Vitamin D signaling and melanoma: role of vitamin D and its receptors in melanoma progression and management
Open accessAbstract
Ultraviolet B (UVB), in addition to having carcinogenic activity, is required for the production of vitamin D3 (D3) in the skin which supplies >90% of the body's requirement. Vitamin D is activated through hydroxylation by 25-hydroxylases (CYP2R1 or CYP27A1) and 1α-hydroxylase (CYP27B1) to produce 1,25(OH)2 D3, or through the action of CYP11A1 to produce mono-di- and trihydroxy-D3 products that can be further modified by CYP27B1, CYP27A1, and CYP24A1. The active forms of D3, in addition to regulating calcium metabolism, exert pleiotropic activities, which include anticarcinogenic and anti-melanoma effects in experimental models, with photoprotection against UVB-induced damage. These diverse effects are mediated through an interaction with the vitamin D receptor (VDR) and/or as most recently demonstrated through action on retinoic acid orphan receptors (ROR)α and RORγ. With respect to melanoma, low levels of 25(OH)D are associated with thicker tumors and reduced patient survival. Furthermore, single-nucleotide polymorphisms of VDR and the vitamin D-binding protein (VDP) genes affect melanomagenesis or disease outcome. Clinicopathological analyses have shown positive correlation between low or undetectable expression of VDR and/or CYP27B1 in melanoma with tumor progression and shorter overall (OS) and disease-free survival (DFS) times. Paradoxically, this correlation was reversed for CYP24A1 (inactivating 24-hydroxylase), indicating that this enzyme, while inactivating 1,25(OH)2 D3, can activate other forms of D3 that are products of the non-canonical pathway initiated by CYP11A1. An inverse correlation has been found between the levels of RORα and RORγ expression and melanoma progression and disease outcome. Therefore, we propose that defects in vitamin D signaling including D3 activation/inactivation, and the expression and activity of the corresponding receptors, affect melanoma progression and the outcome of the disease. The existence of multiple bioactive forms of D3 and alternative receptors affecting the behavior of melanoma should be taken into consideration when applying vitamin D management for melanoma therapy.
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CYP11A1 initiates novel pathways of vitamin D3 activation in various organs or tissues, such as skin, peripheral tissue, adrenals, placenta, gastrointestinal tract, and several cancer cells of different origin.
“CYP11A1 initiates novel pathways of vitamin D3 activation in various organs or tissue, such as skin, peripheral tissue, adrenals, placenta, gastrointestinal (GI) tract, and several cancer cells of different origin [23,[27], [28], [29], [30], [31], [32], [33]].”
1α,25(OH)2D3 inhibits malignant transformation and tumor progression and has anti-cancer effects on gastrointestinal, genitourinary, breast, prostate, lung, and melanoma tumors.
“It also inhibits malignant transformation, tumor progression and has anti-cancer properties on a variety of tumors including those of gastrointestinal, genitourinary, breast, prostate and lung origins [32, 33, 46, 51], as well as melanoma [52, 53].”
From The serum vitamin D metabolome: what we know and what is still to discover (2019) · cites this paper as [53]
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1,25-DIHYDROXYVITAMIN-D RECEPTOR IN BREAST CANCER CELLS
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Melanocytes as "Sensory" and Regulatory Cells in the Epidermis
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Self-citationAssociation between serum 25(OH)D and death from prostate cancer
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The cytochrome P450scc system opens an alternate pathway of vitamin D3 metabolism
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Self-citationMelanoma Resistance: A Bright Future for Academicians and a Challenge for Patient Advocates
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Self-citationCRH functions as a growth factor/cytokine in the skin
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Self-citationNeuroendocrine activity of the melanocyte
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Expression of vitamin D receptor decreases during progression of pigmented skin lesions
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Self-citationMelanocytes are deficient in repair of oxidative DNA damage and UV-induced photoproducts
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1alpha,25-(OH)(2)-D(3) and its synthetic analogue decrease tumor load in the Apc(min) Mouse.
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Self-citationConditional ablation of Ikkb inhibits melanoma tumor development in mice
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Self-citationCYP24A1 and CYP27B1 Polymorphisms Modulate Vitamin D Metabolism in Colon Cancer Cells
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Self-citationMelanoma—the run of success continues
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Self-citationNovel vitamin D photoproducts and their precursors in the skin
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Are L-tyrosine and L-dopa hormone-like bioregulators?
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Self-citationUltraviolet Damage, DNA Repair and Vitamin D in Nonmelanoma Skin Cancer and in Malignant Melanoma
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Self-citationVitamin D receptor polymorphisms in patients with cutaneous melanoma
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Self-citationEmerging role of alternative splicing of CRF1 receptor in CRF signaling.
