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The Toxicologist - Society of Toxicology

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tokine products during carcinogenesis. Taken together, these results reveal that<br />

IKKα is essential for embryonic skin development and plays a critical role in maintaining<br />

skin homeostasis and preventing skin SCCs through regulating skin cell differentiation,<br />

proliferation, and inflammation pathways.<br />

1783 MODELING THE INFLAMMATORY TO<br />

IMMUNOSUPPRESSIVE SWITCH DURING<br />

PREMALIGNANT PROGRESSION.<br />

A. Glick and A. Gunderson. Veterinary and Biomedical Sciences, Penn State<br />

University, University Park, PA. Sponsor: L. Mordasky Markell.<br />

Immunosuppression within the developing tumor microenvironment frequently<br />

occurs under conditions <strong>of</strong> acute or chronic inflammation. Myeloid derived suppressor<br />

cells (MDSC), a heterogeneous population <strong>of</strong> immature myeloid cells (Gr-<br />

1+/CD11b+) that are greatly expanded in response to tumor derived factors, play a<br />

significant role in generating systemic and localized immunosuppression in both<br />

human cancer patients and experimental mouse models. Here we have investigated<br />

the role <strong>of</strong> MDSC formation in skin carcinogenesis using a a bitransgenic model in<br />

which oncogenic human c-Ha-RasG12V is induced in the suprabasal layers <strong>of</strong> the<br />

mouse epidermis with the doxycycline regulated Involucrin-tTA driver line.<br />

Induction <strong>of</strong> RasG12V in bitransgenic mice caused rapid epidermal hyperplasia<br />

and cutaneous inflammation as expected, which was largely composed <strong>of</strong> infiltrating<br />

neutrophils that formed cytotoxic microabscesses in the suprabasal layers <strong>of</strong> the<br />

epidermis. Antibody mediated depletion <strong>of</strong> neutrophils concurrent with transgene<br />

activation ablated neutrophil infiltration, reduced microabscesses and caused an increase<br />

in epidermal thickening. Ras-induced neutrophils were cytotoxic towards<br />

neoplastic keratinocytes in vitro. On a Rag1 null background this cytotoxic inflammatory<br />

response was suppressed, and restored by adoptive transfer <strong>of</strong> T cells but not<br />

B cells. However, 2 weeks post-Ras, neutrophil microabscesses were replaced by a<br />

diffuse single cell infiltration <strong>of</strong> myeloid cells, coincident with increased systemic<br />

levels <strong>of</strong> Gr-1/CD11b cells that could suppress in vitro proliferation <strong>of</strong> CD4 and<br />

CD8 T cells, decreased neutrophil cytotoxicity in vitro, and decreased cutaneous<br />

IFNγ+ T cells. By 2 weeks the hyperplasic epidermis had progressed to focal SCC<br />

and keratoacanthomatous-like lesions. Surprisingly markers <strong>of</strong> infiltrating MDSC<br />

and tumor progression and invasion such as MMP9 were significantly reduced on a<br />

Rag1 null background, indicating a requirement <strong>of</strong> the adaptive immune system for<br />

generation <strong>of</strong> the MDSC response and tumor progression.<br />

1784 DOES SEX MATTER IN THE DEVELOPMENT OF NON-<br />

MELANOMA SKIN CANCER?<br />

T. Oberyszyn 1 , N. J. Sullivan 1 , K. L. Tober 1 , M. A. Bill 2 , J. A. Riggenbach 1 , J.<br />

S. Schick 1 and G. B. Lesinski 2 . 1 Pathology, <strong>The</strong> Ohio State University, Columbus,<br />

OH and 2 Internal Medicine, <strong>The</strong> Ohio State University, Columbus, OH. Sponsor: L.<br />

Mordasky Markell.<br />

Ultraviolet light B (UVB) is a major environmental carcinogen that has been implicated<br />

in the development <strong>of</strong> nonmelanoma skin cancers (NMSC). <strong>The</strong>se skin tumors<br />

are the most common form <strong>of</strong> cancer in humans, with over 1 million new<br />

cases identified in the United States each year. In fact, more Americans will be diagnosed<br />

with some form <strong>of</strong> skin cancer than all other cancers combined.<br />

