Chiang Kun-Chun, Kuo Sheng-Fong, Chen Chih-Hung, Ng Sohching, Lin Shu-Fu, Yeh Chun-Nan, Chen Li-Wei, Takano Masashi, Chen Tai C, Juang Horng-Heng, Kittaka Atsushi, Lin Jen-Der, Pang Jong-Hwei S
General Surgery Department, Chang Gung Memorial Hospital, Chung Gung University, Kwei-Shan, Taoyuan, Taiwan; Thyroid Cancer Team, Keelung Chang Gung Cancer Center, Keelung, Taiwan.
Thyroid Cancer Team, Keelung Chang Gung Cancer Center, Keelung, Taiwan; Department of Endocrinology and Metabolism, Chang Gung Memorial Hospital, Chung Gung University, Keelung, Taiwan.
Cancer Lett. 2015 Dec 1;369(1):76-85. doi: 10.1016/j.canlet.2015.07.024. Epub 2015 Aug 14.
The survival rate of anaplastic thyroid cancer (ATC) is still very poor due to its fast growth and high metastatic potential. Currently, no effective treatment is available. The active form of vitamin D3, 1α,25(OH)2D3, has been shown to have a anti-metastatic effect in pre-clinical studies, however induction of hypercalcemia hampered its clinical application. The new class of less-calcemic vitamin D analog, 19-nor-2α-(3-hydroxypropyl)-1α,25-dihydroxyvitamin D3 (MART-10), is much more potent than 1α,25(OH)2D3 to repress cancer growth and metastasis in a variety of cancers. In this study, we demonstrated that both 1α,25(OH)2D3 and MART-10 could effectively inhibit the migration and invasion of ATC cells, 8305C and 8505C, with MART-10 much more potent than 1α,25(OH)2D3. The anti-metastatic effect of 1α,25(OH)2D3 and MART-10 on ATC cells is mediated by reversal of cadherin switch (upregulation of E-cadherin and downregulation of N-cadherin), which led to the attenuation of EMT process, and decrease of F-actin formation. We further showed that the expressions of Slug, the EMT-related transcriptional factor, and MMP-9 were inhibited by 1α,25(OH)2D3 and MART-10 in 8505C cells, but not in 8303C cells. Since metastasis is the important cause of ATC-related death, our results strongly encourage the further in vivo study of MART-10 application against ATC.
间变性甲状腺癌(ATC)因其生长迅速和高转移潜能,生存率仍然很低。目前,尚无有效的治疗方法。维生素D3的活性形式1α,25(OH)2D3在临床前研究中已显示出抗转移作用,然而高钙血症的诱导阻碍了其临床应用。新型低钙血症维生素D类似物19-去甲-2α-(3-羟丙基)-1α,25-二羟基维生素D3(MART-10)在多种癌症中抑制癌症生长和转移的能力比1α,25(OH)2D3强得多。在本研究中,我们证明1α,25(OH)2D3和MART-10均可有效抑制ATC细胞8305C和8505C的迁移和侵袭,其中MART-10的作用比1α,25(OH)2D3更强。1α,25(OH)2D3和MART-10对ATC细胞的抗转移作用是通过钙黏蛋白转换的逆转(E-钙黏蛋白上调和N-钙黏蛋白下调)介导的,这导致上皮-间质转化(EMT)过程减弱以及F-肌动蛋白形成减少。我们进一步表明,EMT相关转录因子Slug和基质金属蛋白酶-9(MMP-9)的表达在8505C细胞中受到1α,25(OH)2D3和MART-10的抑制,但在8303C细胞中未受抑制。由于转移是ATC相关死亡的重要原因,我们的结果强烈鼓励进一步开展MART-10针对ATC的体内研究。