“…Additional evidence for reduced RA in cSCC is the reduction of RA target genes LRAT, DHRS9, DHRS3, CRABP2, and CYP26A1 [50,64,65,[85][86][87][88][89][90][91]. This reduced RA could lead to less differentiation, more proliferation, and ultimately more severe cSCC, as was seen in the Crabp2 tm1Ipc null and Cyp26a1 overexpressing mice [111,115]. Understanding how retinoid metabolism is altered in cSCC allows one to target therapies to increase endogenous RA and/or ddRA synthesis.…”