Exposure to Atmospheric Ozone Disruption and Altitude Over 3500 m.a.s.l. are Associated with a Higher Prevalence of Photodermatoses in Pediatric Population of High-Altitude in Peru

Objective

To determine if exposure to atmospheric ozone disruption and other factors are associated with photodermatoses in the high-altitude pediatric population in Peru.

Materials and Methods

A cross-sectional study based on data obtained from studies of dermatological diseases among the population exposed to mine tailings in Peru which included children under the age of 18 in 6 population centers located over 2500 meters above sea level (m.a.s.l). We evaluated the presence of photodermatoses and possible associated factors obtaining the adjusted odds ratio (aOR) and confidence intervals (CI).

Results

594 children below the age of 18 participated in this study, 53.0% girls, the average age was 10.4 ± 4.1 years. 51.3% were exposed to a mini hole in the ozone layer, 60.1% resided at an altitude over 3500 m.a.s.l and 51.9% presented cutaneous manifestations of atopy upon physical examination. The prevalence of photodermatoses was 64.8%, of which the most frequent were actinic prurigo (49.3%), pityriasis alba (18.5%) and actinic cheilitis (4.4%). The multivariate analysis found that residing in a region exposed to the mini hole in the ozone layer (aOR = 4.23; CI 95%: 2.32–7.72) and residing at an altitude over 3500 m.a.s.l (aOR = 2.76; CI 95%: 1.57–4.86) were both independent associated factors to photodermatoses.

Conclusion

A high prevalence of photodermatoses exists among the pediatric population living at high-altitude in Peru. Residing in a region exposed to a mini hole in the ozone layer and residing over 3500 m.a.s.l constituted associated factors.

Physiological and Biochemical Adaptations to High Altitude in Tibetan Frogs, Nanorana parkeri

The Xizang plateau frog, N. parkeri (Anura: Dicroglossidae), is endemic to the Tibetan Plateau, ranging from 2,850 to 5,100 m above sea level. The present study explores physiological and biochemical adaptations to high altitude in this species with a particular emphasis on parameters of hematology, oxidative stress, and antioxidant defense in adult and juvenile N. parkeri collected from high (4,600 m a.s.l) and low (3,400 m a.s.l) altitudes. Hematological results showed that hemoglobin concentration ([Hb]), hematocrit (Hct), and red blood cell (RBC) counts were significantly higher in high-altitude N. parkeri. High-altitude juveniles had lower RBC sizes than low-altitude juveniles. Higher levels of GSH and GSSG were indicated only in juveniles from high altitude, not in adults. High-altitude individuals also showed lower oxidative damage, assessed as malondialdehyde (MDA) and carbonyl groups (CG) in the liver. High-altitude adults also showed higher activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), and glutathione-S-transferase (GST) as well as total antioxidant capacity (T-AOC) in the liver as compared to low-altitude adults. Moreover, higher GPX activity and T-AOC were observed in the heart and brain of high-altitude adults. Liver CAT, GPX, and T-AOC showed significant increases in high-altitude juveniles. Vitamin C content was also higher in the heart of high-altitude frogs compared to low-altitude individuals. In summary, the high-altitude population of N. parkeri showed more robust hematological parameters, less oxidative damage, and stronger antioxidant defenses than the low-altitude population, all contributing to increased protection for survival in high-altitude environments.

UV exposure causes energy trade-offs leading to increased chytrid fungus susceptibility in green tree frog larvae

Levels of ultraviolet (UV) radiation have increased in many parts of the world due to the anthropogenic destruction of the ozone layer. UV radiation is a potent immunosuppressant and can increase the susceptibility of animal hosts to pathogens. UV radiation can directly alter immune function via immunosuppression and photoimmunotolerance; however, UV may also influence pathogen defences by affecting the distribution of energy resources among competing physiological processes. Both defence against UV damage and repair of incurred damage, as well as the maintenance of immune defences and responding to an immune challenge, are energetically expensive. These competing demands for finite energy resources could trade off against one another, resulting in sub-optimal performance in one or both processes. We examined the potential for a disease-related energy trade-off in green tree frog (Litoria caerulea) larvae. Larvae were reared under high- or low-UV conditions for 12 weeks during which time we measured growth rates, metabolic rate and susceptibility to the amphibian fungal pathogen, Batrachochytrium dendrobatidis (Bd). We found that larvae exposed to high levels of UV radiation had higher rates of energy expenditure than those exposed to low UV levels; however, UV exposure did not affect growth rates or developmental timings. Larvae exposed to high UV radiation also experienced greater Bd infection rates and carried a higher infection burden than those not exposed to elevated UV radiation. We propose that the increased energetic costs of responding to UV radiation were traded off against immune defences to protect larval growth rates. These findings have important implications for the aetiology of some Bd-associated amphibian declines, particularly in montane environments where Bd infections are most severe and where UV levels are highest.

