Atorvastatin Calcium for Mitigating 5-Fluorouracil-Induced Intestinal Damage and Enhancing Chemotherapeutic Efficacy
Xia J, et al. International Immunopharmacology, 2023, 121, 110465.
In this study, Atorvastatin calcium (Ator) was evaluated for its capacity to alleviate intestinal damage induced by 5-fluorouracil (5-Fu) and enhance antitumor activity in colorectal cancer (CRC) models. Human intestinal epithelial cells (HIECs) and BALB/c mice were exposed to 5-Fu to induce oxidative stress and cellular senescence, monitored via SA-β-Gal staining, p16/p53/p21 expression, and SASP markers (IL-1β, IL-6, TNF-α). Ator treatment reversed these senescence indicators in vitro and in vivo. HCT116 cells were subjected to combination therapy with Ator and 5-Fu, showing significantly reduced cell viability. In CRC xenograft nude mice, co-administration of Ator and 5-Fu synergistically inhibited tumor growth, demonstrating Ator's experimental application as both a protective agent against drug-induced intestinal injury and as a chemosensitizer enhancing 5-Fu efficacy.