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Pyrimidine dimer

Pyrimidine dimers represent molecular lesions originating from thymine or cytosine bases within DNA, resulting from photochemical reactions.[1][2] These lesions, commonly linked to direct DNA damage,[3] are induced by ultraviolet light (UV), particularly UVC, result in the formation of covalent bonds between adjacent nitrogenous bases along the nucleotide chain near their carbon–carbon double bonds,[4] the photo-coupled dimers are fluorescent.[5] Such dimerization, which can also occur in double-stranded RNA (dsRNA) involving uracil or cytosine, leads to the creation of cyclobutane pyrimidine dimers (CPDs) and 6–4 photoproducts. These pre-mutagenic lesions modify the DNA helix structure, resulting in abnormal non-canonical base pairing and, consequently, adjacent thymines or cytosines in DNA will form a cyclobutane ring when joined together and cause a distortion in the DNA. This distortion prevents DNA replication and transcription mechanisms beyond the dimerization site.[6]

Formation of thymine dimer lesion in DNA. The photon causes two consecutive bases on one strand to bind together, destroying the normal base-pairing double-strand structure in that area.

While up to 100 such reactions per second may transpire in a skin cell exposed to sunlight resulting in DNA damage, they are typically rectified promptly through DNA repair, such as through photolyase reactivation or nucleotide excision repair, with the latter being prevalent in humans. Conversely, certain bacteria utilize photolyase, powered by sunlight, to repair pyrimidine dimer-induced DNA damage. Unrepaired lesions may lead to erroneous nucleotide incorporation by polymerase machinery. Overwhelming DNA damage can precipitate mutations within an organism's genome, potentially culminating in cancer cell formation.[7] Unrectified lesions may also interfere with polymerase function, induce transcription or replication errors, or halt replication. Notably, pyrimidine dimers contribute to sunburn and melanin production, and are a primary factor in melanoma development in humans.

Types of pyrimidine dimers edit

 
Cyclobutane dimer (CPD) (left), 6,4-dimer (6-4PP) (right)

Pyrimidine dimers encompass several types, each with distinct structures and implications for DNA integrity.

Cyclobutane pyrimidine dimer (CPD) is a dimer which features a four-membered ring formed by the fusion of two double-bonded carbons from adjacent pyrimidines. CPDs disrupt the formation of the base pair during DNA replication, potentially leading to mutations.[8][9][10]

The 6–4 photoproduct (6–4 pyrimidine–pyrimidone, or 6–4 pyrimidine–pyrimidinone) is an alternate dimer configuration consisting of a single covalent bond linking the carbon at the 6 (C6) position of one pyrimidine ring and carbon at the 4 (C4) position of the adjoining base’s ring.[11] This type of conversion occurs at one third the frequency of CPDs and has a higher mutagenic risk.[12]

A third type of molecular lesion is a Dewar pyrimidinone, resulting from the reversible isomerization of a 6–4 photoproduct under further light exposure.[13]

Mutagenesis edit

Mutagenesis, the process of mutation formation, is significantly influenced by translesion polymerases which often introduce mutations at sites of pyrimidine dimers. This occurrence is noted both in prokaryotes, through the SOS response to mutagenesis, and in eukaryotes. Despite thymine-thymine CPDs being the most common lesions induced by UV, translesion polymerases show a tendency to incorporate adenines, resulting in the accurate replication of thymine dimers more often than not. Conversely, cytosines that are part of CPDs are susceptible to deamination, leading to a cytosine to thymine transition, thereby contributing to the mutation process.[14]

DNA repair edit

 
Melanoma, a type of skin cancer

Pyrimidine dimers introduce local conformational changes in the DNA structure, which allow recognition of the lesion by repair enzymes.[15] In most organisms (excluding placental mammals such as humans) they can be repaired by photoreactivation.[16] Photoreactivation is a repair process in which photolyase enzymes reverse CPDs using photochemical reactions. In addition, some photolyases can also repair 6-4 photoproducts of UV induced DNA damage. Photolyase enzymes utilize flavin adenine dinucleotide (FAD) as a cofactor in the repair process.[17]

The UV dose that reduces a population of wild-type yeast cells to 37% survival is equivalent (assuming a Poisson distribution of hits) to the UV dose that causes an average of one lethal hit to each of the cells of the population.[18] The number of pyrimidine dimers induced per haploid genome at this dose was measured as 27,000.[18] A mutant yeast strain defective in the three pathways by which pyrimidine dimers were known to be repaired in yeast was also tested for UV sensitivity. It was found in this case that only one or, at most, two unrepaired pyrimidine dimers per haploid genome are lethal to the cell.[18] These findings thus indicate that the repair of thymine dimers in wild-type yeast is highly efficient.

