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Chemical-Induced Skin Carcinogenesis Model Using Dimethylbenz[a]Anthracene and 12-O-Tetradecanoyl Phorbol-13-Acetate (DMBA-TPA)
Published on: December 19, 2019
[Photocarcinogenesis. Molecular mechanisms and preventive strategies]
1Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, 80337, München. Carola.Berking@med.uni-muenchen.de.
Abstract:
Ultraviolet (UV) radiation is the main carcinogen in the development of epithelial skin cancer. A variety of biological and molecular effects in the skin have been described. In order to avoid malignant transformation, various protective mechanisms have developed in the skin, whereby p53 plays a central role. UV signature mutations in p53, Ras and INK4a/ARF as well as UV-induced NFkappaB and cyclooxygenase 2 are principally involved in photocarcinogenesis. Chemoprevention has gained increasing importance for primary prevention. Numerous natural or synthetic substances can be antiinflammatory, antioxidative, proapoptotic or antiproliferative and suppress photocarcinogenesis. Extensive clinical data exist for the use of retinoids systemically or DNA repair enzymes topically. However, clinical trials are lacking, for example for green tea, which has been shown repeatedly to be chemoprotective in vitro and in mouse models after topical or oral application.
Insights
Ultraviolet (UV) radiation drives skin cancer by damaging DNA and altering cellular pathways. Chemoprevention strategies, including natural compounds like green tea, show promise in suppressing UV-induced carcinogenesis.
Area of Science:
- Dermatology and Carcinogenesis
- Molecular Biology and Genetics
Context:
- Ultraviolet (UV) radiation is a primary etiological factor in epithelial skin cancer development.
- The skin possesses intrinsic protective mechanisms, with the p53 tumor suppressor gene playing a crucial role in preventing malignant transformation.
- UV radiation induces specific molecular alterations, including mutations in key genes (p53, Ras, INK4a/ARF) and activation of signaling pathways (NFkappaB, cyclooxygenase 2), contributing to photocarcinogenesis.
Purpose:
- To review the biological and molecular effects of UV radiation on the skin.
- To highlight the role of protective mechanisms and molecular pathways in UV-induced skin cancer.
- To discuss the potential of chemoprevention for primary prevention of skin cancer.
Summary:
- UV radiation initiates skin cancer through DNA damage and molecular pathway dysregulation.
- The p53 pathway is central to cellular defense against UV-induced mutations.
- Chemopreventive agents, both natural and synthetic, can inhibit photocarcinogenesis through anti-inflammatory, antioxidative, proapoptotic, or antiproliferative effects.
- While retinoids and DNA repair enzymes have clinical data, further trials are needed for agents like green tea, despite promising preclinical evidence.
Impact:
- Understanding UV-induced molecular changes informs targeted prevention strategies.
- Chemoprevention offers a promising avenue for reducing skin cancer incidence.
- Further clinical validation of natural compounds like green tea could lead to novel preventive therapies for UV-induced skin damage and cancer.
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