CC BY-NC-ND 4.0 · J Lab Physicians 2018; 10(01): 001-005
DOI: 10.4103/JLP.JLP_49_17
Review Article

Vitamin D and gastrointestinal cancer

Ashish Mahendra
Department of Oral Pathology, Chandra Dental College, Barabanki, India
,
Karishma,
Basanta Kumar Choudhury
Department Oral Medicine and Radiology, Institute of Dental Sciences and Sum Hospital, Kalinga Nagar, Shampur, Bhubaneswar, Odisha, India
,
Tamanna Sharma
Department of Oral Pathology, Himachal Dental College, Sundernagar, Mandi, Himachal Pradesh, India
,
Neha Bansal
Department Oral Medicine and Radiology, Dr HS Judge Institute of Dental Sciences, PU, Chandigarh, India
,
Richa Bansal
Department of Oral Pathology, Seema Dental College and Hospital, Rishikesh, Uttarakhand, India
,
Shivangi Gupta
Department of Periodontics and Implantology, Bhojia Dental College and Hospital, Nalagarh, Himachal Pradesh, India
› Author Affiliations
Financial support and sponsorship: Nil

Abstract

Vitamin D serves as a precursor to the potent steroid hormone calcitriol, which has widespread actions throughout the body. Calcitriol regulates numerous cellular pathways that could have a role in determining cancer risk and prognosis. Low Vitamin D levels have been implicated in numerous disease processes including fracture risk, falls, cardiovascular disease, hypertension, diabetes mellitus, and cancers. Metabolite of 1, 25-dihydroxyvitamin D3 (1,25[OH]2D3) regulates numerous genes that control gut physiology and homeostasis. 1,25(OH)2D3 serves various functions such as maintaining the integrity of epithelial barrier and absorption of calcium and phosphate, and the host's defense against pathogens, and the inflammatory response by several types of secretory and immune cells. Although epidemiological data remain inconsistent, and randomized control trials in humans do not yet exist to conclusively support a beneficial role for Vitamin D, results from some correlating studies strongly suggest that Vitamin D deficiency increases the risk of developing cancer and that avoiding deficiency and adding Vitamin D supplements might be an economical and safe way to reduce cancer incidence and improve cancer prognosis and outcome. The present review highlights the role of Vitamin D in cancer of the gastrointestinal tract including esophagus, gastric (stomach), liver, pancreas, and colon.



