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(1,25-D 3 ), is inhibition of cell growth and induction of cell differentiation and/or apoptosis. Synthesis and degradation of the secosteroid occurs not only in the kidney but also in normal tissue or malignant extrarenal tissues such as the colon. Because 25-hydroxyvitamin D 3 24-hydroxylase (CYP24A1) is considered to be the main enzyme determining the biological half-life of 1,25-D 3 , we have examined expression of the CYP24A1 mRNA (by real-time RT-PCR) and protein (by immunohistochemistry) in normal human colon mucosa, colorectal adenomas, and adenocarcinomas in 111 patients. Although 76% of the normal and benign colonic tissue was either completely devoid of or expressed very low levels of CYP24A1, in the majority of the adenocarcinomas (69%), the enzyme was present at high concentrations. A parallel increased expression of the proliferation marker Ki-67 in the same samples suggests that overexpression of CYP24A1 reduced local 1,25-D 3 availability, decreasing its antiproliferative effect. (J Histochem Cytochem 58:277-285, 2010) COLORECTAL CANCER (CRC) is the second leading cause of malignant mortality in Western industrialized countries (Boyle and Ferlay 2005). Geographical distribution of cancer mortality in the US correlates with exposure to solar (ultraviolet B) radiation; the highest mortality rates for CRC were observed in regions with less solar radiation (Freedman et al. 2002). Furthermore, epidemiological data have shown an inverse association of serum 25-hydroxyvitamin D 3 (25-D 3 ) levels with risk for prostate, breast, and colorectal malignancies (Garland et al. 1989;Ahonen et al. 2000;Bertone-Johnson et al. 2005). Estimating premature cancer mortality in the US, Grant and Garland (2006) implied that actually 20-30% of CRC cases could be avoided by sufficient exposure to sunlight.A recent meta-analysis of 18 cohort and case-control studies showed that an elevation of serum 25-D 3 concentration to levels $33 ng/ml led to a 50% lower incidence of CRC (Gorham et al. 2005). Cumulative epidemiological evidence suggests that there is a direct correlation between reduced CRC incidence and sunlight exposure, nutritional vitamin D intake, and high serum levels of 25-D 3 (Giovannucci et al. 2006).Vitamin D metabolism is a strictly regulated, multistep process, beginning with the formation of previtamin D 3 in the skin, mediated by ultraviolet radiation, or with absorption of vitamin D from dietary sources (Henry 1997;Sawada et al. 2000;Cheng et al. 2003). Vitamin D is hydroxylated by CYP27A1 to 25-hydroxyvitamin D 3 in the liver. The last step of the activation is accomplished by the 25-hydroxyvitamin D 3 1a hydroxylase (CYP27B1) in the kidney. The most active metabolite of vitamin D 3, 1a,25-dyhydroxyvitamin D 3 (1,25-D 3 , also known as calcitriol), has a crucial Correspondence to: Enikö Kállay,

S U M M A R Y 1,25-dihydroxyvitamin D 3 has anti-mitotic, pro-differentiating, and proapoptotic activity in tumor cells. We demonstrated that the secosteroid can be synthesized and degraded not only in the kidney but also extrarenally in intestinal cells. Evaluation of 1,25-dihydroxyvitamin D 3 -synthesizing CYP27B1 hydroxylase mRNA (real-time PCR) and protein (immunoblotting, immunofluorescence) showed enhanced expression in high-to medium-differentiated human colon tumors compared with tumor-adjacent normal mucosa or with colon mucosa from non-cancer patients. In high-grade undifferentiated tumor areas expression was lost. Many cells co-expressed CYP27B1 and the vitamin D receptor. We suggest that autocrine/paracrine antimitotic activity of 1,25-dihydroxyvitamin D 3 could prevent intestinal tumor formation and progression. An adequate 1,25-D 3 serum level is essential to maintain calcium homeostasis. Because of the hormone's anti-mitotic, pro-differentiating, pro-apoptotic activity, it has also been suggested to provide protection against tumor progression (Lamprecht and Lipkin 2003). However, treatment of tumor patients with 1,25-D 3 or with synthetic vitamin D analogues is not feasible due to the hypercalcemic effect at the pharmacological (nanomolar) doses necessary to achieve antimitotic action. Recently, another physiological link between vitamin D and cancer prevention and/or therapy has been found. In addition to the kidney, several other tissues express enzymes necessary for vitamin D synthesis. We were the first to demonstrate that human colonocytes in culture are able to synthesize 1,25-D 3 from 25-D 3 (Cross et al. 1997) and that in freshly isolated colon tumor cells a wide spectrum of vitamin D metabolites is present ). Our further studies by semiquantitative RT-PCR showed increasing levels of CYP27B1 and of VDR mRNA during early colon tumor progression . CYP27B1 mRNA was overexpressed also in cervical, breast, and ovarian carcinomas compared with normal tissue (Friedrich et al. 2003). This suggested to us an autocrine/paracrine protective effect of 1,25-D 3 synthesized in colon tumor cells during premalignancy and early malignancy. In late-stage high-grade colon cancer there is apparent failure of this protective system ). However, with present methodology it is not possible to verify this by measuring tissue accumulation of 1,25-D 3 .In view of our preliminary observations and the fact that the expression level of CYP27B1 seems to be related to the level of cell differentiation, at least in human colon tumor cell cultures (Bareis et al.