Nucleotide excision repair, sometimes termed "dark reactivation", is a more general mechanism for repair of lesions and is the most common form of DNA repair for pyrimidine dimers in humans. This process works by using cellular machinery to locate the dimerized nucleotides and excise the lesion. Once the CPD is removed, there is a gap in the DNA strand that must be filled. DNA machinery uses the undamaged complementary strand to synthesize nucleotides off of and consequently fill in the gap on the previously damaged strand.[6]

Xeroderma pigmentosum (XP) is a rare genetic disease in humans in which genes that encode for NER proteins are mutated and result in decreased ability to combat pyrimidine dimers that form as a result of UV damage. Individuals with XP are also at a much higher risk of cancer than others, with a greater than 5,000 fold increased risk of developing skin cancers.[7] Some common features and symptoms of XP include skin discoloration, and the formation of multiple tumors proceeding UV exposure.

A few organisms have other ways to perform repairs:

Another type of repair mechanism that is conserved in humans and other non-mammals is translesion synthesis. Typically, the lesion associated with the pyrimidine dimer blocks cellular machinery from synthesizing past the damaged site. However, in translesion synthesis, the CPD is bypassed by translesion polymerases, and replication and or transcription machinery can continue past the lesion. One specific translesion DNA polymerase, DNA polymerase η, is deficient in individuals with XPD.[20]

Effect of topical sunscreen and effect of absorbed sunscreen edit

Direct DNA damage is reduced by sunscreen, which also reduces the risk of developing a sunburn. When the sunscreen is at the surface of the skin, it filters the UV rays, which attenuates the intensity. Even when the sunscreen molecules have penetrated into the skin, they protect against direct DNA damage, because the UV light is absorbed by the sunscreen and not by the DNA.[21] Sunscreen primarily works by absorbing the UV light from the sun through the use of organic compounds, such as oxybenzone or avobenzone. These compounds are able to absorb UV energy from the sun and transition into higher-energy states. Eventually, these molecules return to lower energy states, and in doing so, the initial energy from the UV light can be transformed into heat. This process of absorption works to reduce the risk of DNA damage and the formation of pyrimidine dimers. UVA light makes up 95% of the UV light that reaches earth, whereas UVB light makes up only about 5%. UVB light is the form of UV light that is responsible for tanning and burning. Sunscreens work to protect from both UVA and UVB rays. Overall, sunburns exemplify DNA damage caused by UV rays, and this damage can come in the form of free radical species, as well as dimerization of adjacent nucleotides.[22]

