Modulation of UVB-induced Carcinogenesis by Activation of Alternative DNA Repair Pathways
Open accessAbstract
The molecular basis for ultraviolet (UV) light-induced nonmelanoma and melanoma skin cancers centers on cumulative genomic instability caused by inefficient DNA repair of dipyrimidine photoproducts. Inefficient DNA repair and subsequent translesion replication past these DNA lesions generate distinct molecular signatures of tandem CC to TT and C to T transitions at dipyrimidine sites. Since previous efforts to develop experimental strategies to enhance the repair capacity of basal keratinocytes have been limited, we have engineered the N-terminally truncated form (Δ228) UV endonuclease (UVDE) from Schizosaccharomyces pombe to include a TAT cell-penetrating peptide sequence with or without a nuclear localization signal (NLS): UVDE-TAT and UVDE-NLS-TAT. Further, a NLS was engineered onto a pyrimidine dimer glycosylase from Paramecium bursaria chlorella virus-1 (cv-pdg-NLS). Purified enzymes were encapsulated into liposomes and topically delivered to the dorsal surface of SKH1 hairless mice in a UVB-induced carcinogenesis study. Total tumor burden was significantly reduced in mice receiving either UVDE-TAT or UVDE-NLS-TAT versus control empty liposomes and time to death was significantly reduced with the UVDE-NLS-TAT. These data suggest that efficient delivery of exogenous enzymes for the initiation of repair of UVB-induced DNA damage may protect from UVB induction of squamous and basal cell carcinomas.
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AI snapshot
Written from the paper’s full text.
TL;DR
Topical liposomal delivery of engineered UV repair enzymes (UVDE-TAT, UVDE-NLS-TAT, cv-pdg-NLS) was tested in UVB-irradiated SKH1 hairless mice. UVDE-TAT and UVDE-NLS-TAT reduced total tumor burden at 33 weeks, and UVDE-NLS-TAT significantly reduced tumor-induced euthanasia risk.
Key findings
- At 33 weeks, mean total tumor size per mouse was ~25 mm in controls, ~12 mm in both UVDE groups, and 18.3 mm in cv-pdg-NLS; reductions were significant for UVDE-TAT (p = 0.041) and UVDE-NLS-TAT (p = 0.045), but not cv-pdg-NLS (p = 0.541).
- Time to first 2 mm tumor was not significantly delayed: p = 0.404 for UVDE-TAT, 0.788 for UVDE-NLS-TAT, and 0.668 for cv-pdg-NLS.
- UVDE-NLS-TAT reduced risk of tumor-induced euthanasia: Cox HR 0.25 (95% CI 0.07–0.81), corresponding to 75% less risk than controls; log-rank p = 0.037. UVDE-TAT log-rank p = 0.135 and cv-pdg-NLS p = 0.598.
- At 23 weeks, control mice had 28 tumors with aggregate size 122 mm, versus 18 tumors/29 mm for UVDE-TAT, 15 tumors/21 mm for UVDE-NLS-TAT, and 19 tumors/42 mm for cv-pdg-NLS; histology of tumors was indistinguishable among groups and characteristic of SCCs.
Methods
- Engineered Δ228 UVDE from *Schizosaccharomyces pombe* with TAT and/or NLS, and cv-pdg with NLS; proteins were expressed, purified, and encapsulated into liposomes at 10 μg/mL in a 0.75% hydrogel.
- 40 SKH1 hairless mice were assigned to 4 groups (10 each): empty liposome control, UVDE-TAT, UVDE-NLS-TAT, or cv-pdg-NLS; an additional 10 untreated mice developed no spontaneous tumors. Liposomes (0.2 mL) were applied topically 1 hr before UVB; after 9 acclimation exposures totaling 2.0 kJ/m² over 3 weeks, mice received ~22 kJ/m²/week for 30 additional weeks.
- Outcomes included time to first 2 mm tumor, total tumor burden at 23 and 33 weeks, and time-to-death; analyses used Kaplan-Meier/log-rank tests, Cox regression, and ANOVA with Tukey-adjusted pairwise comparisons.
Limitations
- The paper states that using final observed tumor values for euthanized mice underestimates total tumor burden because it does not account for anticipated continued tumor growth.
- The paper states that mechanisms of UVDE-mediated reduction in carcinogenesis were not explicitly tested in this investigation.
- Evident from the text: each treatment group had only 10 mice, and the study was limited to a mouse model without human clinical validation.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Claims the paper makes
0 of 36 cited sources checked · 0 supported · 0 flagged
- Findingown data
Time to first 2 mm tumor did not differ significantly between active enzyme groups and control, with p-values 0.404 for UVDE-TAT, 0.788 for UVDE-NLS-TAT, and 0.668 for cv-pdg-NLS.
“these delays were not statistically distinguishable from the control group, with nonsignificant p-values of 0.404 for UVDE-TAT, 0.788 for UVDE-NLS-TAT, and 0.668 for cv-pdg-NLS.”
Quote in the paperSubstantial claim - Findingown data
Comparable analysis of cv-pdg-NLS compared to controls revealed less of a survival advantage (p = 0.598) than was observed for the two UVDE groups.
