李红艳, 李德冠. 太阳辐射对皮肤损伤及其损伤机制的研究进展[J]. 国际放射医学核医学杂志, 2019, 43(6): 561-568. DOI: 10.3760/cma.j.issn.1673-4114.2019.06.011
引用本文: 李红艳, 李德冠. 太阳辐射对皮肤损伤及其损伤机制的研究进展[J]. 国际放射医学核医学杂志, 2019, 43(6): 561-568. DOI: 10.3760/cma.j.issn.1673-4114.2019.06.011
Hongyan Li, Deguan Li. Research Progress on Mechanism of skin damage and injury induced by solar radiation[J]. Int J Radiat Med Nucl Med, 2019, 43(6): 561-568. DOI: 10.3760/cma.j.issn.1673-4114.2019.06.011
Citation: Hongyan Li, Deguan Li. Research Progress on Mechanism of skin damage and injury induced by solar radiation[J]. Int J Radiat Med Nucl Med, 2019, 43(6): 561-568. DOI: 10.3760/cma.j.issn.1673-4114.2019.06.011

太阳辐射对皮肤损伤及其损伤机制的研究进展

Research Progress on Mechanism of skin damage and injury induced by solar radiation

  • 摘要: 近年来,皮肤癌特别是鳞状细胞癌的发生率明显上升,并呈年轻化趋势,据报道,90%的皮肤癌与紫外线辐射损伤有关。太阳光谱中的紫外线,特别是户外紫外线(290~320 nm)和长波黑斑效应紫外线(320~400 nm)刺激皮肤后,表皮黑素细胞通过合成黑素,转移至邻近的角质形成细胞,对皮肤起光保护作用。皮肤受到过量紫外线刺激后会出现一系列损伤反应,包括晒黑及炎症反应、细胞DNA损伤、光致癌作用等。近年来,研究发现可见光(400~700 nm)和臭氧同样可造成皮肤损伤。而环境暴露造成的皮肤损伤主要是由活性氧的产生引起对蛋白质、脂质和核酸等细胞组分的氧化损伤,进而引起皮肤内部复杂的一系列反应。这些受损的皮肤细胞引发炎症反应,导致皮肤出现最终损伤。因此,进一步掌握光致皮肤损伤的机制及正确的辐射防护措施,对相关疾病的治疗及预防有着重要的临床指导意义。笔者对太阳光包括紫外线、可见光和臭氧对皮肤损伤的影响以及太阳辐射对皮肤晒黑的基因位点的研究进行了总结描述,旨在探究预防和治疗太阳辐射引起皮肤损伤的新途径。

     

    Abstract: In recent years, the incidence of skin cancer, especially squamous cell carcinoma, has increased significantly. About 90% of skin cancers are associated with ultraviolet radiation damage. Upon exposure of the skin to ultraviolet rays, especially UVB (290–320 nm) and UVA (320–400 nm), epidermal melanocytes migrate to adjacent keratinocytes by synthesizing melanin, thus providing light protection for the skin. A series of damage reactions, including tanning and inflammation, cell DNA damage, and photocarcinogenesis, occurred after the skin was stimulated by excessive ultraviolet radiation. Recent studies have found that visible light (400–700 nm) and ozone can also cause skin damage. The skin damage caused by environmental exposure is mainly attributed to the production of reactive oxygen species, which cause oxidative damage to protein, lipid, and nucleic acid, followed by a series of complex reactions within the skin. Damaged skin cells cause inflammatory reactions, resulting in ultimate damage to the skin. Therefore, understanding the mechanism of photoinduced skin damage and developing correct radiation protection measures are important for the treatment and prevention of related diseases. This review summarizes the effects of sunlight, including ultraviolet, visible, and ozone on skin damage, as well as the research on gene loci of suntan caused by sunlight, to explore new ways to prevent and treat skin damage caused by solar radiation.

     

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