Photosensitivity

光敏性
  • 文章类型: Journal Article
    Belousov-Zhabotinsky(BZ)反应长期以来一直是研究化学振荡的范式系统。这里,我们通过实验研究了BZ振荡器的光化学耦合星形网络中的同步控制。实验是在使用新型激光技术构造的钠钙玻璃中进行的。利用BZ反应固有的振荡性质,我们设计了一个通过光化学抑制耦合相互连接的振荡器的星形网络。此外,这里提出的实验设置可以外推到具有兴奋性和抑制性耦合的更复杂的网络体系结构,有助于对复杂系统中同步的基本理解。
    The Belousov-Zhabotinsky (BZ) reaction has long been a paradigmatic system for studying chemical oscillations. Here, we experimentally studied the synchronization control within photochemically coupled star networks of BZ oscillators. Experiments were carried out in wells performed in soda-lime glass constructed using novel laser technologies. Utilizing the inherent oscillatory nature of the BZ reaction, we engineered a star network of oscillators interconnected through photochemical inhibitory coupling. Furthermore, the experimental setup presented here could be extrapolated to more complex network architectures with both excitatory and inhibitory couplings, contributing to the fundamental understanding of synchronization in complex systems.
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  • 文章类型: Journal Article
    Photosensitivity represents an increased inflammatory reaction to sunlight, which can be observed particularly in the autoimmune disease lupus erythematosus. Cutaneous lupus erythematosus (CLE) can be provoked by ultraviolet (UV) radiation and can cause both acute, nonscarring and chronic, scarring skin changes. In systemic lupus erythematosus, on the other hand, provocation by UV radiation can lead to flare or progression of systemic involvement. The etiology of lupus erythematosus is multifactorial and includes genetic, epigenetic and immunologic mechanisms. In this review, we address the effect of UV radiation on healthy skin and photosensitive skin using the example of lupus erythematosus. We describe possible mechanisms of UV-triggered immune responses that could offer therapeutic approaches. Currently, photosensitivity can only be prevented by avoiding UV exposure itself. Therefore, it is important to better understand the underlying mechanisms in order to develop strategies to counteract the deleterious effects of photosensitivity.
    UNASSIGNED: Photosensitivität stellt eine verstärkte entzündliche Reaktion auf Sonnenlicht dar, die üblicherweise bei der Autoimmunerkrankung Lupus erythematodes beobachtet werden kann. Der kutane Lupus erythematodes (CLE) kann sowohl akute, nicht vernarbende als auch chronische, vernarbende Hautveränderungen hervorrufen. Beim systemischen Lupus erythematodes kann es zudem durch Provokation mittels UV-Strahlung zu einem Aufflammen oder Progress der systemischen Beteiligung kommen. Die Ätiologie des Lupus erythematodes ist multifaktoriell und umfasst genetische, epigenetische und immunologische Mechanismen. In dieser Übersichtsarbeit gehen wir auf die Wirkung von UV-Strahlung auf gesunde Haut und photosensitive Haut am Beispiel des Lupus erythematodes ein. Wir beschreiben mögliche Mechanismen der UV-getriggerten Immunreaktionen, die therapeutische Ansätze bieten könnten. Gegenwärtig kann eine Photosensitivität nur dadurch verhindert werden, dass man die UV-Exposition selbst vermeidet. Daher ist es wichtig, die zugrunde liegenden Mechanismen besser zu verstehen, um Strategien zu entwickeln, die den schädlichen Auswirkungen der Photosensitivität entgegenwirken.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    目的:本综述评估了光疗的有效性和安全性,特别是绿光疗法,作为一种新兴的非药物治疗慢性偏头痛(CM)。它旨在强调传统药物治疗的替代或补充方法,关注不同治疗方案的需要。
    结果:尽管对光线的敏感性是偏头痛的决定性特征,光疗法在提供实质性症状缓解方面显示出有希望的迹象。研究提供了有关绿光疗法在管理CM中的作用的见解。这些研究一致证明了它在降低频率方面的功效,严重程度,还有偏头痛的症状.观察到的其他益处包括改善睡眠质量和减少焦虑。重要的是,绿光疗法与最小的副作用有关,表明其作为偏头痛患者的合适选择的潜力。除了绿灯,其他形式的光疗,如红外偏振光,低水平激光治疗(LLLT),和血管内血液照射(ILIB),也正在探索潜在的治疗效果。光疗法,尤其是绿光疗法,被认为是有前途的,安全,和非药物干预治疗CM。已证明它们可有效减少头痛频率并提高整体生活质量。然而,目前的研究,通常受限于小样本量,促使更广泛的临床试验,以更好地了解光疗法的全部影响。其他基于光的治疗方法的探索,例如LLLT和ILIB,值得进一步研究,以扩大有效的偏头痛管理策略的范围。
    OBJECTIVE: This review assesses the effectiveness and safety of light therapy, particularly green light therapy, as an emerging non-pharmacological treatment for chronic migraine (CM). It aims to highlight alternative or complementary approaches to traditional pharmacological remedies, focusing the need for diverse treatment options.