“A comparable analysis of another encapsulated enzyme compared to controls (Fig. 5b) revealed less of a survival advantages for cv-pdg-NLS (p = 0.598) than was observed for the two UVDE groups.”
Quote in the paperSubstantial claim - Findingown data
At 23 weeks, mean total tumor size per mouse for empty, UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS liposome-treated groups were 12.2 mm, 2.9 mm, 2.1 mm, and 4.2 mm, respectively.
“At 23 weeks, the mean total tumor size per mouse for the empty, UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS liposome-treated groups were 12.2 mm, 2.9 mm, 2.1 mm, and 4.2 mm, respectively.”
Quote in the paperSubstantial claim - Findingown data
Histologic analyses of the tumors that formed were indistinguishable among the 4 groups.
“Even though the total tumor burden at 33 weeks and the time-to-death analyses revealed significant differences, histologic analyses of the tumors that formed were indistinguishable among the 4 groups.”
Quote in the paperNot a substantial claim - Findingown data
UVDE-NLS-TAT mice had 75% less risk (95% CI: 93% to 19% less) of being euthanized than control mice during the treatment period.
“Thus, UVDE-NLS-TAT mice had 75% less (95% CI: 93% to 19% less) risk of being euthanized than control mice during the treatment period.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Proportional risks of euthanasia across all time points.
- Findingown data
The earliest time for formation of confirmed squamous cell carcinomas in the control empty liposome group was 15 weeks, with a total cumulative exposure of ~217 kJ/m2.
“The earliest time for the formation of confirmed squamous cell carcinomas in the control empty liposome group was at 15 weeks, with a total cumulative exposure of ~217 kJ/m2.”
Quote in the paperNot a substantial claim - Findingown data
In the UVB-induced carcinogenesis study, total tumor burden was significantly reduced in mice receiving either UVDE-TAT or UVDE-NLS-TAT versus control empty liposomes.
“Total tumor burden was significantly reduced in mice receiving either UVDE-TAT or UVDE-NLS-TAT versus control empty liposomes”
Quote in the paperSubstantial claim - Premisecitation
6-4 PPs are more rapidly repaired than CPDs in both fibroblasts and keratinocytes.
“6–4 PPs are more rapidly repaired than CPDs in both fibroblasts and keratinocytes8.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Courdavault, S. et al. Repair of the three main types of bipyrimidine DNA photoproducts in human keratinocytes exposed to UVB and UVA radiations. DNA Repair (Amst) 4, 836–844, https://doi.org/10.1016/j.dnarep.2005.05.001 (2005). source
Not checked in the free run.
- Premisecitation
CPDs remaining in the genome function as one of the main causes of UV-induced immune suppression.
“CPDs remaining in the genome also function as one of the main causes of UV-induced immune suppression25,26.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [25] Damiani, E. & Ullrich, S. E. Understanding the connection between platelet-activating factor, a UV-induced lipid mediator of inflammation, immune suppression and skin cancer. Prog Lipid Res 63, 14–27, https://doi.org/10.1016/j.plipres.2016.03.004 (2016). source
Not checked in the free run.
- cites [26] Hori, T. et al. Ultraviolet-induced alloantigen-specific immunosuppression in transplant immunity. World J Transplant 5, 11–18, https://doi.org/10.5500/wjt.v5.i1.11 (2015). source
Not checked in the free run.
- Interpretationown data
Efficient delivery of exogenous enzymes for initiation of repair of UVB-induced DNA damage may protect from UVB induction of squamous and basal cell carcinomas.
“These data suggest that efficient delivery of exogenous enzymes for the initiation of repair of UVB-induced DNA damage may protect from UVB induction of squamous and basal cell carcinomas.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Exclusion of euthanized mice would bias total tumor size comparisons because mice with the largest tumor burdens (>8 mm for a single tumor) would be unavailable for between-group analyses.
“Imputation of these final measurements at post-death time points was important since exclusion of euthanized mice would bias the total tumor size comparisons, since mice with the largest tumor burdens (>8 mm for a single tumor) would be unavailable for the between-group analyses.”
Quote in the paperSubstantial claim - Interpretationown data
Application of liposomes containing UVDE-TAT or UVDE-NLS-TAT reduces UVB-induced total tumor burden relative to control empty liposomal treatment.
“These findings demonstrate that, relative to the control empty liposomal treatment, application of liposomes containing UVDE-TAT or UVDE-NLS-TAT reduces the UVB-induced total tumor burden.”
Quote in the paperSubstantial claim - Premisecitation
XP patients have greater than a 1000-fold increased risk of developing skin cancer before age 20 compared to the general population.
“In fact, XP patients have greater than a 1000-fold increased risk of developing skin cancer before the age of 20 compared to the general population11.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [11] Kraemer, K. H. et al. Xeroderma pigmentosum and related disorders: examining the linkage between defective DNA repair and cancer. J Invest Dermatol 103, 96S–101S (1994). source
Not checked in the free run.
- Premisecitation
By 30 weeks of treatment, the number of tumors per mouse was approximately 30% less in the T4-pdg treated mice versus the control.
