Zusammenfassung
Die Exposition der Haut mit ultravioletter Strahlung ist der wichtigste Risikofaktor für die Entwicklung von Plattenepithelkarzinomen, Basaliomen und malignen Melanomen. Die Ausbildung maligner Hauttumore ist, wie auch bei anderen malignen Tumoren, ein Prozess, der in mehreren genetisch determinierten Schritten abläuft (Abb. 2.1). Mit immer mehr genetischen Veränderungen (Mutationen) erwerben betroffene Zellen ganz spezifische Fähigkeiten, die sie zur Progression in ein höheres Tumorstadium befähigen, oder sie verlieren Funktionen, die sie vor Progression schützen. Zellen mit einer ausreichend großen Zahl solcher besonderer, erworbener (bzw. verlorener) biologischer Eigenschaften führen dann auch zu klinisch manifesten prämalignen und malignen Proliferationen.
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Literatur
Alcalay J, Freeman SE, Goldberg LH, Wolf JE (1990) Excision repair of pyrimidine dimers induced by simulated solar irradiation in the skin of patients with basal cell carcinoma. J Invest Dermatol 95: 506–509
Ananthaswamy HN, Pierceall WE (1990) Molecular mechanisms of ultraviolet radiation carcinogenesis. Photochem Photobiol 52: 1119–1136
Autier P, Joarlette M, Lejeune F, Liénard D, André J, Achten G (1991) Cutaneous malignant melanoma and exposure to sunlamps and sunbeds: a descriptive study in Belgium. Melanoma Res 1: 69–74
Autier P, Dorè JF, Schifflers E et al. (1995) Melanoma and use of sunscreens: an EORTC case-control study in Germany, Belgium and France. The EORTC Melanoma Cooperative Group. Int J Cancer 61: 749–755
Baadsgard O, Wulf HC, Lange-Wantzin G, Cooper KD (1987) UVB and UVC, but not UVA, potently induce the appearance of T6-DR+ antigen-presenting cells in human epidermis. J Invest Dermatol 89: 113–118
Barnes DE, Lindahl T, Sedgwick B (1993) DNA repair. Curr Opin Cell Biol 5: 424–433
Beehler BC, Przybyszewski J, Box HB, Kulesz-Martin MF (1992) Formation of 8-hydroxyguanosine with DNA of mouse keratinocytes exposed in culture to UVB and H2O2. Carcinogenesis 13: 2003–2007
Bestak R, Barnetson RSC, Nearn MR, Halliday GM (1995) Sunscreen protection of contact hypersensitivity responses from chronic solar-simulated ultraviolet irradiation correlates with the absorbtion spectrum of the sunscreen. J Invest Dermatol 105: 345–351
Boiteux S (1993) Properties and biological functions of the NTH and FPG proteins of Escherichia coli: two DNA glycosylases that repair oxidative damage to DNA. J Photochem Photobiol B 19: 87–96
Bootsma D, Hoeijmakers JH (1993) DNA repair. Engagement with transcription. Nature 363: 114–115
Brash DE (1988) UV mutagenic photoproducts in Escherichia coli and human cells: a molecular genetics perspective on human skin cancer. Photochem Photobiol 48: 59–66
Brash DE, Rudolph JA, Simon JA et al. (1991) A role for sunlight in skin cancer: UV-induced p53 mutations in squamous cell carcinoma. Proc Natl Acad Sci USA 88: 10124–10128
Brash DE, Ziegler A, Jonason AS, Simon JA, Kunala S, Leffell DJ (1996) Sunlight and sunburn in human skin cancer: p53, apoptosis, and tumor promotion. J Invest Dermatol Symp Proc 1: 136–142
Buratowski S (1993) DNA repair and transcription: the helicase connection (editorial). Science 260: 37–38
Cheng KC, Cahill DS, Kasai H, Sishimura S, Loeb LA (1992) 8-Hydroxy-guanine, an abundant form of oxidative DNA damage, causes G to T and A to C substitutions. J Biol Chem 267: 166–172
Churchill ME, Peak JG, Peak MJ (1991) Repair of near- visible- and blue-light-induced DNA single-strand breaks by CHO cell lines AA8 and EM9. Photochem Photobiol 54: 639–644
Cleaver JE (1968) Defective repair replication of DNA in xeroderma pigmentosum. Nature 218: 652–656
de Gruijl FR, Sterenborg HJCM, Forbes PD et al. (1993) Wavelength dependance of skin cancer induction by ultraviolet irradiation of albino hairless mice. Cancer Res 53: 53–60
De Weerd-Kastelein EA, Keijzer W, Bootsma D (1972) Genetic heterogeneity of xeroderma pigmentosum demonstrated by somatic cell hybridization. Nature 238: 80–83
Demple B, Harrison L (1994) Repair of oxidative damage to DNA: enyzmology and biology. Ann Rev Biochem 63: 1
