Statins and
gamma-tocotrienol (a rare
isoform of
vitamin E) both inhibit
3-hydroxy-3-methylglutaryl-coenzyme A (HMGCoA)
reductase activity and display anticancer activity. However, clinical application of
statins has been limited by high dose toxicity. Previous studies showed that combined
statin and
gamma-tocotrienol treatment synergistically inhibits growth of highly malignant +SA mammary epithelial cells in culture. To investigate the mechanism mediating this growth inhibition, studies were conducted to determine the effect of combination low dose
gamma-tocotrienol and
statin treatment on +SA mammary
tumor cell cycle progression. Treatment with 0.25 microM
simvastatin,
lovastatin,
mevastatin, 10 microM
pravastatin or 2.0 microM
gamma-tocotrienol alone had no effect, while combined treatment of individual
statins with
gamma-tocotrienol significantly inhibited +SA cell proliferation during the 4-day culture period. Flow cytometric analysis demonstrated that combined treatment induced cell cycle arrest in G1. Additional studies showed that treatment with 0.25 microM
simvastatin or 2 microM
gamma-tocotrienol alone had no effect on the relative intracellular levels of
cyclin D1, CDK2, CDK4 and CDK6, but combined treatment caused a large reduction in
cyclin D1 and CDK2 levels. Combined treatments also caused a relatively large increase in p27, but had no effect on p21 and p15 levels, and resulted in a large reduction in
retinoblastoma (
Rb) protein phosphorylation at ser780 and ser807/811. Similar effects were observed following combined treatment of
gamma-tocotrienol with low doses of
lovastatin,
mevastatin and
pravastatin. These findings demonstrate that combination low dose
statin and
gamma-tocotrienol treatment induced mammary
tumor cell cycle arrest at G1, resulting from an increase in p27 expression, and a corresponding decrease in
cyclin D1, CDK2, and hypophosphorylation of
Rb protein. These findings suggest that combined treatment of
statins with
gamma-tocotrienol may provide significant health benefits in the treatment of
breast cancer in women, while avoiding
myotoxicity associated with high dose
statin monotherapy.