Epidemiological studies have shown that there are sex differences in the development<br />

<strong>of</strong> NMSC, with men being three times as likely to develop squamous cell carcinomas<br />

as women. This disparity has been attributed to lifestyle choices. However,<br />

recent studies from our laboratory using the Skh-1 mouse model suggest that the<br />

pathways by which UV exerts its damaging effects in male and female skin are not<br />

the same. While male murine skin exhibited less UVB-induced inflammation compared<br />

to female mice, they displayed higher levels <strong>of</strong> epidermal oxidative DNA<br />

damage and lower total antioxidant capacity both prior to and 48 hours following a<br />

single UV exposure. Long-term studies showed that when exposed to equal doses <strong>of</strong><br />

UVB, male Skh-1 mice developed tumors earlier, in greater number and with a<br />

more advanced grade than female mice. One major factor thought to contribute to<br />

inflammation-induced immune suppression and consequent carcinogenesis is a<br />

heterogeneous population <strong>of</strong> myeloid cells, known as myeloid-derived suppressor<br />

cells (MDSC). <strong>The</strong> Skh-1 model provides a unique opportunity to examine MDSC<br />

expansion before and throughout tumor progression. We found that male mice exhibited<br />

increased splenic MDSC expansion both following acute as well as chronic<br />

UVB exposure. After adjusting for tumor burden, sex was an independent predictor<br />

<strong>of</strong> elevated splenic MDSC expansion, with male tumor-bearing mice having 55%<br />

higher splenic MDSC levels. While our model focuses on skin cancer, these findings<br />

also have the potential to impact the development <strong>of</strong> therapeutics for other<br />

types <strong>of</strong> inflammation-associated carcinomas.<br />

1785 BIOMARKERS AS INDICATORS OF PHOTOTOXICITY:<br />

DO THEY HAVE A ROLE AS PREDICTORS OF<br />

PHOTOCARCINOGENESIS?<br />

D. B. Learn 1 , P. D. Forbes 2 , C. P. Sambuco 1 , A. M. Hoberman 1 and S. R.<br />

Eldridge 3 . 1 Charles River Laboratories Preclinical Services, Horsham, PA, 2 Toxarus,<br />

Inc., Malvern, PA and 3 Charles River-Pathology Associates, Frederick, MD.<br />

Solar UVR exposure causes well-recognized dose- and time-dependent cutaneous<br />

DNA damage, rapid-onset erythema (vasodilation) and edema, persistent erythema<br />

with inflammatory infiltrate, impaired cutaneous immune function, cell proliferation<br />

and hyperplasia. Together, these effects may be considered a “perfect storm” <strong>of</strong><br />

pre-cancerous signals in skin. Because its delivery can be precisely controlled and<br />

distributed, UVR exposure provides an ideal stimulus for modeling neoplastic precursors,<br />

including identifying relevant inflammatory markers and exogenous agents<br />

that influence these markers and thus the course <strong>of</strong> UVR photocarcinogenesis.<br />

Laboratory and clinical studies show that the effectiveness <strong>of</strong> a given UVR dose can<br />

be modified by many factors, with one example being the influence <strong>of</strong> pharmaceuticals<br />

on experimental photocarcinogenesis. But can biomarkers predict this influence?<br />

What constitutes an inflammatory or neoplastic biomarker? Which biological<br />

precursors are necessary or sufficient for neoplastic development? Which markers, if<br />

any, are predictive <strong>of</strong> neoplastic enhancement? Unresolved questions temper the<br />

understandable urge to replace photocarcinogenesis testing with tests based on<br />

measuring biomarker responses. In general, variables that influence inflammation<br />

(during or after UVR exposure) tend to have corresponding influences on the rate<br />

<strong>of</strong> photocarcinogenesis. However, the apparent relationship has its limits, may not<br />

correlate with anticipated effects and in known cases (e.g., anthracene or porphyrin<br />

phototoxicity), erythema is not associated with enhanced photocarcinogenesis,<br />

connoting a “false positive”. Whether tumor enhancement can occur in the absence<br />