“Further, by 30 weeks of treatment, the number of tumors per mouse was ~30% less in the T4-pdg treated mice versus the control.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Yarosh, D. et al. Pyrimidine dimer removal enhanced by DNA repair liposomes reduces the incidence of UV skin cancer in mice. Cancer Res 52, 4227–4231 (1992).
Not checked in the free run.
- Premisecitation
Administration of liposomal-encapsulated T4-pdg immediately following UVB irradiation increased the mean time to first 1 mm tumor from 19.5 weeks for heat-inactivated enzyme to 21.8 weeks for the active enzyme.
“They demonstrated that administration of liposomal-encapsulated T4-pdg, immediately following UVB irradiation, increased the mean time to first 1 mm tumor from 19.5 weeks for heat-inactivated enzyme to 21.8 weeks for the active enzyme40.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Yarosh, D. et al. Pyrimidine dimer removal enhanced by DNA repair liposomes reduces the incidence of UV skin cancer in mice. Cancer Res 52, 4227–4231 (1992).
Not checked in the free run.
- Interpretationreasoning
Overall, these data provide compelling evidence for the benefit of topical delivery of DNA repair proteins that activate the alternative repair pathways for the delay or reduction of UVB-induced carcinogenesis.
“Overall, these data provide compelling evidence for the benefit of topical delivery of DNA repair proteins that activate the alternative repair pathways for the delay or reduction of UVB-induced carcinogenesis.”
Quote in the paperSubstantial claim - Interpretationown data
Despite considerable differences in study design and reagents, the trends of suppressing UVB-induced carcinogenesis by topical application of DNA repair enzymes were consistent between the Yarosh investigations and the current study.
“Despite these considerable differences in the study design and reagents, the trends of suppressing UVB-induced carcinogenesis by topical application of DNA repair enzymes were consistent.”
Quote in the paperNot a substantial claim - Premisecitation
NEIL1- and OGG1-initiated repair of ring-fragmented purines is likely sufficient to minimize the effects of these specific UVB-induced DNA lesions.
“Since NEIL1- and OGG1-initiated repair of the ring-fragmented purines is likely to be sufficient to minimize the effects of these specific UVB-induced DNA lesions27, it is hypothesized that the repair of both types of dipyrimidine photoproducts leads to suppression of UVB-induced carcinogenesis.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] Calkins, M. J. et al. Enhanced sensitivity of Neil1-/- mice to chronic UVB exposure. DNA Repair (Amst) 48, 43–50, https://doi.org/10.1016/j.dnarep.2016.10.010 (2016). source
Not checked in the free run.
- Premisecitation
The suppression of carcinogenesis by T4-pdg was enzyme concentration dependent.
“This suppression in carcinogenesis was also enzyme concentration dependent.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Yarosh, D. et al. Pyrimidine dimer removal enhanced by DNA repair liposomes reduces the incidence of UV skin cancer in mice. Cancer Res 52, 4227–4231 (1992).
Not checked in the free run.
- Interpretationreasoning
The final product of long-patch BER is anticipated to be error-free because the undamaged complementary strand is available for repair-patch synthesis.
“The final product of long-patch BER is anticipated to be error-free since the undamaged complementary strand is available for repair-patch synthesis.”
Quote in the paperSubstantial claim - Interpretationcitation
Rapid repair of dipyrimidine photoproducts is expected to greatly minimize UV-induced immune suppression because the duration of unrepaired CPDs in genomic DNA is a primary signal for initiating this suppression.
“This rapid repair of dipyrimidine photoproducts is also expected to greatly minimize UV-induced immune suppression since one of the primary signals for initiating this suppression is the duration of unrepaired CPDs in genomic DNAs25,37–39.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [25] Damiani, E. & Ullrich, S. E. Understanding the connection between platelet-activating factor, a UV-induced lipid mediator of inflammation, immune suppression and skin cancer. Prog Lipid Res 63, 14–27, https://doi.org/10.1016/j.plipres.2016.03.004 (2016). source
Not checked in the free run.
- cites [37] Prasad, R. & Katiyar, S. K. Crosstalk Among UV-Induced Inflammatory Mediators, DNA Damage and Epigenetic Regulators Facilitates Suppression of the Immune System. Photochem Photobiol 93, 930–936, https://doi.org/10.1111/php.12687 (2017). source
Not checked in the free run.
- cites [38] Strickland, F. M. & Kripke, M. L. Immune response associated with nonmelanoma skin cancer. Clin Plast Surg 24, 637–647 (1997). source
Not checked in the free run.
- cites [39] Ullrich, S. E. & Byrne, S. N. The immunologic revolution: photoimmunology. J Invest Dermatol 132, 896–905, https://doi.org/10.1038/jid.2011.405 (2012). source
Not checked in the free run.
- Interpretationcitation
The conclusion that rapid repair minimizes immune suppression is consistent with data from the XP clinical trial using T4-pdg, in which suppression of new tumors could at least partially be explained by enhanced immune surveillance.
“This conclusion is also consistent with data from the XP clinical trial using T4-pdg in which suppression of new tumors could at least partially be explained by enhanced immune surveillance.”
Quote in the paperNot a substantial claim
- May combine two claims. 23
- Classified as probably not a substantial claim. 13
May combine two claims.
