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1,25(OH)₂D₃ 通过减少免疫细胞炎症细胞因子的分泌抑制肝癌的发展。

1, 25(OH)₂D₃ inhibits hepatocellular carcinoma development through reducing secretion of inflammatory cytokines from immunocytes.

机构信息

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, Xi'an 710061, China.

出版信息

Curr Med Chem. 2013;20(33):4131-41. doi: 10.2174/09298673113209990248.

Abstract

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.

摘要

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。

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