Endocrinology Vol. 138, No. 6 2241-2248
Copyright © 1997 by The Endocrine Society
1,25-Dihydroxyvitamin D3 Stimulates the Assembly of Adherens Junctions in Keratinocytes: Involvement of Protein Kinase C
Robert Gniadecki,
Barbara Gajkowska and
Michael Hansen
Department of Dermatological Research, Leo Pharmaceutical Products
(R.G.), Ballerup; the Department of Dermatology, University of
Copenhagen, Bispebjerg Hospital (R.G.), Copenhagen; and the
Microbiology Section, Department of Ecology and Molecular Biology, The
Royal Veterinary and Agricultural University (M.H.), Frederiksberg,
Denmark; and the Electron Microscopy Laboratory, Polish Academy of
Sciences (B.G.), Warsaw, Poland
Address all correspondence and requests for reprints to: Robert Gniadecki, M.D., Ph.D., Department of Dermatology D92, University of Copenhagen, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark.
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Abstract
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Signaling via intercellular junctions plays an important role in
the regulation of growth and differentiation of epithelial cells. Loss
of cell-cell contacts has been implicated in carcinogenesis, tumor
progression, and metastasis. Here, we investigated whether
1,25-dihydroxyvitamin D3
[1,25-(OH)2D3] was able to stimulate the
assembly of adherens junctions and/or desmosomes in cultured human
keratinocytes. After 4-day incubation,
1,25-(OH)2D3 caused assembly of adherens
junctions, but not desmosomes. The adherens junctions were identified
upon known ultrastructural criteria and evidence of the translocation
of specific junctional proteins (E-cadherin, P-cadherin,
-catenin,
and vinculin) to the cell-cell borders. The presence of
-catenin and
vinculin at cell-cell borders indicated that the adherens junctions
were functional. This was further supported by showing that anti
E-cadherin antibody inhibited the
1,25-(OH)2D3-induced keratinocyte
stratification. A relation between protein kinase C and adherens
junction regulation was noticed.
1,25-(OH)2D3-dependent formation of junctions
was blocked by the inhibitors of protein kinase C, bisindolylmaleimide
and 1-(5-isoquinolinylsulfonyl)-2-methyl-piperazine (H-7), and
treatment of keratinocytes with 1,25-(OH)2D3
caused a rapid activation of protein kinase C and its translocation to
the membranes. Formation of intercellular contacts may be an important
mechanism of 1,25-(OH)2D3 action in
hyperproliferative and neoplastic diseases.
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Introduction
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1,25-DIHYDROXYVITAMIN D
1,25-(OH)2D3 PLAYs an important role in
regulation of growth of epithelial cells. The effects of
1,25-(OH)2D3 have been particularly well
investigated in keratinocytes. 1,25-(OH)2D3 at
concentrations 10-8-10-6 M
has been reproducibly shown to inhibit proliferation and induce
differentiation of murine and human keratinocytes in culture (1, 2, 3, 4).
Inhibition of cell growth is also manifested in vivo,
where 1,25-(OH)2D3 and its synthetic analogs
inhibit excessive proliferation of keratinocytes in psoriasis (5).
Recent evidence suggests that 1,25-(OH)2D3 may
also be useful in the treatment of skin, breast, and colon cancer
(6, 7, 8, 9).
One of the aspects of epidermal cell differentiation is the
formation of cell-cell junctions, which enable intercellular
communication and are essential for regulation of epithelial
morphogenesis, growth, and differentiation (10). In the epidermis,
intercellular adhesion is mediated by two major types of junctional
structures: the desmosomes and the adherens junctions (AJ) (11, 12).
