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Simvastatin induced ferroptosis for triple-negative breast cancer therapy
Open accessAbstract
Triple-negative breast cancer (TNBC), a management of aggressive breast cancer, remains an unmet medical challenge. Although a wave of efforts had spurred to design novel therapeutic method of TNBC, unpredictable prognosis with lacking effective therapeutic targets along with the resistance to apoptosis seriously limited survival benefits. Ferroptosis is a non-apoptotic form of cell death that is induced by excessive lipid peroxidation, which provide an innovative way to combat cancer. Emerging evidence suggests that ferroptosis plays an important role in the treatment of TNBC cells. Herein, a novel ferroptosis nanomedicine was prepared by loading simvastatin (SIM), a ferroptosis drug, into zwitterionic polymer coated magnetic nanoparticles (Fe 3 O 4 @PCBMA) to improve the therapeutic effect of TNBC. The as-obtained Fe 3 O 4 @PCBMA-SIM nanoparticles demonstrated more cytotoxicity against MDA-MB-231 than MCF-7 due to the higher expression of 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase (HMGCR), which demonstrated that statins could effectively kill TNBC. Further experiments showed that SIM could inhibit the expression of HMGCR to downregulate the mevalonate (MVA) pathway and glutathione peroxidase 4 (GPX4), thereby inducing cancer cell ferroptosis. What’s more, PCBMA endows Fe 3 O 4 @PCBMA longer blood circulation performance to enhance their accumulation at tumor sites. Given that Fe 3 O 4 have proven for clinical applications by the U.S. Food and Drug Administration (FDA) and SIM could induce cancer cell ferroptosis, the developed Fe 3 O 4 @PCBMA-SIM nanosystem would have great potential in clinics for overcoming the drug resistance brought about by apoptotic drugs to cancer cells.
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“Breast cancer, particularly TNBC, has an inherent anti-apoptotic ability, which decreases the overall effectiveness of different treatments and the survival rate [116].”
From Nanosensitizer-assisted sonodynamic therapy for breast cancer (2025) · cites this paper as [116]
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Yu, H., Liao, J., & Zhao, K. (2026) · Journal of Biochemical and Molecular Toxicology · doi:10.1002/jbt.70920
“…magnetic nanoparticles (Fe3O4@PCBMA) with the aim of improving the therapeutic impact of TNBC. SIM was able to inhibit 3‐hydroxy‐3‐methyl‐ glutaryl‐coenzyme A reductase (HMGCR) expression and downregulate GPx4 and the mevalonate (MVA) pathway, thus stimulating cancer cell ferroptosis [79].”
Zhang, S., Li, K., Chen, Y., Liu, Y., Wang, L., & Xu, L. (2025) · Journal of Radiation Research and Applied Sciences · doi:10.1016/j.jrras.2025.102137
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“Simvastatin is a lipid-low ering agent belonging to the class of HMG-CoA reductase inhibitors, which suppresses the activity of the key enzyme HMG-CoA reductase in cholesterol synthesis, thereby reducing endogenous cholesterol production (5, 6).”
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Metadata
- Authors
- Yao, X., Xie, R., Cao, Y., Tang, J., Men, Y., Peng, H., & Yang, W.
- Affiliations
- Fudan University (CN)
- Stanford University (US)
- Shanghai Jiao Tong University (CN)
- Corresponding author
- Peng, Haibao
- Yang, Wuli
- Venue
- Journal of Nanobiotechnology
- Published
- 2021-10-09
- Volume
- 19
- Issue
- 1
- Pages
- 311-311
- ISSN
- 1477-3155 (ISSN-L)
- PMC
- PMC8502296
- OpenAlex
- W3206510813
- Cited by
- 227
- References
- 41
- Citations by year
- 2026: 27 · 2025: 67 · 2024: 59 · 2023: 44 · 2022: 29 · 2021: 1
- FWCI
- 21.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Nanobiotechnology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- national natural science foundation of china (Grant Nos. 51933002, 51873041, 81902756)
- program of shanghai academic research leader (20XD1400400)
- the open project of state key laboratory of molecular engineering of polymers (No. K2021-19)
- shanghai sailing program (No.19Y1439900)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Ferroptosis and cancer prognosis
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Physical Sciences › Engineering › Biomedical Engineering › Nanoplatforms for cancer theranostics
- Keywords
- triple-negative breast cancer, ferroptosis, simvastatin, statins, HMGCR, mevalonate pathway, GPX4, Fe3O4 magnetic nanoparticles, nanomedicine, lipid peroxidation, drug resistance, MDA-MB-231 cells, tumor accumulation
- MeSH terms
- Ferroptosis, Animals, Delayed-Action Preparations, Drug Carriers, Female, Humans, Male, Mice, Nude, Signal Transduction, Simvastatin, Cell Line, Tumor, Mice, Magnetite Nanoparticles, MCF-7 Cells, Triple Negative Breast Neoplasms
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