Medulloblastoma is a malignant paediatric central nervous system tumor with
a poor prognosis, stimulating the evaluation of improved treatment strateg
ies. Lovastatin, a competitive inhibitor of 3-hydroxy-3-methylglutaryl coen
zyme A reductase, is currently used to treat patients with hypercholesterol
emia. This compound also inhibits the production of non-steroidal mevalonat
e derivatives that are implicated in the control of cellular proliferation,
and can induce cell-cycle arrest in vitro. We recently showed that lovasta
tin inhibited growth and promoted apoptosis of neuroblastoma, the periphera
l nervous system 'cousin' of medulloblastoma. Therefore the potential of lo
vastatin as a possible anticancer drug against medulloblastoma was evaluate
d in vitro. Four medulloblastoma cell lines, Daoy, UW228, D341 Med and D283
Med, were treated with 1-40 mu M Of lovastatin in vitro. Analysis of cell
morphologic changes, cell viability, DNA fragmentation and flow cytometry i
n all four cell lines showed growth inhibition and induction of apoptosis w
ith lovastatin treatment. As little as 10 mu M of lovastatin was sufficient
to cause a marked reduction in cell numbers, and more than 20 mu M of lova
statin induced >90% cells to undergo apoptosis, after intervals ranging bet
ween 36 and 96 h, depending on the cell line. Lovastatin induced apoptosis
in these cell lines was concomitant with cell cycle arrest in G1. The attac
hed cell lines UW228 and Daoy were more sensitive to lovastatin than D283 M
ed and D341 Med. Daoy cells which survived several cycles of lovastatin tre
atment could still be induced to undergo apoptosis after longer treatment t
imes. The efficient induction of apoptosis by lovastatin favours this drug
as a potential new avenue of therapeutic intervention fur medulloablastoma.