Ultrastructurally, desmosomes consist of two submembranous plaques
separated by an electron-lucent 20- to 30-nm wide desmoglea with a
distinct electron-dense midline(s) (13). The assembly of a desmosome is
mediated by a homophylic interaction between the transmembrane proteins
of the cadherin superfamily, desmoglein and desmocolin, the cytoplasmic
tails of which bind to desmosome plaque proteins, placoglobin and
desmoplakin. AJ are ultrastructurally similar to the desmosome, but are
biochemically and functionally different from the latter. Rather than
mainly strengthen the epidermis, AJ are dynamic structures capable of
signal transduction and facilitate the so-called juxtacrine signaling
(10, 14). AJ have been implicated in the regulation of morphogenesis,
tissue remodeling, cell migration and stratification, cell spreading,
epithelial compactness, and apoptosis (12, 15, 16, 17, 18). AJ are stabilized
due to the homophylic binding between N-terminal domains of the classic
cadherins, E- and P-cadherin. The cytoplasmic tails of the cadherins
interact with the proteins of the catenin family,
-, ß-, and
-catenin, and with a number of other accessory proteins,
e.g. placoglobin or vinculin.
-Catenin is required
for cadherin-mediated cell adhesion and has an actin-binding activity
(19). Thus, AJ are associated with actin cytoskeleton, rather than with
the keratin intermediate filaments such as the desmosomes.
Here we investigated whether induction of epidermal cell
differentiation by 1,25-(OH)2D3 was associated
with assembly of cell-cell junctions. It was found that keratinocytes
cultured in the presence of 1,25-(OH)2D3
assemble AJ, but not desmosomes. Since in epithelial cells AJ formation
seems to depend on the induction of protein kinase C (PKC) (20, 21, 22), we
also studied whether PKC is involved in the mechanism of action of
1,25-(OH)2D3.
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Materials and Methods
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Chemicals
1,25-(OH)2D3 was obtained from the
Chemical Research Department, Leo Pharmaceutical Products (Ballerup,
Denmark), as a 4-mM solution in isopropanol. The stock
solution was stored at -70 C, but during the period of the experiment
(710 days) the aliquots from the stock were kept at 4 C, and further
dilutions were made in isopropanol as required. Storage under these
conditions did not influence the purity or stability of the compound,
as determined by HPLC. The final concentration of isopropanol in
culture medium was kept at 0.1% regardless of the
1,25-(OH)2D3 concentration. The PKC inhibitors:
bisindolylmaleimide (BIM; Boehringer Mannheim, Mannheim, Germany) and
1-(5-isoquinolinylsulfonyl)-2-methyl-piperazine (H-7; Sigma Chemical
Co., St. Louis, MO) were used at final concentrations of 5 and 400
µM, respectively. BIM is a specific inhibitor of all PKC
isoforms (23), and H-7 may additionally inhibit cyclin
nucleotide-dependent kinases (24). Other chemicals were purchased from
Sigma.
Keratinocyte culture
Cryopreserved human neonatal keratinocytes were purchased from
PromoCell (Heidelberg, Germany) and cultured in the keratinocyte growth
medium, which consists of the modified MCDB153 medium containing 0.09
mM CaCl2, 50 µg/liter recombinant human
epidermal growth factor, and 0.1% bovine pituitary extract (Life
Technologies, Gaithersburg, MD). Cultures were maintained at 37 C in a
humidified atmosphere of 5% CO2 and passaged at 8090%
confluence after trypsinization with 0.2 ml/cm2 0.05%
trypsin with 0.02% EDTA solution. Second and third passage cells were
used for the studies.
Antibodies
The following monoclonal antibodies were used: anti-E-cadherin
(Zymed Laboratories, San Francisco, CA); anti-P-cadherin,
anti-
-catenin, and anti-desmoglein (all from Transduction
Laboratories, Lexington, KY); antivinculin and antiinvolucrin (Sigma);
and antidesmoplakin I and II (Boehringer Mannheim). As a second
antibody for immunofluorescence, the antimouse rabbit isothiocyanate
(rodamine)-conjugated antiserum was used (Sigma).
Immunofluorescence staining procedures
Immunofluorescence was performed on cells grown to near
confluence in 16-well glass chambers (Lab-Tek Chamber Slide, catalog
no. 178599, Nunc, Naperville, IL). After fixation with
methanol-acetone, the cells were air-dried, rehydrated in PBS for 5
min, blocked with 1% BSA (fraction V) in PBS for 30 min, and stained
with the appropriate monoclonal antibodies. The second antimouse rabbit
rodamine-conjugated antiserum was used at a dilution of 1:100. The
dilutions of all antibodies were performed in the blocking solution.
