Systemic sclerosis (SSc; scleroderma) is a chronic fibrotic disease involving TGF-β1. Low serum
vitamin D (vit D) correlates with the degree of
fibrosis and expression of TGF-β1. This study was designed to determine whether the noncalcemic vit D analog, 17,20S(
OH)2pD, suppresses
fibrosis and mediators of the TGF-β1 pathway in the
bleomycin (BLM) model of
fibrosis.
Fibrosis was induced into the skin of female C57BL/6 mice by repeated
injections of BLM (50 μg/100 μL) subcutaneously. Mice received daily oral gavage with either vehicle (
propylene glycol) or 17,20S(
OH)2pD using 5, 15, or 30 μg/kg for 21 days. The injected skin was biopsied; analyzed histologically; examined for total
collagen by Sircol; and examined for
mRNA expression of MMP-13,
BMP-7, MCP-1, Gli1, and Gli2 by TR-PCR. Spleen was analyzed for lymphocytes using flow cytometry. Serum was analyzed for
cytokines using a multiplexed ELISA. Results showed that all three doses of 17,20S(
OH)2pD suppressed net total
collagen production, dermal thickness, and total
collagen content in the BLM
fibrosis model. 17,20S(
OH)2pD also increased MMP-13 expression, decreased MCP-1 and Gli-2 expression in vivo, and suppressed serum levels of
IL-13, TNF-α,
IL-6,
IL-10,
IL-17, and IL-12p70. In summary, 17,20S(
OH)2pD modulates the mediators of
fibrosis in vivo and suppresses total
collagen production and dermal thickness. This antifibrotic property of 17,20S(
OH)2pD offers new therapeutic approaches for fibrotic disorders.