beta-Hydroxy-beta-methylglutaryl coA reductase inhibitors (HRIs) inhibit is
oprenylation of several members of the Ras superfamily of proteins and ther
efore have important cellular effects, including the reduction of prolifera
tion and increasing apoptosis, Significant toxicity at high doses has precl
uded the use of HRIs as a monotherapy for cancers, We therefore studied whe
ther combinations of the HRI lovastatin with standard chemotherapeutic agen
ts would augment apoptosis in colon cancer cells. In the colon cancer cell
lines SW480, HCT116, LoVo, and HT29, lovastatin induced apoptosis with diff
ering sensitivity. Pretreatment with lovastatin significantly increased apo
ptosis induced by 5-fluorouracil (5-FU) or cisplatin in all four cell lines
. Lovastatin treatment resulted in decreased expression of the anti-apoptot
ic protein bcl-2 and increased the expression of the proapoptotic protein b
ar. The addition of geranylgeranylpyrophospate (10 mu M) prevented lovastat
in-induced augmentation of 5-FU and cisplatin-induced apoptosis; mevalonate
(100 mu M) was partially effective, whereas cotreatment with farnesyl pyro
phosphate (100 mu M) had no effect. These data imply that lovastatin acts b
y inhibiting geranylgeranylation and not farnesylation of target protein(s)
. Our data suggest that lovastatin may potentially be combined with 5-FU or
cisplatin as chemotherapy for colon cancers.