Cited by 95Skin Protection and AgingDNA Repair MechanismsEffects of Radiation Exposure

ATR–Chk1 Pathway Inhibition Promotes Apoptosis after UV Treatment in Primary Human Keratinocytes: Potential Basis for the UV Protective Effects of Caffeine

Open access
Heffernan, Timothy P., Kawasumi, Masaoki, Blasina, Alessandra, Anderes, Kenna, Conney, Allan H., Nghiem, Paul·2009·Journal of Investigative Dermatology

Abstract

Novel approaches to prevent and reverse ultraviolet (UV) damage are needed to combat rising sunlight-induced skin cancer rates. Mouse studies have shown that oral or topical caffeine promotes elimination of UV-damaged keratinocytes via apoptosis and markedly inhibits subsequent skin cancer development. This potentially important therapeutic effect has not been studied in human skin cells. Here we use primary human keratinocytes to examine which of several caffeine effects mediates this process. In these cells, caffeine more than doubled apoptosis after 75 mJ/cm2 of UVB. Selectively targeting two of caffeine’s known effects did not alter UVB-induced apoptosis: inhibition of ATM (ataxia-telangiectasia mutated) and augmentation of cyclic AMP levels. In contrast, siRNA against ATR (ataxia-telangiectasia and Rad3-related) doubled apoptosis after UV through a p53-independent mechanism. Caffeine did not further augment apoptosis after UVB in cells in which ATR had been specifically depleted, suggesting a key target of caffeine in this effect is ATR. Inhibition of a central ATR target, Chk1, via siRNA or a novel highly specific inhibitor (PF610666) also augmented UVB-induced apoptosis. These data suggest that a relevant target of caffeine is the ATR-Chk1 pathway and that inhibiting ATR or Chk1 may have promise in preventing or reversing UV damage.

AI snapshot

Written from the paper’s full text.

TL;DR

In primary human keratinocytes, caffeine increased UVB-induced apoptosis, and the effect appeared to depend on inhibition of the ATR–Chk1 checkpoint pathway rather than ATM or cAMP. Knockdown or chemical inhibition of ATR/Chk1 also sensitized cells to UVB, largely independently of p53.

Key findings

  • UVB at 75 mJ/cm² induced apoptosis in human keratinocytes; pretreatment with 2 mM caffeine raised apoptosis from 10% to 24% in one flow-cytometry measurement and gave a reproducible two- to three-fold increase across cultures.
  • ATR siRNA reduced ATR protein by more than 90%, blocked UVB-induced Chk1 phosphorylation at Ser345, and doubled apoptosis; caffeine did not further increase apoptosis in ATR-depleted cells (50% without caffeine vs. 48% with caffeine).
  • ATM siRNA, despite reducing ATM protein by about 70% and UVB-induced phospho-Ser1981 ATM by about 50%, did not affect UVB-induced apoptosis; dibutyryl cAMP up to 300 μM also had no effect.
  • Chk1 siRNA reduced Chk1 protein by nearly 90% and increased cell death by 60% versus scrambled control; PF610666, a selective Chk1 inhibitor with Chk1 IC50 = 7 nM and cellular EC50 = 70 nM, augmented UVB-induced PARP cleavage and sub-2N DNA. p53 knockdown did not affect UVB-induced apoptosis and only modestly reduced the augmentation seen with ATR inhibition.

Methods

  • Primary normal human keratinocytes were isolated from adult abdominal epidermis from two female patients (ages 37 and 66), cultured serum-free on collagen I, and used at passages 2–5.
  • Cells were pretreated for 30 min with 2 mM caffeine, dibutyryl cAMP, or PF610666, then irradiated with 75 mJ/cm² UVB; siRNA against ATR, ATM, Chk1, p53, or scrambled control was nucleofected 48 h before UVB.
  • Apoptosis was assessed by caspase-3 and PARP cleavage on Western blots, propidium iodide sub-2N DNA flow cytometry, and Annexin V staining; PF610666 potency and selectivity were measured with biochemical Chk1 kinase assays and a camptothecin checkpoint EC50 assay.