Differentiated human intestinal Caco-2 cells are frequently used in toxicology and pharmacology as in vitro models for studies on intestinal barrier functions. Since several discrepancies exist among the different lines and clones of Caco-2 cells, comparison of the results obtained and optimisation of models for use for regulatory purposes are particularly difficult, especially with respect to culture conditions and morphological and biochemical parameters. An inter-laboratory study has been performed on the parental cell line and on three clonal Caco-2 cell lines, with the aim of standardising the culture conditions and identifying the best cell line with respect to parameters relevant to barrier integrity, namely, transepithelial electrical resistance (TEER) and mannitol passage, and of epithelial differentiation (alkaline phosphatase activity). Comparison of the cell lines maintained in traditional serum-supplemented culture medium or in defined medium, containing insulin, transferrin, selenium and lipids, showed that parameter performance was better and more reproducible with the traditional medium. The maintenance of the cell lines for 15 days in culture was found to be sufficient for the development of barrier properties, but not for full epithelial differentiation. Caco-2/TC7 cells performed better than the other three cell lines, both in terms of reproducibility and performance, exhibiting low TEER and mannitol passage, and high alkaline phosphatase activity.

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Epidemiological data suggest a protective role of calcium and vitamin D against colorectal tumor pathogenesis. 1,25-dihydroxyvitamin D3 (1,25-D3) is a key determinant of calcium homeostasis, cell proliferation and differentiation. Calcium in the intestinal lumen functions as a growth regulator and may prevent cancer by direct reduction of colonocyte proliferation. While calcium or vitamin D can counteract proliferation by itself, they could also interact if nutritional calcium were to modulate colonic vitamin D synthesis. In this paper we demonstrate that colonic and renal vitamin D hydroxylases are regulated independently. When mice were fed a modified AIN-76 diet containing low dietary calcium (0.1 or 0.04%) fecal calcium content was as low as 5% of that found in mice on a 0.9% calcium containing diet. Low fecal calcium concentration enhanced proliferating cell nuclear antigen expression in the colon mucosa and reduced that of the cyclin dependent kinase inhibitor p21. While low dietary calcium did not affect colonic expression of VDR or 25-hydroxyvitamin D3 1alpha-hydroxylase (CYP27B1) mRNA, it influenced their renal expression in the expected manner by elevating the CYP27B1 expression and reducing VDR and 25-hydroxyvitamin D3 24-hydroxylase (CYP24) expression. In contrast, low calcium diets significantly augmented colonic CYP24 mRNA expression, but only in the ascending colon. This might result in reduced colonic accumulation of 1,25-D3 during hyperproliferation caused by low dietary calcium and might support site-specific tumorigenesis. The important realization that low dietary calcium by itself is a risk factor for colorectal carcinogenesis and that colonic and renal vitamin D hydroxylases indeed are regulated differently from each other will provide novel approaches for colon cancer prevention.

Downregulation of galectin-3 in the intestinal epithelium of Crohn's disease patients may be a consequence of enhanced TNF-alpha production by inflammatory cells, thereby contributing to the pathophysiology of the disease.