Relevance of Vitamin D in Melanoma Development, Progression and Therapy

Relevance of Vitamin D in Melanoma Development, Progression and Therapy
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DOI:
10.21873/anticanres.13976
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发表时间:
2020-01-01
影响因子:
2
通讯作者:
Slominski, Andrzej T.
Slominski, Andrzej T.
中科院分区:
医学4区
文献类型:
--
作者:
Brozyna, Anna A.;Hoffman, Robert M.;Slominski, Andrzej T.

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黑色素瘤是最致命的皮肤癌之一,一旦疾病进入转移,预后很差。目前针对晚期黑色素瘤的治疗方案疗效低、价格昂贵且副作用严重。因此,需要开发新的治疗方案。皮肤细胞能够通过经典和非经典途径激活维生素 D。维生素 D 衍生物具有促进分化和抑制增殖的抗癌特性。由于流行病学研究尚不明确,全身维生素 D 在黑色素瘤患者中的作用尚不清楚。相比之下,实验数据清楚地表明维生素D及其衍生物具有抗黑色素瘤的特性。此外,分子和临床病理学研究已证明维生素 D 信号传导缺陷与黑色素瘤进展和疾病结果之间存在相关性。因此,充足的维生素D信号传导可以在黑色素瘤的治疗中发挥作用。
Melanoma is one of the most lethal types of skin cancer, with a poor prognosis once the disease enters metastasis. The efficacy of currently available treatment schemes for advanced melanomas is low, expensive, and burdened by significant side-effects. Therefore, there is a need to develop new treatment options. Skin cells are able to activate vitamin D via classical and non-classical pathways. Vitamin D derivatives have anticancer properties which promote differentiation and inhibit proliferation. The role of systemic vitamin D in patients with melanoma is unclear as epidemiological studies are not definitive. In contrast, experimental data have clearly shown that vitamin D and its derivatives have anti-melanoma properties. Furthermore, molecular and clinicopathological studies have demonstrated a correlation between defects in vitamin D signaling and progression of melanoma and disease outcome. Therefore, adequate vitamin D signaling can play a role in the treatment of melanoma.