Donawho CK, Kripke ML (1992) Lack of correlation between UV-induced enhancement of melanoma development and local suppression of contact hypersensitivity. Exp Dermatol 1: 20–26
DuBridge RB, Calos MP (1987) Molecular approaches to the study of gene mutation in human cells. Trends in. Genet 3: 293–297
Elwood JM, Koh HK (1994) Etiology, epidemiology, risk factors, and public health issues of melanoma. Curr Opin Oncol 6: 179–187
Epe B (1991) Genotoxicity of singlet oxygen. Chem Biol Interactions 80: 239–260
Epe B, Pflaum M, Boiteux S (1993) DNA damage induced by photosensitizers in cellular and cell free systems. Mutat Res 299: 135–145
Foote CS (1991) Definition of type I and type II photosensitized oxidation. Photochem Photobiol 54: 659–663
Fornace AJ, Kohn KW, Kann HE (1976) DNA single strand breaks during repair of UV-damage in human fibroblasts and abnormalities of repair in xeroderma pigmentosum. Proc Natl Acad Sci USA 73: 39–43
Freeman SE, Hacham H, Gange RW, May tum DJ, Sutherland JC, Sutherland BM (1989) Wavelength dependance of pyrimidine dimer formation in DNA of human skin irradiated in situ with ultraviolet light. Proc Natl Acad Sci USA 86: 5605–5609
Gange RW, Rosen CF (1986) UVA effects on mammalian skin and cells. Photochem Photobiol 43: 701–705
Garbe C (1992) Sonne und malignes Melanom. Hautarzt 43: 251–257
Garbe C (1995) Risikofaktoren für die Entwicklung maligner Melanome und Identifikation von Risikopersonen im deutschsprachigen Raum. Hautarzt 46: 309–314
Glover MT, Prober CM, Leigh IM (1993) Skin cancer in renal transplant patients. Cancer Bull 45: 220–224
Greenblatt MS, Bennett WP, Hollstein M, Harris CC (1994) Mutations in the p53 tumor suppressor gene: clues to cancer etiology and molecular pathogenesis. Cancer Res 54: 4855–4878
Gutmann M (1993) Malignant melanoma in different genetic groups in Israel. Cancer 71: 2746–2750
Higgins EM, Du Vivier AWP (1992) Possible induction of malignant melanoma by sunbed use. Clin Exp Dermatol 17: 357–359
Hoeijmakers JHJ (1993) Nucleotide exision repair II: from yeast to mammals. Trends Genet 9: 211–217
International Agency for Research on Cancer (1993) IARC monographs on the evaluation of carcinogenic risks to humans; ultraviolet radiation (vol. 55). Lyon, IARC
Kovacs E, Langemann H (1991) Differences in the kinetic of DNA repair in cancer patients and healthy controls. Oncology 48: 312–316
Kraemer KH, Lee MM, Scotto J (1987) Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases (review article). Arch Dermatol 123: 241–250
Kumakiri M, Hashimoto K, Willis I (1977) Biological changes due to long-wave ultraviolet irradiation on human skin: ultra structural study. J Invest Dermatol 69: 392–400
Lundgren K, Wulf HC (1988) Cytotoxicity and genotoxicity of UVA irradiation in Chinese hamster ovary cells measured by specific locus mutations, sister chromatid exchanges and chromosome aberrations. Photochem Photobiol 47: 559–563
Matsui MS, DeLeo VA (1991) Longwave ultraviolet radiation and promotion of skin cancer. J Photochem Photobiol B 3: 281–287
Mitchell D, Nairn RS (1988) The (6–4) photoproduct and human skin cancer. Photodermatol 5: 61–66
National Institutes of Health Consensus Development Conference Statement (1989) Sunlight, Ultraviolet Radiation, and the Skin (vol 7, number 8)
Nelson MA, Einspahr JG, Alberts DS et al. (1994) Analysis of the p53 gene in human precancerous actinic keratosis lesions and squamous cell cancer. Cancer Lett 85: 23–29
Nishigori C, Yarosh DB, Donawho C, Kripke ML (1996) The immune system in ultraviolet carcinogenesis. J Invest Dermatol Symposium Proceedings 1: 143–146
Pero RW, Johnson DB, Markowitz M et al. (1989) DNA repair synthesis in individuals with and without a family history of cancer. Carcinogenesis 10: 693–697
Pflaum M, Boiteux S, Epe B (1994) Visible light generates oxidative DNA base modifications in high excess of strand breaks in mammalian cells. Carcinogenesis 15: 297–300
Rivers JK, Kelly JW, MacLennan R (1993) The Eastern Australian mole study: constitutional facors and latitude considerations. Melanoma Res 3: 57–58