Limitations

  • Stated: effective ATR inhibition in cultured cells required caffeine doses much higher than the plasma concentrations achieved in mice or humans, and the authors note that this in vitro versus in vivo difference remains unexplained.
  • Stated: Chk1 siRNA increased UVB-induced apoptosis less strongly than ATR siRNA or PF610666; the authors suggest incomplete Chk1 knockdown, possible additional ATR targets, or partial off-target kinase inhibition by PF610666 at 1 μM.
  • Evident: the study is in vitro with keratinocytes from two donors and does not provide human clinical or in vivo validation; the authors also note a p53-related discrepancy with prior cancer cell line and mouse studies.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/jid.2008.435

Cites

43 of 43 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

4 of 60 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Chemical or genetic inhibition of cell cycle checkpoint function sensitizes cancer cells to DNA damaging agents, including UV, ionizing radiation, alkylating agents, and topoisomerase inhibitors.

    “Indeed, chemical or genetic inhibition of cell cycle checkpoint function sensitizes cancer cells to a wide variety of DNA damaging agents, including UV (Nghiem et al., 2001), ionizing radiation (Syljuasen et al., 2004), alkylating agents (Bunch and Eastman, 1996), and topoisomerase inhibitors (Shao et al., 1997).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Nghiem et al., 2001 source
    • cites Syljuasen et al., 2004 source
    • cites Bunch and Eastman, 1996
  • Findingown data

    Caffeine increased UVB-induced apoptosis in primary human keratinocytes, more than doubling it after 75 mJ/cm2 UVB.

    “In these cells, caffeine more than doubled apoptosis after 75 mJ/cm2 of UVB.”
    • Also stated in: § INTRODUCTION · plain
      “We found that caffeine does indeed augment UVB-induced apoptosis in primary cultures of HKC.”
    Quote in the paperSubstantial claim
  • Findingown data

    Increasing cAMP levels with dibutyryl cAMP up to 300 μM did not affect UVB-induced apoptosis in human keratinocytes.

    “While caffeine augmented UVB-induced apoptosis in HKC, doses of dibutyryl cAMP up to 300 μM had no effect (Figure 1d).”
    Quote in the paperSubstantial claim
  • Findingown data

    Reducing Chk1 expression with siRNA sensitized human keratinocytes to UVB-induced apoptosis.

    “HKC with reduced expression of Chk1 were significantly sensitized to apoptosis induced by UVB (Figure 4a)”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ATR carries out much of its DNA damage checkpoint signaling via the downstream kinase Chk1.
  • Findingown data

    Inhibiting ATM did not change UVB-induced apoptosis in primary human keratinocytes.

    “In no case, however, did the addition of siRNA against ATM affect UVB-induced apoptosis (Figure 3b and c).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 13
  • May combine two claims. 15
  • Classified as probably not a substantial claim.

    Premisecitation

    By coordinating cell cycle progression with DNA repair, cell cycle checkpoints help maintain genetic stability and prevent carcinogenesis.

    “By coordinating cell cycle progression with DNA repair, cell cycle checkpoints help maintain genetic stability and prevent carcinogenesis (Abraham, 2001).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Abraham, 2001 source
  • May combine two claims.

    Premisecitation

    Normal human skin contains clonal patches of p53-mutated keratinocytes in up to 4% of the epidermis, representing thousands of clones per person.

    “Normal human skin carries clonal patches of p53-mutated keratinocytes in as much as 4% of the epidermis representing thousands of such clones per person (Jonason et al., 1996).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Jonason et al., 1996 source

      The Results state that as much as 4% of sun-exposed normal epidermis contains p53-mutated keratinocytes and report clonal patches at 3–33 per cm². Those findings support frequent clones, but the paper does not give a whole-person estimate of thousands of clones; that number requires extrapolation from sampled skin. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Prior studies in human cancer cell lines and mouse skin have shown that p53 disruption sensitizes cells to ATR inhibition.