Findingown dataAt 33 weeks, total tumor burden averages compared to empty liposome controls were statistically significant for UVDE-TAT (p = 0.041) and UVDE-NLS-TAT (p = 0.045), but not for cv-pdg-NLS (p = 0.541).
“These tumor burden averages, when compared to empty liposome controls, were statistically significant for UVDE-TAT (p = 0.041) and UVDE-NLS-TAT (p = 0.045), but not for cv-pdg-NLS (p = 0.541).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAll examined tumors were asymmetric and poorly circumscribed epithelial neoplasms, characterized by irregular aggregates extending into the superficial to deep dermis or into subcutis and underlying muscle, with features highly characteristic of SCCs.
“All examined tumors were asymmetric and poorly circumscribed epithelial neoplasms, characterized by irregular aggregates extending into the superficial to deep dermis or, in some cases, into the subcutis and underlying muscle (Fig. 6).”
- Also stated in: § UVB-induced Carcinogenesis · boosted
“These features are highly characteristic of SCCs.”
Quote in the paperNot a substantial claim- Also stated in: § UVB-induced Carcinogenesis · boosted
May combine two claims.
Findingown dataAt 33 weeks of UVB irradiation, mean total tumor size per mouse was ~25 mm in the control group, ~12 mm in both UVDE treatment groups, and 18.3 mm in the cv-pdg-NLS group.
“The mean total tumor size per mouse was ~25 mm in the control group, ~12 mm in both the UVDE treatment groups, and 18.3 mm in the cv-pdg-NLS group.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataHazard ratios for euthanasia relative to control were 0.35 (95% CI: 0.11, 1.05) for UVDE-TAT, 0.25 (95% CI: 0.07, 0.81) for UVDE-NLS-TAT, and 0.56 (95% CI: 0.21, 1.55) for cv-pdg-NLS.
“Assuming proportional risks of euthanasia across all time points, estimated hazard (risk) ratios involving the control group were 0.35 (95% CI: 0.11, 1.05) for UVDE-TAT, 0.25 (95% CI: 0.07, 0.81) for UVDE-NLS-TAT, and 0.56 (95% CI: 0.21, 1.55) for cv-pdg-NLS.”
Quote in the paperSubstantial claim- The authors state this as an assumption: Proportional risks of euthanasia across all time points.
May combine two claims.
Findingown dataKaplan-Meier survival curves of control vs UVDE-TAT and UVDE-NLS-TAT mice revealed survival advantages in these active treatment groups, with log-rank test p values of 0.135 and 0.037, respectively.
“Without having to assume a constant risk ratio across time, analyses of Kaplan-Meier survival curves of control vs UVDE-TAT and UVDE-NLS-TAT mice revealed survival advantages in these active treatment groups, with log-rank test p values of 0.135 and 0.037, respectively (Fig. 5a).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAt 23 weeks, the empty-liposome treated group had 28 tumors with aggregate total tumor size 122 mm; UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS groups had 18, 15, and 19 tumors and aggregate tumor sizes 29 mm, 21 mm, and 42 mm, respectively.
“The empty-liposome treated group had a total of 28 tumors with an aggregate total tumor size of 122 mm at 23 weeks. In contrast, the UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS groups had 18, 15, and 19 tumors, respectively, and aggregated tumor sizes of 29 mm, 21 mm, and 42 mm, respectively.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAt 23 weeks, mean differences in total tumor size for UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS relative to control were not statistically significant (p = 0.092, 0.058, and 0.179, respectively).
“The mean differences in total tumor size for UVDE-TAT, UVDE-NLS-TAT, and cv-pdg-NLS relative to the control group were not statistically significant (p = 0.092, 0.058, and 0.179, respectively).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationT4-pdg can initiate repair following UV damage of XP cells and increase survival in XP cells.
“Collectively, several studies have shown that T4-pdg could not only initiate repair following UV damage of XP cells13, but also increase survival in XP cells14.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [13] Tanaka, K., Sekiguchi, M. & Okada, Y. Restoration of ultraviolet-induced unscheduled DNA synthesis of xeroderma pigmentosum cells by the concomitant treatment with bacteriophage T4 endonuclease V and HVJ (Sendai virus). Proc Natl Acad Sci USA 72, 4071–4075 (1975). source
Not checked in the free run.
- cites [14] Francis, M. A., Bagga, P., Athwal, R. & Rainbow, A. J. Partial complementation of the DNA repair defects in cells from xeroderma pigmentosum groups A, C, D and F but not G by the denV gene from bacteriophage T4. Photochem Photobiol 72, 365–373 (2000). source
Not checked in the free run.
May combine two claims.
PremisecitationUVDE from Schizosaccharomyces pombe has broad substrate specificity including both CPDs and 6-4 PPs and initiates the nucleotide incision repair (NIR) pathway.
“However, the UV endonuclease (UVDE) from Schizosaccharomyces pombe has a very broad substrate specificity which includes both CPDs and 6–4 PPs and is known to initiate the nucleotide incision repair (NIR) pathway18,19.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [18] Avery, A. M. et al. Substrate specificity of ultraviolet DNA endonuclease (UVDE/Uve1p) from Schizosaccharomyces pombe. Nucleic Acids Res 27, 2256–2264 (1999). source
Not checked in the free run.
