Prostate cancer is the most commonly diagnosed cancer and the second leading cause of cancer deaths among American men. It arises primarily from the epithelial secretory cells of the peripheral prostate gland; generally occurs as a multifocal disease within the prostate gland; and then preferentially metastasizes to lymph nodes, bone, lung, and brain. Localized disease can be treated relatively successfully by radical prostatectomy (Catalona and Smith, 1998). In contrast, treatments for metastatic prostate cancer, including androgen ablation, are initially effective, but the majority of patients relapse with androgen independent prostate cancer (Denis, 1998; Leewansangtong and Crawford, 1998). The incidence of prostate cancer and the lack of good, long-term treatments for metastatic disease highlight the need for new chemopreventive and chemotherapeutic treatments. As discussed below, active vitamin D metabolites and analogs of the active form of vitamin D, 1,25-dihydroxyvitamin D 3 (1,25(OH) 2 D 3 ), are candidates for these treatments.
Vitamin DVitamin D is best known for its actions in regulating calcium levels and bone remodeling (reviewed in Brown et al, 1999), but recent studies highlight a role for vitamin D in the growth and differentiation of various cell types. It is synthesized in the epidermis by the conversion of its precursor, 7-dehydrocholesterol, into vitamin D 3 , a reaction catalyzed by the ultraviolet rays of sunlight. Subsequent hydroxylation reactions in the liver and kidney produce 1,25(OH) 2 D 3 (Holick, 1984). Levels of 1,25(OH) 2 D 3 are tightly regulated as excess 1,25(OH) 2 D 3 is inactivated by the enzyme 24-hydroxylase (Horst and Reinhardt, 1997).