    RESULTS: Despite sensitivity to light being a defining feature of migraine, light therapy has shown promising signs in providing substantial symptom relief. Studies have provided insights into green light therapy\'s role in managing CM. These studies consistently demonstrate its efficacy in reducing the frequency, severity, and symptoms of migraines. Additional benefits observed include improvements in sleep quality and reductions in anxiety. Importantly, green light therapy has been associated with minimal side effects, indicating its potential as a suitable option for migraine sufferers. In addition to green light, other forms of light therapy, such as infrared polarized light, low-level laser therapy (LLLT), and intravascular irradiation of blood (ILIB), are also being explored with potential therapeutic effects. Light therapies, especially green light therapy, are recognized as promising, safe, and non-pharmacological interventions for treating CM. They have been shown to be effective in decreasing headache frequency and enhancing the overall quality of life. However, current studies, often limited by small sample sizes, prompt more extensive clinical trials to better understand the full impact of light therapies. The exploration of other light-based treatments, such as LLLT and ILIB, warrants further research to broaden the scope of effective migraine management strategies.
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  • 文章类型: Journal Article
    Solar urticaria is a rare idiopathic photodermatosis. According to the current knowledge its pathogenesis is most likely based on an allergic type I reaction to an autoantigen activated by ultraviolet (UV) radiation or visible light. As many of the patients suffer from severe forms of the disease, it may therefore severely impair the quality of life of those affected. In contrast, polymorphous light eruption is a very common disease, which, according to the current data, can be interpreted as a type IV allergic reaction to a photoallergen induced by UV radiation. As the skin lesions heal despite continued sun exposure, the patients\' quality of life is generally not significantly impaired. These two clinically and pathogenetically very different light dermatoses have shared diagnostics by means of light provocation and an important therapeutic option (light hardening). Herein, we present an overview of the clinical picture, pathogenesis, diagnosis and available treatment options for the above-mentioned diseases.
    UNASSIGNED: Lichturtikaria ist eine seltene idiopathische Lichtdermatose, deren Pathogenese nach aktuellem Wissensstand am ehesten auf einer allergischen Typ-I-Reaktion gegenüber einem durch ultraviolette (UV) Strahlung oder sichtbares Licht aktivierten Autoantigen beruht. Schwere Verlaufsformen sind möglich, die Erkrankung kann daher die Lebensqualität der Betroffenen stark beeinträchtigen. Im Gegensatz hierzu handelt es sich bei der polymorphen Lichtdermatose um eine sehr häufige Erkrankung, die gemäß der aktuellen Datenlage als eine allergische Typ-IV-Reaktion gegenüber einem durch UV-Strahlung induzierten Photoallergen interpretiert werden kann. Da die juckenden Papeln, Bläschen oder Plaques bei fortgesetzter Sonnenexposition mit hieraus resultierender Ausbildung einer Lichtschwiele abheilen, ist die Lebensqualität der Patienten in der Regel geringfügiger und eher kurzfristig beeinträchtigt. Gemeinsam ist diesen beiden klinisch und pathogenetisch sehr unterschiedlichen Photodermatosen, dass die jeweilige Diagnose mittels Lichtprovokation bestätigt werden kann und dass das sogenannte Licht-Hardening eine wichtige Therapieoption darstellt. Die vorliegende Arbeit präsentiert eine Übersicht über das klinische Bild, die Pathogenese, Diagnostik und die verfügbaren Therapieoptionen beider Erkrankungen.
