Immunological consequences of ultraviolet radiation exposure

Depending on the dose and conditions of administration, ultraviolet radiation (UVR) can function as either a complete carcinogen, a co-carcinogenic agent, or an immunologic modulator. Although much is known about its carcinogenic properties, only recently have investigations been aimed at defining the mechanisms by which UVR mediates its effect on the immune system. The objective of this article is to present the necessary background and results of recent studies that provide the basis for defining some of the local and systemic effects that UVR has on an individual's immunologic potential. This discussion focuses on: the histologic alterations in the skin and draining lymph nodes, the changes in lymphocyte localization, the increased release of the immunologic (and physiologic) mediator ETAF/IL-1, and the induction of antigen-specific immunoregulatory circuits that occur subsequent to UVR exposure. It is our hypothesis that the detrimental effects that UVR has on the host's immunologic competence may represent a normal defense mechanism to protect the individual against the adverse consequences of chronic inflammatory stimuli. In this regard, a better understanding of photoimmunology may lead to the development of more effective means of immunologic modulation for altering the clinical course of various human diseases that are either immunologically mediated, photoinduced, or responsive to phototherapy.