The samples were investigated with a fluorescent Olympus IX70
microscope or a confocal laser scanning microscope (TCS4d, Leica Laser
Technik, Heidelberg, Germany) equipped with an argon krypton laser and
two photomultipliers. One recording consisted of a series of 520
optical sections reaching from the top to the bottom of the specimen.
Control experiments showed negative staining in samples incubated with
second antibody only.
Electron microscopy
Keratinocytes were grown on plastic Thermanox coverslips (Nunc)
in the standard medium until confluent cultures were obtained.
1,25-(OH)2D3 was added to a final concentration
of 10-7 M for 4 days. Coverslips were fixed in
2% glutaraldehyde overnight, postfixed in OsO4, and
embedded in Epon. Ultrathin sections were counterstained in uranyl
acetate and examined in a JEOL 1200 EX electron microscope (JEOL,
Peabody, MA) at 80 kV.
PKC assays
The PKC activity was determined in cultured keratinocytes
in situ by the method of Heasley and Johnson (25).
Keratinocytes were grown to confluence in 96-well microtiter plates
(Nunc) to equalize the number of cells per well. The well to well
variability in cell number did not exceed the cell counting error. The
cells were washed with prewarmed 100 µl keratinocyte growth medium
buffered with 20 mM HEPES to pH 7.2 and incubated with the
same medium containing different concentrations of
1,25-(OH)2D3 for various periods of time. The
solutions were removed, and the cells were incubated for 10 min with
buffered salt solution (137 mM NaCl, 5.4 mM
KCl, 2.5 mM CaCl2, 0.3 mM sodium
phosphate, 0.4 mM potassium phosphate, 10 mM
MgCl2, 1 mg/ml glucose, 5 mM EGTA, 50 µg/ml
digitonin, and 25 mM ß-glycerophosphate, buffered with 20
mM HEPES to pH 7.2) containing 100 µM
[
-32P]ATP (5000 cpm/pmol; Amersham International,
Aylesbury, UK) and 300 µM KRTLRR peptide as a specific
PKC substrate. The reaction was terminated with 10 µl 25%
trichloroacetic acid, and 45 µl of the reaction mixture were spotted
on Whatman p-81 phosphocellulose paper (Whatman, Clifton, NJ). After
extensive washing with phosphoric acid and sodium phosphate, the
radioactivity was determined in a Minaxi 443 (United Technologies,
Downers Grove, IL) scintillation counter.
To investigate whether the PKC activity was translocated from the
cytoplasm to the membrane fraction, cells were cultured in
175-cm2 Nunclon flasks (Nunc) and treated with
1,25-(OH)2D3 as indicated. Keratinocytes were
scrapped, homogenized in 20 mM Tris-HCl (pH 7.5), 5
mM EDTA, 10 mM EGTA, 0.3% (wt/vol)
ß-mercaptoethanol, 10 mM benzamidine, and 50 µg/ml
phenylmethylsulfonylfluoride with an ultrasound homogenizer. Cytosol
and membrane fractions were obtained by ultracentrifugation as
previously described (26), and PKC activity was determined with a PKC
enzyme assay system (Amersham International).
Statistical analysis
The results are expressed as mean values (n = 3) with
SDs. For the experiment described in Fig. 4b
, the
individual membrane PKC activities were subtracted from the
corresponding cytosol values to calculate the means for the
vehicle-treated and 1,25-(OH)2D3-treated
groups. Data were analyzed using Students two-sample t
test for independent samples or two-way ANOVA, as indicated. For
calculations, Minitab statistical software was used (Minitab, State
College, PA). P < 0.05 was considered significant. All
results were confirmed in at least two other independent
experiments.

