Vitamin D Receptor in Cancer: Biological Functions, Mechanistic Insights, and Clinical Relevance
Ming Liang1, Shengjie Yin2, Yisheng Dai3
1Department of Infection, Second Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Abstract:
Vitamin D (VD) has been the focus of extensive clinical research, yet conclusions regarding its biological roles remain inconsistent. VD exerts its functions through the vitamin D receptor (VDR), a nuclear transcription factor that regulates the expression of VD3-responsive target genes. Notably, divergent findings across studies have been reported regarding VDR expression patterns and functional roles, underscoring the complexity of VDR in cancer biology. Whether this complexity interferes with VD's biological activity-thereby contributing to the variable impacts of VD3 on cancer prevention and treatment-remains unclear. This review systematically addresses: (1) the association between VDR expression (assessed by immunohistochemistry) and cancer prognosis; (2) the roles and mechanisms of VDR in cancer; (3) the multi-level regulatory networks governing VDR expression and activity; and (4) the translational implications of VDR in cancer therapy. Elucidating the precise roles and mechanisms of VDR is critical for optimizing cancer treatment strategies and resolving conflicting clinical evidence.
Insights
Vitamin D (VD) research is inconsistent due to complex Vitamin D Receptor (VDR) roles in cancer. Understanding VDR mechanisms is key to improving cancer treatment and VD
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Vitamin D (VD) research yields inconsistent biological role conclusions.
- VD functions via the Vitamin D Receptor (VDR), a transcription factor regulating gene expression.
- VDR expression and function in cancer biology show divergent findings, indicating complexity.
Purpose of the Study:
- To review the association between VDR expression and cancer prognosis.
- To elucidate the roles and mechanisms of VDR in cancer.
- To explore VDR regulatory networks and translational implications in cancer therapy.
Main Methods:
- Systematic review of existing literature.
- Analysis of VDR expression via immunohistochemistry in relation to cancer prognosis.
- Examination of VDR's roles, mechanisms, and regulatory networks in cancer.
Main Results:
- Conflicting data exists on VDR expression and its association with cancer prognosis.
- VDR plays complex roles in cancer biology, influencing gene expression and cellular pathways.
- Multi-level regulatory networks govern VDR activity, impacting its therapeutic potential.
Conclusions:
- Clarifying VDR's precise roles and mechanisms is crucial for cancer treatment optimization.
- Resolving conflicting clinical evidence on VD's impact on cancer requires a deeper understanding of VDR.
- Further research into VDR is essential for advancing VD-based cancer therapies.
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