Page 210 - Vitamin D and Cancer
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9  Molecular Biology of Vitamin D Metabolism and Skin Cancer    197


                                                                  Non-genomic
                                        PKA pathway
                          Secondary
             1,25(OH) 2 D 3            PI3K pathway
                         messengers                     Raf-MEK-MAPK-ERK cascade
                                       PKC pathway
            VDR mem  or
             MARRS
              protein                                                 Genomic
                                VDR
                                        RXR              Cross-talk
             1,25(OH) 2 D 3  1,25(OH) 2 D 3
                                  p

                        Nucleus



                                           HDAC
                                           complex        CBP/300  NCoA62-SKIP
                              Methylation  NCoR  SMRT       SRC


                                                             NCoA62-SKIP
                      VDR  VDIR          X             VDR     DRIPs  RNA
                                    RXR        RXR
                            1,25(OH) 2 D 3          1,25(OH) 2 D 3  TFIIB  Pol II
              Plasma
             membrane  5’ p   nVDRE                 VDRE    p         3’
                         Gene repression          Gene expression


            Fig. 9.2  Genomic and non-genomic actions of 1,25(OH) D . Gene expression by 1,25(OH) D  via
                                                                           3
                                                                         2
                                                  2
                                                    3
            the genomic pathway is mediated by the uptake of 1,25(OH) D  into the target cell and binding to
                                                      3
                                                     2
            vitamin D receptor (VDR). The 1,25(OH) D -VDR complex dimerizes with the retinoid X receptor
                                         3
                                        2
            (RXR) to bind onto the VDRE with RXR and VDR on the 5¢and 3¢ half site of the vitamin D response
            element (VDRE) respectively. Upon 1,25(OH) D  binding, conformation changes of the VDR allows
                                          2
                                            3
            the VDR to bind co-activators such as SRC, NCoA62-SKIP and CBP/300 which relax and de-repress
            the chromatin. The vitamin D receptor-interacting protein (DRIPs) complex is then recruited to aid
            the entry of the transcription machinery TFIIB and RNA Pol II. Gene repression by 1,25(OH) D
                                                                            2
                                                                              3
            involves the binding of VDR and the RXR to the 5¢and 3¢ site of the nVDRE respectively. The asso-
            ciation of VDIR with the VDR recruits the SMRT-HDAC complex and NCoR, together with methy-
            lation activity, keeps the chromatin in a repressed state. The non-genomic pathway is characterized by
            1,25(OH) D  binding to a membrane receptor possibly the VDR mem  or MARRS protein which acti-
                    3
                  2
            vates secondary messengers that in turn can activate the PKA, PI3K and the protein kinase C (PKC)
            pathway to ultimately lead to the activation of extracellular signal-regulated kinase (ERK) in the Raf-
            MEK-MAPK-ERK cascade. Both PKC and ERK modulate the transcriptional activity VDR through
            phosphorylation, providing cross-talk between the genomic and non-genomic pathways
            deacetylases (HDACs) [95]. To initiate gene expression, the induced conformational
            change of VDR by 1,25(OH) D  binding aids in the disassociation of co-repressors such
                                  2
                                    3
            as nuclear receptor co-repressor (NCoR) and silencing mediator for retinoid and thyroid
            hormone receptors (SMRT) [152]. SMRT brings deacetylation activities to the site by
            binding to a repressive complex containing histone binding proteins and HDACs [95].
            This de-repression of the DNA allows the recruitment of co-activators.
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