Statins and angiogenesis in non-cardiovascular diseases

Drug Discov Today. 2022 Oct;27(10):103320. doi: 10.1016/j.drudis.2022.07.005. Epub 2022 Jul 16.

Abstract

Statins inhibit HMG-CoA reductase by competitively inhibiting the active site of the enzyme, thus preventing cholesterol synthesis and reducing the risk of developing cardiovascular disease. Many pleiotropic effects of statins have been demonstrated that can be either related or unrelated to their cholesterol-lowering ability. Among these effects are their proangiogenic and antiangiogenic properties that could offer new therapeutic applications. In this regard, pro- and anti-angiogenic properties of statins have been shown to be dose dependent. Statins also appear to have a variety of non-cardiovascular angiogenic effects in many diseases, some examples being ocular disease, brain disease, cancer, preeclampsia, diabetes and bone disease, which are discussed in this review using reports from in vitro and in vivo investigations.

Keywords: Angiogenesis; Bone disease; Brain disease; Cancer; Cardiovascular; Diabetes; Ocular disease; Preeclampsia; Statins; Vascularization.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases* / drug therapy
  • Cholesterol
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors* / pharmacology
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors* / therapeutic use
  • Neoplasms* / drug therapy
  • Neovascularization, Pathologic / drug therapy

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Cholesterol