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Updated: Feb 18, 2026

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Published on: August 19, 2025
Skin-Derived Vitamin D3 Protects against Basal Cell Carcinoma
Maarten F Bijlsma1, Henk Roelink2
1Laboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, Cancer Center Amsterdam and Academic Medical Center, Amsterdam, The Netherlands.
Abstract:
UVR in sunlight causes mutations that drive basal cell carcinomas. However, the incidence of these tumors plateaus with prolonged exposure, but the incidence of other skin cancers increases. Makarova et al. now show that vitamin D3 produced in the skin by UVR protects against its oncogenic effects by inhibiting Hedgehog signaling, whereas dietary vitamin D3 does not.
Insights
Sunlight-induced mutations cause skin cancer, but vitamin D3 produced in the skin offers protection. This skin-synthesized vitamin D3 inhibits cancer-driving Hedgehog signaling, unlike dietary vitamin D3.
Area of Science:
- Dermatology
- Molecular Biology
- Oncology
Background:
- Ultraviolet radiation (UVR) in sunlight is a known mutagen that initiates skin cancer development.
- Basal cell carcinoma incidence plateaus with prolonged UVR exposure, while other skin cancer types increase.
- The role of vitamin D3 in mitigating UVR-induced skin damage and cancer is under investigation.
Purpose of the Study:
- To investigate the protective mechanisms of UVR-induced skin vitamin D3 synthesis against oncogenesis.
- To compare the effects of skin-produced vitamin D3 versus dietary vitamin D3 on UVR-driven skin cancer.
- To elucidate the signaling pathways involved in UVR-induced skin carcinogenesis and vitamin D3's modulation thereof.
Main Methods:
- Utilized a model system to study UVR-induced mutations and skin cancer development.
- Quantified vitamin D3 production in the skin following UVR exposure.
- Assessed the impact of both endogenously produced and exogenously supplied vitamin D3 on specific cancer-driving signaling pathways, including Hedgehog signaling.
Main Results:
- UVR exposure leads to mutations that drive basal cell carcinomas, with incidence plateauing upon prolonged exposure.
- Skin-produced vitamin D3, generated by UVR, was found to inhibit the oncogenic effects of UVR.
- This protective effect of skin-produced vitamin D3 was mediated by the inhibition of Hedgehog signaling.
- Dietary vitamin D3 did not exhibit similar protective effects against UVR-induced oncogenesis.
Conclusions:
- Endogenously produced vitamin D3 in the skin acts as a protective agent against UVR-induced skin cancer.
- Inhibition of Hedgehog signaling by skin-derived vitamin D3 is a key mechanism in preventing UVR-driven oncogenesis.
- Dietary vitamin D3 supplementation does not replicate the protective benefits of UVR-induced skin vitamin D3 synthesis.
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