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  • 文章类型: Journal Article
    自身免疫性疾病红斑狼疮(狼疮)的特征是光敏性,即使是环境紫外线辐射(UVR)暴露也可能导致炎症性皮肤病变的发展。我们先前已经表明,朗格汉斯细胞(LC)通过整合素和金属蛋白酶17(ADAM17)介导的表皮生长因子受体(EGFR)配体的释放限制了角质形成细胞的凋亡和光敏性,并且狼疮中LCADAM17脱落酶活性降低。这里,我们试图了解狼疮皮肤环境如何导致LCADAM17功能障碍,在这个过程中,区分对LCADAM17脱落酶功能的影响,LCADAM17表达,LC号码。我们通过转录组学分析显示,在人类狼疮和三种鼠模型的非皮损皮肤中共享富含IFN的环境:MRL/lpr,B6.Sle1yaa,和咪喹莫特(IMQ)小鼠。IFN-I抑制小鼠和人LC中的LCADAM17脱落酶活性,和IFNAR阻断狼疮模型小鼠恢复LCADAM17脱落酶活性,均对LCADAM17蛋白表达或LC数量无一致影响。抗IFNAR介导的LCADAM17脱落酶功能恢复与依赖于EGFR信号传导和LCADAM17的光敏反应降低相关。活性氧(ROS)是ADAM17活性的已知介质;我们显示UVR诱导的LCROS产生在狼疮模型小鼠中减少,通过反IFNAR恢复,起源于细胞质。我们的发现表明,IFN-I至少部分地通过抑制UVR诱导的LCADAM17脱落酶功能来促进光敏性,并部分地通过恢复该功能来提高anifroummab改善狼疮皮肤病的可能性。这项工作提供了深入了解IFN-I介导的疾病机制,LC规定,以及阿尼福鲁单抗在狼疮中的潜在作用机制。
    The autoimmune disease lupus erythematosus (lupus) is characterized by photosensitivity, where even ambient ultraviolet radiation (UVR) exposure can lead to development of inflammatory skin lesions. We have previously shown that Langerhans cells (LCs) limit keratinocyte apoptosis and photosensitivity via a disintegrin and metalloprotease 17 (ADAM17)-mediated release of epidermal growth factor receptor (EGFR) ligands and that LC ADAM17 sheddase activity is reduced in lupus. Here, we sought to understand how the lupus skin environment contributes to LC ADAM17 dysfunction and, in the process, differentiate between effects on LC ADAM17 sheddase function, LC ADAM17 expression, and LC numbers. We show through transcriptomic analysis a shared IFN-rich environment in non-lesional skin across human lupus and three murine models: MRL/lpr, B6.Sle1yaa, and imiquimod (IMQ) mice. IFN-I inhibits LC ADAM17 sheddase activity in murine and human LCs, and IFNAR blockade in lupus model mice restores LC ADAM17 sheddase activity, all without consistent effects on LC ADAM17 protein expression or LC numbers. Anti-IFNAR-mediated LC ADAM17 sheddase function restoration is associated with reduced photosensitive responses that are dependent on EGFR signaling and LC ADAM17. Reactive oxygen species (ROS) is a known mediator of ADAM17 activity; we show that UVR-induced LC ROS production is reduced in lupus model mice, restored by anti-IFNAR, and is cytoplasmic in origin. Our findings suggest that IFN-I promotes photosensitivity at least in part by inhibiting UVR-induced LC ADAM17 sheddase function and raise the possibility that anifrolumab ameliorates lupus skin disease in part by restoring this function. This work provides insight into IFN-I-mediated disease mechanisms, LC regulation, and a potential mechanism of action for anifrolumab in lupus.
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  • 文章类型: Journal Article
    背景:光保护是预防和治疗阳光可能对皮肤造成的有害影响的第一个措施。众所周知,长时间暴露于太阳辐射会导致急性和慢性并发症,如红斑,加速皮肤老化,促炎和前致癌作用,和眼睛损伤,在其他人中。
    方法:更好地了解可以防止紫外线辐射的分子及其作用将导致皮肤健康的改善。
    结果:阳光的这些作用大部分受氧化应激和促炎机制的调节,因此,补充可以调节和中和活性氧的物质将有利于皮肤保护。目前的证据表明,全身光保护应用作局部光保护的辅助措施。
    结论:口腔光保护剂是一种有前途的选择,可以改善对紫外线照射损伤的保护作用,因为它们含有增加身体抗氧化作用的活性成分,补充其他光保护措施。我们对口腔光保护剂及其作用进行了综述。
    BACKGROUND: Photoprotection is the first measure in the prevention and treatment of the deleterious effects that sunlight can cause on the skin. It is well known that prolonged exposure to solar radiation leads to acute and chronic complications, such as erythema, accelerated skin aging, proinflammatory and procarcinogenic effects, and eye damage, among others.
    METHODS: A better understanding of the molecules that can protect against ultraviolet radiation and their effects will lead to improvements in skin health.
    RESULTS: Most of these effects of the sunlight are modulated by oxidative stress and proinflammatory mechanisms, therefore, the supplementation of substances that can regulate and neutralize reactive oxygen species would be beneficial for skin protection. Current evidence indicates that systemic photoprotection should be used as an adjunctive measure to topical photoprotection.
    CONCLUSIONS: Oral photoprotectors are a promising option in improving protection against damage induced by UVR, as they contain active ingredients that increase the antioxidant effects of the body, complementing other photoprotection measures. We present a review of oral photoprotectors and their effects.
