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pubmed-article:8943054pubmed:abstractTextThe multiple genetic hit model of cancer predicts that normal individuals should have stable populations of cancer-prone, but noncancerous, mutant cells awaiting further genetic hits. We report that whole-mount preparations of human skin contain clonal patches of p53-mutated keratinocytes, arising from the dermal-epidermal junction and from hair follicles. These clones, 60-3000 cells in size, are present at frequencies exceeding 40 cells per cm2 and together involve as much as 4% of the epidermis. In sun-exposed skin, clones are both more frequent and larger than in sun-shielded skin. We conclude that, in addition to being a tumorigenic mutagen, sunlight acts as a tumor promoter by favoring the clonal expansion of p53-mutated cells. These combined actions of sunlight result in normal individuals carrying a substantial burden of keratinocytes predisposed to cancer.lld:pubmed
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pubmed-article:8943054pubmed:articleTitleFrequent clones of p53-mutated keratinocytes in normal human skin.lld:pubmed
pubmed-article:8943054pubmed:affiliationDepartment of Therapeutic Radiology, Yale School of Medicine, New Haven, CT 06510, USA.lld:pubmed
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pubmed-article:8943054pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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