Measurement of sunscreen immune protection factors in humans: a consensus paper

J Invest Dermatol. 2005 Sep;125(3):403-9. doi: 10.1111/j.0022-202X.2005.23857.x.

Abstract

It is increasingly accepted that sunscreens should protect against ultraviolet radiation (UVR)-induced immunosuppression, with an index of protection that can be compared with the sun protection factor (SPF). Five groups of immunoprotection researchers met to discuss the status of immune protection factor (IPF) evaluation in human skin in vivo. Current methods rely on a suncreen's inhibition of UVR-induced local suppression of the contact hypersensitivity (CHS) response or the delayed-type hypersensitivity (DTH) response, using either the induction or the elicitation arms of these responses. The induction arm of the CHS response has the advantage of being sensitive to a single sub-erythemal exposure of solar-simulating radiation (SSR) that allows a direct comparison with the SPF. This approach, which necessitates sensitization, requires a large number of volunteers and is too labor intensive and time consuming to become a routine method. The elicitation arm of the CHS or DTH responses exploits prior sensitization to contact or recall antigens and has the advantage of being possible to apply on small groups of volunteers. Some current protocols, however, require repeat SSR exposures, which invalidates a direct comparison with SPF that is based on a single exposure. There is a need for a new simpler method of IPF that will have to be validated against existing models.

Publication types

  • Consensus Development Conference
  • Review

MeSH terms

  • Dermatitis, Contact / immunology
  • Humans
  • Hypersensitivity, Delayed / immunology
  • Immune System / drug effects
  • Immune System / radiation effects
  • Immune Tolerance / drug effects
  • Immune Tolerance / radiation effects*
  • Immunologic Factors / analysis
  • Immunologic Techniques
  • Skin Neoplasms / immunology
  • Skin Neoplasms / prevention & control
  • Sunlight
  • Sunscreening Agents / pharmacology*
  • Sunscreening Agents / therapeutic use
  • Ultraviolet Rays

Substances

  • Immunologic Factors
  • Sunscreening Agents