See also edit

References edit

  1. ^ Goodsell DS (2001). "The molecular perspective: ultraviolet light and pyrimidine dimers". The Oncologist. 6 (3): 298–299. doi:10.1634/theoncologist.6-3-298. PMID 11423677. S2CID 36511461.
  2. ^ Friedberg EC, Walker GC, Siede W, Wood RD, Schultz RA, Ellenberger T, eds. (2006). DNA repair and mutagenesis. Washington: ASM Press. p. 1118. ISBN 978-1-55581-319-2.
  3. ^ Peak MJ, Peak JG (October 1991). Effects of Solar Ultraviolet Photons on Mammalian Cell DNA (PDF). Proceedings of the Symposium. Atlanta, Georgia, USA.
  4. ^ Whitmore SE, Potten CS, Chadwick CA, Strickland PT, Morison WL (October 2001). "Effect of photoreactivating light on UV radiation-induced alterations in human skin". Photodermatology, Photoimmunology & Photomedicine. 17 (5): 213–217. doi:10.1111/j.1600-0781.2001.170502.x. PMID 11555330. S2CID 11529493.
  5. ^ Carroll GT, Dowling RC, Kirschman DL, Masthay MB, Mammana A (2023). "Intrinsic fluorescence of UV-irradiated DNA". Journal of Photochemistry and Photobiology A. 437: 114484. doi:10.1016/j.jphotochem.2022.114484. S2CID 254622477.
  6. ^ a b Cooper GM (2000). "DNA Repair". The Cell: A Molecular Approach (2nd ed.). Sinauer Associates.
  7. ^ a b Kemp MG, Sancar A (August 2012). "DNA excision repair: where do all the dimers go?". Cell Cycle. 11 (16): 2997–3002. doi:10.4161/cc.21126. PMC 3442910. PMID 22825251.
  8. ^ Setlow RB (July 1966). "Cyclobutane-type pyrimidine dimers in polynucleotides". Science. 153 (3734): 379–386. Bibcode:1966Sci...153..379S. doi:10.1126/science.153.3734.379. PMID 5328566. S2CID 11210761.
  9. ^ (PDF). Expert reviews in molecular medicine. Cambridge University Press. 2 December 2002. Archived from the original (PDF) on 21 March 2005.
  10. ^ Mathews C, Van Holde KE (1990). Biochemistry (2nd ed.). Benjamin Cummings Publication. p. 1168. ISBN 978-0-8053-5015-9.
  11. ^ Rycyna RE, Alderfer JL (August 1985). "UV irradiation of nucleic acids: formation, purification and solution conformational analysis of the '6-4 lesion' of dTpdT". Nucleic Acids Research. 13 (16): 5949–5963. doi:10.1093/nar/13.16.5949. PMC 321925. PMID 4034399.
  12. ^ Van Holde KE, Mathews CK (1990). Biochemistry. Menlo Park, Calif: Benjamin/Cummings Pub. Co. ISBN 978-0-8053-5015-9.[pages needed]
  13. ^ Taylor JS, Cohrs M (1987). "DNA, light and Dewar pyrimidinones: the structure and significance of TpT3". J. Am. Chem. Soc. 109 (9): 2834–2835. doi:10.1021/ja00243a052.
  14. ^ Choi JH, Besaratinia A, Lee DH, Lee CS, Pfeifer GP (July 2006). "The role of DNA polymerase iota in UV mutational spectra". Mutation Research. 599 (1–2): 58–65. doi:10.1016/j.mrfmmm.2006.01.003. PMID 16472831.
  15. ^ Kemmink J, Boelens R, Koning TM, Kaptein R, van der Marel GA, van Boom JH (January 1987). "Conformational changes in the oligonucleotide duplex d(GCGTTGCG) x d(CGCAACGC) induced by formation of a cis-syn thymine dimer. A two-dimensional NMR study". European Journal of Biochemistry. 162 (1): 37–43. doi:10.1111/j.1432-1033.1987.tb10538.x. PMID 3028790.
  16. ^ Essen LO, Klar T (June 2006). "Light-driven DNA repair by photolyases". Cellular and Molecular Life Sciences. 63 (11): 1266–1277. doi:10.1007/s00018-005-5447-y. PMID 16699813. S2CID 5897571.
  17. ^ Friedberg EC (January 2003). "DNA damage and repair". Nature. 421 (6921): 436–440. Bibcode:2003Natur.421..436F. doi:10.1038/nature01408. PMID 12540918.
  18. ^ a b c Cox B, Game J (August 1974). "Repair systems in Saccharomyces". Mutation Research. 26 (4): 257–64. doi:10.1016/s0027-5107(74)80023-0. PMID 4605044.
  19. ^ Buis JM, Cheek J, Kalliri E, Broderick JB (September 2006). "Characterization of an active spore photoproduct lyase, a DNA repair enzyme in the radical S-adenosylmethionine superfamily". The Journal of Biological Chemistry. 281 (36): 25994–26003. doi:10.1074/jbc.M603931200. PMID 16829680.
  20. ^ Takasawa K, Masutani C, Hanaoka F, Iwai S (2004-03-08). "Chemical synthesis and translesion replication of a cis-syn cyclobutane thymine-uracil dimer". Nucleic Acids Research. 32 (5): 1738–1745. doi:10.1093/nar/gkh342. PMC 390339. PMID 15020710.
  21. ^ Gulston M, Knowland J (July 1999). "Illumination of human keratinocytes in the presence of the sunscreen ingredient Padimate-O and through an SPF-15 sunscreen reduces direct photodamage to DNA but increases strand breaks". Mutation Research. 444 (1): 49–60. doi:10.1016/s1383-5718(99)00091-1. PMID 10477339.
  22. ^ Sander M, Sander M, Burbidge T, Beecker J (December 2020). "The efficacy and safety of sunscreen use for the prevention of skin cancer". CMAJ. 192 (50): E1802–E1808. doi:10.1503/cmaj.201085. PMC 7759112. PMID 33318091.