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Figure 4. Activation of PKC by
1,25-(OH)2D3. A, Keratinocytes grown in
microtiter plates were incubated with 10-7 M
1,25-(OH)2D3 () or 0.1% isopropanol vehicle
( ) for the indicated periods of time. PKC activity was determined as
described in Materials and Methods. Mean values (n
= 3) of labeling per well with SD are shown. *,
P < 0.001 compared with the corresponding control
value (by t test). B, Keratinocytes were incubated with
10-7 M 1,25-(OH)2D3
for 15 min (closed columns); control keratinocytes were
incubated for the same period of time with 0.1% isopropanol
(open columns). PKC activity was determined in the
cytoplasmic and membrane fractions as described in Materials and
Methods. Mean values (n = 3) with SDs are
shown. P < 0.01 for the difference in cytosol and
membrane activities between the experimental and control groups (by
t test).
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Results
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Incubation of confluent keratinocyte cultures with
10-7 M 1,25-(OH)2D3
for 4 days resulted in cell stratification. Stratification was focal,
with emergence of two cell layers; the upper one containing
involucrin-positive cells, and the lower one containing
undifferentiated involucrin-negative cells (Fig. 1
, ac).

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Figure 1. 1,25-(OH)2D3-induced
stratification, differentiation, and formation of intercellular
junctions in cultured keratinocytes. Keratinocytes were cultured in
serum-free medium to confluence and exposed for 4 days to
10-7 M 1,25-(OH)2D3.
AC, The cells were fixed and stained with murine antiinvolucrin
antibody (1:50) and the rabbit antimouse rodamine conjugate, and
observed under confocal laser scanning microscope. A, Keratinocyte
stratification with emergence of an involucrin-positive layer of cells.
Scans through a deeper layer of keratinocytes did not show any
involucrin-positive cells. Scale bar = 100 µm. B,
Reconstruction of the image shown in A in the vertical
z-axis shows that involucrin-positive cells form a layer
above the involucrin-negative basal keratinocytes. The
line shows the surface of the coverslip. Scale
bar = 10 µm. C, Effects of the anti-E-cadherin antibody.
The monoclonal anti-E-cadherin antibody (50 µg/ml) was added 6 h
before the addition of 1,25-(OH)2D3. After
4-day incubation (media were changed once daily), the confocal laser
scanning microscopy revealed a single layer of cells containing
involucrin-positive keratinocytes. Cells incubated with an irrelevant
rabbit antimouse antiserum at the same final Ig concentration showed a
staining pattern similar to that in A. Scale bar =
50 µm. D, Electron microscopic images of intercellular junctions in
cells cultured with 1,25-(OH)2D3. Scale
bar = 250 nm.
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Stratification of keratinocytes has been previously shown to depend on
E-cadherin, and it is possible to block keratinocyte and canine kidney
cell line stratification with an anti-E-cadherin antibody (15, 27). To
investigate whether E-cadherin was involved in
1,25-(OH)2D3-dependent keratinocyte
stratification, we added the blocking anti-E-cadherin antibody to the
culture medium together with 1,25-(OH)2D3. In
the presence of this antibody, the stratification of keratinocytes was
disturbed; however, the involucrin-positive cells were still present
(Fig. 1c
).
Keratinocytes treated with 1,25-(OH)2D3 formed
ultrastructurally distinct cell-cell junctions (Fig. 1d
). The
junctional structures consisted of two thin subplasmalemmal discs
separated by a slit of a moderate electron density. The absence of a
midline electron-dense line and no visible connection between the
junctions and intermediate cytoskeletal elements indicated that the
observed structures were AJ. To further confirm that
1,25-(OH)2D3 induced formation of functional
AJ, staining with monoclonal antibodies directed against specific
desmosomal and AJ components was performed. The junctional proteins,
E-cadherin, P-cadherin,
-catenin, and vinculin, were diffusely
localized throughout the cytoplasm of control keratinocytes (see Fig. 2
for E-cadherin distribution). Incubation with
1,25-(OH)2D3 resulted in the translocation of
these proteins to the cell membrane (Fig. 2
). In contrast, staining for
the desmosome components, desmoplakin and desmoglein, did not reveal
the junctional pattern of staining (not shown). This indicated that AJ,
but not desmosomes, were induced by treatment with
1,25-(OH)2D3.

