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Updated: Jun 19, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
MK2 regulates the early stages of skin tumor promotion
Claus Johansen1, Christian Vestergaard, Knud Kragballe
1Department of Dermatology, Aarhus University Hospital, P.P. Oerumsgade 11, 8000 Aarhus, Denmark.
Abstract:
The association between inflammation and tumorigenesis is well recognized. Mitogen-activated protein kinase-activated protein kinase-2 (MK2) is known to play a pivotal role in inflammatory processes. Here, we studied the effect of MK2-deficiency and tumor necrosis factor (TNF)-alpha-deficiency on skin tumor development in mice using the two-stage chemical carcinogenesis model. We found that MK2(-/-) mice developed significantly fewer skin tumors compared with both TNF-alpha(-/-) and wild-type mice when induced by initiation with 7,12-dimethylbenz[a]anthracene (DMBA) and by promotion with 12-O-tetradecanoylphorbol-13-acetate (TPA). The TPA-induced inflammatory response was reduced in both, TNF-alpha(-/-) mice and MK2(-/-) mice, but most pronounced in TNF-alpha(-/-) mice, indicating that a reduced inflammatory response was not the only explanation for the inhibited tumorigenesis seen in MK2(-/-) mice. Interestingly, increased numbers of apoptotic cells were detected in the epidermis of MK2(-/-) mice compared with TNF-alpha(-/-) and wild-type mice, suggesting an additional role of MK2 in the regulation of apoptosis. This was further supported by: (i) increased levels of the tumor suppressor protein p53 in MK2(-/-) mice after DMBA/TPA treatment compared with controls, (ii) reduced phosphorylation (activation) of the negative p53 regulator, murine double minute 2 in MK2(-)(/-) mouse keratinocytes in vitro and (iii) a significant decrease in the DMBA/TPA induced apoptosis in cultured MK2(-/-) keratinocytes transfected with p53 small interfering RNA. Taken together, these findings demonstrate a dual role of MK2 in the early stages of tumor promotion through regulation of both the inflammatory response and apoptosis of DNA-damaged cells. These results also identify MK2 as a putative target for future skin carcinoma therapy.
Insights
Mitogen-activated protein kinase-activated protein kinase-2 (MK2) deficiency reduces skin tumor development by regulating inflammation and apoptosis. MK2 plays a dual role in early tumor promotion, making it a potential therapeutic target for skin carcinoma.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Inflammation and tumorigenesis are closely linked.
- Mitogen-activated protein kinase-activated protein kinase-2 (MK2) is crucial in inflammatory pathways.
- Understanding MK2's role in skin cancer is vital for therapeutic development.
Purpose of the Study:
- To investigate the role of MK2 and tumor necrosis factor (TNF)-alpha in skin tumor development.
- To elucidate the mechanisms by which MK2 influences carcinogenesis, focusing on inflammation and apoptosis.
Main Methods:
- Utilized a two-stage chemical carcinogenesis model in mice (DMBA initiation, TPA promotion).
- Compared skin tumor development in wild-type, MK2-deficient (MK2(-/-)), and TNF-alpha-deficient (TNF-alpha(-/-)) mice.
- Assessed inflammatory responses, epidermal apoptosis, p53 levels, and MDM2 phosphorylation in vitro and in vivo.
Main Results:
- MK2(-/-) mice exhibited significantly fewer skin tumors than wild-type and TNF-alpha(-/-) mice.
- Reduced inflammatory response was observed in MK2(-/-) and TNF-alpha(-/-) mice, but tumorigenesis inhibition was more pronounced in MK2(-/-) mice.
- MK2 deficiency led to increased epidermal apoptosis, elevated p53 levels, and reduced MDM2 activation, suggesting a role in DNA damage response.
Conclusions:
- MK2 plays a dual role in early skin tumor promotion by modulating both inflammation and apoptosis of DNA-damaged cells.
- MK2 deficiency inhibits skin carcinogenesis through mechanisms beyond just reducing inflammation.
- MK2 emerges as a potential therapeutic target for skin carcinoma treatment.
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