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Epigenetic corruption of VDR signalling in malignancy
S Asad Abedin1, Claire M Banwell, Kay W Colston
1Institute of Biomedical Research, Endocrinology and Metabolism, University of Birmingham Medical School, Edgbaston, Birmingham B15 2TT, UK.
Background:
The ligand-mediated switch from binding co-repressor to co-activator complexes is central to the transcriptional actions of the vitamin D receptor (VDR) and other nuclear receptors. The capacity of deregulated co-repressors to attenuate the responsiveness of VDR signalling in cancer models was examined.
Materials And Methods:
Proliferation and gene regulation studies were undertaken in non-malignant and malignant cell line and primary models.
Results:
Both primary tissue models and cancer cell lines displayed a spectrum of suppressed responsiveness towards 1alpha, 25 hydroxy vitamin D3 (1alpha25(OH)2D3) which correlated with elevated co-repressor content: specifically, elevated silencing mediator of retinoid and thyroid hormone receptors/nuclear co-repressor 2 (NCoR2/SMRT) in prostate cancer cell lines and primary tumour cultures, and elevated nuclear receptor co-repressor 1 (NCoR1) in breast cancer cell lines. Interestingly, whilst the cancer cell lines frequently also displayed reduced VDR content, the primary tumour material retained and/or elevated VDR mRNA, correlated with co-repressor content. Functional approaches towards NCoR2/SMRT (siRNA) in prostate cancer cells or NCoR1 (overexpression) in non-malignant breast epithelial cells confirmed a role in suppressing VDR transcriptional and cellular actions. Targeted co-treatments of 1alpha25(OH)2D3 plus HDAC inhibitors (TSA, NaB) resulted in re-expression of antiproliferative target genes (e.g., GADD45alpha, p21(waf1/cip1)) and synergistic inhibition of proliferation.
Conclusion:
These data suggest that VDR actions in solid tumours are retained, but were skewed by epigenetic mechanisms to suppress selectively antiproliferative target gene promoter responses. This molecular lesion provides a novel chemotherapy target for acceptable doses of 1alpha25(OH)2D3 plus HDAC inhibitors.
Insights
Elevated co-repressors suppress vitamin D receptor (VDR) signaling in cancer. Combining VDR agonists with HDAC inhibitors restores VDR function and inhibits cancer cell proliferation.
Area of Science:
- Molecular Biology
- Cancer Research
- Epigenetics
Background:
- The vitamin D receptor (VDR) regulates gene transcription through interactions with co-activator and co-repressor complexes.
- Deregulation of co-repressors can impair VDR signaling, particularly in the context of cancer.
Purpose of the Study:
- To investigate the role of deregulated co-repressors in attenuating VDR signaling responsiveness in cancer models.
- To explore the potential of targeting co-repressors and VDR signaling for cancer therapy.
Main Methods:
- Proliferation and gene regulation studies were conducted in non-malignant and malignant cell lines, as well as primary tissue models.
- Functional assays included siRNA-mediated knockdown of co-repressors and overexpression studies.
- Co-treatments with VDR agonists and HDAC inhibitors were performed.
Main Results:
- Suppressed VDR responsiveness in cancer models correlated with increased levels of specific co-repressors (NCoR2/SMRT in prostate cancer, NCoR1 in breast cancer).
- While some cancer cell lines showed reduced VDR levels, primary tumors often maintained or increased VDR mRNA, inversely correlating with co-repressor levels.
- Functional studies confirmed the suppressive role of NCoR2/SMRT and NCoR1 in VDR-mediated gene regulation and cellular actions.
- Combination therapy with 1alpha,25-dihydroxyvitamin D3 and HDAC inhibitors reactivated antiproliferative genes and synergistically inhibited proliferation.
Conclusions:
- VDR signaling in solid tumors is retained but epigenetically modified to suppress antiproliferative gene responses.
- This molecular alteration presents a therapeutic target, suggesting that combined treatment with VDR agonists and HDAC inhibitors can overcome VDR suppression in cancer.
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