pyrimidine, dimer, represent, molecular, lesions, originating, from, thymine, cytosine, bases, within, resulting, from, photochemical, reactions, these, lesions, commonly, linked, direct, damage, induced, ultraviolet, light, particularly, result, formation, co. Pyrimidine dimers represent molecular lesions originating from thymine or cytosine bases within DNA resulting from photochemical reactions 1 2 These lesions commonly linked to direct DNA damage 3 are induced by ultraviolet light UV particularly UVC result in the formation of covalent bonds between adjacent nitrogenous bases along the nucleotide chain near their carbon carbon double bonds 4 the photo coupled dimers are fluorescent 5 Such dimerization which can also occur in double stranded RNA dsRNA involving uracil or cytosine leads to the creation of cyclobutane pyrimidine dimers CPDs and 6 4 photoproducts These pre mutagenic lesions modify the DNA helix structure resulting in abnormal non canonical base pairing and consequently adjacent thymines or cytosines in DNA will form a cyclobutane ring when joined together and cause a distortion in the DNA This distortion prevents DNA replication and transcription mechanisms beyond the dimerization site 6 Formation of thymine dimer lesion in DNA The photon causes two consecutive bases on one strand to bind together destroying the normal base pairing double strand structure in that area While up to 100 such reactions per second may transpire in a skin cell exposed to sunlight resulting in DNA damage they are typically rectified promptly through DNA repair such as through photolyase reactivation or nucleotide excision repair with the latter being prevalent in humans Conversely certain bacteria utilize photolyase powered by sunlight to repair pyrimidine dimer induced DNA damage Unrepaired lesions may lead to erroneous nucleotide incorporation by polymerase machinery Overwhelming DNA damage can precipitate mutations within an organism s genome potentially culminating in cancer cell formation 7 Unrectified lesions may also interfere with polymerase function induce transcription or replication errors or halt replication Notably pyrimidine dimers contribute to sunburn and melanin production and are a primary factor in melanoma development in humans Contents 1 Types of pyrimidine dimers 2 Mutagenesis 3 DNA repair 4 Effect of topical sunscreen and effect of absorbed sunscreen 5 See also 6 ReferencesTypes of pyrimidine dimers edit nbsp Cyclobutane dimer CPD left 6 4 dimer 6 4PP right Pyrimidine dimers encompass several types each with distinct structures and implications for DNA integrity Cyclobutane pyrimidine dimer CPD is a dimer which features a four membered ring formed by the fusion of two double bonded carbons from adjacent pyrimidines CPDs disrupt the formation of the base pair during DNA replication potentially leading to mutations 8 9 10 The 6 4 photoproduct 6 4 pyrimidine pyrimidone or 6 4 pyrimidine pyrimidinone is an alternate dimer configuration consisting of a single covalent bond linking the carbon at the 6 C6 position of one pyrimidine ring and carbon at the 4 C4 position of the adjoining base s ring 11 This type of conversion occurs at one third the frequency of CPDs and has a higher mutagenic risk 12 A third type of molecular lesion is a Dewar pyrimidinone resulting from the reversible isomerization of a 6 4 photoproduct under further light exposure 13 Mutagenesis editMain article Mutagenesis Mutagenesis the process of mutation formation is significantly influenced by translesion polymerases which often introduce mutations at sites of pyrimidine dimers This occurrence is noted both in prokaryotes through the SOS response to mutagenesis and in eukaryotes Despite thymine thymine CPDs being the most common lesions induced by UV translesion polymerases show a tendency to incorporate adenines resulting in the accurate replication of thymine dimers more often than not Conversely cytosines that are part of CPDs are susceptible to deamination leading to a cytosine to thymine transition thereby contributing to the mutation process 14 DNA repair editFurther information DNA repair and ultraviolet light and cancer nbsp Melanoma a type of skin cancer Pyrimidine dimers introduce local conformational changes in the DNA structure which allow recognition of the lesion