Ai. Otto et al., Differential behaviors toward ultraviolet A and B radiation of fibroblastsand keratinocytes from normal and DNA-repair-deficient patients, CANCER RES, 59(6), 1999, pp. 1212-1218
Xeroderma pigmentosum (XP) and trichothiodystrophy (TTD) are rare genoderma
toses transmitted as recessive and autosomal traits that result in reduced
capacity to repair UV-induced DNA lesions. Although XP, but not TTD, patien
ts are Drone to basal and squamous cell carcinomas, to date no comparative
studies of the XP and TTD phenotypes have included epidermal keratinocytes.
We compared the DNA repair rapacity (by unscheduled DNA synthesis) and cel
l survival (by clonal analysis) of epidermal keratinocytes and dermal fibro
blasts grown from normal individuals and patients with xeroderma pigmentosu
m and trichothiodystrophy following UVA and UVB irradiation. The same dose
of UVB (1000 J/m(2)) induced twice as many DNA. lesions in normal fibroblas
ts as in normal keratinocytes, UV survival rates were always higher in kera
tinocytes than in fibroblasts. Normal and TTD keratinocytes survived better
following UVA and UVB irradiation than XP-C and XP-D keratinocytes, XP-C k
eratinocytes exhibited exacerbated sensitivity toward UVA radiation. Unsche
duled DNA synthesis at UV doses leading to 50% cell survival indicated that
the ratio of DNA repair capacity to cell survival Is higher in keratinocyt
es than in fibroblasts. In addition, UVA and UVB irradiation induced a tran
sition from proliferative to abortive keratinocyte colonies. This transitio
n varied between donors and was in part correlated with their cancer suscep
tibility. Altogether these data provide the first evidence of the different
ial behaviors of normal, XP, and TTD keratinocytes toward UV radiation.