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Updated: Mar 1, 2026

In Vivo Augmentation of Gut-Homing Regulatory T Cell Induction
Published on: January 22, 2020
Vitamin D receptor activation reduces VCaP xenograft tumor growth and counteracts ERG activity despite induction of
Justin M Roberts1, Rebeca San Martin1, D Badrajee Piyarathna1,2
1Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.
Abstract:
Whether vitamin D is chemopreventive and/or has potential therapeutically in prostate cancer is unresolved. One confounding factor is that many prostate cancers express a TMPRSS2:ERG fusion gene whose expression is increased both by androgens and by vitamin D receptor (VDR) activation. Two challenges that limit VDR agonist use clinically are hypercalcemia and the cooperation of VDR with ERG to hyper-induce the 1α,25-dihydroxyvitamin D3 metabolizing enzyme, CYP24A1, thus reducing VDR activity. Using the VCaP TMPRSS2:ERG positive cell line as a model, we found that a nonsecosteroidal CYP24A1 resistant VDR agonist, VDRM2, substantially reduces growth of xenograft tumors without inducing hypercalcemia. Utilizing next generation RNA sequencing, we found a very high overlap of 1,25D(OH)2D3 and VDRM2 regulated genes and by drawing upon previously published datasets to create an ERG signature, we found activation of VDR does not induce ERG activity above the already high basal levels present in VCaP cells. Moreover, we found VDR activation opposes 8 of the 10 most significant ERG regulated Hallmark gene set collection pathways from Gene Set Enrichment Analysis (GSEA). Thus, a CYP24A1 resistant VDR agonist may be beneficial for treatment of TMPRSS2:ERG positive prostate cancer; one negative consequence of TMPRSS2:ERG expression is inactivation of VDR signaling.
Insights
A novel vitamin D receptor (VDR) agonist, VDRM2, effectively reduces prostate cancer growth without causing hypercalcemia. This VDR agonist shows promise for treating TMPRSS2:ERG positive prostate cancers.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- The role of vitamin D in prostate cancer prevention and therapy remains unclear.
- Prostate cancers often express the TMPRSS2:ERG fusion gene, influenced by androgens and VDR activation.
- Clinical use of VDR agonists is limited by hypercalcemia and CYP24A1 induction, which reduces VDR activity.
Purpose of the Study:
- To investigate the therapeutic potential of a novel CYP24A1-resistant VDR agonist (VDRM2) in TMPRSS2:ERG positive prostate cancer.
- To evaluate the impact of VDR activation on ERG activity and associated gene expression pathways.
- To determine if VDRM2 can overcome limitations associated with conventional VDR agonists.
Main Methods:
- Utilized the VCaP cell line, a model for TMPRSS2:ERG positive prostate cancer.
- Administered a nonsecosteroidal, CYP24A1-resistant VDR agonist (VDRM2) to xenograft tumors.
- Employed next-generation RNA sequencing and Gene Set Enrichment Analysis (GSEA) to analyze gene expression and ERG pathway activity.
Main Results:
- VDRM2 significantly reduced xenograft tumor growth without inducing hypercalcemia.
- RNA sequencing revealed substantial overlap in gene regulation between 1,25D(OH)2D3 and VDRM2.
- VDR activation did not increase ERG activity and opposed key ERG-regulated gene pathways.
Conclusions:
- A CYP24A1-resistant VDR agonist like VDRM2 may offer a beneficial therapeutic strategy for TMPRSS2:ERG positive prostate cancer.
- VDR activation can counteract detrimental effects of ERG expression in prostate cancer.
- Overcoming VDR inactivation caused by TMPRSS2:ERG is a potential therapeutic avenue.
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