Department of Dermatology, Leiden University Medical Center, S-2P, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.
Carcinogenesis. 2012 Mar;33(3):714-20. doi: 10.1093/carcin/bgs004. Epub 2012 Jan 6.
Chronic ultraviolet (UV) exposure induces clones of cells overexpressing mutant p53 in the interfollicular (IF) epidermis and subsequently squamous cell carcinomas (SCCs) with similar p53 mutations. Mutated p53 may give cells growth advantage over neighbouring cells by impaired apoptosis. We tested this by UV overexposure of skin laden with p53-mutant clones and assessed the impact on subsequent tumour development. P53-mutant clones were induced in two groups of hairless SKH1 mice by daily exposures (500 J/m(2) UV from TL12 lamps) for 28 days. On day 29, one group was overexposed (to 10 kJ/m(2) UV), whereas the control group received the regular daily dose. After 1 week of recovery, the daily exposures were resumed in both groups to induce SCCs. UV overexposure forced the entire IF basal layer into caspase-3-driven apoptosis while leaving overlying layers with sunburn cells intact. No apparent regions were spared from apoptosis. Pulse-chase BrdU labelling showed the IF epidermis to be repopulated from the hair follicles (remaining p63 positive). One week after overexposure, the p53-mutant clones had virtually disappeared (0.6, 95% confidence interval 0.5-0.8 per mouse versus 102, 59-179, without overexposure). Tumour development was significantly delayed after UV overexposure (P < 0.0001) by an average of 27 days (standard error of the mean 3); a period matching that of daily exposures preceding the overexposure. Thus, we found that UV-induced ablation of the IF epidermal basal layer eliminates p53-mutant clones and resets UV carcinogenesis. Furthermore, and in contrast with earlier reports, our data show that UV-induced p53-mutant clones and SCCs originate from the IF epidermis.
慢性紫外线 (UV) 暴露会在滤泡间 (IF) 表皮中诱导过度表达突变 p53 的细胞克隆,随后形成具有相似 p53 突变的鳞状细胞癌 (SCC)。突变的 p53 可能通过抑制细胞凋亡使细胞获得相对于邻近细胞的生长优势。我们通过过度暴露于含有 p53 突变克隆的皮肤来测试这一点,并评估其对随后肿瘤发展的影响。我们通过每天暴露 (TL12 灯 500 J/m2UV) 28 天,在两组无毛 SKH1 小鼠中诱导 p53 突变克隆。在第 29 天,一组过度暴露 (10 kJ/m2UV),而对照组接受常规每日剂量。恢复一周后,两组均恢复每日暴露以诱导 SCC。UV 过度暴露迫使整个 IF 基底层进入 caspase-3 驱动的细胞凋亡,而留下具有晒伤细胞的上层完好无损。没有明显的区域免于凋亡。脉冲追踪 BrdU 标记显示 IF 表皮从毛囊重新填充(保留 p63 阳性)。过度暴露后一周,p53 突变克隆几乎消失(每只小鼠 0.6,95%置信区间 0.5-0.8 与没有过度暴露的 102,59-179 相比)。UV 过度暴露后肿瘤发展明显延迟(P < 0.0001),平均延迟 27 天(平均值的标准误差为 3);这与过度暴露前的每日暴露时间相匹配。因此,我们发现 IF 表皮基底层的 UV 诱导消融消除了 p53 突变克隆并重置了 UV 致癌作用。此外,与早期报道相反,我们的数据表明,UV 诱导的 p53 突变克隆和 SCC 起源于 IF 表皮。