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Vitamin D-induced mechanisms in cancer prevention and therapy: Recent advances and future opportunities
D Prasanth1, Pathan Amanulla Khan2, Jamal-E-Fatima3
1Department of Pharmacology, School of Pharmacy, Centurion University of Technology and Management, Odisha, India.
Abstract:
Vitamin D, with its diverse molecular pathways and immunomodulatory properties, has become a crucial tool in the prevention and treatment of various cancers. It controls angiogenesis, apoptosis, differentiation, and cellular proliferation, inhibiting cancer through immune surveillance, DNA repair, and tumor suppression genes. Additionally, vitamin D signaling impacts tumor growth and metastasis in various cancer types by interacting with key oncogenic pathways like Wnt/β-catenin, NF-κB, PI3K/Akt, and p53. This review demonstrates the molecular and therapeutic implications of vitamin D in oncology, focusing on its potential as a safe, adjuvant treatment method. It emphasizes the role of vitamin D in epigenetic modification, its impact on tumor microenvironment, and its synergistic benefits when combined with immune checkpoint inhibitors and chemotherapeutic drugs. Despite promising results, genetic variations in the VDR gene continue to cause issues with bioavailability, ideal dosage, and interindividual response variability. The review also proposes future research on vitamin D's potentiality as a therapeutic adjuvant in various malignancies, including colorectal, prostate, and breast cancers, and suggests the development of non-calcemic vitamin D analogs and the incorporation of vitamin D-based methods into personalized oncology treatments.
Insights
Vitamin D plays a key role in cancer prevention and treatment by regulating cell processes and immune responses. Further research into vitamin D analogs and personalized treatments is recommended for various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Vitamin D exhibits diverse molecular pathways and immunomodulatory properties relevant to cancer.
- It influences angiogenesis, apoptosis, differentiation, and cellular proliferation, impacting cancer progression.
- Vitamin D signaling interacts with key oncogenic pathways (Wnt/β-catenin, NF-κB, PI3K/Akt, p53) affecting tumor growth and metastasis.
Purpose of the Study:
- To review the molecular and therapeutic implications of vitamin D in oncology.
- To highlight vitamin D's potential as a safe, adjuvant cancer treatment.
- To explore its role in epigenetic modification and the tumor microenvironment.
Main Methods:
- Literature review of vitamin D's mechanisms in cancer.
- Analysis of vitamin D's interaction with oncogenic pathways.
- Examination of synergistic effects with other cancer therapies.
Main Results:
- Vitamin D inhibits cancer through immune surveillance, DNA repair, and tumor suppression.
- It impacts tumor microenvironment and shows synergistic benefits with chemotherapy and immunotherapy.
- Genetic variations in the VDR gene affect bioavailability and response.
Conclusions:
- Vitamin D holds significant potential as an adjuvant therapy in various cancers.
- Further research is needed on non-calcemic analogs and personalized vitamin D-based treatments.
- Vitamin D's role in epigenetic modification and synergistic effects warrants continued investigation.
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