Vitamin D and VDR in cancer cachexia and muscle regeneration

Oncotarget. 2017 Mar 28;8(13):21778-21793. doi: 10.18632/oncotarget.15583.

Abstract

Low circulating levels of vitamin D were associated with decreased muscle strength and physical performance. Along this line, the present study was aimed to investigate: i) the therapeutic potential of vitamin D in cancer-induced muscle wasting; ii) the mechanisms by which vitamin D affects muscle phenotype in tumor-bearing animals.Rats bearing the AH130 hepatoma showed decreased circulating vitamin D compared to control rats, while muscle vitamin D receptor (VDR) mRNA was up-regulated. Both circulating vitamin D and muscle VDR expression increased after vitamin D administration, without exerting appreciable effects on body weight and muscle mass.The effects of vitamin D on muscle cells were studied in C2C12 myocytes. Vitamin D-treated myoblasts did not differentiate properly, fusing only partially and forming multinucleated structures with aberrant shape and low myosin heavy chain content. Vitamin D treatment resulted in VDR overexpression and myogenin down-regulation. Silencing VDR expression in C2C12 cultures abrogated the inhibition of differentiation exerted by vitamin D treatment.These data suggest that VDR overexpression in tumor-bearing animals contributes to muscle wasting by impairing muscle regenerative program. In this regard, attention should be paid when considering vitamin D supplementation to patients affected by chronic pathologies where muscle regeneration may be involved.

Keywords: circulating vitamin D; muscle wasting; myogenin; regeneration; vitamin D receptor.

MeSH terms

  • Animals
  • Blotting, Western
  • Cachexia / etiology
  • Cachexia / metabolism*
  • Carcinoma, Hepatocellular / complications
  • Cell Line
  • Chromatin Immunoprecipitation
  • Disease Models, Animal
  • Fluorescent Antibody Technique
  • Gene Knockdown Techniques
  • Humans
  • Liver Neoplasms / complications
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Muscle Development / drug effects
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism*
  • Rats
  • Rats, Wistar
  • Real-Time Polymerase Chain Reaction
  • Receptors, Calcitriol / metabolism*
  • Regeneration / drug effects
  • Vitamin D / metabolism*
  • Vitamin D / pharmacology

Substances

  • Receptors, Calcitriol
  • Vitamin D