A review of UVB-mediated photosensitivity disorders

F Kiss1, A V Anstey

  • 1Aneurin Bevan Health Board, St Woolos Hospital, Stow Hill, Newport, UK.

Insights

UVB photosensitivity is key in rare genetic skin disorders and some acquired syndromes. While gene mutations are known for inherited conditions, acquired disorder causes remain unclear, necessitating strict sun protection for all.

Area of Science:

  • Dermatology
  • Genetics
  • Photobiology

Background:

  • Photosensitivity to ultraviolet B (UVB) radiation is a hallmark of certain congenital skin disorders.
  • UVB may also play a role in the development of acquired photosensitivity syndromes.
  • Genetic mutations causing inherited photosensitivity disorders have been identified, offering insights into DNA repair mechanisms.

Purpose of the Study:

  • To summarize the current understanding of UVB photosensitivity in congenital and acquired skin disorders.
  • To highlight the knowledge gaps in the pathomechanisms of acquired photosensitivity.
  • To emphasize the importance of photo-protection in managing these conditions.

Main Methods:

  • Literature review of congenital and acquired photosensitivity disorders.
  • Analysis of identified gene mutations in inherited photosensitivity.
  • Discussion of current therapeutic limitations and management strategies.

Main Results:

  • Gene mutations underlying inherited photosensitivity disorders are largely identified.
  • The underlying mechanisms of acquired photosensitivity syndromes remain largely undefined.
  • Effective therapeutic options for photosensitivity disorders are limited.

Conclusions:

  • Rigorous photo-protection remains the cornerstone of management for both congenital and acquired photosensitivity disorders.
  • Further research is needed to elucidate the pathomechanisms of acquired photosensitivity syndromes.
  • Understanding genetic factors in inherited conditions has advanced DNA repair pathway knowledge.

Related Concept Videos

Mutations01:35

Mutations

Mutations are changes in the sequence of DNA. These changes can occur spontaneously or they can be induced by exposure to environmental factors. Mutations can be characterized in a number of different ways: whether and how they alter the amino acid sequence of the protein, whether they occur over a small or large area of DNA, and whether they occur in somatic cells or germline cells.
Chromosomal Alterations Are Large-Scale Mutations
While point mutations are changes in a single nucleotide in...
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Photoreceptors and Plant Responses to Light02:00

Photoreceptors and Plant Responses to Light

Light plays a significant role in regulating the growth and development of plants. In addition to providing energy for photosynthesis, light provides other important cues to regulate a range of developmental and physiological responses in plants.
Ultraviolet and Visible (UV–Vis) Spectroscopy: Overview01:02

Ultraviolet and Visible (UV–Vis) Spectroscopy: Overview

Ultraviolet–visible (UV–visible or UV–Vis) spectroscopy is an analytical technique that investigates the interaction between matter and UV–Vis light within the electromagnetic spectrum. This method is widely used for its versatility, simplicity, and relatively quick data acquisition, making it valuable for both qualitative and quantitative analysis. When UV–Vis radiation passes through a material,  molecules absorb light depending on the energy required for electronic transitions. As a result...
Nucleotide Excision Repair01:38

Nucleotide Excision Repair

DNA Distortion and Damage
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...