Influence of topical and systemic retinoids on basal cell carcinoma cell membranes

Cancer
|August 15, 1981
PubMed

Insights

Topical retinoid acid (RA) increased gap junction density and decreased desmosome density in basal cell cancers (BCC). Systemic 13-cis retinoic acid (CRA) had no significant effect, suggesting different retinoid mechanisms for cancer prevention.

Area of Science:

  • Dermatology
  • Cancer Biology
  • Cell Biology

Background:

  • Retinoids are investigated for epithelial cancer prevention, but their cellular mechanisms are unclear.
  • Malignancy is linked to changes in cell junction proteins like gap junctions and desmosomes.

Purpose of the Study:

  • To investigate the effects of topical retinoid acid (RA) and oral 13-cis retinoic acid (CRA) on cell junctions in basal cell cancers (BCC).
  • To explore potential differences in the cellular mechanisms of topical versus systemic retinoids in cancer treatment.

Main Methods:

  • Examined freeze-fracture replicas and thin sections of BCC cell membranes from patients treated with topical RA, oral CRA, or vehicle.
  • Quantified gap junction and desmosome density and size distribution using planimetry in a single-blind manner.

Main Results:

  • Topical RA significantly increased gap junction density (two-fold) and decreased desmosome density (35%) compared to controls.
  • Systemic CRA did not significantly alter gap junction or desmosome density or size.
  • Neither RA nor CRA affected hemidesmosome or microfilament populations, and structural changes did not correlate with tumor regression or inflammation.

Conclusions:

  • Topical RA alters cell junction structures in basal cell cancers, potentially contributing to its antineoplastic effects.
  • Systemic CRA does not appear to affect these specific cell junction components.
  • Topical and systemic retinoids may employ distinct cellular mechanisms to exert their antineoplastic activities.

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