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Role of NO in
UV Immunosuppression in Humans and Mice
Halliday, Gary1,
Kuchel, Johanna1, Russo, Paul1,
Yuen, Kylie1 and Barnetson, Ross1
Melanoma and Skin Cancer Research Institute of the Royal Prince Alfred
Hospital at the University of Sydney, Sydney, Australia1
Abstract-
We investigated whether NO or oxygen radicals are involved in UV immunosuppression
in humans and mice using the inhibitors of nitric oxide and reactive
oxygen production NG-monomethyl-L-arginine acetate (L-NMMA) and 2,2-dipyridyl
respectively. Groups of 16 nickel-allergic human volunteers were recruited
and irradiated with a range of doses of solar-simulated UV (ssUV) for
4 consecutive days with and without NO or reactive oxygen inhibition.
Each skin site was then challenged with nickel and the ensuing contact
sensitivity response assessed 72 h later by reflectance spectroscopy.
A UV-induced dose response for suppression of this recall response was
observed. L-NMMA but not dipyridyl protected this response from ssUV
indicating that in humans NO but not iron-catalysed reactive oxygen
is involved in immunosuppression. In contrast, studies in mice showed
both L-NMMA and dipyridyl to prevent UVA-induced suppression of contact
sensitivity. In further studies mice were protected with a sunscreen
containing the UVB absorber 2-ethyl hexyl methoxycinnamate. Addition
of these inhibitors to the sunscreen did not affect the sun protection
factor (SPF), but lowered the level of oedema. Combination of both inhibitors
with the sunscreen however increased the SPF from 5 to 5.5. The immune
protection factor (IPF) of the sunscreen was only 1.18, but addition
of neither dipyridyl nor L-NMMA singly or in combination measurably
improved immune protection. However both inhibitors improved the ability
of the sunscreen to prevent UV carcinogenesis. The results indicate
that NO and oxygen radicals produced in response to UV radiation are
important for erythema, immunosuppression and carcinogenesis, and addition
of inhibitors improves the protective capacity of sunscreens.
Keywords: Nitric
oxide, Immunosuppression, Sunscreens, Carcinogenesis
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