Ultraviolet (UV) light is intricately linked to the functional status of the cutaneous immune system. In susceptible individuals, UV radiation can ignite pathogenic inflammatory pathways leading to allergy or autoimmunity. In others, this same UV radiation can be used as a phototherapy to suppress pathogenic cutaneous immune responses. These vastly different properties are a direct result of UV light's ability to ionize molecules in the skin and thereby chemically alter them. Sometimes these UV-induced chemical reactions are essential, the formation of pre-vitamin D 3 from 7-dehydrocholesterol, for example. In other instances they can be potentially detrimental. UV radiation can ionize a cell's DNA causing adjacent pyrimidine bases to chemically bond to each other. To prevent malignant transformation, a cell may respond to this UV-induced DNA damage by undergoing apoptosis. Although this pathway prevents skin cancer it also has the potential of inducing or exacerbating autoreactive immune responses by exposing the cell's nuclear antigens. Ultavioletinduced chemical reactions can activate the immune system by a variety of other mechanisms as well. In response to UV irradiation keratinocytes secrete cytokines and chemokines, which activate and recruit leukocytes to the skin. In some individuals UV-induced chemical reactions can synthesize novel antigens resulting in a photoallergy. Alternatively, photosensitizing molecules can damage cells by initiating sunburn-like phototoxic reactions. Herein we review all types of UV-induced skin reactions, especially those involving the immune system.
KeywordsUltraviolet radiation; skin; phototoxic reaction; photoallergic reaction; phototherapy; atuoimmunity
The basic principles of lightAlthough light is commonly thought of as something visible, in physics light actually refers to all electromagnetic radiation. The frequency, wavelength, and energy of an electromagnetic wave are related to one another with wavelength being inversely proportional to both frequency and energy (Figure 1). The huge spectrum of electromagnetic radiation can therefore be organized conceptually by decreasing wavelength into radio waves, microwaves, terahertz Author to whom correspondence should be sent: Emanual Maverakis, M.D., 3301 C Street, Sacramento, CA 95816, Phone: (916) 734-6111, Fax: (916) 843-9444, emaverakis@yahoo.com. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
NIH Public Access
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript radiation, infrared radiation, visible light, UV radiation, X-rays, and gamma rays (Fi...