Transmission of UV-radiation through human epidermal layers as a factor influencing the minimal erythema dose

Abstract— The extent to which transmission of human Caucasian epidermis and stratum corneum influences the Minimal Erythema Dose (MED) was examined for UV-B and UV-C.
Transmission correlated well with variations in MED for UV-B and UV-C that exist between individuals, as measured on the skin of the lower back and anterior upper leg.
Regional differences of the MED that occur within the same individual between different parts of the body, were related less well to differences in transmission. For UV-B, the difference in transmission of stratum corneum and epidermis between upper leg and lower back was on the average too small to completely account for the difference in MED UV-B. Other parameters, therefore, have to be involved in determining such regional variations in MED UV-B. For UV-C, on average, the difference in transmission of stratum corneum was smaller and of epidermis larger than the difference in MED UV-C between upper leg and lower back, though the deviations were not significant.
A series of UV-B irradiations of the lower back resulted in an increase in MED UV-B and MED UV-C, which was paralleled by a decrease in transmission of stratum corneum and epidermis. The average decrease in UV-B transmission of stratum corneum was too small and that of epidermis somewhat too large to account for the average increase in MED UV-B. The average decrease in UV-C transmission of stratum corneum was about as large as the average increase in MED UV-C. Consequences of these observations for the location of the primary reactions leading to erythema are discussed.
The relationship between log MED UV-C and log MED UV-B was confirmed to be approximately linear.     

THE ROLE OF LIPOPROTEINS IN THE DISTRIBUTION OF TIN ETIOPURPURIN (SnET2) IN THE TUMOR-BEARING RAT

The role of plasma lipoproteins in the distribution of the photosensitizing agent tin etiopurpurin (SnET2) was examined in male rats bearing the N-[4-(5-nitro-2-furyl)-2-thiazolyl]formamide-induced tumor. Treatement with 17α-ethinyl estradiol resulted in the depletion of total plasma cholesterol by > 70% and a corresponding decrease in plasma lipoproteins. To both control and estradiol-treated animals, a therapeutic dose (1.5mg/kg) of SnET2 was administered and biodistribution measured 24 h later. Estradiol treatment was not associated with difference in the distribution of SnET2 to liver, skin or tumor, or in the pattern of affinity of SnET2 to plasma albumin and lipoprotein. These results indicate that a substantial decrease in circulating lipoprotein levels does not alter patterns of SnET2 biodistribution.     

Dose response for UV-induced immune suppression in people of color: differences based on erythemal reactivity rather than skin pigmentation.

Ultraviolet radiation (UVR) is known to suppress immune responses in human subjects. The purpose of this study was to develop dose responses across a broad range of skin pigmentation in order to facilitate risk assessment. UVR was administered using FS 20 bulbs. Skin pigmentation and UVR sensitivity were evaluated using Fitzpatrick classifications, minimal erythemal dose (MED), slope of the erythemal dose response curve (sED), baseline pigmentation and tanning response. To assess immune responses dinitrochlorobenzene (DNCB) was applied to irradiated buttock skin 72 h after irradiation. Two weeks later DNCB was applied to the inside upper arm. Skin thickness was measured before and after challenge. Dose response was modeled (to obtain a regression line) for the entire group of 185 subjects. With the exception of sED none of the above-mentioned pigmentation indicators contributed significantly to variability around the regression line. Thus, differences in sensitivity for multiple skin types based on Fitzpatrick classification or MED were not observed. However, differences in immune sensitivity to UVR were detected between subjects with steep erythemal dose response curves and those with moderate or flat responses. For subjects with steep erythemal responses the dose calculated to suppress the immune response by 50% was 114 mJ/cm2. This group included individuals with Fitzpatrick skin types I-V, MED for these subjects ranged from 30 to 80 mJ/cm2. The 50% suppression dose for subjects with weak or no erythemal response could not be computed (the dose response was flat). This resistant group included subjects with skin types IV-VI and MED for these subjects ranged from 41 to > 105 mJ/cm2. This study provides a human dose response for UVR suppression of contact sensitivity that will be useful in risk assessment. It is the first study to provide this information using the FS sun lamp and is the first study to include people of color. The sED appears to be a new variable for identifying sensitive subjects at risk of UVR-induced immune suppression.     

