[紫外线辐射对免疫系统的影响以及外源性光化学保护剂对紫外线辐射诱导的免疫抑制的影响]
[Effect of ultraviolet radiation on the immune system and the effect of exogenous photochemoprotecive agents on the ultraviolet radiation induced immunosuppression].
作者信息
Malina L
机构信息
Katedra dermatogie IPVZ, Praha.
出版信息
Cas Lek Cesk. 2002 Jun 7;141(11):338-42.
Ultraviolet radiation (UVR) of the UVB- and UVA-region suppresses immunity and in the dose relation manner it induces cutaneous or systemic state of immunotolerance. It was proved by the successful experimental transplantation of a tumor graft to the skin of UV-radiated animals and on the other side by unsuccessful attempts at skin contact-sensitization. UVR induces this condition either by direct inhibition of antigen-presentating function of the Langerhans cells, or indirectly by the stimulation of secretion of immunomodulatory cytokines in keratinocytes. UVR inhibits also functions of the natural killer cells in apoptotic and lytic cell-processes. It directly correlates with carcinogeneity in conditions of the dysbalance in developing expression of the tumor-suppressive gene p53, mutated by the irradiation and that of bcl-2 gene preventing apoptotic changes in somatic cells. Moreover, the immunosuppression is enhanced by the isomerization of urocanic acid and by the development of damaged DNA-photoproducts. Also various neuropeptides, namely propiomelanocortin, have their partial role in immunomodulation. Local photoprotective substances prevent UVR-penetration into the skin and thus block the immunosuppressive effects in relation to their chemical composition and to the SPF (solar photoprotective factor) value. Their effect depends on the width of the UVR-region blocked, which should include both the UVB and UVA band, and also on the concentration, chemical stability and on the method of their application.
UVB和UVA区域的紫外线辐射(UVR)会抑制免疫,并且以剂量相关的方式诱导皮肤或全身的免疫耐受状态。这一点已通过将肿瘤移植物成功实验性移植到接受紫外线辐射的动物皮肤上得到证明,另一方面也通过皮肤接触致敏的不成功尝试得到证明。UVR通过直接抑制朗格汉斯细胞的抗原呈递功能,或间接通过刺激角质形成细胞分泌免疫调节细胞因子来诱导这种状态。UVR还抑制自然杀伤细胞在凋亡和裂解细胞过程中的功能。在肿瘤抑制基因p53(因辐射而发生突变)和防止体细胞凋亡变化的bcl-2基因的发育表达失衡的情况下,它与致癌性直接相关。此外,尿刊酸的异构化和受损DNA光产物的形成会增强免疫抑制作用。各种神经肽,即促黑素细胞皮质素,在免疫调节中也有部分作用。局部光保护物质可防止UVR穿透皮肤,从而根据其化学成分和防晒系数(SPF)值阻断免疫抑制作用。它们的效果取决于所阻断的UVR区域的宽度,该区域应同时包括UVB和UVA波段,还取决于其浓度、化学稳定性及其应用方法。