Doctor of Philosophy, The Ohio State University, 2013, Integrated Biomedical Science Graduate Program
Epidermal keratinocytes, the predominant cell type in the epidermis, play a crucial role in two processes in the skin: skin carcinogenesis and cutaneous wound healing. Non-melanoma skin cancer (NMSC) is the most prevalent type of cancer, with 3.5 million cases diagnosed each year in the US. These cancers, including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are primarily caused by exposure to ultraviolet (UV) light from the sun. Wound healing is a key process in many aspects of medicine. In addition to injury and trauma, millions of surgeries are performed each year. Chronic wounds, which do not heal properly, can lead to hospitalizations, amputations, death and affect 6.5 million patients every year at an estimated cost of $12 billion dollars. Therefore, it is critical to understand how keratinocytes function in both of these processes.
Angiogenesis, the growth and expansion of new blood vessels, occurs during both NMSC and wound healing. Vascular endothelial growth factor (VEGF) promotes angiogenesis by causing the proliferation, migration and survival of vascular endothelial cells. VEGF is produced by the skin in response to UV and promotes NMSC indirectly through the induction of angiogenesis. Additionally, wounds contain high levels of VEGF. VEGF receptor 1 (VEGFR-1) has now been identified on epidermal keratinocytes, suggesting that VEGF can affect keratinocytes directly. Therefore, we hypothesize that VEGF may influence wound healing and skin carcinogenesis by directly affecting keratinocytes via VEGFR-1. To test this, a unique conditional knockout mouse with VEGFR-1-deficient keratinocytes (cKO) was developed and was utilized in acute and chronic UV-induced skin carcinogenesis studies as well as wound healing studies.
Immunohistochemical analysis of human and murine NMSC samples revealed that VEGFR-1 is highly expressed in skin tumors. Furthermore, in vitro studies indicated that keratinocyte VEGF and VEGFR-1 expression is regulated (open full item for complete abstract)
Committee: Traci Wilgus PhD (Advisor); Tatiana Oberyszyn PhD (Committee Member); Gregory Lesinski PhD (Committee Member); Amanda Toland PhD (Committee Member)
Subjects: Biomedical Research