Simvastatin inhibits proliferation and promotes apoptosis of oral squamous cell carcinoma through KLF2 signal

J Oral Biosci. 2023 Dec;65(4):347-355. doi: 10.1016/j.job.2023.08.006. Epub 2023 Aug 23.

Abstract

Objectives: This study aimed to explore the role and specific mechanism of the cholesterol-lowering drug simvastatin in inhibiting oral squamous cell carcinoma (OSCC).

Methods: The proliferation, apoptosis, and migration levels of OSCC cells were detected by CCK8, quantitative real-time polymerase chain reaction, Western blot, colony formation, TdT-mediated dUTP Nick-End Labeling assay, and wound healing assay. The inhibitory effect of simvastatin in vivo was detected by a mouse xenograft tumor model. Immunohistochemistry and immunofluorescence staining were used to assess the KLF2 and β-catenin expressions in cells and tissues.

Results: KLF2 expression in OSCC cells and tissues was downregulated. The addition of KLF2 inducer, GGTI298, inhibited the proliferation and migration of OSCC cells. Simvastatin played a role in inhibiting the proliferation and promoting the apoptosis of OSCC cells. Moreover, it inhibited β-catenin expression and promoted KLF2 expression in OSCC cells. KLF2 siRNA reversed the effect of simvastatin on the proliferation and apoptosis of OSCC cells.

Conclusions: KLF2, as a tumor suppressor gene, may be an important marker for diagnosing and treating OSCC. Simvastatin inhibits the progression of OSCC by regulating the KLF2 signal.

Keywords: Apoptosis; Krüppel like factor 2; Oral squamous cell carcinoma; Proliferation; Simvastatin; β-catenin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / genetics
  • Carcinoma, Squamous Cell* / drug therapy
  • Carcinoma, Squamous Cell* / genetics
  • Cell Line, Tumor
  • Cell Proliferation / genetics
  • Head and Neck Neoplasms*
  • Humans
  • Kruppel-Like Transcription Factors / genetics
  • Kruppel-Like Transcription Factors / pharmacology
  • Mice
  • Mouth Neoplasms* / drug therapy
  • Mouth Neoplasms* / genetics
  • Mouth Neoplasms* / metabolism
  • Simvastatin / pharmacology
  • Simvastatin / therapeutic use
  • Squamous Cell Carcinoma of Head and Neck
  • beta Catenin / genetics
  • beta Catenin / metabolism
  • beta Catenin / pharmacology

Substances

  • beta Catenin
  • Simvastatin
  • KLF2 protein, human
  • Kruppel-Like Transcription Factors