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Updated: Jul 3, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Heterozygous mutations in the tumor suppressor gene PATCHED provoke basal cell carcinoma-like features in human
F Brellier1, V Bergoglio, A Valin
1Friedrich Miescher Institute for Biomedical Research, Basel, Switzerland.
Abstract:
Basal cell carcinoma of the skin is the most common type of cancer in humans. The majority of these tumors displays aberrant activation of the SONIC HEDGEHOG (SHH)/PATCHED pathway, triggered by mutations in the PATCHED tumor suppressor gene, which encodes a transmembrane receptor of SHH. In this study, we took advantage of the natural genotype (PATCHED(+/-)) of healthy keratinocytes expanded from patients with the nevoid basal cell carcinoma or Gorlin syndrome to mimic heterozygous somatic mutations thought to occur in the PATCHED gene early upon basal cell carcinoma development in the general population. PATCHED(+/-) epidermis developed on a dermal equivalent containing wild-type (WT) PATCHED(+/+) fibroblasts exhibited striking invasiveness and hyperproliferation, as well as marked differentiation impairment. Deciphering the phenotype of PATCHED(+/-) keratinocytes revealed slight increases of the transcriptional activators GLI1 and GLI2-the latter known to provoke basal cell carcinoma-like tumors when overexpressed in transgenic mice. PATCHED(+/-) keratinocytes also showed a substantial increase of the cell cycle regulator cyclin D1. These data show for the first time the physiological impact of constitutive heterozygous PATCHED mutations in primary human keratinocytes and strongly argue for a yet elusive mechanism of haploinsufficiency leading to cancer proneness.
Insights
Heterozygous PATCHED mutations in skin cells promote invasiveness and hyperproliferation, contributing to basal cell carcinoma development. This suggests a haploinsufficiency mechanism in cancer proneness.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Basal cell carcinoma (BCC) is the most common human cancer.
- Most BCCs show aberrant activation of the SONIC HEDGEHOG (SHH)/PATCHED pathway.
- Mutations in the PATCHED tumor suppressor gene are key triggers.
Purpose of the Study:
- To investigate the role of heterozygous PATCHED mutations in BCC development.
- To model early somatic mutations in the PATCHED gene using patient-derived keratinocytes.
- To understand the physiological impact of haploinsufficiency in skin cancer.
Main Methods:
- Utilized healthy keratinocytes from Gorlin syndrome patients (PATCHED(+/-) genotype).
- Developed PATCHED(+/-) epidermis on a dermal equivalent with wild-type fibroblasts.
- Analyzed keratinocyte phenotype, including proliferation, differentiation, and gene expression.
Main Results:
- PATCHED(+/-) epidermis showed increased invasiveness, hyperproliferation, and impaired differentiation.
- Keratinocytes exhibited elevated levels of transcriptional activators GLI1 and GLI2.
- A significant increase in the cell cycle regulator cyclin D1 was observed.
Conclusions:
- Constitutive heterozygous PATCHED mutations have a significant physiological impact on primary human keratinocytes.
- These findings support a haploinsufficiency mechanism in cancer proneness for BCC.
- The study provides novel insights into the early stages of basal cell carcinoma development.
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