Vitamin D is an essential
steroid hormone that regulates systemic
calcium homeostasis and cell fate decisions. The prostate gland is hormonally regulated, requiring
steroids for proliferation and differentiation of secretory
luminal cells.
Vitamin D deficiency is associated with an increased risk of lethal
prostate cancer, which exhibits a dedifferentiated pathology, linking
vitamin D sufficiency to epithelial differentiation. To determine
vitamin D regulation of prostatic epithelial differentiation, patient-derived benign prostate epithelial organoids were grown in
vitamin D-deficient or -sufficient conditions. Organoids were assessed by phenotype and single-cell
RNA sequencing. Mechanistic validation demonstrated that
vitamin D sufficiency promoted organoid growth and accelerated differentiation by inhibiting canonical Wnt activity and suppressing Wnt family member DKK3. Wnt and DKK3 were also reduced by
vitamin D in prostate tissue explants by spatial transcriptomics. Wnt dysregulation is a known contributor to aggressive
prostate cancer, thus findings further link
vitamin D deficiency to lethal disease.