Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
The Shanghai Institute of Dermatology, Shanghai, China.
Lab Invest. 2018 Dec;98(12):1527-1537. doi: 10.1038/s41374-018-0126-4. Epub 2018 Sep 11.
Vitamin D analogs have been widely utilized for the treatment of vitiligo, but the molecular mechanism underlying their pharmacological effects (especially their antioxidant properties) has not yet been investigated. We evaluated the relationship between serum vitamin D level and oxidative damage severity in vitiligo patients, and investigated the molecular mechanism of vitamin D in protecting melanocytes against oxidative stress. Serum levels of 25-hydroxyvitamin D and malondialdehyde (MDA) were first measured in patients. A variety of in vitro experiments such as intracellular reactive oxygen species (ROS), cellular viability, migration, and apoptotic assays were then performed to detect the effects of vitamin D or β-catenin silencing on HO-treated melanocytes. Expression of Wnt/β-catenin, Nrf2, apoptotic, and MITF pathways was finally examined using quantitative real-time PCR and western blot. In this study, we initially found that vitamin D insufficiency was closely associated with the severity of oxidative stress in vitiligo patients. Using ex vivo cell models, we further showed that vitamin D positively modulated β-catenin signaling at both translational and posttranslational levels in melanocytes under oxidative stress. Like WNT agonists, vitamin D significantly inhibited ROS accumulation and cell apoptosis in HO-treated melanocytes and promoted their proliferative and migratory activity, while the protective effects of vitamin D against oxidative stress were abolished by β-catenin silencing in melanocytes. Furthermore, β-catenin deficiency also blocked the activation of Nrf2 and MITF as well as the inhibition of apoptosis induced by vitamin D. Taken together, vitamin D insufficiency was associated with severity of oxidative stress in vitiligo patients. Our work also provides new insights into the mechanism of vitamin D against vitiligo, in which vitamin D protects melanocytes against oxidative stress by activating Wnt/β-catenin signaling.
维生素 D 类似物已被广泛用于治疗白癜风,但它们的药理作用(尤其是抗氧化特性)的分子机制尚未得到研究。我们评估了白癜风患者血清维生素 D 水平与氧化损伤严重程度之间的关系,并研究了维生素 D 保护黑素细胞免受氧化应激的分子机制。首先测量了患者的血清 25-羟维生素 D 和丙二醛 (MDA) 水平。然后进行了各种体外实验,如细胞内活性氧 (ROS)、细胞活力、迁移和凋亡测定,以检测维生素 D 或β-连环蛋白沉默对 HO 处理的黑素细胞的影响。最后使用定量实时 PCR 和 Western blot 检查 Wnt/β-连环蛋白、Nrf2、凋亡和 MITF 途径的表达。在这项研究中,我们最初发现维生素 D 不足与白癜风患者氧化应激的严重程度密切相关。使用离体细胞模型,我们进一步表明,维生素 D 在氧化应激下正向调节黑素细胞中β-连环蛋白信号的翻译和翻译后水平。与 WNT 激动剂一样,维生素 D 可显著抑制 HO 处理的黑素细胞中 ROS 积累和细胞凋亡,并促进其增殖和迁移活性,而维生素 D 对氧化应激的保护作用被黑素细胞中的β-连环蛋白沉默所消除。此外,β-连环蛋白缺乏也阻断了 Nrf2 和 MITF 的激活以及维生素 D 诱导的凋亡抑制。总之,维生素 D 不足与白癜风患者氧化应激的严重程度有关。我们的工作还为维生素 D 治疗白癜风的机制提供了新的见解,其中维生素 D 通过激活 Wnt/β-连环蛋白信号来保护黑素细胞免受氧化应激。