- cites [19] Kaur, B. & Doetsch, P. W. Ultraviolet damage endonuclease (Uve1p): a structure and strand-specific DNA endonuclease. Biochemistry 39, 5788–5796 (2000). source
Not checked in the free run.
May combine two claims.
PremisecitationIn UV-irradiated XPA cells expressing Neurospora crassa UVDE, single-strand breaks were introduced immediately following irradiation and were efficiently repaired, resulting in enhanced survival approaching that of wild-type cells.
“Further, in UV-irradiated XPA cells expressing the Neurospora crassa UVDE, single-strand breaks were introduced immediately following irradiation and were efficiently repaired, resulting in enhanced survival approaching that of wild-type cells31,32.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [31] Asagoshi, K. et al. DNA polymerase beta-dependent long patch base excision repair in living cells. DNA Repair (Amst) 9, 109–119, https://doi.org/10.1016/j.dnarep.2009.11.002 (2010). source
Not checked in the free run.
- cites [32] Okano, S., Kanno, S., Nakajima, S. & Yasui, A. Cellular responses and repair of single-strand breaks introduced by UV damage endonuclease in mammalian cells. J Biol Chem 275, 32635–32641, https://doi.org/10.1074/jbc.M004085200 (2000). source
Not checked in the free run.
May combine two claims.
PremisecitationExposure to UV irradiation in sunlight causes NMSC by inducing DNA damage that, if replicated, leads to mutations in genes such as KRAS or TP53.
“Exposure to UV irradiation in sunlight causes NMSC by inducing DNA damage that if replicated, leads to mutations in genes such as KRAS or TP537”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [7] Sarasin, A. The molecular pathways of ultraviolet-induced carcinogenesis. Mutat Res 428, 5–10 (1999). source
Not checked in the free run.
May combine two claims.
PremisecitationCPDs account for at least 80% of UVB-induced mutagenesis but contribute only modestly to cytotoxicity in a mammalian cell model.
“CPDs account for at least 80% of UVB-induced mutagenesis but contribute only modestly to cytotoxicity in a mammalian cell model; however, 6–4 PPs are minimally mutagenic but highly cytotoxic9,10.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [9] Lo, H. L. et al. Differential biologic effects of CPD and 6-4PP UV-induced DNA damage on the induction of apoptosis and cell-cycle arrest. BMC Cancer 5, 135, https://doi.org/10.1186/1471-2407-5-135 (2005). source
Not checked in the free run.
- cites [10] You, Y. H. et al. Cyclobutane pyrimidine dimers are responsible for the vast majority of mutations induced by UVB irradiation in mammalian cells. J Biol Chem 276, 44688–44694, https://doi.org/10.1074/jbc.M107696200 (2001). source
Not checked in the free run.
May combine two claims.
Premisecitation6-4 PPs are minimally mutagenic but highly cytotoxic.
“CPDs account for at least 80% of UVB-induced mutagenesis but contribute only modestly to cytotoxicity in a mammalian cell model; however, 6–4 PPs are minimally mutagenic but highly cytotoxic9,10.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [9] Lo, H. L. et al. Differential biologic effects of CPD and 6-4PP UV-induced DNA damage on the induction of apoptosis and cell-cycle arrest. BMC Cancer 5, 135, https://doi.org/10.1186/1471-2407-5-135 (2005). source
Not checked in the free run.
- cites [10] You, Y. H. et al. Cyclobutane pyrimidine dimers are responsible for the vast majority of mutations induced by UVB irradiation in mammalian cells. J Biol Chem 276, 44688–44694, https://doi.org/10.1074/jbc.M107696200 (2001). source
Not checked in the free run.
May combine two claims.
PremisecitationDelivery of T4-pdg in mouse models increased the rate of CPD removal, reduced the frequency of SCC, and minimized UVB-induced immune suppression.
“Delivery of T4-pdg in mouse models increased the rate of CPD removal, reduced the frequency of SCC, and minimized UVB-induced immune suppression.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [15] Yarosh, D. et al. Localization of liposomes containing a DNA repair enzyme in murine skin. J Invest Dermatol 103, 461–468 (1994). source
Not checked in the free run.
- cites [16] Yarosh, D. et al. Enzyme therapy of xeroderma pigmentosum: safety and efficacy testing of T4N5 liposome lotion containing a prokaryotic DNA repair enzyme. Photodermatol Photoimmunol Photomed 12, 122–130 (1996). source
Not checked in the free run.
May combine two claims.
PremisecitationUVDE initiates repair at both dipyrimidine photoproducts by incision immediately 5′ to the damage, followed by long-patch BER in conjunction with Rad27/Fen1, XRCC1, PARP1, and DNA polymerase.
“UVDE initiates repair at both dipyrimidine photoproducts by incision immediately 5′ to the damage18,28,29, followed by long-patch BER in conjunction with Rad27/Fen1, XRCC1, PARP1, and DNA polymerase30–33.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [18] Avery, A. M. et al. Substrate specificity of ultraviolet DNA endonuclease (UVDE/Uve1p) from Schizosaccharomyces pombe. Nucleic Acids Res 27, 2256–2264 (1999). source
Not checked in the free run.
