[太阳紫外线辐射(UVR)对皮肤癌诱发的影响]
[The effect of solar ultraviolet radiation (UVR) on induction of skin cancers].
作者信息
Pacholczyk Marta, Czernicki Jan, Ferenc Tomasz
机构信息
Uniwersytet Medyczny w Łodzi / Medical University of Lodz, Łódź, Poland (Katedra Nauk Podstawowych, Zakład Biologii i Genetyki Medycznej / Chair of Basic Sciences, Department of Biology and Medical Genetics).
Wyższa Szkoła Informatyki i Umiejętności w Łodzi / University of Computer Science and Skills in Lodz, Łódź, Poland (Wydział Pedagogiki i Promocji Zdrowia, Fizjoterapia / Faculty of Pedagogy and Health Promotion, Physiotherapy).
出版信息
Med Pr. 2016;67(2):255-66. doi: 10.13075/mp.5893.00342.
Ultraviolet radiation is a physical mutagenic and cancerogenic factor. About 95% of ultraviolet A (UVA) (320-400 nm) and 5% of UVB (280-320 nm) reach the Earth's surface. Melanin is a natural skin protective factor against UV radiation. Skin cancers associated with long-term exposure to UV radiation are: basal cell carcinoma (BCC), squamous cell carcinoma (SCC) and cutaneous malignant melanoma (CMM). The high risk of BCC development is related to acute and repeated exposure to UV causing sunburn. Molecular studies of BBC demonstrated disorders in sonic hedgehog (SHH) cell signaling regulation pathway, associated with the suppressor protein patched homolog 1 gene (PTCH1) mutations. The risk of the BCC development is related to the polymorphism of melanokortin-1 receptor gene (MC1R). Tumor P53 gene mutations observed in BCC cells has been classified as secondary genetic changes. In SCC cells UV-induced mutations were mostly related to P53 gene. Increased expression of cyclooxigenase- 2 gene (COX-2) plays a significant role in the development of SCC. Other pathogenetic factors include intensification of the synthesis of pro-inflammatory cytokines (tumor necrosis factor α (TNF-α), interleukin-1 α (IL-1α), IL-1β and IL-6). Currently, the role of UVB has been recognized in the pathogenesis of CMM. In CMM cells the following gene mutations were noted: cyclindependent kinase inhibitor 2A INK4A (p16INK4A), cyclin-dependent kinase 4 (CDK4), Ras, phosphatase and tensin homolog deleted on chromosome 10 (PTEN) and proto-oncogene B-Raf (BRAF). The BRAF gene mutations were observed in ~50% of CMM cases. Mutations of P53 gene are not characteristic of CMM cells. Med Pr 2016;67(2):255-266.
紫外线辐射是一种物理诱变和致癌因素。约95%的紫外线A(UVA)(320 - 400纳米)和5%的紫外线B(UVB)(280 - 320纳米)到达地球表面。黑色素是皮肤抵御紫外线辐射的天然保护因子。与长期紫外线辐射暴露相关的皮肤癌有:基底细胞癌(BCC)、鳞状细胞癌(SCC)和皮肤恶性黑色素瘤(CMM)。BCC发生的高风险与急性和反复暴露于紫外线导致晒伤有关。对基底细胞癌的分子研究表明,音猬因子(SHH)细胞信号调节通路存在紊乱,与抑制蛋白patched同源物1基因(PTCH1)突变有关。BCC发生的风险与黑皮质素-1受体基因(MC1R)的多态性有关。在基底细胞癌细胞中观察到的肿瘤P53基因突变已被归类为继发性基因变化。在鳞状细胞癌细胞中,紫外线诱导的突变大多与P53基因有关。环氧化酶-2基因(COX-2)表达增加在鳞状细胞癌的发生中起重要作用。其他致病因素包括促炎细胞因子(肿瘤坏死因子α(TNF-α)、白细胞介素-1α(IL-1α)、IL-1β和IL-6)合成的增强。目前,紫外线B在皮肤恶性黑色素瘤发病机制中的作用已得到认可。在皮肤恶性黑色素瘤细胞中发现了以下基因突变:细胞周期蛋白依赖性激酶抑制剂2A INK4A(p16INK4A)、细胞周期蛋白依赖性激酶4(CDK4)、Ras、10号染色体缺失的磷酸酶和张力蛋白同源物(PTEN)以及原癌基因B-Raf(BRAF)。约50%的皮肤恶性黑色素瘤病例中观察到BRAF基因突变。P53基因突变不是皮肤恶性黑色素瘤细胞的特征。《医学实践》2016年;67(2):255 - 266。