Statin and aspirin for chemoprevention of hepatocellular carcinoma: Time to use or wait further?

Clin Mol Hepatol. 2022 Jul;28(3):380-395. doi: 10.3350/cmh.2021.0366. Epub 2022 Jan 13.

Abstract

Preclinical studies highlighted potential therapeutic applications of aspirin and statins as anticancer agents based on their pleiotropic effects. Epidemiologic studies suggested the role of aspirin and statins in the chemoprevention of hepatocellular carcinoma (HCC). However, observational data is prone to bias, and no prospective randomized trials are currently available to assess the risks and benefits of statin or aspirin therapy for chemoprevention of HCC. It is therefore important for clinicians and researchers to be aware of the quality of current evidence regarding this issue. In this review, we summarize currently available evidence to assist clinicians with their decision to use statin or aspirin and provide information for further clinical investigations.

Keywords: Aspirin; Chemoprevention; Hepatocellular carcinoma; Statins.

Publication types

  • Review

MeSH terms

  • Aspirin / therapeutic use
  • Carcinoma, Hepatocellular* / drug therapy
  • Carcinoma, Hepatocellular* / prevention & control
  • Chemoprevention
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors* / therapeutic use
  • Liver Neoplasms* / drug therapy
  • Liver Neoplasms* / prevention & control

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Aspirin