Rünger TM, Möller K (1994) Molekularbiologische Aspekte der photoinduzierten Hypermutabilität bei Genodermatosen. Akt Dermatol 20: 89–96
Rünger TM, Klein CE, Becker JC, Bröcker EB (1994) The role of genetic instability, adhesion, cell motility, and immune escape mechanisms in melanoma progression. Curr Opin Oncol 6: 188–196
Rünger TM (1995) DNA-Schäden in der Haut durch ultraviolette Strahlung. Enstehung, Bedeutung, Beeinflussung. Med Klin [Suppl] 90/1: 22–26
Rünger TM, Epe B, Möller K (1995) Processing of directly and indirectly UV-induced DNA damage in xeroderma pigmentosum cells. J Invest Dermatol 105: 68–73
Rünger TM, Epe B, Möller K (1995) Processing of directly and indirectly uv-induced DNA damage in human cells. In: Garbe C, Schmitz S, Orfanos CE (eds) Recent results in cancer research. Skin cancer (vol. 139; pp 31–42). Springer, Berlin Heidelberg New York Tokyo
Rünger TM (1995) Gentoxizität, Mutagenität und Karzinogenität von UVA und UVB. Haut und Geschlechtskrankheiten 70: 877–881
Sato M, Nishigori C, Zghal M, Yagi T, Takebe H (1993) Ultraviolet-specific mutations in P53 gene in skin tumors in xeroderma pigmentosum patients. Cancer Res 53: 2944–2946
Schmitz S, Garbe C, Tebbe B, Orfanos CE (1994) Langwellige ultraviolette Strahlung (UVA) und Hautkrebs. Hautarzt 45: 517–525
Schwarz T (1996) Effects of UVA light on the immune system. A settled issue? Eur J Dermatol 6: 227–228
Setlow RB, Grist E, Thompson K, Woodhead AD (1993) Wavelengths effective in induction of malignant melanoma. Proc Natl Acad Sci USA 90: 6666–6670
Staberg B (1983) The carcinogenic effect of UV-A irradiation. J Invest Dermatol 81: 517–519
Sterenborg HJCM (1990) Tumorigenesis by a long wavelength UVA source. Photochem Photobiol 51: 325–330
Strickland PT (1986) Photocarcinogenesis by near-ultra-violet (UV-A) radiation in Senear mice. J Invest Dermatol 87: 272–275
Swerdlow AJ, English JS, MacKie RM, O’Doherty CJ, Hunter JA, Clark J, Hole DJ (1988) Fluorescence lights, ultraviolet lamps and risk of cutaneous melanoma. Br Med J 297: 647–650
Tyrrell RM, Pidoux M (1989) Singlet oxygen involvement in the inactivation of cultured human fibroblasts by UVA (334 nm, 365 nm) and near-visible (405 nm) radiations. Photochem Photobiol 49: 407–412
Tyrrell RM, Keyse SM (1990) New trends in photobiology. The interaction of UVA radiation with cultured cells. J Photochem Photobiol B 4: 349–361
Van Weelden H, Gruijl FR de, Putter SCJ van der, Toonstra J, Leun JC van der (1988) The carcinogenic risks of modern tanning equipment: is UV-A safer than UV-B? Arch Dermatol Res 280: 300–307
Walter SD, Marrett LD, From L, Hertzman C, Shannon HS, Roy P (1990) The association of cutaneous malignant melanoma with the use of sunbeds and sunlamps. Am J Epidemiol 131: 232–243
Wei Q, Matanoski GM, Farmer ER, Hedayati MA, Grossman L (1993) DNA repair and aging in basal cell carcinoma: A molecular epidemiology study. Proc Natl Acad Sci USA 90: 1614–1618
Westerdahl J, Olssson H, Masbâck A et al. (1994) Use of sunbeds or sunlamps and malignant melanoma in Southern Sweden. Am J Epidemiol 140: 691–699
Westerdahl J, Olsson H, Masback A, Ingwar C, Jonsson N (1995) Is the use of sunscreens a risk factor for malignant melanoma? Melanoma Res 5: 59–65
Yoshikawa T, Rae V, Bruins-Slot W, Berg JW van den, Taylor JR, Streilein JW (1990) Susceptibility to effects of UVB radiation on induction of contact hypersensitivity as a risk factor for skin cancer in humans. J Invest Dermatol 95: 530–536
Young AR (1990) Cumulative effects of ultraviolet radiation on the skin: cancer and photoaging. Semin Dermatol 9: 25–31
Ziegler A, Leffell DJ, Kunala S et al. (1993) Mutation hotspots due to sunlight in the p53 gene of nonmelanoma skin cancers. Proc Natl Acad Sci USA 90: 4216–4220
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Rünger, T.M. (1997). UV-Licht und Kanzerogenese. In: Garbe, C., Dummer, R., Kaufmann, R., Tilgen, W. (eds) Dermatologische Onkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60622-9_2
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