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Histol Histopathol (1997) 12: 383-389 001: 10.14670/HH-12.383 http://www.hh.um.es The skin injury induced Histology and Histopathology From Cell Biology to Tissue Engineering by high energy dose of ultraviolet in hairless descendants of Mexican hairless dogs Y. IshiP, T. Kimura 2 , S. Itagaki1 and K. DoP 1 Department of Biomedical Science, Faculty of Agriculture, The University of Tokyo, Yayoi 1-1-1 , Bunkyo-ku and 2Research Center, Nihon Nosan Kogyo Co ., Ltd ., Tsukuba, Ibaraki, Japan Summary. Hi stopatholog ical changes in the dorsal skin of hai rl ess d esce nda nt s of M ex i ca n hairl es s d ogs ( MHO s) ex pose d to artificial irr adiation with high ener gy d ose (180 kJ/m2) of ultr av iolet (U V) r ays (UVA+B) we re in ves ti gated. Ma cr osco pi ca lly, ery th ema a nd edema we re observed in the irradiated skin at 1 day after irradia ti on (OAI), a nd blister fo rm ati on occ urred except one d og at 2 OAI. Ery th ema almost disappeared at 5 OAI, and at 6 OAI, the skin recove red to almost normal state. Light mi croscopica ll y, sunburn ce ll s we re observed at 1 OAI. Then interce llular edema and blister formation in the epid er mis and dermal edema we re evident at 2 and 3 OAI. At 6 DAI, th e skin showed alm os t normal features exce pt for slight e pid ermal thicke nin g, but melanin granules, which were distributed in alm os t th e w ho le length of the epidermis b efo re UV irr adiation, we re detected only in ce ll s w hi ch seemed to be melanocytes exce pt one d og. Oih y dr oxy phenylala nin e ( OOPA )- positive melanocytes almos t disappeared at 1 a nd 2 OAI, a nd at 6 OAI, the numb er of DOPA -p os iti ve melan ocy t es incr ease d ove r th e l eve l b efo re UV irradia ti o n. Th e ultrastructural features of melanocytes were characte ri zed by vacuolated cyto pl asm, d ec reased melanoso mes , irr eg ul ar-shaped nuclei and shortened dendrites at 1 OAI, and returned to n or mal at 6 OA I. Th ese findin gs of melanocytes re fl ect the severity of th e skin injury a nd suppo rt weak suntan reac ti on in this case. In co nclusion, seve re fo rm of UV-induced skin injury see n in hum ans co uld be re pr o du ce d in ha irl ess descendants of MHOs expose d to hi gh energy d ose of artificial UVA+B. Key words: Melanocy te, Mexica n hairl ess dog, Sk in, Ultraviolet ray Offprint requests to: Dr. Y. Ishii , Department of Biomedical Science, Faculty of Agriculture, Th e University of Tokyo , Yayoi 1-1-1, Bunkyo-k u, Tokyo 113, Japan Introduction In 1983 , a pair of Mexica n hairl ess d ogs ( MHO s) was introduced into the Research Ce nter, Nihon Nosan Kogyo Co., Ltd., Ts ukub a, Japan, and an aut oso mal dominant ge ne (Hm: hairless, Me xi can type) responsible fo r th e ha irl ess char ac teris tic s of MHD h as b ee n identified (Kimura et a I. , 1993). Now, a co lony of hairl ess d esce ndants betw ee n a male MHO and female beag l es is maintained. Th ose ha irl ess d ogs h ave a bund a nt melan ocy t es in th e e pid e rmi s (Ishii et a I. , 1995) a nd d eve lop mela nin dep os iti on in r es pon se to so lar ultra vi olet ( UV ) irradiati on ( Kimur a and Ooi, 1994a). In this conn ecti on, mos t of hairl ess animals pr evio usly reported have no melanocytes which produce melanin granules (Rigdon and Pac kcha ni an, 1974; Hanada et a I. , 1988; Sundberg et aI. , 1989). Therefore, th e hairless dogs are expec ted to become a useful model fo r in ves ti ga ti on of th e effects of UV-irradiation on human skin. On the other hand, it is easi ly im ag ined that skin responses to UV irradia ti on are influence d both by kind of UV li ght source and by energy dose of Uv. Recently, Kimura and Ooi (1995) co mp ared hi stopathol og ica l skin r eac tions of hairl ess d esce ndants of MHO s betwee n solar exposure and artificial UV irradiation (l ow dose), and they repor ted that solar expos ure (90kJ/m ) provo ked more remarkable pigmenta ti on while artificial UV irradia ti on (40kJ/m2) brought about more prominent sunburn reac ti o ns in the dorsal skin. Th e purp ose of this s tud y is to cla ri fy th e s kin reac ti ons li ght and elec tron mi crosco pically in hairless d esce ndants of MHO s expose d to artificial irradia ti on wi th high energy dose (180 kJ/m2) of Uv. Materials and methods Thr ee 1- yea r-old male ha irl ess d esce nda nt s of MHO s we re u se d. D ogs were individually house d in stainless steel cages (90x90x90 cm) in an animal room

