Menter J M, Sayre R M, Etemadi A A, Agin P P, Willis I
Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia 30310-1495, USA.
Photodermatol Photoimmunol Photomed. 1996 Feb;12(1):7-11. doi: 10.1111/j.1600-0781.1996.tb00236.x.
Several recent investigations collectively suggest that the role of ultraviolet A (UVA) in chronic actinic skin damage may be greater than originally thought. In the present work, the output of a xenon-arc solar-simulator passed through a Bausch & Lomb monochromator in conjunction with a 2-mm Schott WG-320 filter produced narrow-band UVA centered at 338 nm, half-band width 24 nm, I0 = 3.4 +/- 0.3 mW/cm2. We chronically irradiated 10 Sk-1 albino hairless mice 5 times per week for 18 weeks, starting with 1.25 J/cm2, for 33 irradiation days, sequentially followed by 1.50 J/cm2 (34 days), 1.8 J/cm2 (10 days), 2.0 J/cm2 (22 days) to afford a total UVA dose of 154.3 J/cm2 over 99 irradiation days. Erythema was noted clinically by day 6, which persisted throughout the irradiation. During the irradiation period, some scaling, consistent with mild epidermal hyperplasia was noted during irradiation days 37-56. This response later regressed despite continued chronic irradiation. Hematoxylin and eosin examination immediately after the final irradiation revealed a mild inflammatory response, with some dermal restructuring. At the end of the experiment, no significant signs of epidermal hyperplasia or (pre)malignant lesions were seen, although some stratum corneum thickening was noted. Marked dermal collagen damage and moderate elastosis was also evident. We believe that the observed differences in results reported in previous studies are in large part due to differences in light sources and irradiation protocols.
最近的几项研究共同表明,长波紫外线(UVA)在慢性光化性皮肤损伤中的作用可能比最初认为的更大。在本研究中,氙弧太阳模拟器的输出光通过宝视伦单色仪并结合一个2毫米的肖特WG - 320滤光片,产生了中心波长为338纳米、半高宽为24纳米、I0 = 3.4 +/- 0.3毫瓦/平方厘米的窄带UVA。我们每周对10只Sk - 1白化无毛小鼠进行5次慢性照射,持续18周,开始剂量为1.25焦/平方厘米,照射33天,随后依次为1.50焦/平方厘米(34天)、1.8焦/平方厘米(10天)、2.0焦/平方厘米(22天),在99天的照射过程中总UVA剂量达到154.3焦/平方厘米。在第6天时临床上观察到红斑,在整个照射期间持续存在。在照射期的第37 - 56天,观察到一些脱屑,这与轻度表皮增生一致。尽管持续进行慢性照射,这种反应后来消退了。最后一次照射后立即进行苏木精和伊红染色检查显示有轻度炎症反应,伴有一些真皮结构重组。在实验结束时,虽然观察到一些角质层增厚,但未见明显的表皮增生或(癌)前病变迹象。明显的真皮胶原损伤和中度弹性组织变性也很明显。我们认为,先前研究中报道的结果差异在很大程度上是由于光源和照射方案的不同。