2011
DOI: 10.1007/s00403-011-1165-5
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Why vitiligo is associated with fewer risk of skin cancer? Providing a molecular mechanism

Abstract: Vitiligo is an acquired clinical conundrum, characterized by white areas on the skin due to loss of functional melanocytes. Various studies demonstrated that vitiligo is associated with fewer risk of skin cancer but no exact molecular explanation for this interesting observation has been described. This article reviews the exist documents and provides a molecular mechanism for this negative association.

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Cited by 21 publications
(22 citation statements)
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“…Moreover, it has recently been suggested that increased levels of glutathione peroxidase and superoxide dismutase, the important roles of interleukin 1 and tumor necrosis factor-alfa in superoxide dismutase induction, and decreased levels of transforming growth factor-b and interleukin 10 seen in vitiligo may explain the negative association between vitiligo and skin cancer. 23 In our study patients with vitiligo treated with phototherapy had a markedly higher risk of both melanoma and NMSC compared with those who had not received it (6.0& vs 0.8& and 14.1& vs 3.2&, respectively). The photoaging effect of PUVA and narrowband UVB is generally thought to increase the risk of skin cancer.…”
Section: Discussionmentioning
confidence: 88%
“…Moreover, it has recently been suggested that increased levels of glutathione peroxidase and superoxide dismutase, the important roles of interleukin 1 and tumor necrosis factor-alfa in superoxide dismutase induction, and decreased levels of transforming growth factor-b and interleukin 10 seen in vitiligo may explain the negative association between vitiligo and skin cancer. 23 In our study patients with vitiligo treated with phototherapy had a markedly higher risk of both melanoma and NMSC compared with those who had not received it (6.0& vs 0.8& and 14.1& vs 3.2&, respectively). The photoaging effect of PUVA and narrowband UVB is generally thought to increase the risk of skin cancer.…”
Section: Discussionmentioning
confidence: 88%
“…The acquisition of senescence-associated secretory phenotypes, combing the effect of intracellular signaling pathway deregulation with extracellular environments perturbation, could affect the behavior of neighboring cells and also systemic homeostasis since melanocytes could release into circulation melanocyte signaling molecules and neurotransmitter-like factors [56]. The senescent-prone phenotype could also provide a molecular explanation to the observation that vitiligo is associated with fewer risks of skin cancer [57][58] since premalignant human nevi contain cells that express senescence markers [59].…”
Section: Discussionmentioning
confidence: 99%
“…[29] The vitiligo pathogenesis is linked to cellular immunity. MIF is a powerful activator of macrophages and possesses a pivotal role in cell-mediated immunity.…”
Section: Resultsmentioning
confidence: 99%