AUTHOR=Zhu Chaojun , Wang Zihuan , Cai Jianqun , Pan Chunqiu , Lin Simin , Zhang Yue , Chen Yuting , Leng Mengxin , He Chengcheng , Zhou Peirong , Wu Changjie , Fang Yuxin , Li Qingyuan , Li Aimin , Liu Side , Lai Qiuhua TITLE=VDR Signaling via the Enzyme NAT2 Inhibits Colorectal Cancer Progression JOURNAL=Frontiers in Pharmacology VOLUME=Volume 12 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2021.727704 DOI=10.3389/fphar.2021.727704 ISSN=1663-9812 ABSTRACT=Recent epidemiological and preclinical evidences indicate that vitamin D inhibits colorectal cancer (CRC) progression, whereas the mechanism has not been completely elucidated. This study was designed to affirm the protective effects of vitamin D and identify crucial targets and regulatory mechanism in CRC. Firstly, we affirmed vitamin D suppressed aggressive phenotype of CRC in vitro and in vivo experiments. Based on a network pharmacology analysis, N-acetyltransferases 2 (NAT2) was identified as the potential key target of vitamin D against CRC. Bioinformatics analysis and molecular biology experiments indicated that NAT2 was down-regulated in CRC specimens and low expression of NAT2 significantly increased the risk of metastasis and shortened survival in CRC. Furthermore, we found that NAT2 suppressed proliferation and migration capacity of CRC cells, and JAK1/STAT3 signaling pathway might be the underlying mechanism. Moreover, western blot and immunofluorescence staining assays demonstrated vitamin D promoted NAT2 expression, and chromatin immunoprecipitation assay indicated vitamin D receptor (VDR) transcriptionally regulated NAT2. These findings expand the potential uses of vitamin D against CRC and introduce VDR-NAT2 signaling as a potential diagnostic and therapeutic target for CRC.