Sunscreens partially filter UVB and, therefore, could partially prevent
skin cancer; however, efficient approaches are desired to effectively prevent photocarcinogenesis. It is hypothesized that nontoxic pharmacologically active natural compounds can increase photoprotective effects. Our completed studies suggest that
silibinin, a bioactive
phytochemical, strongly prevents photocarcinogenesis; however, its mechanism is not fully understood. Herein, for the first time, we used a clinically relevant UVB dose (30 mJ/cm(2)/day) to examine the photoprotective effect and associated mechanisms of
silibinin in SKH1 hairless mice. Topical or dietary
silibinin treatment caused a strong protection against photocarcinogenesis in terms of delay in
tumor appearance, multiplicity, and volume. Analyses of normal skin, uninvolved skin from
tumor-bearing mice, and skin
tumors showed a statistically significant decrease (P < 0.05-0.001) in
inducible nitric oxide synthase (iNOS) and
cyclooxygenase 2 (COX-2) levels by
silibinin. Concomitantly, phospho-signal transducers and activators of transcription 3 (Tyr(705)) and phospho-p65(Ser(536)) were also decreased by
silibinin, which are potential up-stream regulators of iNOS and COX-2. Simultaneously,
silibinin also decreased UVB-caused increase in cell proliferation and microvessel density. In
tumors,
hypoxia-inducible factor 1alpha (HIF-1alpha) and
vascular endothelial growth factor protein levels were decreased by
silibinin. Further analysis showed that
silibinin inhibited UVB-caused phosphorylation and nuclear translocation of STAT3 and p65, as well as
nuclear factor kappaB (
NF-kappaB)
DNA binding activity. Together, these results suggest that
silibinin causes a strong protective effect against photocarcinogenesis via down-regulation of inflammatory and angiogenic responses, involving HIF-1alpha, STAT3, and
NF-kappaB transcription factors, as well as COX2 and iNOS.