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Figure 2. 1,25-(OH)2D3-induced
formation of AJ. Keratinocyte monolayers were exposed to
10-7 M 1,25-(OH)2D3for
4 days and stained with the antibodies against E-cadherin (10 µg/ml;
A), -catenin (5 µg/ml; B), P-cadherin (5 µg/ml; C), and vinculin
(1:50; D). As a second antibody, an antimouse rodamine conjugate was
used. Control cells were treated with isopropanol vehicle and stained
with the anti-E-cadherin antibody (E), or treated with
1,25-(OH)2D3 at the above conditions and
stained with the second antibody only (F). Scale
bars = 50 µm (A and B) and 10 µm (CF).
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1,25-(OH)2D3 caused AJ assembly at
concentrations from 10-6-10-8 M.
At lower concentrations, AJ could not be detected, as assessed by
staining with anti-E-cadherin antibody, and at concentrations above
10-6 M, 1,25-(OH)2D3
was cytotoxic for cultured keratinocytes. To assess the dynamics of AJ
assembly, the cells were incubated with 10-7 M
1,25-(OH)2D3 and stained with the
anti-E-cadherin and antivinculin antibodies at different times.
Staining with the anti-E-cadherin antibody was first visible after
1-day incubation with 1,25-(OH)2D3 (Fig. 3a
). This junction could not be considered functional
because no cell-cell border redistribution of vinculin was present. The
junctional translocation of E-cadherin and vinculin took place after
4-day incubation with 1,25-(OH)2D3 and
persisted throughout the observation period (maximum of 1 week).
However, the presence of 1,25-(OH)2D3 was
required for the stability of the junction because peripheral
anti-E-cadherin staining was lost 24 h after removal of
1,25-(OH)2D3 from the culture medium.

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Figure 3. Effects of PKC inhibitors on E-cadherin
translocation. Keratinocyte monolayers were incubated for 1 day (A and
B) with 10-7 M
1,25-(OH)2D3 (A) or 10-7
M 1,25-(OH)2D3 with 400
µM H-7 (B), or for 4 days (CF) with 400
µM H-7 alone (C), 10-7 M
1,25-(OH)2D3 (D), 10-7
M 1,25-(OH)2D3, and 5
µM BIM (E), or 10-7 M
1,25-(OH)2D3 and 400 µM H-7 (F).
The PKC inhibitors were added 4 h before the addition of
1,25-(OH)2D3. Culture media were changed every
day. At termination, cells were fixed and processed for
immunofluorescence with the anti-E-cadherin antibody. Scale
bar = 15 µm.
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PKC has been involved both in the formation of AJ in keratinocytes and
in mediating the biological effects of
1,25-(OH)2D3 (20, 21, 22, 28, 29, 30, 31). To determine
whether 1,25-(OH)2D3 was involved in the
formation of AJ, the effects of selective PKC inhibitors, H-7 and BIM,
on the formation of AJ was assessed. As shown in Fig. 3
, a single
treatment with PKC inhibitors for 1 day or repeated application for 4
days prevented 1,25-(OH)2D3-induced
translocation of E-cadherin to cell-cell borders and formation of AJs.
H-7 and BIM alone did not induce any alterations in adherens junction
protein distribution in the cells (shown for H-7 in Fig. 3
). As shown
in Fig. 4a
, 1,25-(OH)2D3
stimulated PKC activity in keratinocyte monolayers (P
< 0.01, by ANOVA for the differences between experimental and
vehicle-treated groups). The increase in PKC activity was maximal after
15 min, at which time the difference from the control attained
statistical significance. These findings were confirmed by showing a
translocation of PKC isosymes from the cytoplasm to the membranes (Fig. 4b
). Thus, 1,25-(OH)2D3 is able to activate
PKC-dependent signaling, which may be involved in the assembly of
AJ.
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Discussion
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The present study provides evidence that
1,25-(OH)2D3 causes assembly of AJ in cultured
keratinocytes. The junctions were identified by ultrastructural
criteria and detecting specific protein components: E-cadherin,
P-cadherin,
-catenin, and vinculin. The characteristic translocation
of E-cadherin from the cytoplasm to the membrane took place after 1 day
of incubation; however, the fully developed junctions could be observed
after 4 days of incubation with 1,25-(OH)2D3.