Noninvasive Assessment of UV-induced Skin Damage: Comparison of Optical Measurements to Histology and MMP Expression

Acute exposure to UV radiation (UVR) causes visible skin damage such as erythema and results in local and systemic immunosuppression while chronic exposure can result in photocarcinogenesis. These deleterious effects can be quantified by histology and by bioassays of key biological markers, including matrix metalloproteinases (MMPs), or tryptophan moieties. We now report our results in quantifying UV skin damage with noninvasive optical methods based on reflectance and fluorescence spectroscopy and compare these noninvasive measurements to histopathology and MMP-13 expression. A solar simulator with spectral output nearly identical to that of solar radiation was developed and used in our experiments. SKH1 hairless mice were exposed to solar-simulated UVR at a total dose of 21 MED delivered over 10 weeks. Changes in oxygenated and deoxygenated hemoglobin were measured by diffuse reflectance spectroscopy, and tryptophan changes were monitored via a fluorescence monitor. Our results show that there is an increase in erythema, skin fluorescence, sunburn cells and MMP-13 after a series of suberythemal doses of UV irradiation on a hairless mouse animal model. Increased skin fluorescence is observed with increasing UV exposure. The levels of MMP-13 increase as the cumulative UV dose increases but their increase does not correspond to noninvasively measured changes.     

THE UV ACTION SPECTRA FOR THE CLONE-FORMING ABILITY OF CULTURED HUMAN MELANOCYTES AND KERATINOCYTES

Abstract Melanocytes (skin type 2) and keratinocytes were irradiated with UV light of 254, 297, 302, 312 and 365 nm and the survival was measured. Clone-forming ability was chosen as the parameter for cell survival. Melanocytes were found to be less sensitive to UV light than keratinocytes (a difference of a factor 1.22-1.92 for the UV-C and UV-R wavelengths (254, 297, 301 and 312 nm) and a factor 6.71 for the UV-A wavelength (365 nm). Because melanin does not appear to protect against the induction of pyrimidine dimers the difference between melanocytes and keratinocytes in the UV-C and UV-B region could not be explained by the presence of melanin in the melanocytes. The relatively small difference can be explained by the longer cell cycle of melanocytes, which provides more time for the melanocytes to repair UV damage. In the UV-A region the difference between melanocytes and keratinocytes was much larger, suggesting that besides the longer cell cycle some additional factors must be involved in protection against UV-A light.     

Salt water bathing prior to UVB irradiation leads to a decrease of the minimal erythema dose and an increased erythema index without affecting skin pigmentation

The combination of salt water baths and solar radiation is known as an effective treatment for patients with psoriasis and atopic dermatitis. To determine whether increased susceptibility to UVB radiation may contribute to this therapeutic effect we have studied the effect of bathing the skin in salt water prior to UVB irradiation. Twelve subjects were phototested on the volar aspects of their forearms with increasing doses of UVB radiation. One forearm was exposed to 5% salt water prior to irradiation. The minimal erythema dose (MED) was determined and the erythema index and skin pigmentation were assessed by photometric measurement. The combination of salt water bath and irradiation yielded a significant decrease of the MED when compared to UVB alone (median 90 mJ/cm2 vs 130 mJ/cm2, P < 0.01). Analysis of variance showed a significant influence of salt water bath on erythema (P < 0.05) but not on skin pigmentation. Within the MED test area the erythema index of the salt water exposed forearms was elevated significantly (P < 0.05) while skin pigmentation was not affected. Thus, bathing the skin in salt water leads to a decreased threshold level for the elicitation of UVB-induced erythema and a selective increase of the erythemal response. This sensitization to the effects of shortwave UVB radiation may increase immunosuppressive effects of UVB radiation and may lead to an increased efficacy of UVB phototherapy. However, there is also an increased sunburn risk when salt water baths are followed by exposure to UV radiation.     

