Abstract
It is well established that 1α,25-dihydroxyvitamin D 3 (1α,25(OH) 2D 3), the active metabolite of vitamin D, plays a role in regulating proliferation and differentiation of cells, in addition to its classic function in mineral homeostasis. Recent studies have also provided evidence for the involvement of 1α,25(OH) 2D 3 in regulating the immune system. However, therapeutic application of 1α,25(OH) 2D 3 to hyperproliferative diseases such as cancer, or for immunologic purposes, is thwarted by its hypercalcemic activity. In order to overcome this obstacle, analogs of 1α,25(OH) 2D 3 have been produced that exhibit decreased hypercalcemic activity while retaining the growth and immunologic regulating properties. In the present study, the efficacy of 1α,24(S)-dihydroxyvitamin D 2 (1α,24(S)(OH) 2D 2), a vitamin D 2 analog, in restraining cell proliferation was compared to that of 1α,25(OH) 2D 3. In parallel studies, cancer cell lines were grown in increased concentrations (10 − 10–10 − 7 M) of each compound for various incubation periods (1–4 days). Growth was assessed by measuring [ 3H]thymidine incorporation. The results revealed that 1α,24(S)(OH) 2D 2 significantly inhibits proliferation to an extent similar to that observed for 1α,25(OH) 2D 3. Moreover, incubating the human leukemia cell line, HL-60, with 1α,24(S)(OH) 2D 2 resulted in an induction of differentiation of these promyelomonocyte cells into monocyte-macrophage-like cells, in a manner similar to that observed with 1α,25(OH) 2D 3. Using a Western procedure, it was also shown that 1α,24(S)(OH) 2D 2 like 1α,25(OH) 2D 3 enhances the expression of vitamin D receptors (VDR) in the rat osteosarcoma cell line, ROS 17/2.8. The expression of tumor necrosis factor (TNF) alpha (TNF-α) in human peritoneal macrophages (HPM) obtained from uremic patients treated with continuous ambulatory peritoneal dialysis (CAPD) was found to be regulated by 1α,25(OH) 2D 3 as well as by 1α,24(S)(OH) 2D 2. Incubations of HPM with 1α,25(OH) 2D 3 or 1α,24(S)(OH) 2D 2, have inhibited the expression of TNF-α on both mRNA and protein levels. These results suggest that 1α,25(OH) 2D 3 has a role in controlling the rate of inflammation in the peritoneal cavity of CAPD treated patients. Since 1α,24(S)(OH) 2D 2 does not cause hypercalcemia, the present results encourage the possible use of this vitamin D 2 analog in the treatment of cancer and hyper-inflammatory diseases.
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