<strong>of</strong> these markers (i.e., a “false negative”) is not established. Thus, alternative tests<br />

based on biomarkers may function as effective screening tools but are not yet ready<br />

to displace the more definitive photocarcinogenesis test for risk identification.<br />

1786 NEW INSIGHTS INTO THE NRF2-KEAP1 PATHWAY<br />

AND ITS IMPACT ON HUMAN DISEASE.<br />

D. D. Zhang 1 and T. W. Kensler 2 . 1 University <strong>of</strong> Arizona, Tucson, AZ and<br />

2 University <strong>of</strong> Pittsburgh, Pittsburgh, PA.<br />

Damage mediated by reactive electrophilic intermediates can have a pr<strong>of</strong>ound effect<br />

on many cellular functions, and has been implicated in cancer, inflammation, neurodegenerative<br />

diseases, cardiovascular diseases, and aging. Eukaryotic cells have<br />

evolved anti-oxidant defense mechanisms to neutralize reactive oxygen species<br />

(ROS) and maintain cellular redox homeostasis. Eukaryotic cells also express c<strong>of</strong>actors<br />

and enzymes for trapping reactive electrophiles. A key adaptive response system<br />

for protection against ROS and electrophilic intermediates is mediated by the transcription<br />

factor Nrf2, through the antioxidant responsive element (ARE) sequences<br />

in the promoter regions <strong>of</strong> dozens <strong>of</strong> cytoprotective genes. Basal levels <strong>of</strong> Nrf2 remain<br />

relatively low, due to its negative regulation by Keap1, which targets Nrf2 for<br />

ubiquitination and degradation. However, upon activation, cysteine residues <strong>of</strong><br />

Keap1 are modified, leading to conformational changes that impair ubiquitination<br />

<strong>of</strong> Nrf2, thus allowing Nrf2 to translocate into the nucleus to activate the expression<br />

<strong>of</strong> its downstream genes. <strong>The</strong> activation <strong>of</strong> the Nrf2 pathway is not only important<br />

in protecting cells against the deleterious effects caused by carcinogens and<br />

environmental toxicants, but, also, Nrf2 protects against drug-induced organ toxicity<br />

and damage. Unfortunately, the dark-side <strong>of</strong> Nrf2 has been revealed indicating<br />

that constitutive activation <strong>of</strong> Nrf2, due to mutations in either Nrf2 or Keap1, creates<br />

an environment conducive to cancer cell growth and thus, contributes to<br />

chemoresistance. Our knowledge on the Nrf2 pathway has progressed rapidly, and<br />

new important insights into its complex regulation have emerged. Thus it is important<br />

to highlight the novel mechanisms that activate the Nrf2 pathway, cross-talk<br />

between Nrf2 with other essential cell signaling pathways to maintain cellular<br />

homeostasis, the protective role <strong>of</strong> Nrf2 in human diseases, and paradoxically its<br />

role as a hostage in cancer. In conclusion, we will explore the essential role <strong>of</strong> Nrf2<br />

in disease and in a variety <strong>of</strong> biological processes that regulate the response to environmental<br />

exposures.<br />

1787 THE NRF2-KEAP1 STRESS RESPONSE PATHWAY:<br />

MOLECULAR BASIS OF ADAPTIVE RESPONSES AND<br />

PATHOGENESIS.<br />

M. Yamamoto, H. Kurokawa, T. Suzuki, K. Taguchi and H. Motohashi.<br />

Medical Biochemistry, Tohoku University Graduate School <strong>of</strong> Medicine, Sendai,<br />

Japan. Sponsor: T. Kensler.<br />

Our bodies must counteract insults originating from the environment.<br />

Electrophiles and ROS transcriptionally activate the expression <strong>of</strong> detoxifying and<br />

antioxidant genes through the antioxidant/electrophile responsive element<br />

SOT 2011 ANNUAL MEETING 383

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