PHOTOINHIBITION OF PHOTOSYNTHESIS IN NATURAL WATERS*

Abstract— A quantitative analysis of the wavelength-dependent influence of solar irradiance on natural phytoplankton photosynthesis has been made. The effect on productivity due to several different UV radiation regimes has been measured. In the course of this analysis, it has been shown that the biological weighting function for photoinhibition of chloroplasts (Jones and Kok, 1966) allows the calculation of a biologically effective dose which is consistent with the measured photoinhibition in natural phytoplankton populations. The ecological implications of a change in available UV radiation, possibly due to anthropogenic altering of the ozone layer, are explored and it is found that the present static bottle ^l4C technique of measuring in situ phytoplankton productivity does not lend itself to assessing accurately the potential ecological consequences of possible increased MUV (middle ultraviolet radiation in the 280–340 nm region) on phytoplankton populations. A small change in MUV has a relatively minor effect on photoinhibition dose rates whereas it has a large potential effect on DNA dose rates.     

Reference limits for erythema-effective UV doses

Diagnostic phototesting, including the determination of the minimal erythema dose (MED), is a useful procedure to detect abnormal sensitivity to UV radiation. We aimed to estimate the reference limits (RLs) of the MED in a reasonably large reference sample of white individuals. Skin phototypes and MED values for broadband UVB and for UVA were determined in 461 white subjects. When appropriate, the 95% reference intervals, including the 0.025 fractile and 0.975 fractile, were computed for the MED-UVB reference values (by means of parametric methods) and the MED-UVA reference values (by means of nonparametric methods). MED data were also converted to standard erythema doses (SEDs). As described elsewhere we observed a considerable overlap of MED values for all skin phototypes and confirmed that age and sex do not substantially influence the MED. The lower RLs observed for MED-UVB were 33 mJ cm(-2) (0.5 SEDs) and for MED-UVA 12.6 mJ cm(-2) (1.2 SEDs). The MED and SED findings from this investigation may serve as reference data for white individuals and give support to the clinician in differentiating between normal and pathologically abnormal photosensitivity. Although the MED data given here are limited to the phototest device used in the present study, the SED results establish comparability between our data and phototest results obtained from laboratories using different UV sources.     

EFFECT OF CHRONIC UV EXPOSURE ON EPIDERMAL FORWARD SCATTERING-ABSORPTION INSK–1 HAIRLESS MOUSE SKIN

Abstract— Clinical and histological precancerous responses to UV irradiation are complicated dynamic functions of total dose, dose fractionation, fluence rate, and spectral distribution. This may be due, in large part, to the ability of UV to decrease epidermal-stratum corneum transmission by stimulation of hyperplasia. This work provides quantitative measurement of dose- and wavelength-dependent optical changes inSK–1 hairless mouse epidermis-stratum corneum occurring under irradiation with “monochromatic” UV wavebands, at 280, 290, 300, 307, and 313 nm. Mice were irradiated 5 days per week with a filtered Xenon-Hg high-intensity grating monochromator, starting with 0.9 minimal erythemal dose (MED), followed by incremental increases in the radiation dose by 20% of the original dose every tenth irradiation day, for2–8 consecutive weeks. Subsequent irradiations (for longer experiments) were followed by 30% incremental increases after the 8th week every 10th irradiation day until cessation of radiation at the end of 14 weeks. Irradiated and control full-thickness epidermis/ stratum corneum were examined histologically and by forward-scattering absorption spectroscopy. Chronic irradiation of hairless mice resulted in significant hyperplasia which was optically manifested by a general increase in forward-scattering absorbance. At moderate local doses (7.2 MED), the absorbance increase per MED was approximately the same for all excitation wavelengths, whereas at large total doses (? 100 MED) the optical increase per delivered MED progressively decreased in the order 313> 307> 300? 290> 280 nm. The increase in skin thickening, expressed as observed increase in absorption at 320 nm, correlated well with histological and clinical data. We propose that optical changes induced by UV-induced thickening can account in large part, if not entirely, for dynamic changes in action spectra for (pre) cancerous processes under chronic irradiation conditions.     

