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Updated: Aug 19, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Influence of topical and systemic retinoids on basal cell carcinoma cell membranes
Abstract:
Although much recent work suggests that retinoids can prevent the development of epithelial cancers, their mechanism of action remains unknown. Since malignancy has been associated with alterations in gap junctions, desmosomes, microfilaments, and hemidesmosomes, the authors examined freeze-fracture replicas and thin sections of cell membranes of: (1) 11 basal cell cancers (BCC) treated twice daily for two weeks with topical 1.0% retinoid acid (RA); (2) 21 BCC treated for 2 to 17 weeks with oral 13-cis retinoic acid (CRA) (1.0-8.0 mg/kg/day); and (3) 17 BCC prior to retinoid treatment and/or after applications of vehicle alone. Both thin sections and replicas were examined and photographed in a single-blind fashion, and the density and size distribution of gap junctions and desmosomes were computed planimetrically. Topical RA treatment induced a two-fold increase in gap junction density (P less than 0.025) over controls. In contrast, RA produced a concurrent = 35% decrease in desmosome density. Systemic CRA did not significantly alter either gap junction or desmosome density or size. Finally, neither RA nor CRA treatment appeared to influence hemidesmosome or microfilament populations. Structural changes in both treatment groups did not correlate with either tumor regression or inflammation. Topical and systemic retinoids may exert their antineoplastic activity by different cellular mechanisms.
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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