Gorlin syndrome (GS) is an autosomal dominant disorder in which patients ar
e abnormally susceptible to ionizing radiation with radiotherapeutic doses.
Radiogenic basal cell carcinomas may develop with a short latent period in
patients. The mechanisms underlying the abnormal radiosusceptibility of ce
lls in patients with GS has not been well characterized. In this study we r
eport an increase in the number of nucleoli in fibroblast cells from 3 pati
ents with GS after x-radiation. In GS fibroblasts, the increase in nucleolu
s number concomitant with the increase of ribonucleoprotein immunoreactive
aggregates within the nucleus was observed after x-radiation, whereas signi
ficant change was not found in normal fibroblasts derived from healthy dono
rs. This increase disappeared when cells were cultured with the RNA synthes
is inhibitor actinomycin D after x-radiation but not when they were culture
d with cycloheximide or aphydicolin, which are protein and DNA synthesis in
hibitors, respectively. Ultraviolet exposure did not induce remarkable chan
ges in the GS nucleoli. Thus the increase in nucleoli was induced after x-r
adiation of GS fibroblasts, and this increase seemed to be related to RNA s
ynthesis metabolism.