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Self-citationVitamin D Deficiency at Melanoma Diagnosis Is Associated with Higher Breslow Thickness
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Zmijewski, M. A., Li, W., Zjawiony, J. K., Sweatman, T. W., Chen, J., Miller, D. D., & Slominski, A. T. (2009) · Steroids · doi:10.1016/j.steroids.2008.10.017 · Cited by 62 · see citing works
Self-citationVitamin D receptor signaling and its therapeutic implications: Genome-wide and structural view
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Role of a disordered steroid metabolome in the elucidation of sterol and steroid biosynthesis
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Classical and non‐classical metabolic transformation of vitamin D in dermal fibroblasts
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Self-citationPRMT2 and RORγ Expression Are Associated With Breast Cancer Survival Outcomes
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Genetic Variants of the Vitamin D Receptor Gene Alter Risk of Cutaneous Melanoma
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Stimulation of melanogenesis in cultured melanoma cells by calciferols
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Research works printed but not linked: 4
- [238]Slominski A Kim TK Zmijewski MA Novel vitamin D photoproducts and their precursors in the skin Dermatoendocrinol 2013 5 7 19 24494038 PMC3897599
- [267]Tuckey RC Li W Shehabi HZ Production of 22-hydroxy-metabolites of vitamin D3 by cytochrome P450scc (CYP11A1) and analysis of their biological activities on skin cells Drug Metab Dispos 2011 39 1577 88 21677063 PMC3164270
- [269]Slominski A Janjetovic Z Kim TK Novel vitamin D hydroxyderivatives inhibit melanoma growth and show differential effects on normal melanocytes Anticancer Res 2012 32 3733 3742 22993313 PMC3458587
- [281]Zmijewski MA Li W Zjawiony JK Synthesis and photo-conversion of androsta- and pregna-5,7-dienes to vitamin D3-like derivatives Photochem Photobiol Sci 2008 7 1570 1576 19037511 PMC2597640
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Exploring vitamin D metabolism and function in cancer
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An Update on Vitamin D Metabolism
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Melanoma, Melanin, and Melanogenesis: The Yin and Yang Relationship
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Self-citationThe serum vitamin D metabolome: what we know and what is still to discover
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Self-citationPhotoprotective Properties of Vitamin D and Lumisterol Hydroxyderivatives
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Biological Effects of CYP11A1-Derived Vitamin D and Lumisterol Metabolites in the Skin
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Vitamin D Status and the Host Resistance to Infections: What It Is Currently (Not) Understood
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Current Molecular Markers of Melanoma and Treatment Targets
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Stucci, L. S., D’Oronzo, S., Tucci, M., Macerollo, A., Ribero, S., Spagnolo, F., Marra, E., Picasso, V., Orgiano, L., Marconcini, R., et al. (2018) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2018.05.016 · Cited by 41 · see citing works
Vitamina D y la piel. Una revisión para dermatólogos
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The Role of Calcium Signaling in Melanoma
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Self-citationSlominski, A. T., Brożyna, A. A., Kim, T., Elsayed, M., Janjetović, Z., Qayyum, S., Slominski, R. M., Oak, A. S. W., Li, C., Podgórska, E., et al. (2022) · International Journal of Oncology · doi:10.3892/ijo.2022.5386 · Cited by 39 · see citing works
Self-citationVitamin D and the Skin: A Review for Dermatologists
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Detection of 7-Dehydrocholesterol and Vitamin D3 Derivatives in Honey
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Self-citationPiotrowska, A., Wierzbicka, J., Rybarczyk, A., Tuckey, R. C., Slominski, A. T., & Zmijewski, M. A. (2019) · International Journal of Oncology · doi:10.3892/ijo.2019.4725 · Cited by 36 · see citing works
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Self-citationRole of vitamin D3 in selected malignant neoplasms
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Metabolic Alterations and Therapeutic Opportunities in Rare Forms of Melanoma
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QTL mapping for orange shell color and sex in the Pacific oyster (Crassostrea gigas)
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Becker, A. L., Carpenter, E. L., Slominski, A. T., & Indra, A. K. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.743667 · Cited by 27 · see citing works
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Self-citationIs Vitamin D Deficiency Related to Increased Cancer Risk in Patients with Type 2 Diabetes Mellitus?
