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.

Oncogene
|August 6, 2008
PubMed

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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