by repair enzymes 15 In most organisms excluding placental mammals such as humans they can be repaired by photoreactivation 16 Photoreactivation is a repair process in which photolyase enzymes reverse CPDs using photochemical reactions In addition some photolyases can also repair 6 4 photoproducts of UV induced DNA damage Photolyase enzymes utilize flavin adenine dinucleotide FAD as a cofactor in the repair process 17 The UV dose that reduces a population of wild type yeast cells to 37 survival is equivalent assuming a Poisson distribution of hits to the UV dose that causes an average of one lethal hit to each of the cells of the population 18 The number of pyrimidine dimers induced per haploid genome at this dose was measured as 27 000 18 A mutant yeast strain defective in the three pathways by which pyrimidine dimers were known to be repaired in yeast was also tested for UV sensitivity It was found in this case that only one or at most two unrepaired pyrimidine dimers per haploid genome are lethal to the cell 18 These findings thus indicate that the repair of thymine dimers in wild type yeast is highly efficient Nucleotide excision repair sometimes termed dark reactivation is a more general mechanism for repair of lesions and is the most common form of DNA repair for pyrimidine dimers in humans This process works by using cellular machinery to locate the dimerized nucleotides and excise the lesion Once the CPD is removed there is a gap in the DNA strand that must be filled DNA machinery uses the undamaged complementary strand to synthesize nucleotides off of and consequently fill in the gap on the previously damaged strand 6 Xeroderma pigmentosum XP is a rare genetic disease in humans in which genes that encode for NER proteins are mutated and result in decreased ability to combat pyrimidine dimers that form as a result of UV damage Individuals with XP are also at a much higher risk of cancer than others with a greater than 5 000 fold increased risk of developing skin cancers 7 Some common features and symptoms of XP include skin discoloration and the formation of multiple tumors proceeding UV exposure A few organisms have other ways to perform repairs Spore photoproduct lyase is found in spore forming bacteria It returns thymine dimers to their original state 19 Deoxyribodipyrimidine endonucleosidase is found in bacteriophage T4 It is a base excision repair enzyme specific for pyrimidine dimers It is then able to cut open the AP site Another type of repair mechanism that is conserved in humans and other non mammals is translesion synthesis Typically the lesion associated with the pyrimidine dimer blocks cellular machinery from synthesizing past the damaged site However in translesion synthesis the CPD is bypassed by translesion polymerases and replication and or transcription machinery can continue past the lesion One specific translesion DNA polymerase DNA polymerase h is deficient in individuals with XPD 20 Effect of topical sunscreen and effect of absorbed sunscreen editDirect DNA damage is reduced by sunscreen which also reduces the risk of developing a sunburn When the sunscreen is at the surface of the skin it filters the UV rays which attenuates the intensity Even when the sunscreen molecules have penetrated into the skin they protect against direct DNA damage because the UV light is absorbed by the sunscreen and not by the DNA 21 Sunscreen primarily works by absorbing the UV light from the sun through the use of organic compounds such as oxybenzone or avobenzone These compounds are able to absorb UV energy from the sun and transition into higher energy states Eventually these molecules return to lower energy states and in doing so the initial energy from the UV light can be transformed into heat This process of absorption works to reduce the risk of DNA damage and the formation of pyrimidine dimers UVA light makes up 95 of the UV light that reaches earth whereas UVB light makes up only about 5 UVB light is the form of UV light that is responsible for tanning and burning Sunscreens work to protect from both UVA and UVB rays Overall sunburns exemplify DNA damage caused by UV rays and this damage can come in the form of free radical species as well as dimerization of adjacent nucleotides 22 See also editDNA repairReferences edit Goodsell DS 2001 The