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Page 1: The skin injury induced by high energy dose of ultraviolet in … skin injury... · 2018. 10. 10. · Y. IshiP, T. Kimura2, S. Itagaki1 and K. DoP 1 Department of Biomedical Science,

Histol Histopathol (1997) 12: 383-389

001: 10.14670/HH-12.383

http://www.hh.um.es

The skin injury induced

Histology and Histopathology

From Cell Biology to Tissue Engineering

by high energy dose of ultraviolet in hairless descendants of Mexican hairless dogs Y. IshiP, T. Kimura2, S. Itagaki1 and K. DoP 1 Department of Biomedical Science, Faculty of Agriculture , The University of Tokyo, Yayoi 1-1-1 , Bunkyo-ku and

2Research Center, Nihon Nosan Kogyo Co., Ltd ., Tsukuba, Ibaraki, Japan

Summary. His topathological changes in the dorsa l skin of hai rl ess desce nd a nt s of Mex ica n ha irl ess dogs ( MHOs) ex posed to a rti f ic ia l irradi a ti o n w ith hi g h e ne rgy dose (180 kJ / m 2) o f ultrav io le t (U V ) rays (UVA+B) were investigated.

Macrosco pi ca ll y, e ry th e ma a nd e d e ma we re observed in the irradiated skin at 1 day after irradiation (OAI), and bl ister fo rmation occurred except one dog at 2 OAI. Erythema almost disappeared at 5 OAI, and at 6 OAI, the skin recovered to almost normal state. Light microscopica lly, sunburn ce lls were observed at 1 OAI. Then intercellul ar edema and blis ter fo rm ation in the epidermis and dermal edema were evident at 2 and 3 OAI. At 6 DA I, the skin showed almost normal fea tures except fo r s lig ht epide rm al thi ckening , but melanin granules, which were di stributed in almost the w ho le leng th of the epide rmi s before UV irradia tio n, were detected only in ce ll s which seemed to be melanocytes exce pt one dog. Oih ydroxy ph e nyla lanin e (OOPA)­pos itive melanocytes almost disappeared at 1 and 2 OAI, and a t 6 OA I, th e numb e r o f DOPA -pos iti ve me la nocy tes in c reased ove r th e leve l befo re UV irradiation. The ultrastructural fea tures of melanocytes were characteri zed by vacuolated cytoplasm, decreased melanosomes, irregul ar-s haped nuc le i and shortened dendrites at 1 OA I, and returned to normal at 6 OA I. These findings of melanocytes refl ect the severity of the skin injury and support weak suntan reaction in this case. In conclusion, severe fo rm of UV-induced skin injury see n in hum a ns co uld be re pr o du ce d in ha irl ess descendants of MHOs exposed to high energy dose of artificial UVA+B.

