1977
DOI: 10.1093/oxfordjournals.aje.a112400
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Mathematical Models of Age and Ultraviolet Effects on the Incidence of Skin Cancer Among Whites in the United States

Abstract: That sunlight leads to skin cancer has been generally accepted for nearly a century. Physical data are, for the first time, available which support this hypothesis. The authors have found that a simple power relationship can be used to describe the data and that the form of this power function suggests that the risk of nonmelanoma skin cancer is related to cumulative lifetime ultraviolet (UV) exposure and that the risk of melanoma skin cancer is related to annual UV exposure. The authors emphasize that skin ca… Show more

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Cited by 212 publications
(91 citation statements)
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“…4A). This time-dose effect is consistent with the observation that cancer incidence rates depend more strongly on age than on cumulative radiation dosage (28). Stochastic cell behavior has important implications for the acquisition of the additional oncogenic mutations.…”
Section: Discussionsupporting
confidence: 87%
See 1 more Smart Citation
“…4A). This time-dose effect is consistent with the observation that cancer incidence rates depend more strongly on age than on cumulative radiation dosage (28). Stochastic cell behavior has important implications for the acquisition of the additional oncogenic mutations.…”
Section: Discussionsupporting
confidence: 87%
“…Once formed the pool of preneoplastic cells is self-maintaining, until further UVB exposure occurs, when exponential growth resumes. Such behavior may be a key contributor to the observed supralinear increase in the incidence of nonmelanoma skin cancer with age in humans (28). These results suggest that individuals with the highest lifetime dose of UVB have the most to gain from avoiding further sun exposure: a summer of sun or a week in a suntan parlor has a far greater effect on skin that already contains a significant population of p53 mutant cells.…”
Section: Discussionmentioning
confidence: 89%
“…Simple observation (even in humans) suggests that this number increases with age and environmental stress factors (e.g., solar irradiation can be invoked as causative agents [7,8,14,23]). Variability in the underlying genetic mechanisms responsible for the spots is likely, at least in different races, as well as in susceptibility to environmental stress factors.…”
Section: Discussionmentioning
confidence: 99%
“…These findings imply that most of the TP53 mutant cells in human epidermis arise by UV-driven proliferation of pre-existing mutant cells rather than new mutations. The mutant cell population will self-maintain over the winter, when there is little UV exposure, and expand during the summer, perhaps explaining the supralinear relationship between non-melanoma skin cancer incidence and life time UV dose, as cancer risk is dependent on the proportion of TP53 mutant cells [43,44]. Use of sunblock should thus be lifelong, as the proportionate reduction in risk will increase with age [41].…”
Section: However In Mouse Intestine Krasmentioning
confidence: 99%