Mechanisms of UV-induced mutations and skin cancer

Gerd P Pfeifer1

  • 1Center for Epigenetics, Van Andel Institute, Grand Rapids, MI, 49503, USA.

Genome Instability & Disease
|September 30, 2021
PubMed

Insights

Ultraviolet (UV) irradiation causes DNA damage, leading to skin cancer. This review details UV damage mechanisms, DNA repair, and how UV-induced lesions drive cancer mutations.

Area of Science:

  • Molecular Biology
  • Genetics
  • Dermatology

Background:

  • Ultraviolet (UV) irradiation is a known carcinogen, inducing DNA damage that can lead to skin cancer over time.
  • UV exposure generates specific DNA lesions, primarily cyclobutane pyrimidine dimers (CPDs), which are critical in mutagenesis.
  • Defects in DNA repair pathways, such as nucleotide excision repair (NER), are linked to genetic disorders like xeroderma pigmentosum, increasing cancer susceptibility.

Purpose of the Study:

  • To review the mechanisms of UV-induced DNA damage formation and its genomic distribution.
  • To discuss the DNA repair mechanisms, particularly NER, involved in removing UV lesions.
  • To explore the mutagenic potential of UV-induced DNA damage, focusing on CPDs in mammalian cells and their role in skin cancer development.

Main Methods:

  • Literature review of studies on UV radiation, DNA damage, repair pathways, and mutagenesis.
  • Analysis of genomic data to understand the distribution of UV-induced damage.
  • Discussion of proposed molecular mechanisms linking DNA damage to mutations.

Main Results:

  • UV radiation induces distinct DNA lesions, with CPDs being major contributors to skin cancer mutations.
  • The nucleotide excision repair pathway is crucial for removing UV-induced DNA damage, and its deficiency leads to severe consequences.
  • UV-induced CPDs are strongly implicated in replication-dependent mutagenesis in mammalian cells, leaving a distinct mutational signature in skin cancer genomes.

Conclusions:

  • UV-induced DNA damage, particularly CPDs, plays a pivotal role in the initiation and progression of skin cancer.
  • Understanding the interplay between UV damage, DNA repair, and mutagenesis is essential for developing effective prevention and treatment strategies.
  • The genomic signature of UV damage provides insights into the etiology of skin cancers and highlights the importance of DNA repair fidelity.

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