PMID- 8423396 OWN - NLM STAT- MEDLINE DCOM- 19930219 LR - 20190723 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 100 IP - 1 DP - 1993 Jan TI - Sunlight and skin-associated lymphoid tissues (SALT): if UVB is the trigger and TNF alpha is its mediator, what is the message? PG - 47S-52S AB - The damaging effects on cutaneous immunity of low-dose ultraviolet B (UVB) radiation in sunlight are genetically determined in mice. Polymorphic alleles at the Tnf alpha and Lps loci dictate whether mice are UVB susceptible or resistant, i.e., develop contact hypersensitivity or not when hapten is painted on UVB-exposed skin. In mice, UVB susceptibility is mediated almost exclusively by tumor necrosis factor-alpha (TNF alpha). Circumstantial evidence implicates urocanic acid (UCA) in the stratum corneum as the photoreceptor for UVB, and recent results suggest that cis-UCA in turn instigates the intraepidermal accumulation of TNF alpha. It is hypothesized that TNF alpha interrupts the induction of contact hypersensitivity by preventing epidermal Langerhans cells from carrying hapten to the draining lymph node, where activation of naive, hapten-specific T cells must first occur. The phenotypic traits of UVB susceptibility (UVB-S) and UVB resistance (UVB-R) have now been documented in human beings, and the frequency of UVB-S is high (approximately 40-45%) in both Caucasians and individuals with deeply pigmented skin. Because the frequency of UVB-S is extremely high in patients with biopsy-proved basal and squamous cell skin cancer, this trait appears to be a risk factor for this disease. The unexpectedly high frequency of UVB-S in human beings, including black-skinned persons, implies that the trait is not perceived by evolutionary processes as deleterious. The possible selective advantages conferred by alleles that determine UVB-S are discussed with respect to cutaneous infections in which mortality and morbidity are primarily mediated by immunopathogenic processes. FAU - Streilein, J W AU - Streilein JW AD - Department of Microbiology and Immunology, University of Miami School of Medicine, Florida 33101. LA - eng GR - AI22072/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Dermatitis, Contact/genetics/immunology MH - Disease Susceptibility MH - Humans MH - Immune System/radiation effects MH - Immunogenetics MH - Lymphoid Tissue/*radiation effects MH - Radiation Injuries, Experimental/genetics/immunology MH - Skin/*radiation effects MH - *Sunlight MH - Tumor Necrosis Factor-alpha/*physiology MH - *Ultraviolet Rays RF - 25 EDAT- 1993/01/01 00:00 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PHST- 1993/01/01 00:00 [pubmed] PHST- 1993/01/01 00:01 [medline] PHST- 1993/01/01 00:00 [entrez] AID - 10.1111/1523-1747.ep12355578 [doi] PST - ppublish SO - J Invest Dermatol. 1993 Jan;100(1):47S-52S. doi: 10.1111/1523-1747.ep12355578.