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  • 文章类型: Journal Article
    背景技术随着化妆品使用的增加,与化妆品有关的不良反应也有所增加。对化妆品的光接触性皮炎是诊断和管理的挑战性实体。目的评估化妆品性皮炎患者的临床特征和光接触敏感性模式,并根据贴片和光配对测试结果建立其相关性。方法前瞻性观察性研究,其中80名临床诊断为化妆品皮炎的患者接受了印度标准系列的贴片或照相测试(根据适应症),印度化妆品和香水系列,以及患者的个人产品。结果57/80例患者共观察到104例阳性反应,其中50与化妆品使用有关。六十五名病人接受了照样试验,17人检测呈阳性.患者的光敏性与光合试验阳性显著相关(p值<0.001)。各种新的光过敏原被发现,包括丙二醇,三乙醇胺,氯乙酰胺,肉豆蔻酸异丙酯,西曲溴胺和六胺。面部黑变病是44例患者的主要临床发现,在这些病例中,有19例(43.2%)发现了色素性接触性皮炎。限制患者的个人产品无法在每个患者身上进行测试。本土产品的化学分析和患者个人产品的单个化学成分不能单独进行贴片测试。光敏性患者未进行光测试。结论怀疑有光敏性病史的化妆品性皮炎患者或不明原因的面部黑变病患者,photopatch测试对于检测潜在隐藏的照片过敏原至关重要。本研究中出现了许多新的照片过敏原。化妆品公司应提供有关化妆品产品各成分的详细信息。
    Background With the rise in cosmetic usage, adverse reactions related to cosmetics have also risen. Photocontact dermatitis to cosmetics is a challenging entity to diagnose and manage. Objectives To evaluate the clinical features and photocontact sensitivity patterns in patients with cosmetic dermatitis and establish their association based on patch and photopatch test results. Methods A prospective observational study, where 80 patients with a clinical diagnosis of cosmetic dermatitis were patch or photopatch tested (as per indication) with the Indian standard series, Indian cosmetic and fragrance series, and the patient\'s personal product(s). Results A total of 104 positive reactions were observed in 57/80 patients, of which 50 were relevant to cosmetics usage. Sixty-five patients underwent a photopatch test, and 17 tested positive. Photosensitivity in patients was significantly associated with a positive photopatch test (p-value < 0.001). Various new photo-allergens were discovered, including propylene glycol, triethanolamine, chloroacetamide, isopropyl myristate, cetrimide and hexamine. Facial melanosis was a predominant clinical finding in 44 patients, with pigmented contact dermatitis detected in 19 (43.2%) of these cases. Limitations Patients\' personal products could not be tested on every patient. Chemical analysis of indigenous products and the individual chemical ingredients of the patient\'s personal products could not be patch-tested separately. Phototesting was not performed in patients with photosensitivity. Conclusion In patients with suspected cosmetic dermatitis with history of photosensitivity or those with facial melanosis of unknown origin, a photopatch test is crucial to detect potentially hidden photo allergens. Many new photo allergens have emerged in the present study. Cosmetic companies should provide detailed information regarding each constituent of the cosmetic products.
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  • 文章类型: Case Reports
    Kindler综合征(KS)是一种罕见的常染色体隐性皮肤病。FERMT1基因突变并引起诸如起泡和表皮萎缩等症状,以及癌症和伤口愈合不良的风险增加。一名20多岁的男性寻求治疗,因为他的身体色素沉着过度,面部变硬,卷烟纸皮肤薄薄的皱纹与光敏性有关。他在童年时期就有过全身水泡的历史,形成原始区域并最终治愈,形成萎缩性疤痕。目的是评估KS患者的临床发现与皮肤镜检查的相关性。KS是一种罕见的真皮病,光敏性,婴儿期的肢端大疱为主要特征。皮肤镜检查被证明是诊断这种罕见疾病的有用工具,因为它有助于鉴定真皮病,Adermatoglyphia,和香烟纸疤痕。
    Kindler syndrome (KS) is a rare autosomal recessive skin condition. The FERMT1 gene mutates and causes symptoms such as blistering and epidermal atrophy, as well as an increased risk of cancer and poor wound healing. A male in his 20s sought treatment for his hyper-hypopigmentation over the body with poikiloderma of the face with thin wrinkled cigarette paper skin in association with photosensitivity. He gave a history of developing blisters all over the body during his childhood, which formed raw areas and eventually healed forming atrophic scars. The objective is to assess the correlation of clinical findings with dermoscopy in a case of KS. KS is a rare disorder with poikiloderma, photosensitivity, and acral bullae in infancy as predominant features. Dermoscopy proves to be a useful tool in the diagnosis of this rare disorder as it helps in the identification of poikiloderma, adermatoglyphia, and cigarette paper scarring.
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