Estimation of 1-km Resolution All-Sky Instantaneous Erythemal UV-B with MODIS Data Based on a Deep Learning Method

Although ultraviolet-B (UV-B) radiation reaching the ground represents a tiny fraction of the total solar radiant energy, it significantly affects human health and global ecosystems. Therefore, erythemal UV-B monitoring has recently attracted significant attention. However, traditional UV-B retrieval methods rely on empirical modeling and handcrafted features, which require expertise and fail to generalize to new environments. Furthermore, most traditional products have low spatial resolution. To address this, we propose a deep learning framework for retrieving all-sky, kilometer-level erythemal UV-B from Moderate Resolution Imaging Spectroradiometer (MODIS) data. We designed a deep neural network with a residual structure to cascade high-level representations from raw MODIS inputs, eliminating handcrafted features. We used an external random forest classifier to perform the final prediction based on refined deep features extracted from the residual network. Compared with basic parameters, extracted deep features more accurately bridge the semantic gap between the raw MODIS inputs, improving retrieval accuracy. We established a dataset from 7 Surface Radiation Budget Network (SURFRAD) stations and 1 from 30 UV-B Monitoring and Research Program (UVMRP) stations with MODIS top-of-atmosphere reflectance, solar and view zenith angle, surface reflectance, altitude, and ozone observations. A partial SURFRAD dataset from 2007–2016 trained the model, achieving an R2 of 0.9887, a mean bias error (MBE) of 0.19 mW/m2, and a root mean square error (RMSE) of 7.42 mW/m2. The model evaluated on 2017 SURFRAD data shows an R2 of 0.9376, an MBE of 1.24 mW/m2, and an RMSE of 17.45 mW/m2, indicating the proposed model accurately generalizes the temporal dimension. We evaluated the model at 30 UVMRP stations with different land cover from those of SURFRAD and found most stations had a relative RMSE of 25% and an MBE within ±5%, demonstrating generalization in the spatial dimension. This study demonstrates the potential of using MODIS data to accurately estimate all-sky erythemal UV-B with the proposed algorithm.

Medicinal plants from the Himalayan region for potential novel antimicrobial and anti-inflammatory skin treatments

BACKGROUND AND OBJECTIVES

Adequate treatment of wounds remains one of the major medical needs globally, most notably in the regions with poor or limited access to health care. In many local and traditional systems of medicine, plants are often widely used for treating infected wounds.

AIM AND OBJECTIVES

The overarching aim of this project was selection of potential species for use in a future treatment by combining with plant resources with aspects of antimicrobial photodynamic therapy (aPDT). Specifically, we focussed on species used locally in the Himalayan region for the treatment of skin disorders and then assessed the existing pharmacological evidence for key species based on the published evidence available.

METHODS

Database searches were performed to identify relevant publications describing local and traditional uses of plants in the Himalayan region of Bhutan, PR China, India, Nepal and Pakistan. Using the Global Biodiversity Information Facility (GBIF), species were researched in terms of their distribution including in different climatic regions, focussing on species mostly found in higher climatic zones (based on the Köppen-Geiger climate classification). For species used in three or more countries and restricted to the higher altitudes, data on safety, pharmacology, as it relates to dermatological conditions, and phytochemistry were retrieved.

KEY FINDINGS

The study identified a total of 606 species that are used in the treatment of various skin conditions often associated with infections reported in 84 articles. Common weeds like Ageratum conyzoides and Bidens pilosa, widely used and cultivated species like Centealla asiatiaca and Prunus armenica were excluded. This ultimately led to the identification of a core group of five widely used species restricted to the Himalayan region (Cedrus deodara, Nardostachys jatamansi, Pinus wallichiana, Pinus roxburghii and Valeriana jatamansi).

CONCLUSIONS

Here we apply a novel approach comprising an assessment of the published information on the use of medicinal plants (i.e. local and traditional knowledge) in the context of their potential to be used in a biomedical form of clinical treatment - aPDT. Then, once sustainable sourcing based on access and benefit-sharing arrangements is in place, these species are investigated for their potential in wound treatment. Ultimately, the goal is to develop a new baseline for primary health care in some of the regions of the world with poor or limited access to health care.

