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.

Oncotarget
|June 8, 2017
PubMed

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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