AJ were considered functional because 1)
-catenin and vinculin were
translocated to the membranes; and 2) experiments with the
anti-E-cadherin antibody showed that cell stratification depended on
E-cadherin, which is a component of AJ. Interestingly, assembly of
desmosomal junctions, which normally follows that of AJ, was not
induced by 1,25-(OH)2D3. None of the
characteristic desmosomal proteins (desmocolin, desmoglein, and
desmoplakin) could be detected by immunofluorescence, and typical
desmosomal structures were not found by electron microscopy. This does
not necessarily imply that 1,25-(OH)2D3 is
inherently unable to induce desmosome assembly. The formation of
desmosomes is critically dependent on the concentration of
extracellular calcium ions (32), and the low calcium concentration used
in this study (0.09 mM) might have been insufficient to
stabilize desmosomes. Low concentrations of calcium may also explain a
relative instability of the
1,25-(OH)2D3-induced AJ, which tended to
dissolve within approximately 1 day after
1,25-(OH)2D3 removal from the medium. However,
it was impossible to test the effects of
1,25-(OH)2D3 at higher calcium concentrations
because elevation of Ca2+ causes a spontaneous assembly of
desmosomes and AJ in keratinocytes (33, 34).
There is evidence that in many cell types formation of AJ is mediated
by PKC (20, 21, 22, 29, 35). Phorbol esters that directly activate the
majority of PKC isoenzymes, induce E-cadherin translocation in cultured
keratinocytes (22). 1,25-(OH)2D3 and its
analogs may induce PKC in a variety of cells, both in vivo
and in vitro (28, 30, 31, 36, 37), and the present results
confirmed that this hormone induced PKC in keratinocytes. We,
therefore, hypothesized that 1,25-(OH)2D3
induces AJs via PKC. The finding that the effects of
1,25-(OH)2D3 on AJ assembly could be blocked by
two independent PKC inhibitors implies an involvement of this kinase.
Thus, 1,25-(OH)2D3 could act in a manner
similar to phorbol esters by activating PKC, which, in turn, might
cause redistribution of E-cadherin and AJ assembly. However, some of
our results cannot be explained by this simple model. First, E-cadherin
redistribution was first seen after 24 h of
1,25-(OH)2D3 treatment, even though the
activation of PKC was observed after 15 min. Second, activation of PKC
by phorbol esters does not lead to P-cadherin translocation (22), the
opposite of the observed effect of
1,25-(OH)2D3. Thus, the mechanism of action of
1,25-(OH)2D3 in stimulating AJ assembly must
involve other effector pathways. 1,25-(OH)2D3
may activate multiple signaling cascades potentially significant in AJ
modulation (31, 37, 38, 39, 40, 41, 42), of which PKC is only one of the components.
The identification of cellular substrates for PKC and the PKC isosymes
activated by 1,25-(OH)2D3 would be helpful for
understanding the mechanism of AJ induction in keratinocytes.
AJ have been involved in the regulation of cell differentiation,
carcinogenesis, and tumor progression. Disruption of cell-cell contacts
is associated with increased proliferation, dedifferentiation, and
acquisition of the capacity to invade (18, 43, 44, 45, 46, 47). Expression of
E-cadherin and ß-catenin is decreased in a variety of malignant
tumors, including basal cell carcinoma, squamous cell carcinoma, and
melanoma (48, 49, 50, 51, 52, 53), and this is consistent with the hypothesis that the
loss of E-cadherin-mediated adhesion potentates tumor invasiveness.
Up-regulation of AJ has been considered a promising therapeutic
approach to inhibit the invasion and metastasis of malignant tumors
(47). 1,25-(OH)2D3 has been shown to reverse
the tumoral phenotype of the Bowen-like lesions in reconstituted
epidermis in vitro (7), and the results of some studies
indicate that vitamin D compounds may be useful in the therapy of solid
tumors (6, 8). It is tempting to speculate that the induction of AJ may
constitute a novel mechanism of the antineoplastic and
antiproliferative effects of 1,25-(OH)2D3.
Received November 22, 1996.
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