Analysis of the Vitamin D System in Cervical Carcinomas, Breast Cancer and Ovarian Cancer

In: Recent Results in Cancer Research · 2003 · vol. 164 , pp. 239–246 · doi:10.1007/978-3-642-55580-0_17 · PMID:12899526 · W158904318
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This study analyzed vitamin D receptor and key synthesis/metabolism enzyme expression in breast, ovarian, and cervical cancers, finding up-regulation in tumor tissues compared to normal counterparts.

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The study analyzed expression of the vitamin D signaling components VDR and the enzymes involved in calcitriol (1,25-dihydroxyvitamin D3) synthesis/metabolism—25-hydroxylase, 1α-hydroxylase, and 24-hydroxylase—in gynecological malignancies and corresponding normal tissues. Using real-time PCR with specific hybridization probes and immunohistochemistry, the authors found RNA up-regulation of VDR and the main enzymes (25-OHase, 1α-OHase, and 24-OHase) in breast, cervical, and ovarian carcinomas compared with normal tissue, with increased VDR immunoreactivity particularly in breast and ovarian cancers and in cervix carcinomas. The main limitation is that the work focuses on expression patterns rather than functional demonstration of vitamin D pathway activity or therapeutic effects in tumors. This paper is centrally about endometriosis and/or adenomyosis only tangentially; it does not discuss endometriosis or adenomyosis, but it included cervical and ovarian disease in its broader gynecologic-cancer context.

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Abstract

1,25-Dihydroxyvitamin D3 (1,25(OH)2D3) is the biologically active metabolite of vitamin D and has been shown to regulate the growth of various cell types. There are two principal enzymes involved in the formation of circulating 1,25(OH)2D3 from vitamin D, the vitamin D 25-hydroxylase (25-OHase) and the 1alpha-hydroxylase (1alpha-OHase). Recently, extrarenal activity of 1alpha-OHase has been reported in various cell types. The aim of this study was to analyze expression of VDR and the main enzymes involved in the synthesis and metabolism of calcitriol in gynecological malignancies and corresponding normal tissue. Expression of VDR, 25-OHase, 1alpha-OHase, and 24-OHase was analyzed in breast carcinomas (BC), ovarian cancer (OC), cervix carcinomas (CC) and normal corresponding tissues using real-time PCR and specific hybridization probes as well as using immunohistochemistry. RNA for VDR, 1alpha-OHase, 24-OHase and 25-OHase was up-regulated in breast cervical and ovarian carcinomas as compared to normal tissue. VDR immunoreactivity was increased in breast and ovarian cancer and in cervix carcinomas as compared to normal corresponding tissue. Our findings indicate that cervical carcinomas, breast cancer and ovarian cancer may be considered as potential targets for prevention or therapy with new vitamin D analogs that exert little or no calcemic side effects or by pharmacological modulation of 1,25(OH)2D3 synthesis and metabolism in these tumor cells.
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Abstract

1,25-Dihydroxyvitamin D3(1,(OH)2D3) is the biologically active metabolite of vitamin D and has been shown to regulate the growth of various cell types. There are two principal enzymes involved in the formation of circulating 1,(OH)2D3from vitamin D, the vitamin D 25-hydroxylase (25-OHase) and the 1a-hydroxylase (1α-OHase). Recently, extrarenal activity of 1a-OHase has been reported in various cell types. The aim of this study was to analyze expression of VDR and the main enzymes involved in the synthesis and metabolism of calcitriol in gynecological malignancies and corresponding normal tissue. Expression of VDR, 25-OHase, 1α-OHase, and 24-OHase was analyzed in breast carcinomas (BC), ovarian cancer (OC), cervix carcinomas (CC) and normal corresponding tissues using real-time PCR and specific hybridization probes as well as using immunohistochemistry. RNA for VDR, 1α-OHase, 24-OHase and 25-OHase was up-regulated in breast cervical and ovarian carcinomas as compared to normal tissue. VDR immunoreactivity was increased in breast and ovarian cancer and in cervix carcinomas as compared to normal corresponding tissue. Our findings indicate that cervical carcinomas, breast cancer and ovarian cancer may be considered as potential targets for prevention or therapy with new vitamin D analogs that exert little or no calcemic side effects or by pharmacological modulation of 1,(OH)2D3synthesis and metabolism in these tumor cells. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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