Abstract

In numerous publications Roffo (1) has advanced the conception that actinic or sun cancer is caused by some interaction between the ultraviolet solar rays and the cholesterol present in the skin. The principal points of this hypothesis may be summarized as follows: (1) Cholesterol is a heliotropic substance which migrates to those parts of the skin which are subjected to light. (2) Cholesterol is an “accumulator of actinic energy.” “Under the influence of ultraviolet light and the oxidation which accompanies it, the sterol loses its characteristic chemical reactions and acquires new properties as ionization, fluorescence, luminescence, radiation, and photoactivity.” (3) Cholesterol is photo-oxidized by ultraviolet light in the presence of air. It loses the side chain, undergoes “esterification of the tetracyclic ring system,” and is finally dehydrated to a carcinogen resembling derivatives of the phenanthrene series. The assumption that the action of light is an indirect one, involving changes in some of the constituents of the skin, is an interesting one and may be accepted as the basis of a working hypothesis. Roffo9s theory in regard to the role played by cholesterol in the formation of sun cancer, however, has up to the present time not been substantiated by conclusive physical or chemical evidence.

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