title: Effects of UV irradiation with one minimal erythema dose on human afferent skin lymph in vivo.
abstract: Ultraviolet (UV) irradiation of the skin induces complex local and systemic immunomodulatory reactions. The biological effects of UV irradiation on human skin derived afferent lymph however are unknown. The aim of this study was to examine the effects of a single combined UV-A and UV-B irradiation with 1 minimal erythema dose (MED) on human skin derived lymph in vivo. After cannulation of a superficial lymph vessel on the lower leg, lymph flow and cell output per hour were determined before and for 6 days after UV irradiation of the lymph draining skin area in 5 volunteers. Furthermore, expression of CD1a, CD4, CD8, CD28, CD54, CD80, CD86 and HLA-DR on migrating lymph cells and cytokine levels (IL-1alpha, IL-1beta, IL-2, IL-6, IL-8, IL-10, IL-13, TNF-alpha and IFN-gamma) in the afferent lymph were analyzed by cytofluorometry and ELISA. After UV irradiation a small initial enhancement in the daily lymph flow per hour was noticed in correlation with the slight erythematous skin reaction. Following resolution of the skin reaction, a delayed increase in cell output in correlation with an additional peak in the lymph flow was found between the 4th and 6th day after UV irradiation. However, no changes in the expression of CD1a, CD4, CD8, CD28, CD54, CD80, CD86 and HLA-DR on migrating lymph cells were detectable. Interestingly, in parallel to the increased lymph flow and cell output, only elevated IL-8 protein levels were reproducibly detected in the afferent lymph after UV irradiation. Furthermore, using immunohistochemistry positive staining for IL-8 was found on migrating mononuclear lymph cells. In conclusion, our data demonstrate that a single UV irradiation of the skin with 1 minimal erythema dose leads to a delayed enhancement of lymph flow, number of migrating lymph cells and cytokine levels of IL-8. Moreover, we provide evidence that migrating lymph cells, besides resident epidermal and dermal cells, may contribute to the detected levels of IL-8 in the afferent lymph.
authors.affiliation: Dermatological Clinic, Institute of Immunology and Allergology, University of Bern, Inselspital, Switzerland.
authors.forename: N
authors.initials: N
authors.lastname: Yawalkar
authors.forename: M C
authors.initials: MC
authors.lastname: Aebischer
authors.forename: R
authors.initials: R
authors.lastname: Hunger
authors.forename: C U
authors.initials: CU
authors.lastname: Brand
authors.forename: L R
authors.initials: LR
authors.lastname: Braathen
mesh_terms: D000293:Adolescent; D000328:Adult; D015703:Antigens, CD / Q000276:immunology; D016207:Cytokines / Q000276:immunology; D004890:Erythema / Q000276:immunology*; D006801:Humans; D016130:Immunophenotyping; D008208:Lymphatic System / Q000276:immunology / Q000528:radiation effects*; D008214:Lymphocytes / Q000276:immunology; D008297:Male; D011829:Radiation Dosage; D012867:Skin / Q000276:immunology / Q000528:radiation effects*; D014466:Ultraviolet Rays
chemical_list: D015703:Antigens, CD; D016207:Cytokines