Key words: Melanocyte, Mexican hairless dog, Skin, Ultrav iolet ray

Offprint requests to: Dr. Y. Ishii , Department of Biomedical Science, Faculty of Agriculture, The University of Tokyo, Yayoi 1-1-1, Bunkyo-ku,

Tokyo 113, Japan

Introduction

In 1983, a pa ir of Mexican ha irless dogs (MHOs) was introduced into the Research Center, Nihon Nosan Kogyo Co., Ltd ., Tsukuba, Japan, and an autosomal dominant gene (Hm: hairless, Mexican type) responsible fo r th e ha irl ess c ha rac te ri s tics of MHD has bee n identi fied (Kimura et aI. , 1993).

Now, a colony of hairless descendants between a male MHO and fe male beagles is m aintai ned . Those ha irl ess dogs have a bund a nt me la nocy tes in th e epid e rmi s ( Is hii e t a I. , 1995) and deve lo p me la nin d e pos iti o n in res po nse to so la r ul t ravi o le t ( UV ) irradiation (Kimura and Ooi, 1994a). In this connection, most of ha irless animals previously reported have no melanocytes which produce melanin g ranules (Rigdon and Packchanian, 1974; Hanada et aI. , 1988; Sundberg et aI. , 1989). T herefore, the hairless dogs are expected to become a useful model fo r investigation of the effects of UV-irradiation on human skin.

On the o ther hand, it is easi ly imag ined that skin responses to UV irrad iation are infl uenced both by kind of UV light source and by energy dose of Uv. Recently, Kimura and Ooi (1995) compared histopathological skin reactions of ha irl ess desce ndants of MHOs be tween solar exposure and arti ficial UV irradiation (low ener~ dose), and they reported that solar exposure (90kJ/m ) provoked more remarkable pigmentation while artificial UV irradiation (40kJ/m2) brought about more prominent sunburn reactions in the dorsa l skin .

Th e purpose o f thi s s tud y is to cla ri fy th e s kin reactions light and electron microscopically in hairless descendants of MHOs exposed to artif icia l irrad iation with high energy dose (180kJ/m2) of Uv.

Materials and methods

Three 1-yea r- o ld ma le ha irl ess desce nd ants of MHOs were used. Dogs were indiv idually housed in stainless steel cages (90x90x90 cm) in an animal room

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UV-induced skin injury in hairless dogs

under controlled conditions (temperature: 2522 T; relative humidity: 50210%; air exchange: 10 to 15 times per hour; light cycle: 12-hour light and 12-hour dark). They were fed a commercial dry dog food (Labo D standard, Nihon Nosan Kogyo Co. Ltd., Yokohama, Japan) and water ad libitum.

Dogs were irradiated with artificial UV irradiator HP30BLB, which has a peek in UVA region (365nm) and HP30M, which has a peek in UVB region (312nm) ( A m Co. Ltd., Tokyo, Japan) for two hours. During irradiation, each dog was placed in a wire cage (85x95x75cm) with 2 cm mesh. The irradiated sites (10x10 cm) were confirmed to the skin over the dorsum of each dog. A total irradiation dose for two hours was approximately 180kJ/m2.

In order to evaluate the erythematous change in the irradiated skin by recording the skin color (redness), a spectrophotometer (CR-200, Minolta Co. Ltd., Tokyo, Japan) was used. Recording was done at one day before UV irradiation, and at 1 , 2 , 3 , 4 , 5 and 6 days @AI) and 2 and 4 weeks (WAI) after UV irradiation, respectively.

After macroscopic examinations, skin samples were obtained from 2 portions of the dorsal skin of each dog using a 6-mm biopsy punch (Nagatoisi Co. Ltd., Tokyo, Japan) under local anesthesia with 2% lidocaine at one day before UV irradiation and at 1, 2, 3 and 6 DAI and 2 ,4 ,8 and 12 WAI, respectively.

Half of the skin samples were rinsed in 0.1M phosphate buffer (PB; pH 7.4) and incubated in 2N sodium bromide for 2 hours at 37 QC in order to separate the epidermis from the dermis. The separated epidermal sheets were fixed in 10% cold neutral buffered formalin for 30 min, washed twice with 0.1M PB, and incubated in 3.lmM dihydroxyphenylalanine (DOPA) in 0.1M PB for 5 hours. DOPA-positive melanocytes in the epidermal sheets were observed under light microscope.

