title: Ultraviolet light and 8-methoxypsoralen inhibit expression of endothelial adhesion molecules.
abstract: OBJECTIVE
  Having previously found that treating small areas of synovitis within the knees of patients with rheumatoid arthritis (RA) with 8-methoxypsoralen (8-MOP) and laser-derived ultraviolet A (PUVA) resulted in decreases in adhesion molecule expression, we sought to determine the effect of PUVA on expression of vascular cellular adhesion molecule 1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and E-selection by human umbilical vein endothelial cells (HUVEC).
  
  
  METHODS
  Expression of VCAM-1, ICAM-1, and E-selectin on the surface of HUVEC was measured using specific antibodies and flow cytometry or a fluorescence plate reader, following treatment of cells with 8-MOP and UVA, before and after tumor necrosis factor (TNF) stimulation.
  
  
  RESULTS
  PUVA led to significant dose dependent decreases in the expression of VCAM-1 and E-selectin that had been induced with TNF before PUVA treatment. Pretreatment with PUVA was also able to prevent subsequent TNF induction of VCAM-1 expression. TNF-induced ICAM-1 expression was not decreased by PUVA, however, and pretreatment only partially decreased ICAM-1 expression.
  
  
  CONCLUSIONS
  The in vivo effects of PUVA may be explained, in part, by down regulation of adhesion molecule expression. The relative resistance of ICAM-1 to PUVA suggests some specificity to the effect on adhesion molecule expression.
authors.affiliation: Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Laing
authors.forename: B C
authors.initials: BC
authors.lastname: Richardson
authors.forename: M B
authors.initials: MB
authors.lastname: Toth
authors.forename: E M
authors.initials: EM
authors.lastname: Smith
authors.forename: R M
authors.initials: RM
authors.lastname: Marks
mesh_terms: D002478:Cells, Cultured; D004730:Endothelium, Vascular / Q000166:cytology / Q000187:drug effects* / Q000378:metabolism / Q000528:radiation effects*; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000378:metabolism*; D008730:Methoxsalen / Q000494:pharmacology*; D017319:Photosensitizing Agents / Q000494:pharmacology*; D014466:Ultraviolet Rays; D019010:Vascular Cell Adhesion Molecule-1 / Q000378:metabolism*
chemical_list: D017319:Photosensitizing Agents; D019010:Vascular Cell Adhesion Molecule-1; D018799:Intercellular Adhesion Molecule-1; D008730:Methoxsalen