [J].
Borgquist, Signe ;
Djerbi, Soraya ;
Ponten, Fredrik ;
Anagnostaki, Lola ;
Goldman, Malin ;
Gaber, Alexander ;
Manier, Jonas ;
Landberg, Goran ;
Jirstrom, Karin .
INTERNATIONAL JOURNAL OF CANCER, 2008, 123 (05) :1146-1153
[8]   Statin use and breast cancer risk in a large population-based setting [J].
Boudreau, Denise M. ;
Yu, Onchee ;
Miglioretti, Diana L. ;
Buist, Diana S. M. ;
Heckbert, Susan R. ;
Daling, Janet R. .
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2007, 16 (03) :416-421
[9]   Inhibition of intestinal absorption of cholesterol by ezetimibe or bile acids by SC-435 alters lipoprotein metabolism and extends the lifespan of SR-BI/apoE double knockout mice [J].
Braun, Anne ;
Yesilaltay, Ayce ;
Acton, Susan ;
Broschat, Kay O. ;
Krul, Elaine S. ;
Napawan, Nida ;
Stagliano, Nancy ;
Krieger, Monty .
ATHEROSCLEROSIS, 2008, 198 (01) :77-84
[10]   The IDEAL cholesterol - Lower is better [J].
Cannon, CP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (19) :2492-2494