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Organ transplant recipients express enhanced skin autofluorescence and pigmentation at skin cancer sites

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BACKGROUND: Skin autofluorescence and pigmentation can estimate photodamage and sun exposure. These techniques may quantify differences in actinic damage between high-risk organ transplant recipients (OTRs) and immunocompetent patients.

METHODS: Age and gender-matched OTRs (n = 15) and immunocompetent controls (n = 15) with a new keratinocyte carcinoma (KC) were included. We measured skin autofluorescence (370 nm excitation, F370) and skin pigmentation at five standardized body sites; and determined black light-evaluated solar lentigines on the shoulders and photosensitivity to UVA and simulated solar radiation (SSR) as minimal erythema doses (MED).

RESULTS: F370 autofluorescence values were enhanced at KC site versus other body sites in OTRs (2208 vs. 1458-1898 AU, p < 0.05). Compared with non-OTRs, OTRs expressed higher F370 autofluorescence at KC site (2208 vs. 1385 arbitrary units AU, p = 0.01) and the shoulder (1898 vs. 1525, p = 0.05). Likewise, OTRs had increased skin pigmentation (25.0 vs. 20.8 pigment%, p = 0.05) and solar lentigines (3.5 vs. 3.0, p = 0.048) on the shoulders. MED tests showed increased UVA photosensitivity in OTRs (2.4 vs. 1.7 times higher than expected, p = 0.03), whereas SSR photosensitivity was similar.

CONCLUSION: Quantified F370 autofluorescence, skin pigmentation, and density of solar lentigines could serve to assess photodamage in OTR. Increased UVA photosensitivity may account for higher skin photodamage.

Original languageEnglish
JournalJournal of Photochemistry and Photobiology B: Biology
Volume188
Pages (from-to)1-5
Number of pages5
ISSN1011-1344
DOIs
Publication statusPublished - Nov 2018

    Research areas

  • Aged, Female, Humans, Immunocompetence, Male, Middle Aged, Skin/chemistry, Skin Neoplasms/metabolism, Skin Pigmentation/radiation effects, Spectrometry, Fluorescence, Statistics, Nonparametric, Transplant Recipients, Ultraviolet Rays

ID: 56140944