尿碘标准物质测量方法的评价

将快速尿碘试剂盒法和标准方法对尿碘标准物质的测定结果与其标准值比较,观测结果有无差异,再用正态分布小样本容量的简化检验法和方差检验法判定快速尿碘试剂盒法与标准方法对尿碘标准物质测定结果的差异,以评价不同方法对尿碘标准物质测定结果的一致性。     

Objective measurement of minimal erythema and melanogenic doses using natural and solar-simulated light

Very little information exists on the amount of natural and artificial UV light required to cause sunburn and tanning in individuals with very pale skin who are at the greatest risk of developing skin cancer. We have investigated minimal erythema dose (MED) and minimal melanogenic dose (MMD) in a group of 31 volunteers with Fitzpatrick skin types I and II using an Oriel 1000 W xenon arc solar simulator and natural sunlight in Sydney, Australia. We measured the erythemal and melanogenic responses using conventional visual scoring, a chromameter and an erythema meter. We found that the average MED measured visually using the artificial UV source was 68.7 +/- 3.3 mJ/cm2 (3.4 +/- 0.2 standard erythema doses [SED]), which was significantly different from the MED of sunlight, which was 93.6 +/- 5.6 mJ/cm2 (P < 0.001) (11.7 +/- 0.7 SED). We also found significant correlations between the solar-simulated MED values, the melanin index (erythema meter) and the L* function (chromameter). The average MMD (obtained in 16 volunteers only) using solar-simulated light was 85.6 +/- 4.9 mJ/cm2, which was significantly less than that measured with natural sunlight (118.3 +/- 8.6 mJ/cm2; P < 0.05). We mathematically modeled the data for both the chromameter and the erythema meter to see if we were able to obtain a more objective measure of MED and differentiation between skin types. Using this model, we were able to detect erythemal responses using the erythema index function of the erythema meter and the a* function of the chromameter at lower UV doses than either the standard visual or COLIPA methods.     

Anatomical distribution of solar ultraviolet exposures among cyclists

Exposure to solar ultraviolet (UV) radiation is the major environmental factor implicated in the development of melanoma and other skin cancers, as well as eye damage and skin photoaging. Outdoor recreational activities such as cycling are increasingly pursued for health benefits, however little information is available regarding potential adverse effects of excessive sun exposure in this setting, nor about the anatomical distribution of solar dose. Polysulphone badges (UV dosimeters) were attached to the head, backs of hands and ankles of 22 cyclists during a seven-day charity bicycle ride in Queensland, Australia. Average daily exposures exceeded one minimal erythemal dose (MED) at all body sites except the ankle. Significant differences in UV dose among the various body sites were noted, with highest exposures recorded on the top of the head. Mean doses received at the ankle (0.94 MED), back of the hand (1.28 MED) and side of the head (1.14 MED) were 51%, 71% and 63% of those received at the top of the head (1.80 MED), respectively. These data indicate that cycling exposes adherents to substantial doses of UV radiation. Moreover, our observations suggest that even vertically-oriented, potentially shaded sites such as the lower leg typically receive doses of solar radiation no less than half of maximally exposed sites.     

UV-induced unscheduled DNA synthesis in human skin: dose response, correlation with erythema, time course and split dose exposure in vivo