- cites [28] Bowman, K. K. et al. A new ATP-independent DNA endonuclease from Schizosaccharomyces pombe that recognizes cyclobutane pyrimidine dimers and 6-4 photoproducts. Nucleic Acids Res 22, 3026–3032 (1994). source
Not checked in the free run.
- cites [29] Takao, M., Yonemasu, R., Yamamoto, K. & Yasui, A. Characterization of a UV endonuclease gene from the fission yeast Schizosaccharomyces pombe and its bacterial homolog. Nucleic Acids Res 24, 1267–1271 (1996). source
Not checked in the free run.
May combine two claims.
PremisecitationIn clinical trials with XP patients using topically delivered T4-pdg, new pre-cancerous lesions (actinic keratosis) were reduced by 68% and new cases of BCC were reduced by 30% compared to placebo lotion.
“Results of clinical trials with XP patients using topically delivered T4-pdg showed that new pre-cancerous lesions (actinic keratosis) were reduced by 68% and new cases of BCC were reduced by 30% compared to patients treated with placebo lotion17.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [17] Yarosh, D. et al. Effect of topically applied T4 endonuclease V in liposomes on skin cancer in xeroderma pigmentosum: a randomised study. Xeroderma Pigmentosum Study Group. Lancet 357, 926–929 (2001). source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningThere were no missing values for total tumor size comparisons at either of the two time points of interest (23 weeks and 33 weeks) since a mouse's last measured value was carried over if it had been euthanized prior to the time point.
“There were no missing values for total tumor size comparisons at either of the two time points of interest (23 weeks and 33 weeks) since a mouse’s last measured value was carried over if it had been euthanized prior to the time point.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataFollowing UVB irradiation, UVDE-initiated repair results in rapid, long-patch processes, improving survival in DNA repair-deficient cells.
“Collectively, these data present consistent evidence that following UVB irradiation, UVDE-initiated repair results in rapid, long-patch processes, improving survival in DNA repair-deficient cells.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [31] Asagoshi, K. et al. DNA polymerase beta-dependent long patch base excision repair in living cells. DNA Repair (Amst) 9, 109–119, https://doi.org/10.1016/j.dnarep.2009.11.002 (2010). source
Not checked in the free run.
- cites [32] Okano, S., Kanno, S., Nakajima, S. & Yasui, A. Cellular responses and repair of single-strand breaks introduced by UV damage endonuclease in mammalian cells. J Biol Chem 275, 32635–32641, https://doi.org/10.1074/jbc.M004085200 (2000). source
Not checked in the free run.
- cites [34] Yasuhira, S. & Yasui, A. Alternative excision repair pathway of UV-damaged DNA in Schizosaccharomyces pombe operates both in nucleus and in mitochondria. J Biol Chem 275, 11824–11828 (2000). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningA UVB dose escalation strategy was used for the initial irradiations to prevent significant skin irritation and burning.
“To prevent significant skin irritation and burning, a UVB dose escalation strategy was used for the initial irradiations.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenA total of 50 SKH1 hairless mice were randomly divided into 4 treatment groups (10 mice each).
“A total of 50 SKH1 hairless mice were randomly divided into 4 treatment groups (10 mice each), while an additional 10 mice were held with no treatments for observation of spontaneous tumor formation.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe potential deleterious effects of unrepaired DNA damage have the capacity to increase genomic instability and reduce immune surveillance, both of which increase the risk of cellular transformation.
“Thus, the potential deleterious effects of unrepaired DNA damage have the capacity to increase genomic instability and reduce immune surveillance, both of which increase the risk of cellular transformation.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningAlthough the sample distributions of total tumor size were often positively skewed, this outcome was analyzed using a one-way ANOVA because this method is known to be robust to deviations from the normality assumption.
“Although the sample distributions of total tumor size were often positively skewed, this outcome was nonetheless analyzed using a one-way ANOVA as this method is known to be robust to deviations from the normality assumption.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataDiscrepancies in the variance of total tumor size between treatment groups discouraged the use of a nonparametric method that assumes the distributions have equal spread.
“Moreover, discrepancies in the variance of total tumor size between treatment groups discouraged the use of a nonparametric method that assumes the distributions have equal spread.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenAt each of the two time points of interest, the significance of total tumor burden differences between treatment groups was quantified with Tukey-adjusted pairwise p-values from the corresponding ANOVA model.
“At each of the two time points of interest, the significance of total tumor burden differences between treatment groups was quantified with Tukey-adjusted pairwise p-values from the corresponding ANOVA model.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationReported log-rank p-values for pairwise comparisons between treatment groups were adjusted for multiplicity using the Tukey method.
“Reported log-rank p-values for pairwise comparisons between treatment groups were adjusted for multiplicity using the Tukey method41.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [41] Kramer, C. Y. Extension of Multiple Range Tests to Group Means with Unequal Numbers of Replications. Biometrics 12, 307–310 (1956). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenAll liposomes were formulated with hydrogel to yield a final concentration of 0.75%, which allowed uniform distribution and absorbance into the mouse skin.
“All liposomes were formulated with hydrogel to yield a final concentration of 0.75%, which allowed uniform distribution and absorbance into the mouse skin.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe sequences of the complete genes were confirmed prior to expression studies.