    “Prior studies in human cancer cell lines (Nghiem et al., 2001) and mouse skin (Lu et al., 2005b; Lu et al., 2004) have shown that p53 disruption sensitizes cells to inhibition of ATR.”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Nghiem et al., 2001 source
    • cites Lu et al., 2005b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Lu et al., 2004

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingown data

    Treating human keratinocytes with PF610666 increased UVB-induced PARP cleavage and the percentage of cells with sub-2N DNA content.

    “Treatment of HKC with PF610666 augmented UVB-induced PARP cleavage at 8 h (Figure 4c) and increased the percentage of cells with sub-2N DNA content at 24 h (Figure 4d).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ATR carries out much of its DNA damage checkpoint signaling via the downstream kinase Chk1.
  • May combine two claims.

    Findingown data

    siRNA against ATR reduced ATR protein abundance by more than 90% and attenuated UVB-induced Chk1 phosphorylation.

    “siRNA against ATR reduced the abundance of ATR protein by >90% and interfered with ATR signaling as judged by marked attenuation of UVB-induced Chk1 phosphorylation (Figure 2b).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PF610666 is highly selective against Chk1, with an IC50 of 7 nM.

    “The inhibitory effect of PF610666 was tested against a panel of human kinases and shown to be highly selective against Chk1 (IC50 = 7 nM; Table 1).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Targeting ATM with siRNA suppressed ATM protein expression by roughly 70% and inhibited UVB induction of active ATM by roughly 50%.

    “By targeting ATM with siRNA, protein expression was suppressed by roughly 70%, and the induction by UVB of active ATM (phospho-Serine 1981 ATM) was inhibited by roughly 50% (Figure S2).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ATR knockdown phenocopied caffeine's effects and increased UVB-induced caspase 3 and PARP cleavage in human keratinocytes.

    “Knockdown of ATR phenocopied the effects of caffeine in HKC and augmented the UVB-induced increase in caspase 3 and PARP cleavage (Figure 2b).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    p53 knockdown in HKC prevented UVB-induced p53 protein induction and lowered p53 protein below the pre-UVB baseline.

    “Knockdown of p53 not only blocked this induction, but also suppressed p53 protein levels below the pre-UVB treatment baseline (Figure 5a).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    UV irradiation induced Chk1 phosphorylation maximally at 1 hour, and the signal was nearly gone by 8 hours.

    “UV irradiation induced phosphorylation of Chk1 maximally at 1 h, and the phosphorylation signal was nearly lost by 8 h (Figure 2b and S1a).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Much of UV radiation's mutagenic and carcinogenic effects result from DNA damage in the form of cyclobutane pyrimidine dimers and 6-4 pyrimidine-pyrimidone photoproducts.

    “Much of the mutagenic and carcinogenic effects of UV radiation are a consequence of DNA damage in the form of cyclobutane pyrimidine dimers and 6–4 pyrimidine-pyrimidone photoproducts (Brash et al., 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brash et al., 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    In a study of 93,676 Caucasian women, each additional cup of caffeinated coffee was associated with a 5% decreased risk of non-melanoma skin cancer, while decaffeinated coffee showed no such benefit.

    “In a recent study of 93,676 Caucasian women, each additional cup of caffeinated coffee ingested was associated with a 5% decreased risk of developing non-melanoma skin cancer while drinking de-caffeinated coffee showed no such benefit (Abel et al., 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Abel et al., 2007 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Cell cycle checkpoints are biochemical surveillance pathways that arrest cell cycle progression until essential events and/or DNA repair are complete.

    “Cell cycle checkpoints are biochemical surveillance pathways that arrest cell cycle progression pending the completion of essential events and/or the repair of damaged DNA (Sancar et al., 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sancar et al., 2004 source
  • May combine two claims.

    Premisecitation

    Hairless mice treated with UV twice weekly for twenty weeks had normal-appearing skin but were at higher risk for subsequent papillomas, keratoacanthomas, and squamous cell carcinomas.