molecular perspective ultraviolet light and pyrimidine dimers The Oncologist 6 3 298 299 doi 10 1634 theoncologist 6 3 298 PMID 11423677 S2CID 36511461 Friedberg EC Walker GC Siede W Wood RD Schultz RA Ellenberger T eds 2006 DNA repair and mutagenesis Washington ASM Press p 1118 ISBN 978 1 55581 319 2 Peak MJ Peak JG October 1991 Effects of Solar Ultraviolet Photons on Mammalian Cell DNA PDF Proceedings of the Symposium Atlanta Georgia USA Whitmore SE Potten CS Chadwick CA Strickland PT Morison WL October 2001 Effect of photoreactivating light on UV radiation induced alterations in human skin Photodermatology Photoimmunology amp Photomedicine 17 5 213 217 doi 10 1111 j 1600 0781 2001 170502 x PMID 11555330 S2CID 11529493 Carroll GT Dowling RC Kirschman DL Masthay MB Mammana A 2023 Intrinsic fluorescence of UV irradiated DNA Journal of Photochemistry and Photobiology A 437 114484 doi 10 1016 j jphotochem 2022 114484 S2CID 254622477 a b Cooper GM 2000 DNA Repair The Cell A Molecular Approach 2nd ed Sinauer Associates a b Kemp MG Sancar A August 2012 DNA excision repair where do all the dimers go Cell Cycle 11 16 2997 3002 doi 10 4161 cc 21126 PMC 3442910 PMID 22825251 Setlow RB July 1966 Cyclobutane type pyrimidine dimers in polynucleotides Science 153 3734 379 386 Bibcode 1966Sci 153 379S doi 10 1126 science 153 3734 379 PMID 5328566 S2CID 11210761 Structure of the major UV induced photoproducts in DNA PDF Expert reviews in molecular medicine Cambridge University Press 2 December 2002 Archived from the original PDF on 21 March 2005 Mathews C Van Holde KE 1990 Biochemistry 2nd ed Benjamin Cummings Publication p 1168 ISBN 978 0 8053 5015 9 Rycyna RE Alderfer JL August 1985 UV irradiation of nucleic acids formation purification and solution conformational analysis of the 6 4 lesion of dTpdT Nucleic Acids Research 13 16 5949 5963 doi 10 1093 nar 13 16 5949 PMC 321925 PMID 4034399 Van Holde KE Mathews CK 1990 Biochemistry Menlo Park Calif Benjamin Cummings Pub Co ISBN 978 0 8053 5015 9 pages needed Taylor JS Cohrs M 1987 DNA light and Dewar pyrimidinones the structure and significance of TpT3 J Am Chem Soc 109 9 2834 2835 doi 10 1021 ja00243a052 Choi JH Besaratinia A Lee DH Lee CS Pfeifer GP July 2006 The role of DNA polymerase iota in UV mutational spectra Mutation Research 599 1 2 58 65 doi 10 1016 j mrfmmm 2006 01 003 PMID 16472831 Kemmink J Boelens R Koning TM Kaptein R van der Marel GA van Boom JH January 1987 Conformational changes in the oligonucleotide duplex d GCGTTGCG x d CGCAACGC induced by formation of a cis syn thymine dimer A two dimensional NMR study European Journal of Biochemistry 162 1 37 43 doi 10 1111 j 1432 1033 1987 tb10538 x PMID 3028790 Essen LO Klar T June 2006 Light driven DNA repair by photolyases Cellular and Molecular Life Sciences 63 11 1266 1277 doi 10 1007 s00018 005 5447 y PMID 16699813 S2CID 5897571 Friedberg EC January 2003 DNA damage and repair Nature 421 6921 436 440 Bibcode 2003Natur 421 436F doi 10 1038 nature01408 PMID 12540918 a b c Cox B Game J August 1974 Repair systems in Saccharomyces Mutation Research 26 4 257 64 doi 10 1016 s0027 5107 74 80023 0 PMID 4605044 Buis JM Cheek J Kalliri E Broderick JB September 2006 Characterization of an active spore photoproduct lyase a DNA repair enzyme in the radical S adenosylmethionine superfamily The Journal of Biological Chemistry 281 36 25994 26003 doi 10 1074 jbc M603931200 PMID 16829680 Takasawa K Masutani C Hanaoka F Iwai S 2004 03 08 Chemical synthesis and translesion replication of a cis syn cyclobutane thymine uracil dimer Nucleic Acids Research 32 5 1738 1745 doi 10 1093 nar gkh342 PMC 390339 PMID 15020710 Gulston M Knowland J July 1999 Illumination of human keratinocytes in the presence of the sunscreen ingredient Padimate O and through an SPF 15 sunscreen reduces direct photodamage to DNA but increases strand breaks Mutation Research 444 1 49 60 doi 10 1016 s1383 5718 99 00091 1 PMID 10477339 Sander M Sander M Burbidge T Beecker J December 2020 The efficacy and safety of sunscreen use for the prevention of skin cancer CMAJ 192 50 E1802 E1808 doi 10 1503 cmaj 201085 PMC 7759112 PMID 33318091 Retrieved from https en wikipedia org w index php title Pyrimidine dimer amp oldid 1215492941, wikipedia, wiki, book, books, library,

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