The oncoproteins E6 and E7 of human papillomavirus type 38 (HPV38) display several transforming activities in vitro, including immortalization of primary human keratinocytes. To evaluate the oncogenic activities of the viral proteins in an in vivo model, we generated transgenic mice expressing HPV38 E6 and E7 under the control of the bovine homologue of the human keratin 10 (K10) promoter. Two distinct lines of HPV38 E6/E7-expressing transgenic mice that express the viral genes at different levels were obtained. In both lines, HPV38 E6 and E7 induced cellular proliferation, hyperplasia, and dysplasia in the epidermis. The rate of occurrence of these events was proportional to the levels of HPV38 E6 and E7 expression in the two transgenic lines. Exposure of the epidermis of nontransgenic mice to UV led to p21 WAF1 accumulation and cell cycle arrest. In contrast, keratinocytes from transgenic mice continued to proliferate and were not positive for p21
WAF1, indicating that cell cycle checkpoints are altered in keratinocytes expressing the viral genes. Although the HPV38 E6/E7-expressing transgenic mice did not develop spontaneous tumors during their life span, two-stage carcinogen treatment led to a high incidence of papillomas, keratoacanthomas, and squamous-cell carcinomas in HPV38 mice compared with nontransgenic animals. Together, these data show that HPV38 E6 and E7 display transforming properties in vivo, providing further support for the role of HPV38 in carcinogenesis.Nonmelanoma skin cancers (NMSC), basal-cell carcinoma (BCC), and squamous-cell carcinoma (SCC) are the most common malignancies occurring worldwide. Several findings from experimental systems in vitro and in vivo have shown that UV plays a direct role in skin carcinogenesis (3). In addition, a subgroup of the epitheliotropic human papillomaviruses may cooperate with UV in the development of NMSC (28). Individuals with an autosomal recessive disorder termed epidermodysplasia verruciformis (EV) are susceptible to infection by specific HPV types that belong to the genotype beta branch of the HPV phylogenetic tree (7). Individuals with EV develop confluent flat warts that, in approximately 30% of cases, progress to SCC on sun-exposed areas (11,14,20,27). The involvement of an infective agent in skin carcinogenesis is supported by the fact that immunosuppressed organ transplant recipients have a 50-to 100-fold higher risk of developing NMSC than the general population (4, 16, 32, 33). In addition, independent studies have reported that DNA of cutaneous HPV types can be detected in SCC and BCC of immunocompetent individuals, suggesting their role in skin carcinogenesis in the general population (28). The potential carcinogenic role of the EV HPV types is consistent with the fact that other members of the papillomavirus family, i.e., the mucosal high-risk types, are associated with anogenital cancers (36) and a subset of head and neck cancers (17).The products of two early genes, E6 and E7, are the major oncoproteins of the high-risk mucosal HPV typ...