Exposure to Ultraviolet Radiation in the Modulation of Human Diseases

Annu Rev Pathol. 2019 Jan 24:14:55-81. doi: 10.1146/annurev-pathmechdis-012418-012809. Epub 2018 Aug 20.

Abstract

This review focuses primarily on the beneficial effects for human health of exposure to ultraviolet radiation (UVR). UVR stimulates anti-inflammatory and immunosuppressive pathways in skin that modulate psoriasis, atopic dermatitis, and vitiligo; suppresses cutaneous lesions of graft-versus-host disease; and regulates some infection and vaccination outcomes. While polymorphic light eruption and the cutaneous photosensitivity of systemic lupus erythematosus are triggered by UVR, polymorphic light eruption also frequently benefits from UVR-induced immunomodulation. For systemic diseases such as multiple sclerosis, type 1 diabetes, asthma, schizophrenia, autism, and cardiovascular disease, any positive consequences of UVR exposure are more speculative, but could occur through the actions of UVR-induced regulatory cells and mediators, including 1,25-dihydroxy vitamin D3, interleukin-10, and nitric oxide. Reduced UVR exposure is a risk factor for the development of several inflammatory, allergic, and autoimmune conditions, including diseases initiated in early life. This suggests that UVR-induced molecules can regulate cell maturation in developing organs.

Keywords: autoimmune diseases; human health; immunomodulation; skin inflammatory diseases; ultraviolet radiation; vitamin D.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Autoimmune Diseases / therapy*
  • Humans
  • Immunomodulation / radiation effects
  • Immunosuppressive Agents / therapeutic use*
  • Photosensitivity Disorders
  • Risk Factors
  • Skin / pathology
  • Skin / radiation effects
  • Skin Diseases / therapy*
  • Ultraviolet Rays
  • Ultraviolet Therapy / methods*
  • Vitamin D / analogs & derivatives
  • Vitamin D / metabolism

Substances

  • Anti-Inflammatory Agents
  • Immunosuppressive Agents
  • dihydroxy-vitamin D3
  • Vitamin D