Sondenheimer Kevin, Krutmann Jean
IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany.
Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
Front Med (Lausanne). 2018 May 29;5:162. doi: 10.3389/fmed.2018.00162. eCollection 2018.
Due to changes in human lifestyle (expanded sunbathing, the use of solaria, etc.) and, most importantly, increasing lifetime and thus higher cumulative exposure to solar radiation, skin aging and skin cancer have become major health issues. As a consequence effective photoprotection is of outmost importance to humans. In this regard a lot has been learned in the past about the cellular and molecular basis underlying ultraviolet (UV) radiation-induced skin damage and, based on this knowledge, numerous skin protective approaches including organic and inorganic UV-filters, but also topically applicable antioxidants, DNA repair enzymes and compatible solutes as well as oral photoprotective strategies based on nutritional supplements have been developed. A new aspect is here that sun protection of human skin might even be possible after solar radiation-induced skin damage has occurred. A second, very important development was prompted by the discovery that also wavelengths beyond the UV spectrum can damage human skin. These include the blue light region of visible light (VIS) as well as the near infrared range (IRA) and corresponding sunprotection strategies have thus recently been or are still being developed. In this article we will provide a state of the art summary of these two novel developments and, at the end, we will also critically discuss strengths and weaknesses of the current attempts, which mainly focus on the prevention of skin damage by selected wavelengths but greatly ignore the possibility that wavelengths might interfere with each other. Such combined effects, however, need to be taken into account if photoprotection of human skin is intended to be global in nature.
由于人类生活方式的改变(如日光浴增多、使用日光浴室等),以及最重要的是寿命延长,从而导致对太阳辐射的累积暴露增加,皮肤老化和皮肤癌已成为主要的健康问题。因此,有效的光防护对人类至关重要。在这方面,过去已经对紫外线(UV)辐射引起的皮肤损伤的细胞和分子基础有了很多了解,基于这些知识,已经开发了许多皮肤保护方法,包括有机和无机紫外线过滤器,以及局部适用的抗氧化剂、DNA修复酶和相容性溶质,还有基于营养补充剂的口服光防护策略。这里有一个新的方面,即即使在太阳辐射引起皮肤损伤之后,对人类皮肤进行防晒甚至也是可能的。第二个非常重要的进展是由于发现紫外线光谱以外的波长也会损害人类皮肤而引发的。这些包括可见光(VIS)的蓝光区域以及近红外范围(IRA),因此最近已经或仍在开发相应的防晒策略。在本文中,我们将对这两个新进展进行最新综述,最后,我们还将批判性地讨论当前尝试的优点和缺点,这些尝试主要侧重于预防特定波长的皮肤损伤,但极大地忽略了波长可能相互干扰的可能性。然而,如果要对人类皮肤进行全面的光防护,就需要考虑这种综合效应。