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Updated: Oct 18, 2025

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Published on: August 19, 2025
Mechanisms of UV-induced mutations and skin cancer
1Center for Epigenetics, Van Andel Institute, Grand Rapids, MI, 49503, USA.
Abstract:
Ultraviolet (UV) irradiation causes various types of DNA damage, which leads to specific mutations and the emergence of skin cancer in humans, often decades after initial exposure. Different UV wavelengths cause the formation of prominent UV-induced DNA lesions. Most of these lesions are removed by the nucleotide excision repair pathway, which is defective in rare genetic skin disorders referred to as xeroderma pigmentosum. A major role in inducing sunlight-dependent skin cancer mutations is assigned to the cyclobutane pyrimidine dimers (CPDs). In this review, we discuss the mechanisms of UV damage induction, the genomic distribution of this damage, relevant DNA repair mechanisms, the proposed mechanisms of how UV-induced CPDs bring about DNA replication-dependent mutagenicity in mammalian cells, and the strong signature of UV damage and mutagenesis found in skin cancer genomes.
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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