Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, China.
Curr Med Chem. 2013;20(33):4131-41. doi: 10.2174/09298673113209990248.
Epidemiological and clinical studies have indicated that low vitamin D activity is not only associated with an increased cancer risk and a more aggressive tumor growth, but also connected with an aggravated liver damage caused by chronic inflammation. Meanwhile, increasing evidence has demonstrated that 1,25(OH)₂D₃ (the most biologically active metabolite of vitamin D) can inhibit inflammatory response in some chronic inflammatory associated cancer, which is considered to have the anti-tumor potency. However, the interaction between 1,25(OH)₂D₃ and inflammation during hepatocellular carcinoma (HCC) initiation and progression is not yet clear. Here, we report an anti-tumorigenesis effect of 1,25(OH)₂D₃ via decreasing inflammatory cytokine secretion in HCC and hypothesize the possible underlying mechanism. Firstly, we show that the enhanced tumor growth is associated with elevated inflammatory cytokine IL-6 and TNF-α in 1α(OH)ase gene-knockout mice. Secondly, 1,25(OH)₂D₃ can inhibit vitamin D receptor (VDR) shRNA interfered tumor cell growth through decreasing inflammatory cytokine secretion in vitro and in vivo. Finally, using p27(kip1) gene knock-out mouse model, we demonstrate that the effect of 1,25(OH)₂D₃ in inhibiting immune cell related inflammatory cytokine secretion, exerts in a p27(kip1) gene dependent way. Collectively, 1,25(OH)₂D₃ inhibits HCC development through up-regulating the expression of p27(kip1) in immune cell and reducing inflammatory cytokine production.
流行病学和临床研究表明,维生素 D 活性低下不仅与癌症风险增加和肿瘤生长更具侵袭性有关,还与慢性炎症引起的肝损伤加重有关。同时,越来越多的证据表明,1,25(OH)₂D₃(维生素 D 的最具生物活性代谢物)可以抑制某些与慢性炎症相关的癌症中的炎症反应,这被认为具有抗肿瘤作用。然而,1,25(OH)₂D₃与肝癌(HCC)发生和发展过程中的炎症之间的相互作用尚不清楚。在这里,我们报告了 1,25(OH)₂D₃通过降低 HCC 中炎症细胞因子分泌的抗肿瘤作用,并假设了可能的潜在机制。首先,我们表明增强的肿瘤生长与 1α(OH)ase 基因敲除小鼠中升高的炎症细胞因子 IL-6 和 TNF-α有关。其次,1,25(OH)₂D₃可以通过减少体外和体内炎症细胞因子的分泌来抑制维生素 D 受体(VDR)shRNA 干扰的肿瘤细胞生长。最后,使用 p27(kip1)基因敲除小鼠模型,我们证明了 1,25(OH)₂D₃抑制免疫细胞相关炎症细胞因子分泌的作用,是以 p27(kip1)基因依赖的方式发挥的。总之,1,25(OH)₂D₃通过上调免疫细胞中 p27(kip1)的表达并减少炎症细胞因子的产生来抑制 HCC 的发展。