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  • 王婷婷,徐仙赟,张玲,等.窄谱中波紫外线对瘙痒的作用及机制研究[J].同济大学学报(医学版),2021,42(2):187-192.    [点击复制]
  • WANG Ting-ting,XU Xian-yun,ZHANG Ling,et al.Effect and mechanism of narrow-band ultraviolet B on pruritus in mice with allergic contact dermatitis[J].同济大学学报(医学版),2021,42(2):187-192.   [点击复制]
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窄谱中波紫外线对瘙痒的作用及机制研究
王婷婷,徐仙赟,张玲,宋宁静
0
(上海交通大学医学院附属同仁医院皮肤科,上海200050;同济大学医学院,上海200092; 教育部心脑血管病防治重点实验室,江西 赣州341000)
摘要:
目的观察窄谱中波紫外线(narrow-band ultraviolet B, NB-UVB)对于2,4-二硝基氟苯(DNFB)诱发的变应性接触性皮炎(allergic contact dermatitis, ACD)小鼠模型瘙痒行为的作用,并初步探讨NB-UVB缓解瘙痒的潜在机制。方法分别用70、84、96 mJ/cm能量的NB-UVB照射C57BL/6小鼠颈背部皮肤,24 h后观察照射部位皮肤的大体及病理改变以确定最小红斑量(minimal erythema dose, MED)。分别在第1、4、8、11天,将0.15% DNFB溶液涂抹于C57BL/6小鼠颈背部皮肤上以建立慢性瘙痒小鼠型,并观察涂药结束后3周内小鼠颈背部皮肤及瘙痒行为改变。在ACD小鼠模型造模成功后,分别用0、56、70 mJ/cm2能量NB-UVB照射模型组小鼠颈背部的皮肤,观察照射部位皮肤的改变并记录小鼠瘙痒行为的变化。采用ELISA、qPCR的方法检照射后小鼠皮肤IL-10及组氨酸脱羧酶(histidine decarboxylase, HDC)的改变。结果正常8~12周龄C57BL/6小鼠颈背部皮肤的MED约为84 mJ/cm2。ACD小鼠模型造模后的第1天,可以观察到局部皮肤渗出、红斑、脱屑、干燥、结痂等改变,且瘙痒行明显增加(P<0.05),且可持续至造模后的第21天。与对照组及56 mJ/cm2 NB-UVB照射组相比,70 mJ/cm2的NB-UVB可明显改善ACD小鼠颈背部皮肤,且瘙痒行为显著下降(P<0.05)。ELISA结果提示,照射组小鼠皮肤中IL-10的水平明显升(P<0.01)。qPCR结果提示,照射组小鼠皮肤中组氨酸脱羧酶水平明显下降(P<0.05)。结论NB-UVB可通过下调ACD小鼠皮肤中组胺的含量,上调ACD小鼠皮肤中IL-10的含量缓解ACD小鼠的慢性瘙痒行为。
关键词:  窄谱中波紫外线  变应性接触性皮炎  瘙痒
DOI:10.12289/j.issn.1008-0392.20508
投稿时间:2020-11-27
基金项目:上海市长宁区医疗卫生科研专项课题项目(CNKW2018Y08)
Effect and mechanism of narrow-band ultraviolet B on pruritus in mice with allergic contact dermatitis
WANG Ting-ting,XU Xian-yun,ZHANG Ling,Song Ning-jing
(Dept. of Dermatology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200050, China;School of Medicine, Tongji University, Shanghai 200092, China; Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases of Ministry of Education, Ganzhou 341000, Jiangxi Province, China)
Abstract:
ObjectiveTo investigate the effect of narrow-band ultraviolet B(NB-UVB) on pruritus in mouse and to explore its mechanism. MethodsThe skin of C57BL/6 mice was irradiated by NB-UVB with energy of 70, 84, 96 mJ/cm2 and gross appearance and pathological changes of the skin at the irradiation site were observed to determine the minimal erythema dose(MED). The 2, 4-dinitrofluorobenzene(DNFB) solution(0.15%) was applied on the dorsal neck skin of male C57BL/6 mice to induce the allergic contact dermatitis(ACD) model. The DNFB-treated sites of mice were irradiated with NB-UVB of 0, 56, and 70 mJ/cm2 respectively; and the pathologic changes of the skin and scratching behavior of the ACD mice were compared before and after NB-UVB irradiation. The content of interleukin-10(IL-10) and the expression of histidine decarboxylase(HDC) mRNA in the skin were detected with ELISA and qPCR, respectively. ResultsThe MED on the dorsal neck skin of C57BL/6 mouse was 84 mJ/cm2. In ACD mice the exudation, erythema, desquamation, dryness, crusting and other changes in affected skin were observed; and scratching behavior was increased(P<0.05), which lasted at least for 21 d. Compared with the control group, and the skin lesions of ACD mice were significantly improved in NB-UVB irradiation groups, and the scratching behavior was significantly reduced(P<0.05). The level of IL-10 was increased(P<0.01) and the expression of HDC mRNA was decreased significantly in the skin of the irradiated mice(P<0.05). ConclusionNB-UVB may alleviate the chronic itch by down-regulating the histamine and up-regulating IL-10 in the skin in ACD mice.
Key words:  narrow-band ultraviolet B  allergic contact dermatitis  itch

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