Unscheduled DNA synthesis (UDS) has been shown to be saturated above a threshold dose of UV-C in human fibroblasts in vitro. We have investigated by autoradiography whether a similar saturation occurs in human skin in vivo with UV-B and whether this phenomenon correlates with the erythemal response. In addition, we determined the time course of UDS at 24 h after exposure and the effect of dual exposures separated by 24 h. The dose-response curve was established by exposure to 1/16, 1/8, 1/4, 1/2, 1, 2, 3, 4 and 6 MEDs UV-B. For the time-course study, areas exposed to 1/2 and 2 MEDs were biopsied after 1, 3, 6, 12 and 24 h. Autoradiography was performed in vitro. The dose-response curve showed a significant increase in UDS from 1/16 to 1 minimal erythema dose (MED), whereas no significant difference was observed between 1 MED and the higher UV-B doses tested. The 24 h time sequence revealed a gradual decrease in UDS activity. The 1/2 MED curve declined more rapidly and reached the zero-level between 12 h and 24 h, whereas about 50% of the initial UDS value was still retained 24 h after 2 MEDs. The dual-dose study revealed that a second hit of fractions of the MED resulted in lower levels of UDS than induced by these fractions alone in previously untreated areas. UDS increases with the erythemal dose between 1/16 and 1 MED. It reaches a plateau after 1 MED and cannot be increased by doses up to 6 MEDs, suggesting a saturation of excision repair in vivo. Time course studies support such a saturation phenomenon. The failure to increase significantly UDS by a second irradiation 24 h after the first exposure needs further clarification. Since persistence of DNA lesions may lead to an accumulation after repeated exposures, additional mechanisms other than excision repair may protect human skin by error-free removal of possibly mutagenic sites. Photoreactivation may be important in this respect.     

THE RELATIONSHIP BETWEEN MALIGNANT MELANOMA OF SKIN AND EXPOSURE TO SUNLIGHT

Malignant melanomas of the skin are becoming more common. Earlier diagnosis has led to better individual prognoses, but this has not prevented the death rate in the population from rising. This paper brings up-to-date studies on the etiology of malignant melanoma, and supplements various fuller but earlier reviews. Melanoma risk is increased in lightly pigmented people who burn in the sun and do not tan well. People with an increased number of nevi are also at increased risk. Latitude of residence is important, risk in white populations increasing with distance from the poles. Phenotypic factors can over-ride location, so that Mediterranean people have lower rates than Scandinavians. Melanomas are concentrated on sites exposed by clothing, but this concentration is not as strong as for the other skin cancers. Migrants to sunny climates are at less risk than similar people born locally, provided that they migrated as adults. Outdoor work carries only a small excess risk of malignant melanoma, in contrast to the other skin tumors. Melanomas are commoner, and kill more often, among people of high socioeconomic status than low. The two most detailed contemporary reconciliations of these pieces of evidence are based on the ideas that intense brief exposure is the critical factor, or that exposure in childhood is of major importance. With the expected changes in the global concentration of ozone in the stratosphere, it is necessary to estimate the relationship between the intensity of sunlight and melanoma risk.     

无水硫酸铀酰和三水合硝酸铀酰的真空绝热量热学研究

建立了一套真空绝热量热计。在60-300K间测定了氯化钾的摩尔热容,所得结果同文献值相比能较好地符合,说明所建量热计是可靠的。用该量热计在60-300K间测定了无水硫酸铀酰和三水合硝酸铀酰的摩尔热容,在所研究的温度范围内未发现热容反常。无水硫酸铀酰和三水合硝酸铀酰在298.15K下的C_P^o、S_T^o-S_{O^o、HT^o-HO^o和-(GT^o-GO^o)/T值,前者分别为33.46卡/度·摩尔、39.7±0.4卡/度·摩尔、5925±20卡/摩尔和19.7±0.2卡/度·摩尔;后者分別为76.50卡/度·摩尔、88.3±0.9卡/度·摩尔、13282±50卡/摩尔和43.7±0.4卡/度·摩尔。}     

THE USE OF DIFFUSERS IN THE MEASUREMENT OF TRANSMISSION OF HUMAN EPIDERMAL LAYERS

Abstract— The transmission of the outermost layers of human skin is measured, by use of a diffuser. The sample is transferred to the diffuser and inserted into the measuring beam. The reference beam is also measured after passing through the diffuser. The diffuser transforms the light in both the sample and reference beams into a completely diffuse flux. The radiant flux of light emerging from the diffuser is directly proportional to the radiant flux of the light impinging on the diffuser, but does not depend on the angular distribution of the impinging light. Because of this particular property, a diffuser may be used to measure the transmission of scattering specimens. The analogy between a diffuser and an integrating sphere is pointed out.
Deviations of commercially available diffusers from the perfect behaviour lead to deviations in the measured transmissions that are negligible (< 3%) for epidermal and corneal samples. Spectral transmission data from representative skin samples are presented. It is found that correction for fluorescence is necessary. Due to this correction the epidermal UV-C transmission is lower by a factor of 10–100 than without correction, and the epidermal absorption maximum is shifted from 275 towards 265 nm.     

