The active metabolite of
vitamin D3,
1,25-dihydroxyvitamin D3 (
calcitriol) has antiproliferative effects in non-aggressive
prostate cancer, however, its effects in more aggressive model systems are still unclear. In these studies, effects of
calcitriol and a less-calcemic
vitamin D analog,
QW-1624F2-2 (QW), were tested in vivo, using the aggressive autochthonous transgenic
adenocarcinoma of mouse prostate (TRAMP) model. To study prevention of
androgen-stimulated
prostate cancer, vehicle,
calcitriol (20 µg/kg), or QW (50 µg/kg) were administered to 4 week-old TRAMP mice intraperitoneal (i.p.) 3×/week on a MWF schedule for 14 weeks.
Calcitriol and QW slowed progression of
prostate cancer as indicated by reduced urogenital tract (p = 0.0022,
calcitriol; p = 0.0009, QW) and prostate weights (p = 0.0178,
calcitriol; p = 0.0086, QW). However, only
calcitriol increased expression of the pro-
differentiation marker,
cadherin 1 (p = 0.0086), and reduced
tumor proliferation (p = 0.0467). By contrast, neither
vitamin D analog had any effect on
castration resistant
prostate cancer in mice treated pre- or post-
castration. Interestingly, although
vitamin D showed inhibitory activity against primary
tumors in
hormone-intact mice, distant organ
metastases seemed to be enhanced following treatment (p = 0.0823). Therefore, TRAMP mice were treated long-term with
calcitriol to further examine effects on
metastasis.
Calcitriol significantly increased the number of distant organ
metastases when mice were treated from 4 weeks-of-age until development of palpable
tumors (20-25 weeks-of-age)(p = 0.0003). Overall, data suggest that early intervention with
vitamin D in TRAMP slowed
androgen-stimulated
tumor progression, but prolonged treatment resulted in development of a resistant and more aggressive disease associated with increased distant organ
metastasis.