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Brożyna, A. A., Jóźwicki, W., Jetten, A. M., & Slominski, A. T. (2019) · Experimental Dermatology · doi:10.1111/exd.14002 · Cited by 25 · see citing works
Self-citationSex Disparity in Skin Carcinogenesis and Potential Influence of Sex Hormones
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Biology of Melanocytes and Primary Melanoma
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Holick, M. F., & Slominski, A. T. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-91386-7.00006-4 · Cited by 22 · see citing works
Self-citationCalcitriol and Calcidiol Can Sensitize Melanoma Cells to Low–LET Proton Beam Irradiation
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Mitochondrial potassium channels: A novel calcitriol target
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Self-citationHutchinson, P. E., & Pringle, J. H. (2022) · Pigment Cell & Melanoma Research · doi:10.1111/pcmr.13040 · Cited by 19 · see citing works
The burgeoning role of cytochrome P450-mediated vitamin D metabolites against colorectal cancer
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Brzeminski, P., Fabisiak, A., Slominski, R. M., Kim, T., Janjetović, Z., Podgórska, E., Song, Y., Saleem, M., Reddy, S. B., Qayyum, S., et al. (2022) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2022.105660 · Cited by 20 · see citing works
Self-citationZhang, X., Wen, X., Feng, N., Chen, A., Yao, S., Ding, X., & Zhang, L. (2020) · Medical Science Monitor · doi:10.12659/msm.923087 · Cited by 18 · see citing works
Gisbert-Ferrándiz, L., Cosín‐Roger, J., Hernández, C., Macias-Ceja, D. C., Ortiz‐Masiá, D., Salvador, P., Wildenberg, M. E., Esplugues, J. V., Alós, R., Navarro, F., et al. (2020) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2020.105720 · Cited by 18 · see citing works
Vitamin D and the aging skin: insights into oxidative stress, inflammation, and barrier function
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Innate Lymphoid Cells in Skin Homeostasis and Malignancy
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Yang, J., Zhang, Y., Pan, Y., Sun, C., Liu, Z., Liu, N., Fu, Y., Li, X., Li, Y., & Kong, J. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.627135 · Cited by 16 · see citing works
Melatonin/Sericin Wound Healing Patches: Implications for Melanoma Therapy
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Cheng, C. Y. S., Kim, T., Jeayeng, S., Slominski, A. T., & Tuckey, R. C. (2017) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2017.07.011 · Cited by 15 · see citing works
Self-citationVitamin D Modulates the Response of Patient-Derived Metastatic Melanoma Cells to Anticancer Drugs
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Kowal, J., Markiewicz, A., Dębicka-Kumela, M., Bogdali, A. M., Jakubowska, B., Karska‐Basta, I., & Romanowska‐Dixon, B. (2019) · Journal of Contemporary Brachytherapy · doi:10.5114/jcb.2019.90985 · Cited by 14 · see citing works
Role of vitamin D serum levels in prevention of primary and recurrent melanoma
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Efecto de los niveles séricos de vitamina D en el pronóstico del melanoma cutáneo
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- Authors
- Slominski, A. T., Brożyna, A. A., Zmijewski, M. A., Jóźwicki, W., Jetten, A. M., Mason, R. S., Tuckey, R. C., & Elmets, C. A.
- Affiliations
- University of Alabama at Birmingham (US)
- Nicolaus Copernicus University (PL)
- Gdańsk Medical University (PL)
- National Institutes of Health (US)
- The University of Sydney (AU)
- The University of Western Australia (AU)
- Corresponding author
- Slominski, Andrzej T
- ORCID
- Venue
- Laboratory Investigation
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 97
- Issue
- 6
- Pages
- 706-724
- ISSN
- 0023-6837 (ISSN-L)
- PMC
- PMC5446295
- OpenAlex
- W2589902824
- Cited by
- 136
- References
- 311
- Citations by year
- 2026: 3 · 2025: 13 · 2024: 13 · 2023: 14 · 2022: 18 · 2021: 15 · 2020: 24 · 2019: 16 · 2018: 12 · 2017: 8
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Laboratory Investigation (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (acceptedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (I01BX003395)
- Narodowym Centrum Nauki
- National Institutes of Health (Z01-ES-101586)
- National Health and Medical Research Council (1070688)
- National Cancer Institute (R01CA193885)
- National Institute of Environmental Health Sciences (Z01ES101586)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R21AR066505, R01AR052190, R01AR056666)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Keywords
- vitamin D signaling, melanoma, vitamin D receptor, vitamin D binding protein, CYP27B1, CYP24A1, CYP27A1, CYP2R1, CYP11A1, 1,25-dihydroxyvitamin D3, 25-hydroxyvitamin D, UV-B radiation, melanoma progression, survival outcomes, single nucleotide polymorphisms, photoprotection
- MeSH terms
- Animals, Cytochrome P-450 Enzyme System, Epidermis, Humans, Melanoma, Ultraviolet Rays, Vitamin D, Signal Transduction, Receptors, Calcitriol, Disease Progression, Mice
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