UV-Index Climatology for Europe Based on Satellite Data

The UV-Index (UVI) is aimed at the prevention of skin cancer as well as other negative implications of ultraviolet radiation exposure. In order to support health related applications, assessments and planning that rely on long term data in high spatial resolution and as there exist only limited ground-based measurements, satellite products from reliable atmospheric monitoring services are used as sustainable data sources to create a climatology of the UVI at the local noon. In this study, the (all-sky) UVI as well as the hypothetically clear-sky UVI were analysed for the European region from 30° North to 65° North and from 25° West to 35° East in a spatial resolution of 0.05° for the time period 1983 to 2015. Maps of the monthly mean UVI provide an overview of the distribution of UVI for Europe as well as the spatial and temporal differences and regional variability at local solar noon. Additionally, eight selected locations provide insight into the effects of latitude and altitude on UVI in Europe. Monthly boxplots for each location provide information about regional differences in the variability of UVI, showing maximum variability in Northern and Central Europe in summer, where in Southern Europe this basically occurs in spring. The frequency of the World Health Organization exposure categories moderate, high and very high UVI is provided based on ten-day means for each month. The maximum difference between mean values per decade of 2006–2015 compared to 1983–1992 ranges from −1.2 to +1.2 for UVI and from −0.4 to +0.6 for UVI c l e a r − s k y . All locations, except the Northern European site, show an increase of UVI during spring and early summer months. A statistically significant increase in the annual mean all-sky UVI has been found for four sites, which ranges from +1.2% to +3.6% per decade. The latest eleven-year period of the UVI climatology (2005–2015) has been validated with UVI measured in five sites. The sites that are located north of the Alps show an underestimation of the UVI, likely due to the cloud modification. In the south, the UVI climatology provides values that are on average overestimated, possibly related to the use of climatological aerosol information. For the site within the Alps, a switch between underestimation and overestimation during the course of the year has been found. 7% to 9% of the UVI values of the climatology differ from the measured UVI by more than one unit.

How can the natural radiation background affect DNA integrity in angiosperm plant species at different altitudes in Rila Mountain (Southwest Bulgaria)?

Climate changes and anthropogenic factors are the main factors contributing to the destruction of natural ecosystems. The aim of this study was to investigate the extent to which wild plants adapt to UV, gamma background, and gross beta activity, as well as the possible damage that can be recorded in plants growing at different altitudes in Rila Mountain. We used physicochemical, cytogenetic, and molecular methods. Our investigations were done on the nine plant species characteristic of the ecosystems in Rila Mountain at three altitudes: 1500 m, 1782 m, and 2925 m. The registered beta activity in the plants did not depend on the altitude of the habitats. Our results showed that wild plant species differ in their tolerance to the combined effect of UV and IR radiation as well as climate factors. The genotype plays a more important role than the difference in the habitat altitude. The comet assay adapted by us for these plant species showed that the DNA of Epilobium angustifolium L. (Onagraceae) growing at 1500 m was more susceptible to damage than that of Dactylis glomerata L. (Poaceae). Both these species growing at 1782 m did not show any increase in DNA damage evaluated as the level of DNA migration. The level of DNA damage in Pedicularis orthantha Griseb. (Orobanchaceae) at 2925 m was comparable to that at a lower altitude. Regarding the formation of micronuclei, grass species were more sensitive to UV- and IR-induced DNA damage than cereals. Our data imply the existence of specific protective mechanisms developed by plants to overcome DNA damage induced by stress factors.

Contribution of UVA irradiance to the erythema and photoaging effects in solar and sunbed exposures

Even though UVA irradiance had not been considered detrimental to human skin for years, nowadays it is recognized for its role in photoaging and other biological responses. The ratio UVA/UVB is about 17 at a solar zenith angle (SZA) of 20° and it is almost constant up to 60° when it rapidly increases since the UVB wavelengths (280-320nm) are more attenuated than the UVA waveband (320-400nm). For a constant SZA, the ratio increases with the ozone content. The UVA component of the solar erythemal irradiance ranges from 20% at 20° to 30% at 60°, whereas it varies from 50% to 80% in the two different types of measured sunbeds. Moreover, the different spectral distribution of the lamps used for artificial tanning leads frequently to high UVA doses. The biological responses related to skin photoaging (skin sagging and elastosis) could be around fourfold the equivalent solar irradiance at midday in summer midlatitudes and they can be important in unprotected UVA exposures to sunbeds. The UVA dose accumulated during the time required in reaching 1 minimum erythemal dose (MED) increases with the SZA since the exposure durations are longer. Indeed, seasonal differences in the mean UVA dose are observed due to variations in the ozone content that results in longer exposure times without erythema. Although an artificial tanning session is usually shorter than one hour, the UVA dose from sunbeds during the time for 1 MED for skin type II (250Jm(-2)) can be 2-4 times larger than the solar dose, depending on the lamp spectral emission.

