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Molecular Biology, Pathobiology, and Genetics |
1 Dermatology Department, University Medical Centre Utrecht, Utrecht, the Netherlands; Departments of 2 Dermatology and 3 Toxicogenetics, Leiden University Medical Centre, Leiden, the Netherlands; 4 Laboratory of Vaccine-Preventable Diseases; and 5 Toxicology, Pathology, and Genetics Department, National Institute of Public Health and the Environment, Bilthoven, the Netherlands
Requests for reprints: Frank de Gruijl, Dermatology Department, Leiden University Medical Centre, PO Box 9600, 2300RC Leiden, the Netherlands. Phone: 31-71-5262497; E-mail: f.r.de_gruijl{at}lumc.nl.
Nevi and melanomas correlate to childhood and intermittent solar UV exposure, xeroderma pigmentosum patients run increased risk, and p16Ink4a expression is often lost in malignant progression. To ascertain the effect of these risk factors, pigmented hairless Ink4a/Arf, Xpa knockout mice were subjected to various combinations of neonatal [7,12-dimethylbenz(a)anthracene (DMBA) or UVB exposure] and adult treatments (12-O-tetradecanoylphorbol-13-acetate or subacute daily UVB exposure or intermittent overexposure). Nevi occurred earliest, grew largest, and were most numerous in mice exposed to DMBA followed by intermittent UVB overexposure [effect of six minimal edemal doses (MED), 1x/2 weeks > 4 MED 1x/wk]. Neonatal UV exposure enhanced nevus induction but lost its effect after 200 days. The Xpa/ mice proved exquisitely sensitive to UV-driven nevus induction, indicating the involvement of pyrimidine dimer DNA lesions, but Xpa+/+ mice developed many more nevi (>40 per mouse) at high UV dosages not tolerated by Xpa/ mice. Ink4a/Arf/ mice developed most skin tumors faster, but surprisingly developed nevi slower than their heterozygous counterparts especially after neonatal UV exposure. Despite raising >1,600 nevi, only six melanomas arose in our experiments with Ink4a/Arf knockout mice (five of which in Xpa+/+ mice at high UV dosages). In contrast to human nevi, these nevi lacked hotspot mutations in Braf or Ras genes, possibly explaining the lack of malignant progression in the Ink4a/Arf/ mice. Hence, although our experiments did not effectively emulate human melanoma, they provided clear evidence that intermittent UV overexposure strongly stimulates and the Ink4a/Arf/ genotype may actually impair nevus development. (Cancer Res 2006; 66(5): 2608-15)
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