Skin cells containing excessive ultraviolet (UV) radiation-induced DNA dama
ge are eliminated by apoptosis that involves the p53 pathway and Fas/Fas-Li
gand (Fas-L) interactions. To determine whether dysregulation of apoptosis
plays a role in skin cancer development through disruption of Fas/Fas-L int
eractions, hairless SKH-hr1 mice were exposed to chronic UV irradiation fro
m Kodacel-filtered FS40 lamps for 30 weeks. Their skin was analyzed for the
presence of sunburn cells (apoptotic keratinocytes) and. for Fas and Fas-L
expression at various time points. A dramatic decrease in the numbers of m
orphologically identified sunburn cells and TUNEL-positive cells was detect
ed as early as 1 week after chronic UV exposure began. After 4 weeks of chr
onic UV exposure, these cells were barely detectable. This defect in apopto
sis was paralleled by an initial decrease in Fas-L expression during the fi
rst week of chronic UV irradiation and a complete loss of expression after
4 weeks. Fas expression, however, increased during the course of chronic UV
exposure.p53 mutations were detected in the UV-irradiated epidermis as ear
ly as 1 week after irradiation began and continued to accumulate with furth
er UV exposure. Mice exposed to chronic UV began to develop skin tumors aft
er approximately 8 weeks, and all mice had multiple skin tumors by 24 weeks
. Most of the tumors expressed Fas but not Fas-L. We conclude that chronic
UV exposure may induce a loss of Fas-L expression and a gain in p53 mutatio
ns, leading to dysregulation of apoptosis, expansion of mutated keratinocyt
es,and initiation of skin cancer.