PMID- 24509533 OWN - NLM STAT- MEDLINE DCOM- 20140819 LR - 20211021 IS - 1523-1747 (Electronic) IS - 0022-202X (Linking) VI - 134 IP - 7 DP - 2014 Jul TI - The oncogene ATF3 is potentiated by cyclosporine A and ultraviolet light A. PG - 1998-2004 LID - S0022-202X(15)36904-9 [pii] LID - 10.1038/jid.2014.77 [doi] AB - Cutaneous squamous cell carcinoma (SCC) represents the most important cutaneous complication following organ transplantation. It develops mostly on sun-exposed areas. A recent study showed the role of activating transcription factor 3 (ATF3) in SCC development following treatment with calcineurin inhibitors. It has been reported that ATF3, which may act as an oncogene, is under negative calcineurin/nuclear factor of activated T cells (NFAT) control and is upregulated by calcineurin inhibitors. Still, these findings do not fully explain the preferential appearance of SCC on chronically sun-damaged skin. We analyzed the influence of UV radiation on ATF3 expression and its potential role in SCC development. We found that ATF3 is a specifically induced AP1 member in SCC of transplanted patients. Its expression was strongly potentiated by combination of cyclosporine A and UVA treatment. UVA induced ATF3 expression through reactive oxygen species-mediated nuclear factor erythroid 2-related factor 2 (NRF2) activation independently of calcineurin/NFAT inhibition. Activated NRF2 directly binds to ATF3 promoter, thus inducing its expression. These results demonstrate two mechanisms that independently induce and, when combined together, potentiate the expression of ATF3, which may then force SCC development. Taking into account the previously defined role of ATF3 in the SCC development, these findings may provide an explanation and a mechanism for the frequently observed burden on SCCs on sun-exposed areas of the skin in organ transplant recipients treated by calcineurin inhibitors. FAU - Dziunycz, Piotr J AU - Dziunycz PJ AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. Electronic address: piotr.dziunycz@usz.ch. FAU - Lefort, Karine AU - Lefort K AD - Department of Biochemistry, University of Lausanne, Epalinges, Switzerland. FAU - Wu, Xunwei AU - Wu X AD - Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard University, Charlestown, Massachusetts, USA. FAU - Freiberger, Sandra N AU - Freiberger SN AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. FAU - Neu, Johannes AU - Neu J AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. FAU - Djerbi, Nadia AU - Djerbi N AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. FAU - Iotzowa-Weiss, Guergana AU - Iotzowa-Weiss G AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. FAU - French, Lars E AU - French LE AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. FAU - Dotto, Gian-Paolo AU - Dotto GP AD - Department of Biochemistry, University of Lausanne, Epalinges, Switzerland; Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard University, Charlestown, Massachusetts, USA. FAU - Hofbauer, Gunther F L AU - Hofbauer GFL AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland. LA - eng PT - Journal Article DEP - 20140207 PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (ATF3 protein, human) RN - 0 (Activating Transcription Factor 3) RN - 0 (Immunosuppressive Agents) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Reactive Oxygen Species) RN - 83HN0GTJ6D (Cyclosporine) SB - IM CIN - J Dtsch Dermatol Ges. 2014 Sep;12(9):833. PMID: 25176466 MH - Activating Transcription Factor 3/*genetics MH - Carcinoma, Squamous Cell/etiology/*genetics/pathology MH - Cyclosporine/*pharmacology MH - Humans MH - Immunosuppressive Agents/pharmacology MH - Keratinocytes/cytology/physiology/radiation effects MH - NF-E2-Related Factor 2/metabolism MH - Neoplasms, Radiation-Induced/*genetics/pathology MH - Organ Culture Techniques MH - Organ Transplantation/adverse effects MH - Primary Cell Culture MH - Reactive Oxygen Species/metabolism MH - Skin/pathology/radiation effects MH - Skin Neoplasms/etiology/*genetics/pathology MH - Tumor Cells, Cultured MH - Ultraviolet Rays/*adverse effects EDAT- 2014/02/11 06:00 MHDA- 2014/08/20 06:00 CRDT- 2014/02/11 06:00 PHST- 2013/10/11 00:00 [received] PHST- 2013/12/23 00:00 [revised] PHST- 2014/01/21 00:00 [accepted] PHST- 2014/02/11 06:00 [entrez] PHST- 2014/02/11 06:00 [pubmed] PHST- 2014/08/20 06:00 [medline] AID - S0022-202X(15)36904-9 [pii] AID - 10.1038/jid.2014.77 [doi] PST - ppublish SO - J Invest Dermatol. 2014 Jul;134(7):1998-2004. doi: 10.1038/jid.2014.77. Epub 2014 Feb 7.