“The sequences of the complete genes were confirmed prior to expression studies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe purity of the DNA repair enzymes was assessed by Coomassie staining following electrophoretic separation.
“The purity of the DNA repair enzymes was assessed by Coomassie staining of proteins following electrophoretic separation through a denaturing 15% polyacrylamide gel.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe temporal hierarchy of NER of UV-induced dipyrimidine photoproducts in mammalian cells is characterized by rapid recognition and excision of 6-4 PPs and preferential repair of CPDs in actively transcribed genes.
“The temporal hierarchy of NER of UV-induced dipyrimidine photoproducts in mammalian cells is characterized by not only rapid recognition and excision of 6–4 PPs (which are preferentially formed in open chromatin regions), but also preferential repair of CPDs in actively transcribed genes22–24.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [22] Spivak, G. Transcription-coupled repair: an update. Arch Toxicol 90, 2583–2594, https://doi.org/10.1007/s00204-016-1820-x (2016). source
Not checked in the free run.
- cites [23] Spivak, G. & Ganesan, A. K. The complex choreography of transcription-coupled repair. DNA Repair (Amst) 19, 64–70, https://doi.org/10.1016/j.dnarep.2014.03.025 (2014). source
Not checked in the free run.
- cites [24] Spivak, G. & Hanawalt, P. C. Photosensitive human syndromes. Mutat Res 776, 24–30, https://doi.org/10.1016/j.mrfmmm.2014.11.003 (2015). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenPhotographs of the Coomassie-stained gels were not manipulated or spliced, but represent a single stained gel.
“Photographs of the Coomassie-stained gels were not manipulated or spliced, but represent a single stained gel.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe sequences of all gene constructs were verified prior to expression studies.
“The sequences of all gene constructs were verified prior to expression studies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Study design and conductnone givenThe Cox model assumption that the risks of death are proportional over the study period for the groups being compared was checked and found to be justifiable.
“The Cox model assumption that the risks of death are proportional over the study period for the groups being compared was checked and found to be justifiable.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataFollowing 9 UVB exposures (total 2.0 kJ/m2) over 3 weeks, the dorsal skin showed mild redness, slight loss in elasticity, and thickening, without any evidence of sunburn.
“As anticipated, following 9 UVB exposures (a total exposure of 2.0 kJ/m2) over the course of 3 weeks, the dorsal skin showed evidence of mild redness, slight loss in elasticity, and thickening, without any evidence of sunburn.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Previous efforts to develop experimental strategies to enhance the repair capacity of basal keratinocytes have been limited.
“Since previous efforts to develop experimental strategies to enhance the repair capacity of basal keratinocytes have been limited”
The paper relies on this without support.
Humans possess only one mechanism, the nucleotide excision repair (NER) pathway, for repairing dipyrimidine DNA lesions.
“Humans possess only one mechanism, the nucleotide excision repair (NER) pathway, for repairing dipyrimidine DNA lesions.”
The paper relies on this without support.
Humans have all enzymes necessary for completing BER, but lack a pyrimidine dimer-specific DNA glycosylase (pdg) to recognize CPDs and initiate the cascade.
“Humans have all of the enzymes necessary for completing BER, but lack an enzyme, a pyrimidine dimer-specific DNA glycosylase (pdg) to recognize CPDs and initiate the cascade.”
The authors state this as an assumption.
Proportional risks of euthanasia across all time points.
“Assuming proportional risks of euthanasia across all time points”
The paper relies on this without support.
Two common types of UVB-induced DNA damage are cyclobutane pyrimidine dimers (CPDs) and 6–4 photoproducts (6–4 PPs).
“Two common types of UVB-induced DNA damage are cyclobutane pyrimidine dimers (CPDs) and 6–4 photoproducts (6–4 PPs).”
The paper relies on this without support.
Mammalian cells exclusively use NER to initiate the repair of dipyrimidine photoproducts.
“Since mammalian cells exclusively use NER to initiate the repair of dipyrimidine photoproducts”
The paper relies on this without support.
The truncated form of UVDE retains full catalytic activity.
“To increase its solubility while retaining full catalytic activity, previous studies have characterized a soluble form of UVDE in which the N-terminal 228 amino acids were deleted (Δ228-UVDE).”
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?
The free 3′-hydroxyl group is a substrate for excision repair strand displacement DNA synthesis.
“The free 3′-hydroxyl group is a substrate for excision repair strand displacement DNA synthesis.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
In some organisms such as bacteria and yeast, additional excision repair besides BER and NER exists.
“In some organisms such as bacteria and yeast additional excision repair (besides base excision repair (BER) and NER) exist.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
UVER may play a crucial role in repair of photoproducts as it removes CPDs more rapidly than NER, especially on the transcribed strand.
“UVER may play a crucial role in repair of photoproducts as it removes CPDs more rapidly than NER, especially on the transcribed strand.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
UVDE introduces nicks immediately 5′ to specific types of lesions (CPDs, 6′-4′PP, base damage, and others) and initiates UVDE-mediated excision repair (UVER or UVDR).