Ultraviolet radiation at Mediterranean latitudes and protection efficacy of intraocular lenses

PURPOSE

After determining the mean intensity of ultraviolet radiation to which the human eye is exposed at Mediterranean latitudes, this data is used to evaluate the efficacy of the ultraviolet filters incorporated into various intraocular lenses.

METHODS

Ultraviolet radiation measured at Mediterranean latitudes was used as a reference for the theoretical calculation of the amount of radiation to which the human eye is exposed. The spectral transmission curve from 290 to 380 nm was measured for 10 IOLs using a UV/VIS Perkins-Elmer Lambda 800 spectrometer.

RESULTS

At Mediterranean latitudes, at sea level, with a mean annual solar irradiation of 50 j/cm(2), the human eye receives a quantity of UVA and UVB that is lower than the threshold toxic dose for the rabbit crystalline lens (93 j/cm(2) for UVA and 6.45 j/cm(2) for UVB). However, at higher altitudes and with albedo approaching 0.9 (fresh snow), the amount of radiation increases, with duration of exposure potentially playing a significant role. The UV filters incorporated into the IOLs studied are, in general, protective against such levels of radiation.

CONCLUSION

At Mediterranean latitudes, at sea level, the amount of UV radiation to which our eyes are exposed is insufficient to damage the crystalline lens; however, at higher altitudes, the risk of such damage exists. UV filters incorporated into intraocular lenses are generally effective, since they filter all radiation with wavelengths under 380 nm.

[Melanoma, altitude, and UV-B radiation]

BACKGROUND AND OBJECTIVES

UV radiation is the main modifiable risk factor for the development of cutaneous melanoma. Many people in the Spanish province of Granada live at high altitudes and, therefore, receive high doses of UV-B radiation. The aims of this study were to assess the possible association between melanoma and altitude and to measure the daily erythemal dose at different altitudes.

MATERIAL AND METHODS

An epidemiological study was carried out between 1982 and 2007 to assess the relationship between altitude, daily erythemal dose, and the prevalence of melanoma. We calculated the prevalence of melanoma in patients with a clinical and histological diagnosis of melanoma at Hospital Clínico Universitario San Cecilio in Granada, Spain. All individuals were required to be residents of the province of Granada in order to be included in the study. The prevalence of melanoma was calculated for altitude intervals of 100 m. Daily erythemal dose was estimated using measures of UV-B radiation obtained with pyranometers at altitudes of 0, 680, 1200, and 3398 m above sea level during the Evaluation of the Effects of Elevation and Aerosols on UV Radiation (VELETA) 2002 field campaign.

RESULTS

The highest prevalence of melanoma was found between 1400 and 1499 m above sea level (the interval at which the highest settlements are found), with a rate of 2.36 cases per 1000 inhabitants (95% confidence interval, 0.64-6.03). Above 700 m, the daily erythemal dose increased exponentially with increasing altitude.

CONCLUSIONS

We observed a tendency toward increased prevalence of melanoma at higher altitude, with higher prevalences observed beyond 700 m above sea level.

Environmental effects of ozone depletion and its interactions with climate change: progress report, 2009

The parties to the Montreal Protocol are informed by three panels of experts. One of these is the Environmental Effects Assessment Panel (EEAP), which deals with UV radiation and its effects on human health, animals, plants, biogeochemistry, air quality and materials. Since 2000, the analyses and interpretation of these effects have included interactions between UV radiation and global climate change. When considering the effects of climate change, it has become clear that processes resulting in changes in stratospheric ozone are more complex than believed previously. As a result of this, human health and environmental problems will likely be longer-lasting and more regionally variable. Like the other panels, the EEAP produces a detailed report every four years; the most recent was that for 2006 (Photochem. Photobiol. Sci., 2007, 6, 201-332). In the years in between, the EEAP produces a less detailed and shorter progress report, as is the case for this present one for 2009. A full quadrennial report will follow for 2010.