    “Hairless mice treated with UV twice weekly for twenty weeks had normal-appearing skin, but were at a higher risk for developing subsequent papillomas, keratoacanthomas and squamous cell carcinomas (Lou et al., 1999; Lu et al., 2002b).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Lou et al., 1999 source
    • cites Lu et al., 2002b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    UV exposure is the most important etiologic factor for non-melanoma skin cancer.

    “Epidemiologic and molecular studies suggest exposure to ultraviolet (UV) light is the most important etiologic factor (Brash et al., 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brash et al., 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    UCN-01 was originally identified as an inhibitor of protein kinase C.

    “Chemical inhibition of Chk1 has typically been carried out with UCN-01, originally identified as an inhibitor of protein kinase C (Busby et al., 2000; Wang et al., 1996).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Busby et al., 2000
    • cites Wang et al., 1996 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Primary human keratinocytes are more UVB-resistant than dermal fibroblasts in proliferative capacity measured by colony survival assays.

    “yet they are more UVB-resistant than fibroblasts in terms of their proliferative capacity as measured by colony survival assays (D’Errico et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites D’Errico et al., 2003 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Keratinocytes have greater UV-DNA repair capacity than fibroblasts through robust global genome repair.

    “keratinocytes have a greater capacity (via robust global genome repair) for UV-DNA repair than fibroblasts”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites D’Errico et al., 2005 source
  • May combine two claims.

    Interpretationown data

    Genetic and chemical inhibition of Chk1 each phenocopied caffeine and ATR inhibition, supporting the importance of this pathway in the UV response and caffeine's effect.

    “Taken together, genetic and chemical inhibition of Chk1 could each phenocopy the effect of caffeine and of ATR inhibition providing further support for the importance of this pathway in the UV response and in caffeine’s effect on this response.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ATR carries out much of its DNA damage checkpoint signaling via the downstream kinase Chk1.
  • May combine two claims.

    Interpretationown data

    ATR is involved in the UVB response in human keratinocytes and is a relevant target of caffeine.

    “Taken together, these data suggest that ATR is involved in the response to UVB in HKC and is a relevant target of caffeine.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Caffeine inhibits cAMP phosphodiesterase with an IC50 of 3 mM and increases cAMP levels in cells.

    “Caffeine is an inhibitor of cAMP phosphodiesterase (IC50 = 3 mM) (Butcher and Sutherland, 1962) and it thus effectively increases levels of cAMP in cells.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Butcher and Sutherland, 1962 source
  • May combine two claims.

    Premisecitation

    Caffeine's effect does not require p53, as p53 mutant patches of keratinocytes were selectively killed upon topical caffeine.

    “Moreover, the effect of caffeine does not require p53 as p53 mutant patches of keratinocytes were selectively killed upon topical application of caffeine (Lu et al., 2005b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lu et al., 2005b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Similar Chk1 phosphorylation kinetics have been observed and attributed to PPM1D, a phosphatase that dephosphorylates phospho-Chk1 at 8 hours or later after UV.

    “Similar Chk1 phosphorylation kinetics have been observed in a recent study and attributed to PPM1D, a serine/threonine phosphatase whose expression is transcriptionally induced shortly after UV irradiation, and which dephosphorylates phospho-Chk1 at later time points (8 h or later post-UV) (Lu et al., 2005a).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lu et al., 2005a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    UCN-01 has known off-target inhibitory effects on PKC and CDKs.

    “Due to the known off-target inhibitory effects (ie: PKC and CDKs) of UCN-01 (Busby et al., 2000; Kawakami et al., 1996)”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Busby et al., 2000
    • cites Kawakami et al., 1996 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    UCN-01 is a potent Chk1 inhibitor.

    “UCN-01, originally identified as an inhibitor of protein kinase C, has been shown to be a potent Chk1 inhibitor (Busby et al., 2000; Wang et al., 1996).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Busby et al., 2000
    • cites Wang et al., 1996 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    UCN-01 abrogates Chk1-dependent cellular responses and sensitizes cancer cells to several DNA-damaging agents, including mitomycin C, cisplatin, camptothecin, and 5-fluorouracil.

