Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE 68198-5870, USA.
J Cell Mol Med. 2010 Jan;14(1-2):116-34. doi: 10.1111/j.1582-4934.2009.00885.x. Epub 2009 Sep 1.
Recent advances in skin-resident adult stem/progenitor cell research have revealed that these immature and regenerative cells with a high longevity provide critical functions in maintaining skin homeostasis and repair after severe injuries along the lifespan of individuals. The establishment of the functional properties of distinct adult stem/progenitor cells found in skin epidermis and hair follicles and extrinsic signals from their niches, which are deregulated during their aging and malignant transformation, has significantly improved our understanding on the etiopathogenesis of diverse human skin disorders and cancers. Particularly, enhanced ultraviolet radiation exposure, inflammation and oxidative stress and telomere attrition during chronological aging may induce severe DNA damages and genomic instability in the skin-resident stem/progenitor cells and their progenies. These molecular events may result in the alterations in key signalling components controlling their self-renewal and/or regenerative capacities as well as the activation of tumour suppressor gene products that trigger their growth arrest and senescence or apoptotic death. The progressive decline in the regenerative functions and/or number of skin-resident adult stem/progenitor cells may cause diverse skin diseases with advancing age. Moreover, the photoaging, telomerase re-activation and occurrence of different oncogenic events in skin-resident adult stem/progenitor cells may also culminate in their malignant transformation into cancer stem/progenitor cells and skin cancer initiation and progression. Therefore, the anti-inflammatory and anti-oxidant treatments and stem cell-replacement and gene therapies as well as the molecular targeting of their malignant counterpart, skin cancer-initiating cells offer great promise to treat diverse skin disorders and cancers.
近年来,皮肤常驻成人干细胞/祖细胞研究取得了进展,揭示了这些不成熟且具有再生能力的长寿细胞在个体寿命过程中维持皮肤内稳态和严重损伤后修复方面具有重要功能。表皮和毛囊中不同的成人干细胞/祖细胞的功能特性的建立及其所处微环境的外在信号,这些在其衰老和恶性转化过程中会失调,极大地提高了我们对多种人类皮肤疾病和癌症的发病机制的认识。特别是,增强的紫外线辐射暴露、炎症和氧化应激以及端粒磨损会导致皮肤常驻干细胞/祖细胞及其后代的严重 DNA 损伤和基因组不稳定性。这些分子事件可能导致控制其自我更新和/或再生能力的关键信号成分的改变,以及肿瘤抑制基因产物的激活,从而触发其生长停滞、衰老或凋亡死亡。皮肤常驻成人干细胞/祖细胞的再生功能和/或数量的逐渐下降可能导致随着年龄增长而出现多种皮肤疾病。此外,皮肤常驻成人干细胞/祖细胞中的光老化、端粒酶重新激活和不同致癌事件的发生也可能导致其恶性转化为癌症干细胞/祖细胞,并引发皮肤癌的发生和进展。因此,抗炎和抗氧化治疗、干细胞替代和基因治疗以及针对其恶性对应物——癌症起始细胞的分子靶向治疗为治疗多种皮肤疾病和癌症提供了很大的希望。