Bernhardt Sarah M, Ozaki Michelle K, Betts Courtney, Bleyle Lisa A, DeBarber Andrea E, Fornetti Jaime, Liberty Abigail L, Wilde De Elise, Zhang Yi, Xia Zheng, Schedin Pepper
Department of Cell, Developmental & Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Bioanalytical Shared Resource/Pharmacokinetics Core Facility, University Shared Resources, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
bioRxiv. 2024 Jun 2:2024.05.28.596304. doi: 10.1101/2024.05.28.596304.
Young women have increased risk of vitamin D deficiency, which may increase breast cancer incidence. Here, we assessed the anti-cancer efficacy of vitamin D in mouse models of young-onset breast cancer. In never-pregnant mice, vitamin D supplementation increased serum 25(OH)D and hepatic 1,25(OH)D, reduced tumor size, and associated with anti-tumor immunity. These anti-tumor effects were not replicated in a mouse model of postpartum breast cancer, where hepatic metabolism of vitamin D was suppressed post-wean, which resulted in deficient serum 25(OH)D and reduced hepatic 1,25(OH)D. Treatment with active 1,25(OH)D induced hypercalcemia exclusively in post-wean mice, highlighting metabolic imbalance post-wean. RNAseq revealed suppressed CYP450 expression postpartum. In sum, we provide evidence that vitamin D anti-tumor activity is mediated through immunomodulatory mechanisms and is ineffective in the post-wean window due to altered hepatic metabolism. These findings have implications for suppressed xenobiotic metabolism in postpartum women beyond vitamin D.
年轻女性维生素D缺乏风险增加,这可能会增加乳腺癌发病率。在此,我们评估了维生素D在年轻型乳腺癌小鼠模型中的抗癌功效。在未怀孕的小鼠中,补充维生素D可提高血清25(OH)D和肝脏1,25(OH)D水平,缩小肿瘤大小,并与抗肿瘤免疫相关。这些抗肿瘤作用在产后乳腺癌小鼠模型中未得到重现,在该模型中,断奶后维生素D的肝脏代谢受到抑制,导致血清25(OH)D缺乏和肝脏1,25(OH)D减少。用活性1,25(OH)D治疗仅在断奶后小鼠中引起高钙血症,突出了断奶后的代谢失衡。RNA测序显示产后CYP450表达受到抑制。总之,我们提供的证据表明,维生素D的抗肿瘤活性是通过免疫调节机制介导的,并且由于肝脏代谢改变,在断奶后窗口期无效。这些发现对产后女性除维生素D之外的外源性物质代谢受抑制具有启示意义。