Mechanism of action of vitamin D and the vitamin D receptor in colorectal cancer prevention and treatment

Rev Endocr Metab Disord. 2012 Mar;13(1):31-8. doi: 10.1007/s11154-011-9196-y.

Abstract

Vitamin D and its analogs are potent inhibitors of colorectal cancer growth and metastasis. A number of recent studies have defined the intersections between the β-catenin-TCF pathway (a known contributor to colorectal cancer progression) and the vitamin D receptor (VDR) pathway, shedding light on the underlying mechanisms. Vitamin D also regulates the innate immune response, and as such influences susceptibility to inflammatory bowel disease, a predisposing factor in colorectal cancer. Understanding the role of vitamin D in these different contexts will enable development of next generation vitamin D analogs that will serve as both chemopreventatives and cancer therapeutics, without the accompanying side effects of hypercalcemia usually associated with high vitamin D intake. This review summarizes the mechanisms of action of vitamin D and the VDR in the context of the gastrointestinal tract and colorectal carcinogenesis.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Colorectal Neoplasms / metabolism*
  • Colorectal Neoplasms / prevention & control*
  • Humans
  • Receptors, Calcitriol / metabolism*
  • Vitamin D / metabolism*
  • beta Catenin / metabolism

Substances

  • Receptors, Calcitriol
  • beta Catenin
  • Vitamin D