“UVDE introduces nicks immediately 5′ to specific type of lesions (CPDs, 6′-4′PP, base damage, and others) and initiates UVDE-mediated excision repair (UVER or UVDR).”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
UVER is rapid and functions properly even in the absence of NER.
“The repair is rapid and functions properly even in the absence of NER.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
The rad2 gene encodes a structure-specific flap endonuclease involved in processing UV damage into single-strand breaks (SSBs).
“The gene encodes a structure-specific flap endonuclease that is involved in processing of UV damage into single-strand breaks (SSBs).”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
The reaction is carried out by UV damage endonuclease (UVDE).
“The reaction is carried out by an enzyme called UV damage endonuclease (UVDE).”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
Studies in S. pombe revealed the rad2 gene as an important factor for UVDE-mediated repair.
“Studies in S. pombe revealed the rad2 gene as an important factor for UVDE-mediated repair.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
UVDE introduces a nick on the 5′ end of photoproducts, leaving a 5′-P-UV lesion and a 3′-OH end.
“UVDE introduces a nick on the 5′ end of the photoproducts, leaving a 5′-P-UV lesion and a 3′-OH end.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
The major disadvantage of UVER is the great number of nicks introduced in the DNA strand that may comprise an obstacle for replication.
“The major disadvantage of UVER is certainly the great number of nicks introduced in the DNA strand that may comprise an obstacle for replication process [85,86,87].”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
6′-4′PP are removed more efficiently than CPDs, suggesting an important role of UVER in damage removal.
“Moreover, 6′-4′PP are removed more efficiently than CPDs suggesting important role of UVER in the damage removal.”
From Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies (2020) · cites this paper as [87]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Weekly UVB dose conflicts with the 23-week cumulative dose
MajorAfter the first three weeks, 20 weeks at approximately 22 kJ/m2/week would add approximately 440 kJ/m2. That already exceeds the stated 311 kJ/m2 cumulative exposure at week 23.
“Following this 3-week period of UVB acclimation, mice received ∼22 kJ/m2/week and all mice were examined at least three times per week for an additional 30 weeks.”
“Following 23 weeks of UVB exposures, totaling 311 kJ/m2, all mice were photographed for comparative analyses.”
Abstract reverses the reported survival effect
MajorThe abstract says UVDE-NLS-TAT significantly reduced time to death, whereas the Results report a significant survival advantage for that group. A survival advantage means a longer, not shorter, time to death.
“time to death was significantly reduced with the UVDE-NLS-TAT.”
“analyses of Kaplan-Meier survival curves of control vs UVDE-TAT and UVDE-NLS-TAT mice revealed survival advantages in these active treatment groups, with log-rank test p values of 0.135 and 0.037, respectively (Fig. 5a).”
The purported same NLS has different stated lengths
MinorThe UVDE NLS is specified as seven amino acids, but the cv-pdg construct is said to contain the same 10-amino-acid NLS.
“the E. coli expression vector was also modified to insert the 7-amino acid NLS (PKKRKRR) at the C-terminus (UVDE-NLS-TAT).”
“the expression construct for cv-pdg was engineered to contain the same 10 amino acid NLS on the C-terminal portion of the enzyme”
Encoded cv-pdg NLS does not match its stated amino-acid sequence
MinorThe eighth codon in the given DNA sequence is AAG, which encodes lysine (K), not the glycine (G) at position eight of the stated amino-acid sequence. The DNA sequence instead encodes PGPKKKRKRL.
“5′-CCC GGG CCA AAG AAA AAG AGG AAG AGG CTA-3′”
“The NLS sequence (5′-CCC GGG CCA AAG AAA AAG AGG AAG AGG CTA-3′) encodes for the amino acid sequence PGPKKKRGRL.”
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Focus on UV-Induced DNA Damage and Repair—Disease Relevance and Protective Strategies
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- Authors
- Sha, Y., Vartanian, V., Owen, N., Mengden Koon, S. J., Calkins, M. J., Thompson, C. S., Mirafzali, Z., Mir, S., Goldsmith, L. E., He, H., Luo, C., Brown, S. M., Doetsch, P. W., Kaempf, A., Lim, J. Y., McCullough, A. K., & Lloyd, R. S.
- Affiliations
- Oregon Health & Science University (US)
- National Institutes of Health (US)
- Corresponding author
- Lloyd, R. Stephen
- ORCID
- Venue
- Scientific Reports
- Published
- 2018-01-15
- Volume
- 8
- Issue
- 1
- Pages
- 705-705
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5768739
- OpenAlex
- W2782804296
- Cited by
- 12
- References
- 42
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 2
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institutes of Health (NIH-R01)
- National Cancer Institute (T32CA106195)
- National Institute of Environmental Health Sciences (R42ES021623, R01ES004091)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Keywords
- DNA repair, UV endonuclease, Schizosaccharomyces pombe, cell-penetrating peptides, nuclear localization signal, topical enzyme therapy, squamous cell carcinoma, basal cell carcinoma, melanoma, keratinocytes, genomic instability
- MeSH terms
- Animals, DNA Repair, Mice, Hairless, Recombinant Proteins, Skin Neoplasms, Ultraviolet Rays, DNA Repair Enzymes, Carcinogenesis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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