Background and Aims: Breast cancer is the second leading cause of cancer associated death in women worldwide. Multiple studies have shown that lower vitamin D levels are associated with an increased risk of breast cancer. By binding to its intracellular vitamin D receptor (VDR), 1 alpha, 25-dihydroxyvitamin D3 (1,25D), the biologically active form of vitamin D3, exerts its effect on a wide range of tissues, resulting in a variety of biological effects including anti-tumor activity. However, the underlying molecular mechanisms of the protective effect of vitamin D remain unclear. The aim of this study is to identify VDR controlled target genes and molecular pathways that mediate the anti-tumor effect of 1,25D using human breast tissue.
Methodology: Ex vivo cultured human malignant breast tissues (n=3), adjacent normal (n=2) as well as reduction mammoplasty (n=1) were treated with 100nM of 1,25D or vehicle control for 24 hours. Total RNA was extracted and subjected to cDNA libraries preparation and Illumina DNA sequencing.
Results: mRNA-Seq revealed 559 significantly differentially expressed genes, 320 of which were upregulated and 239 downregulated in 1,25D-treated breast cancer.GoSeq KEGG pathway analysis revealed significant downregulation of several cellular metabolic pathways in 1,25D-treated breast cancer explants including cellular nitrogen compound/cellular macromolecule/nucleic acid metabolic processes as well as transferase activity and ATP binding. Pathways that were enriched in 1,25D-treated breast cancer explants included cell adhesion molecules (CAMs), ECM-receptor interaction, focal adhesion, and tight junction processes, suggesting that 1,25D can enhance intercellular adhesion. RNA-seq and qRT-PCR analysis also revealed that CYP24A1, CLMN, SERPINB1, and EFTUD1 are upregulated by 1,25D. Following VDR knockdown in non-malignant and malignant breast cell lines (n=3), upregulation of these four target genes was ablated following 1,25D treatment, confirming that induction of these target genes by 1,25D are VDR dependent.
Conclusion: In conclusion, this study successfully identified primary VDR targets and several molecular pathways involved in the anti-tumor activities of vitamin D3 in human breast cancer.