Vitamin D as an Important Steroid Hormone in Breast Cancer
Authors:
R. Obermannová 1; R. Demlová 2,3; K. Drábová 4; K. Melichárková 4; K. Greplová 3; M. Mrkvicová 3; L. Zdražilová Dubská 3; R. Vyzula 1,3; D. Valík 3
Authors‘ workplace:
Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno
1; Farmakologický ústav, LF MU, Brno
2; Regionální centrum aplikované molekulární onkologie, Masarykův onkologický ústav, Brno
3; Klinika dětské onkologie LF MU a FN Brno
4
Published in:
Klin Onkol 2014; 27(Supplementum): 143-149
Overview
Vitamin D is the third steroid hormone playing important biological roles in the development of breast cancer. Decreased plasma levels of its 25- hydroxyderivative, 25‑OHD, display robust associations with higher incidence of breast cancer and shorter overall survival. Although no consensus exists, most authors agree that optimal plasma levels shall be within 75– 150 nmol/ l whereas levels higher than 375 nmol/ l can be potentially toxic with higher risk of hypercalcemia. To date, no data are available on the optimal levels of vitamin D related to the risk of breast cancer development, its phenotype features and the course of the disease. Published studies mostly describe associations among higher levels of 25‑OHD and lower biologically aggressiveness of the tumor. The polymorphism of VDR gene coding for the steroid receptor for vitamin Dmay be associated with higher disease incidence and also be of negative prognostic significance in breast cancer. This review presents an overall summary of the current knowledge and publications on vitamin D and breast cancer.
Key words:
vitamin D – 25- hydroxyvitamin D – vitamin D receptor – breast cancer
This work was supported by the European Regional Development Fund and the State Budget of the Czech Republic (RECAMO, CZ.1.05/2.1.00/03.0101) and by MH CZ – DRO (MMCI, 00209805) and BBMRI_CZ (LM2010004).
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.
Submitted:
29. 1. 2014
Accepted:
5. 5. 2014
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