Departments of Dermatology, College of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Department of Biochemistry & Molecular Biology, College of Medicine, Tainan, Taiwan.
Adv Exp Med Biol. 2022;1367:433-448. doi: 10.1007/978-3-030-92616-8_18.
Photodynamic therapy (PDT) has become the first-line treatment of actinic keratosis, superficial basal cell carcinoma, and squamous cell carcinoma in situ (Bowen's disease) in dermatology. The off-label use of PDT has also escalated in recent years owing to its applications in the treatment of various non-neoplastic skin diseases such as acne vulgaris, vascular lesions, rejuvenation, and chronic wounds. Daylight PDT that uses natural sunlight to activate a photosensitizer with advantages such as low cost and reduced pain is widely used in Europe. This chapter reviews the applications and immunogenetic aspects of PDT. However, the studies of immunity and genetic changes in human tissue after PDT are limited.
光动力疗法(PDT)已成为皮肤科光化性角化病、浅表基底细胞癌和原位鳞状细胞癌(鲍文病)的一线治疗方法。近年来,由于 PDT 在治疗寻常痤疮、血管病变、年轻化和慢性伤口等各种非肿瘤性皮肤病方面的应用,其非适应证使用也有所增加。利用自然光激活光敏剂的日光 PDT 具有成本低、疼痛减轻等优点,在欧洲得到广泛应用。本章回顾了 PDT 的应用和免疫遗传学方面。然而,关于 PDT 后人类组织的免疫和遗传变化的研究还很有限。