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[光致癌作用——分子机制与实际意义]

[Photocarcinogenesis-molecular mechanisms and practical relevance].

作者信息

Mengoni M, Tüting T, Gaffal E

机构信息

Universitätshautklinik, Universitätsklinikum Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Deutschland.

出版信息

Hautarzt. 2021 Jan;72(1):6-13. doi: 10.1007/s00105-020-04736-7.

DOI:10.1007/s00105-020-04736-7
PMID:33289852
Abstract

Ultraviolet (UV) radiation is the main risk factor for the development of melanocytic and nonmelanocytic skin cancer. UVA and UVB radiation are of particular importance in photocarcinogenesis. Depending on the wavelength, mechanisms of tumor initiation and promotion include direct DNA damage and proinflammatory processes. In recent years, the number of skin cancer cases in Germany has continuously increased. In addition to regular skin check-ups, use of suitable textile protection and sunscreens play a central role in the prevention of cancer development. As dermatologists, it is our task to regularly inform our patients about the consequences of excessive sun exposure and to adequately inform them about necessary protective devices.

摘要

紫外线(UV)辐射是黑素细胞性和非黑素细胞性皮肤癌发生的主要风险因素。UVA和UVB辐射在光致癌作用中尤为重要。根据波长不同,肿瘤起始和促进机制包括直接的DNA损伤和促炎过程。近年来,德国皮肤癌病例数量持续增加。除了定期皮肤检查外,使用合适的纺织品防护和防晒霜在预防癌症发生方面起着核心作用。作为皮肤科医生,我们的任务是定期告知患者过度日晒的后果,并充分告知他们必要的防护措施。

相似文献

1
[Photocarcinogenesis-molecular mechanisms and practical relevance].[光致癌作用——分子机制与实际意义]
Hautarzt. 2021 Jan;72(1):6-13. doi: 10.1007/s00105-020-04736-7.
2
Broad-spectrum sunscreens provide better protection from solar ultraviolet-simulated radiation and natural sunlight-induced immunosuppression in human beings.广谱防晒霜能为人类提供更好的防护,抵御太阳紫外线模拟辐射和自然阳光引起的免疫抑制。
J Am Acad Dermatol. 2008 May;58(5 Suppl 2):S149-54. doi: 10.1016/j.jaad.2007.04.035.
3
[Enhancement of endogenous antioxidant defenses: a promising strategy for prevention of skin cancers].增强内源性抗氧化防御:一种预防皮肤癌的有前景的策略
Bull Acad Natl Med. 2001;185(8):1507-25; discussion 1526-7.
4
Photoprotection by sunscreens.防晒霜的光防护作用。
Am J Clin Dermatol. 2001;2(3):131-4. doi: 10.2165/00128071-200102030-00001.
5
Sunscreens containing the broad-spectrum UVA absorber, Mexoryl SX, prevent the cutaneous detrimental effects of UV exposure: a review of clinical study results.含有广谱UVA吸收剂麦素宁滤光环SX的防晒霜可预防紫外线暴露对皮肤的有害影响:临床研究结果综述
Photodermatol Photoimmunol Photomed. 2008 Aug;24(4):164-74. doi: 10.1111/j.1600-0781.2008.00365.x.
6
A mineral sunscreen affords genomic protection against ultraviolet (UV) B and UVA radiation: in vitro and in situ assays.一款矿物防晒霜可提供针对紫外线(UV)B和UVA辐射的基因组保护:体外和原位试验。
Br J Dermatol. 1999 Aug;141(2):250-8. doi: 10.1046/j.1365-2133.1999.02973.x.
7
[Prevention of occupational solar UV radiation-induced epithelial skin cancer].[职业性太阳紫外线辐射所致上皮性皮肤癌的预防]
Hautarzt. 2015 Mar;66(3):173-8. doi: 10.1007/s00105-015-3584-2.
8
Sunscreens, skin photobiology, and skin cancer: the need for UVA protection and evaluation of efficacy.防晒霜、皮肤光生物学与皮肤癌:UVA防护需求及功效评估
Environ Health Perspect. 2000 Mar;108 Suppl 1(Suppl 1):71-8. doi: 10.1289/ehp.00108s171.
9
Senescence and sunscreens.
Br J Dermatol. 1990 Apr;122 Suppl 35:111-4. doi: 10.1111/j.1365-2133.1990.tb16135.x.
10
[Ultraviolet A-induced DNA damage: role in skin cancer].[紫外线A诱导的DNA损伤:在皮肤癌中的作用]
Bull Acad Natl Med. 2014 Feb;198(2):273-95.

本文引用的文献

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Basal cell carcinoma risk and solar UV exposure in occupationally relevant anatomic sites: do histological subtype, tumor localization and Fitzpatrick phototype play a role? A population-based case-control study.职业相关解剖部位的基底细胞癌风险与日光紫外线暴露:组织学亚型、肿瘤定位和菲茨帕特里克皮肤光类型是否起作用?一项基于人群的病例对照研究。
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Genetic diseases associated with an increased risk of skin cancer development in childhood.
与儿童期皮肤癌发生风险增加相关的遗传性疾病。
Curr Opin Pediatr. 2017 Aug;29(4):426-433. doi: 10.1097/MOP.0000000000000514.
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Whole-genome landscapes of major melanoma subtypes.主要黑色素瘤亚型的全基因组图谱。
Nature. 2017 May 11;545(7653):175-180. doi: 10.1038/nature22071. Epub 2017 May 3.
5
Sun Protection Factor Communication of Sunscreen Effectiveness: A Web-Based Study of Perception of Effectiveness by Dermatologists.防晒霜效果的防晒系数沟通:一项关于皮肤科医生对效果认知的基于网络的研究。
JAMA Dermatol. 2017 Mar 1;153(3):348-350. doi: 10.1001/jamadermatol.2016.4924.
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Sun Protection by Beach Umbrella vs Sunscreen With a High Sun Protection Factor: A Randomized Clinical Trial.海滩伞与高防晒因子防晒霜的防晒效果比较:一项随机临床试验。
JAMA Dermatol. 2017 Mar 1;153(3):304-308. doi: 10.1001/jamadermatol.2016.4922.
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The Growing Burden of Invasive Melanoma: Projections of Incidence Rates and Numbers of New Cases in Six Susceptible Populations through 2031.侵袭性黑色素瘤日益加重的负担:到2031年六个易感人群的发病率和新发病例数预测
J Invest Dermatol. 2016 Jun;136(6):1161-1171. doi: 10.1016/j.jid.2016.01.035. Epub 2016 Feb 20.
8
Skin cancer in solid organ transplant recipients: are mTOR inhibitors a game changer?实体器官移植受者的皮肤癌:mTOR抑制剂会是一个改变局面的因素吗?
Transplant Res. 2015 Jan 14;4:1. doi: 10.1186/s13737-014-0022-4. eCollection 2015.
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The genomic landscape of childhood and adolescent melanoma.儿童及青少年黑色素瘤的基因组格局。
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10
Histological review of skin cancers in African Albinos: a 10-year retrospective review.非洲白化病患者皮肤癌的组织学回顾:一项 10 年回顾性研究。
BMC Cancer. 2014 Mar 6;14:157. doi: 10.1186/1471-2407-14-157.