Sunburn cell (SBC) formation in the epidermis is a characteristic consequen
ce of ultraviolet radiation (UVR) exposure at doses around or above the min
imum erythema dose. SEC have been identified morphologically and biological
ly as keratinocytes undergoing apoptosis. There is evidence that SEC format
ion is a protective mechanism to eliminate cells at risk of malignant trans
formation. The level of DNA photodamage is a major determinant of SEC induc
tion by a process controlled by the tumor suppressor gene p53. However, ext
ra-nuclear events also contribute to SEC formation, such as the activation
of death receptors including CD95/Fas. UVR triggers death receptors either
by direct activation of these surface molecules or by inducing the release
of their ligands such as CD95 ligand or tumor necrosis factor. Oxidative st
ress also appears to be involved, probably via mitochondrial pathways, resu
lting in the release of cytochrome C. Pathways which modify SEC formation a
re now extensively studied given the importance of apoptosis in eliminating
irreparably damaged cells. A greater understanding of the mechanisms that
induce and prevent UVR-induced apoptosis will contribute to our understandi
ng of mechanisms relevant in genomic integrity.