Cited by 18Vitamin D Research StudiesImmune Cell Function and InteractionCancer Immunotherapy and Biomarkers

Vitamin D Deficiency has a Negative Impact on Cetuximab-Mediated Cellular Cytotoxicity against Human Colon Carcinoma Cells

Mortara, Lorenzo, Gariboldi, Marzia B., Bosi, Annalisa, Bregni, Marco, Pinotti, Graziella, Guasti, Luigina, Squizzato, Alessandro, Noonan, Douglas M. +2 more·2018·Targeted Oncology

Abstract

Background Hypovitaminosis D is associated with an adverse prognosis in colon cancer patients, possibly due to the effects of the vitamin on the immune system. Antibody-dependent cell-mediated cytotoxicity (ADCC) significantly contributes to the anti-tumor effects of monoclonal antibodies, including cetuximab, an epidermal growth factor receptor (EGFR)-targeted monoclonal antibody that is frequently added to chemotherapy in the treatment of colon cancer.Objective The present study evaluates the association between vitamin D serum levels and the ability of ex vivo NK cells to support cetuximab-mediated ADCC in colon cancer cell lines.Methods Blood samples were obtained from 124 healthy volunteers and serum vitamin D was determined by RIA. NK cells were isolated from each sample and added to human colorectal carcinoma cells with or without cetuximab, and ADCC was assessed using a colorimetric lactate dehydrogenase assay.Results Correlation analysis indicates a significant, gender- and age-independent association between vitamin D levels and cetuximab-induced ADCC on HT29 cells, where NK cells from samples with vitamin D < 20 ng/mL are significantly less efficient in inducing ADCC. A confirmatory study on two additional colon cancer cell lines yielded similar results.Conclusions These data suggest that vitamin D supplementation in vitamin-deficient/insufficient colorectal cancer patients could improve cetuximab-induced ADCC.

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Crossref · 10.1007/s11523-018-0586-x

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Authors
Mortara, L., Gariboldi, M. B., Bosi, A., Bregni, M., Pinotti, G., Guasti, L., Squizzato, A., Noonan, D. M., Monti, E., & Campiotti, L.
Affiliations
  • University of Insubria (IT)
  • Azienda Socio Sanitaria Territoriale della Valle Olona (IT)
  • Aziende Socio Sanitarie Territoriale dei Sette Laghi (IT)
Corresponding author
Monti, Elena
Venue
Targeted Oncology
Published
2018-08-09
Volume
13
Issue
5
Pages
657-665
ISSN
  • 1776-2596 (ISSN-L)
  • 1776-260X
OpenAlex
W2885688630
Cited by
18
References
50
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 3
FWCI
1.33
Type
journal article
Language
en
Open access
closed
Locations
  • Targeted Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • IrInSubria (University of Insubria) (submittedVersion)
Funders
  • AIRC - Associazione Italiana per la Ricerca contro il CANCRO (AIRC- IG15895)
  • Università dell'Insubria - Fondo di Ateneo per la Ricerca (FAR2014, FAR 2015)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
  • Life Sciences › Immunology and Microbiology › Immunology › Immune Cell Function and Interaction
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
Keywords
vitamin D deficiency, cetuximab, antibody-dependent cellular cytotoxicity, natural killer cells, colon cancer, colorectal cancer, epidermal growth factor receptor, serum vitamin D levels, vitamin D supplementation, HT-29 cells, lactate dehydrogenase assay
MeSH terms
Cetuximab, Colonic Neoplasms, Female, Humans, Male, Middle Aged, Vitamin D Deficiency, Cell Line, Tumor

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