Identification of Novel Non-secosteroidal Vitamin D Receptor Agonists with Potent Cardioprotective Effects and devoid of Hypercalcemia

Sci Rep. 2017 Aug 16;7(1):8427. doi: 10.1038/s41598-017-08670-y.

Abstract

Vitamin D regulates many biological processes, but its clinical utility is limited by its hypercalcemic effect. Using a virtual screening platform to search novel chemical probes that activate the vitamin D signaling, we report discovery of novel non-steroidal small-molecule compounds that activate the vitamin D receptor (VDR), but are devoid of hypercalcemia. A lead compound (known as VDR 4-1) demonstrated potent transcriptional activities in a VDR reporter gene assay, and significantly ameliorated cardiac hypertrophy in cell culture studies and in animal models. VDR 4-1 also effectively suppressed secondary hyperparathyroidism in 1α-hydroxylase knockout mice. In contrast to 1α,25-dihydroxyvitamin D3 (1,25-D3 or calcitriol), a naturally occurring VDR agonist, VDR 4-1 therapy even at high doses did not induce hypercalcemia. These findings were accompanied by a lack of upregulation of calcium transport genes in kidney and in the gut providing a mechanism for the lack of hypercalcemia. Furthermore, VDR 4-1 therapy significantly suppressed cardiac hypertrophy and progression to heart failure in both vitamin D deficient and normal mice without inducing significant hypercalcemia. In conclusion, we have identified a unique VDR agonist compound with beneficial effects in mouse models of hyperparathyroidism and heart failure without inducing significant hypercalcemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase / genetics
  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase / metabolism
  • Animals
  • Apoptosis / drug effects
  • Calcium / metabolism
  • Cardiomegaly / prevention & control
  • Cardiotonic Agents / adverse effects*
  • Cardiotonic Agents / chemistry
  • Cardiotonic Agents / pharmacology*
  • Drug Evaluation, Preclinical / methods
  • Genes, Reporter
  • High-Throughput Screening Assays / methods
  • Humans
  • Hypercalcemia / chemically induced*
  • Male
  • Myocytes, Cardiac / drug effects
  • Myocytes, Cardiac / pathology
  • Parathyroid Hormone / blood
  • Rats, Inbred SHR
  • Receptors, Calcitriol / agonists*
  • Receptors, Calcitriol / chemistry
  • Steroids / chemistry

Substances

  • Cardiotonic Agents
  • Parathyroid Hormone
  • Receptors, Calcitriol
  • Steroids
  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase
  • Calcium