Abstract

<div>Abstract<p><b>Purpose:</b> We previously showed that EGF receptor (EGFR) promotes tumorigenesis in the azoxymethane/dextran sulfate sodium (AOM/DSS) model, whereas vitamin D suppresses tumorigenesis. EGFR–vitamin D receptor (VDR) interactions, however, are incompletely understood. Vitamin D inhibits the renin–angiotensin system (RAS), whereas RAS can activate EGFR. We aimed to elucidate EGFR–VDR cross-talk in colorectal carcinogenesis.</p><p><b>Experimental Design:</b> To examine VDR–RAS interactions, we treated <i>Vdr</i><sup>+/+</sup> and <i>Vdr</i><sup>−/−</sup> mice with AOM/DSS. Effects of VDR on RAS and EGFR were examined by Western blotting, immunostaining, and real-time PCR. We also examined the effect of vitamin D3 on colonic RAS in <i>Vdr</i><sup>+/+</sup> mice. EGFR regulation of VDR was examined in hypomorphic <i>Egfr<sup>Waved2</sup></i> (<i>Wa2</i>) and <i>Egfr<sup>wild-type</sup></i> mice. Angiotensin II (Ang II)–induced EGFR activation was studied in cell culture.</p><p><b>Results:</b><i>Vdr</i> deletion significantly increased tumorigenesis, activated EGFR and β-catenin signaling, and increased colonic RAS components, including renin and angiotensin II. Dietary VD3 supplementation suppressed colonic renin. Renin was increased in human colon cancers. In studies <i>in vitro</i>, Ang II activated EGFR and stimulated colon cancer cell proliferation by an EGFR-mediated mechanism. Ang II also activated macrophages and colonic fibroblasts. Compared with tumors from <i>Egfr<sup>Waved2</sup></i> mice, tumors from <i>Egfr<sup>wild-type</sup></i> mice showed upregulated Snail1, a suppressor of VDR, and downregulated VDR.</p><p><b>Conclusions:</b> VDR suppresses the colonic RAS cascade, limits EGFR signals, and inhibits colitis-associated tumorigenesis, whereas EGFR increases Snail1 and downregulates VDR in colonic tumors. Taken together, these results uncover a RAS-dependent mechanism mediating EGFR and VDR cross-talk in colon cancer. <i>Clin Cancer Res; 20(22); 5848–59. ©2014 AACR</i>.</p></div>

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