The remaining skin samples were used for light and electron microscopic examinations. For light microscopic examinations, the skin specimens were fixed in 10% neutral buffered formalin, and 4 p m paraffin sections were stained with hematoxylin and eosin (H&E) or by use of Fontana-Masson's method.

Electron microscopic examinations were conducted at one day before UV irradiation and at 1, 2, 3 and 6 DAI. Small pieces of the skin specimens were fixed in 2.5% glutaraldehyde and 2.0% paraformaldehyde in 0.1M PB, postfixed in 1.0% osmium tetroxide in the same buffer, and embedded in epoxy resin (Quetol812, Nissin EM Co. Ltd., Tokyo, Japan). Ultrathin sections were double-stained with uranyl acetate and lead citrate and observed under a JEOL-1200EX electron microscope (JEOL Co. Ltd., Tokyo, Japan).

Macroscopic findings

In the irradiated skin, erythematous and edematous changes occurred at 1 DAI, and apparent blister

formation developed in two animals one day later. Erythema faded from 3 DAI and almost disappeared at 5 DA1 (Fig. 1). At 6 DAI, the skin recovered to almost normal state except for slight desquamation and a few scabs. One animal which showed no apparent blister formation exhibited more prominent suntan reaction than the other two at 5 and 6 DAI.

Histopathological findings

DOPA-positive melanocytes which were sporadically seen in the epidermal sheet before UV irradiation (Fig. 2a) almost disappeared at 1 and 2 DAI (Fig. 2b). At 3 DAI, a small number of melanocytes weakly positive for DOPA reappeared, and the number of DOPA-positive melanocytes increased over the leve1 before UV irradiation at 6 DAI and 2 WAI (Fig. 2c). At 8 WAI, the number of DOPA-positive melanocytes was similar to that before UV irradiation.

On H&E-stained sections, many degenerated keratinocytes with vacuolated cytoplasm and pyknotic nuclei, so-called «sunbum cells», were observed in the epidermis at 1 DAI (Fig. 3b). At the same time, vascular dilatation, mild edema and disarrangement of callagen bundles were found in the dermis beneath the epidermis. At 2 DAI, intercellular edema was prominent in the epidermis, and focal epidermal thickening was also observed (Fig. 3c). In addition, in two dogs, blister formation with inflammatory cell infiltration (Fig. 3d) was evident and the above-mentioned changes in the dermis became more striking at 2 and 3 DAI. At 3 DAI, focal proliferation of basa1 cells resulting in formation of epidermal ingrowths into the dermis was also conspicuous in these two animals (Fig. 3d). In al1 animals, the skin showed almost normal features except for slight epidermal thickening at 6 DAI (Fig. 3e), and at 2 WAI, it exhibited the similar histological features to those before UV irradiation (Fig. 3f).

Before UV irradiation, melanin granules were distributed in almost the whole length of the epidermis

o ! I I I 1 I I 1 I I

O 1 2 3 4 5 6 1 4 2 8 Times (DAI)

Flg. 1. Changes in skin color (redness) in hairless dogs afier UV irradiation measured with a spectrophotorneter.

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UV-induced skin injuty in hairless dogs

mainly in the basa1 layer, and they deposited in the apical portion of each cell forming a anuclear cap» (Fig. 4a). From 1 to 3 DAI, epidermal cells with melanin pigments were scarce. At 6 DAI, melanin granules were detected only in cells which seemed to be melanocytes in two dogs (Fig. 4b), while marked deposition of melanin granules was observed in one dog which showed no blister formation (Fig. 4c).

Electron microswpic findings

Cytoplasmic vacuolation was conspicuous in the epidermal cells at 1 DA1 (Fig. 5a). At 2 and 3 DAI, besides cytoplasmic vacuolation, marked deformation and degeneration of epidermal cells due to severe intercellular edema were observed (Fig. 5b). Moreover, mitosis was also seen especially in the cells which composed epidermal ingrowths (Fig. 5c).