In vitro model of vitamin D3 (cholecalciferol) synthesis by UV radiation: dose-response relationships

Vitamin D deficiency is a major health concern worldwide. Very little is understood regarding its production in the human body by exposure to UV radiation. In particular, we have no means of predicting how much vitamin D (cholecalciferol) will be produced in the skin after exposure to sunlight. Using a refined in vitro model, we found that there is a nonlinear relationship between UV dose and cholecalciferol synthesis. Two minimal erythemal doses (MED) of UV radiation produced 1.84 microg/mL of cholecalciferol whereas 4 MED produced 2.81 microg/mL. We also found that the production of cholecalciferol is restricted by the initial concentration of its precursor (7-dehydrocholesterol, 7-DHC). For example, using an initial concentration of 7-DHC of 102 microg/mL, the resultant cholecalciferol production was 1.05 microg/mL after receiving 4 MED exposure. Under the same exposure conditions, an initial concentration of 305 microg/mL yielded 2.81 g/mL of cholecalciferol. The data presented in this paper has important implications for humans, including: (1) increasing UV exposure does not result in a proportionate increase in the amount of cholecalciferol that is produced; and (2) the initial concentration of 7-DHC in the skin may impact the amount of cholecalciferol that can be synthesized. When translating these results to population groups, we will discuss how the sun exposure message needs to be carefully formulated to account for such considerations.     

THE STATUS OF CONSTRUCTIVISM IN CHEMICAL EDUCATION RESEARCH AND ITS RELATIONSHIP TO THE TEACHING AND LEARNING OF THE CONCEPT OF IDEALIZATION IN CHEMISTRY

A review of the chemical education research literature suggests that the term constructivism is used in two ways: experience-based constructivism and discipline-based constructivism. These two perspectives are examined as an epistemology in relation to the teaching and learning of the concept of idealization in chemistry. It is claimed that experience-based constructivism is powerless to inform the origin of such concepts in chemistry and while discipline-based constructivism can admit such theoretical concepts as idealization it does not offer any unique perspectives that cannot be obtained from other models. Chemical education researchers do not consistently appeal to constructivism as an epistemology or as a teaching/learning perspective and it is shown that, while it draws attention to worthwhile teaching/learning strategies, it cannot be considered as foundational to chemical education research and tends to be used more as an educational label than as an undergirding theory.     

Determination of the minimal erythema dose and colorimetric measurements as indicators of skin sensitivity to UV-B radiation

There is a strong relation between chronic UV-B-induced sunburns and the development of skin cancer. Therefore, it is important to obtain a method that can be reproduced easily to detect individuals with similar skin color but different sensitiveness to sun exposure. The study evaluated 193 healthy volunteers (68% women; the average age was 38 years). They were divided into six groups of at least 30 subjects, according to skin type. The minimal erythema dose (MED) was assessed in two non-sun-exposed areas (thorax-infra-axillary area and on the buttocks), using a UV-B source (0.5 mW/cm2), with openings of 1 cm2, in increasing doses. The same areas were evaluated with a Minolta CR 300 Chromameter (L*a*b* system). The MED values ranged from 13 to 156 mJ/cm2; the coordinate L* (brightness) ranged from 75.96 to 30.15. The correlation between the MED and the brightness was negative in both areas (Pearson's correlation r = -0.91, P < 0.05). Color measurements, especially brightness, can be used to quickly assess skin sensibility. Considering the MED, there is a substantial overlapping of adjacent phototypes, but they could be separated into two groups: more sensitive individuals (Types I, II, III and IV) and less sensitive ones (Types V and VI).