A Crucial Role for Cellular Retinol-Binding Protein I in Retinoid Signaling
1/6/2005 Reuben Lotan Journal of the National Cancer Institute, Vol. 97, No. 1, 3-4, January 5, 2005 Retinol (the prototypic vitamin A) and its metabolites called retinoids play important physiologic roles in embryonal development, vision, maintenance of epithelial differentiation, immune functions, and reproduction (1). Many of these functions are mediated by retinol metabolites such as all-trans-retinoic acid (ATRA) (2). ATRA modulates gene expression by means of nuclear receptors that are members of the steroid hormone gene superfamily. These receptors, retinoic acid receptors (RARs) and retinoid X receptors (RXRs), appear in at least three subtypes, designated alpha, beta, and delta. The receptors function as ligand-activated heterodimeric DNA-binding transcription enhancing factors and regulate the transcription of various genes, which play important roles during development and in adult tissues. Abberant expression and function of specific retinoid receptors, primarily RAR, have been associated with cancer development and progression (3,4). However, recent studies have highlighted additional mechanisms for abrogation of retinoid signaling in carcinogenesis. These involve abnormalities located upstream of retinoic acid and its nuclear receptors. These defects interfere with retinol storage and its metabolism to retinoic acid and result in a localized retinoid deficiency. Interestingly, we have suggested that decreased levels of RAR may be, at least in part, caused by local vitamin A deficiency (5). Dietary retinol is stored in the liver in specialized cells and delivered to various target tissues via a retinol-binding protein (6). However, retinol is also stored in various extra-hepatic tissues including breast epithelial cells. Retinyl esters are the [...]