    “Studies have shown that UCN-01 abrogates Chk1-dependent cellular responses and sensitizes cancer cells to several DNA damaging agents, including mitomycin C (Akinaga et al., 1993), cisplatin (Bunch and Eastman, 1996), camptothecin (Shao et al., 1997), and 5-fluorouracil (Hsueh et al., 1998).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Akinaga et al., 1993 source
    • cites Bunch and Eastman, 1996

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Shao et al., 1997
26 of 26
  • The paper relies on this without support.

    ATR carries out much of its DNA damage checkpoint signaling via the downstream kinase Chk1.

    “In response to DNA damage, ATR mediates much of its checkpoint signaling through its downstream effector kinase Chk1.”
  • The paper relies on this without support.

    Sun exposure increases the frequency and size of p53-mutant clones in skin.

    “Sun exposure increases the frequency and size of the p53-mutant clones in skin.”
  • The paper relies on this without support.

    Ser345 phosphorylation of Chk1 is highly dependent on ATR function.

    “Ser345-phosphorylation of Chk1 has been shown to be highly dependent on ATR function”
  • The paper relies on this without support.

    Non-melanoma skin cancers arise through UV-induced transformation of keratinocytes.

    “Non-melanoma skin cancers arise via the transformation of keratinocytes induced by UV.”
  • The paper relies on this without support.

    p53 is frequently mutated in non-melanoma skin cancers.

    “p53 is frequently mutated in non-melanoma skin cancers”
  • The paper relies on this without support.

    Chk1 is phosphorylated by ATR in response to UV.

    “Chk1, which is phosphorylated by ATR in response to UV.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • UV-B irradiation activates diverse cellular responses in human cells, such as cell cycle arrest, DNA repair, and apoptosis through signal transduction pathways.

    “UV-B irradiation activates diverse cellular responses in human cells, such as cell cycle arrest, DNA repair, and apoptosis through signal transduction pathways [15].”

Cites

Flagged first, then by citations

8 of the 51 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Brash, 2008, Carcinogenesis: ultraviolet radiation, vol. 1, 999
  2. Jacobsen, 1986, Coffee drinking, mortality, and cancer incidence: results from a Norwegian prospective study, J Natl Cancer Inst, 76, 823

Cited by

Sorted by citations

Authors
Heffernan, T. P., Kawasumi, M., Blasina, A., Anderes, K., Conney, A. H., & Nghiem, P.
Affiliations
  • Harvard University (US)
  • Pfizer (United States) (US)
  • Rutgers, The State University of New Jersey (US)
Corresponding author
Nghiem, Paul
Venue
Journal of Investigative Dermatology
Publisher
Elsevier BV
Published
2009-07
Volume
129
Issue
7
Pages
1805-1815
ISSN
0022-202X (ISSN-L)
OpenAlex
W2117733329
Cited by
95
References
51
Citations by year
2026: 2 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 9 · 2018: 3 · 2017: 2 · 2016: 8 · 2015: 8 · 2014: 6 · 2013: 12 · 2012: 11
FWCI
11.23
Type
journal article
Language
en
Open access
Locations
  • Journal of Investigative Dermatology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Massachusetts General Hospital
  • National Institutes of Health
  • National Cancer Institute (R01CA114442)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR049832, K02AR050993)
Topics
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
Keywords
caffeine, UVB-induced apoptosis, ATR-Chk1 pathway, ATR, Chk1, keratinocytes, UV damage, skin cancer prevention, p53-independent apoptosis, ataxia telangiectasia, cyclic AMP, DNA damage response
MeSH terms
Checkpoint Kinase 1, Epidermal Cells, Adult, Aged, Caffeine, Cells, Cultured, DNA-Binding Proteins, Female, Humans, Phosphodiesterase Inhibitors, Phosphorylation, Protein Kinases, Ultraviolet Rays, Keratinocytes, Tumor Suppressor Protein p53, Apoptosis, Protein Serine-Threonine Kinases, Cell Cycle Proteins, Tumor Suppressor Proteins, RNA, Small Interfering, Ataxia Telangiectasia Mutated Proteins

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