Simvastatin attenuated TAM-mediated gemcitabine resistance of PDAC cells. Exposure of PDAC cells to TAM-CM inhibited Gfi-1 expression. TAM-CM promoted the expression of CTGF and HMGB1 in PDAC cells. Simvastatin reversed the TAM-mediated signal response. Gfi-1 directly repressed the transcription of CTGF and HMGB1.