Publication History

Received: 18 March 2017

Accepted: 04 July 2017

Article published online:
19 February 2020

© 2018.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Norman AW. From Vitamin D to hormone D: Fundamentals of the Vitamin D endocrine system essential for good health. Am J Clin Nutr 2008;88:491S-9S.
  • 2 Rosen CJ, Adams JS, Bikle DD, Black DM, Demay MB, Manson JE, et al. The nonskeletal effects of Vitamin D: An Endocrine Society scientific statement. Endocr Rev 2012;33:456-92.
  • 3 Fleet JC. Molecular actions of Vitamin D contributing to cancer prevention. Mol Aspects Med 2008;29:388-96.
  • 4 Moore C, Murphy MM, Keast DR, Holick MF. Vitamin D intake in the United States. J Am Diet Assoc 2004;104:980-3.
  • 5 Fleet JC, DeSmet M, Johnson R, Li Y. Vitamin D and cancer: A review of molecular mechanisms. Biochem J 2012;441:61-76.
  • 6 Llor X, Jacoby RF, Teng BB, Davidson NO, Sitrin MD, Brasitus TA. K-ras mutations in 1,2-dimethylhydrazine-induced colonic tumors: Effects of supplemental dietary calcium and Vitamin D deficiency. Cancer Res 1991;51:4305-9.
  • 7 Ingles SA, Ross RK, Yu MC, Irvine RA, La Pera G, Haile RW, et al. Association of prostate cancer risk with genetic polymorphisms in Vitamin D receptor and androgen receptor. J Natl Cancer Inst 1997;89:166-70.
  • 8 Haussler MR, Mangelsdorf DJ, Komm BS, Terpening CM, Yamaoka K, Allegretto EA, et al. Molecular biology of the Vitamin D hormone. Recent Prog Horm Res 1988;44:263-305.
  • 9 Kliewer SA, Umesono K, Mangelsdorf DJ, Evans RM. Retinoid X receptor interacts with nuclear receptors in retinoic acid, thyroid hormone and Vitamin D3 signalling. Nature 1992;355:446-9.
  • 10 Hargrove L, Francis T, Francis H. Vitamin D and GI cancers: Shedding some light on dark diseases. Ann Transl Med 2014;2:9.
  • 11 Enzinger PC, Mayer RJ. Esophageal cancer. N Engl J Med 2003;349:2241-52.
  • 12 Polednak AP. Trends in survival for both histologic types of esophageal cancer in US surveillance, epidemiology and end results areas. Int J Cancer 2003;105:98-100.
  • 13 Trowbridge R, Sharma P, Hunter WJ, Agrawal DK. Vitamin D receptor expression and neoadjuvant therapy in esophageal adenocarcinoma. Exp Mol Pathol 2012;93:147-53.
  • 14 Trowbridge R, Kizer RT, Mittal SK, Agrawal DK. 1,25-dihydroxyvitamin D in the pathogenesis of Barrett's esophagus and esophageal adenocarcinoma. Expert Rev Clin Immunol 2013;9:517-33.
  • 15 Vyas N, Companioni RC, Tiba M, Alkhawam H, Catalano C, Sogomonian R, et al. Association between serum Vitamin D levels and gastric cancer: A retrospective chart analysis. World J Gastrointest Oncol 2016;8:688-94.
  • 16 Ren C, Qiu MZ, Wang DS, Luo HY, Zhang DS, Wang ZQ, et al. Prognostic effects of 25-hydroxyvitamin D levels in gastric cancer. J Transl Med 2012;10:16.
  • 17 Bao A, Li Y, Tong Y, Zheng H, Wu W, Wei C. Tumor-suppressive effects of 1, 25-dihydroxyvitamin D3 in gastric cancer cells. Hepatogastroenterology 2013;60:943-8.
  • 18 Sirica AE. Cholangiocarcinoma: Molecular targeting strategies for chemoprevention and therapy. Hepatology 2005;41:5-15.
  • 19 Chen J, Katz LH, Muñoz NM, Gu S, Shin JH, Jogunoori WS, et al. Vitamin D deficiency promotes liver tumor growth in transforming growth factor-ß/Smad3-deficient mice through WNT and Toll-like receptor 7 pathway modulation. Sci Rep 2016;6:30217.
  • 20 Chen EQ, Shi Y, Tang H. New insight of Vitamin D in chronic liver diseases. Hepatobiliary Pancreat Dis Int 2014;13:580-5.
  • 21 Jones S, Zhang X, Parsons DW, Lin JC, Leary RJ, Angenendt P, et al. Core signaling pathways in human pancreatic cancers revealed by global genomic analyses. Science 2008;321:1801-6.
  • 22 Barreto SG, Neale RE. Vitamin D and pancreatic cancer. Cancer Lett 2015;368:1-6.
  • 23 Heidelbaugh JJ, Tortorello M. The adult well male examination. Am Fam Physician 2012;85:964-71.
  • 24 Whitlock EP, Lin JS, Liles E, Beil TL, Fu R. Screening for colorectal cancer: A targeted, updated systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2008;149:638-58.
  • 25 Gündüz M, Cacina C, Toptas B, Yaylim-Eraltan I, Tekand Y, Isbir T. Association of Vitamin D receptor gene polymorphisms with colon cancer. Genet Test Mol Biomarkers 2012;16:1058-61.
  • 26 Shang M, Sun J. Vitamin D/VDR, probiotics, and gastrointestinal diseases. Curr Med Chem 2017;24:876-87.