At 1 DAI, melanocytes were characterized by vacuolated cytoplasm, decreased melanosomes, irregular-shaped nuclei and shortened dendrites (Fig. 6a). At 6 DAI, the ultrastructural features of melanocytes returned to normal, and well-developed melanosomes were distributed mainly in the marginal portion and dendrites of melanocytes (Fig. 6b).

Discussion

In this study, dorsal skin reactions exposed to artificial UVA+B irradiation with high energy dose ( 1 8 0 k ~ / m ~ ) were light and electron microscopically examined in hairless descendants of MHDs.

Macroscopically, prominent erythema developed at 1

DAI, and it began to fade from 3 DA1 and almost disappeared at 5 DAI. Such sequence in macroscopic findings was well corresponded with that in histo- pathological changes in the dermis such as vascular dilatation. In addition, blister formation, which is well known to be seen in humans as one of the sunburn reactions after exposure to high energy dose of solar W, was found in the present study. However, such severe sunburn reaction was detected neither in the hairless dogs exposed to single low energy dose (40kJ/m2) of artificial UVA+B (Kimura and Doi, 1995), nor in the hairless dogs exposed to solar W (140 to 150kJ/m2) for 6 consecutive days (Kimura and Doi, 1994a). Generally, severity of UV-induced skin injury is dependent on energy dose and wavelength of UV irradiation. In humans, exposure to multiple minimal erythemal dose (MED) (10 to 15 times MED) can cause a marked sunburn reaction that can lead to severe edema and blistering (Pathak and Fitzpatrick, 1993). In addition, UV of shorter wavelength has more strong biologic effects (e.g. 297 nm radiation is nearly 100 times more erythemogenic than 313 nm radiation) (Kochevar et al., 1993). The artificial UV used in this study contained larger amount of UVB than solar W (UVA: 5.0 to 6.0 mw/cm2 vs. UVB: 0.3 to 0.5 mw/cm2 (Taylor et al., 1990)). Thus, severe skin injury might occur in this study.

On the other hand, unlike the previous reports in hairless descendants of MHDs exposed to solar UV (Kimura and Doi, 1994a, 1995), suntan reactions in the present cases were weak (in two dogs) or showed delayed onset (in one dog). This may be related to the severity of the below-mentioned epidermal changes in

Flg. 2. Epidermal sheet of the dorsal skin of hairless dogs before and after UV irradiation. DOPA-positive melanocytes (arrowheads), seen before UV irradiation (a), are not detected at lDAl m). At 6DAI (c) the number of DOPA-positive melanocytes is more than that before UV irradiation. DOPA reaction. x 320

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UV-induced skin injury in hairless dogs

the present cases. Histopathologically, in the epidermis of hairless

dogs, sunbum ceiis, which are said to appear as early as 30 minutes and to be most numerous at 24 hours after

UV irradiation in humans (Gilchrest et al., 1981), appeared at 1 DAI. As corresponded with electron microscopic findings, marked intercellular edema, degeneration of epidermal cells and foca1 epidermal

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UV-induced skin injury in hairless dogs

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UV-induced skin injury in hairless dogs

Flg. 6, Electron microgmphs of the melanocytes a b r UV irradiation. A melanocyte, characterlzed by vacuolated cytoplasm, decreased melanosomes, irregular-shaped nuclei and shortened dendrites is observed at 1 DA1 (e). At 6 DAI, the uitrastructural features of melanocytes appear normal, and well-developed melanosomes are distributed mainiy in the marginal porHon and dendrkes of a meianocyte m). a, x 7,300, b. x 3,500

thickeningj occurred 1 day later. In addition, blister formation was found in two dogs. At the same time, vascular dilatation, edema and disarrangement of collagen bundles were detected in the dermis. These changes however ceased by 6 DAI. Except for their severity, the histopathologic nature and the sequence of skin lesions were fundamentaily similar to those in the case of eñposure to low energy dose of artificial WA+B (4Qk~lm3 w u r a and Doi, 1995). The severe forms of dermatobgicai changa seen in this study were closely akin to acute sunburn reactions in humans.

The changes in the number of DOPA-positive melanocytes and the morphologic changes of melano- cytes were well correlated. Namely, DOPA-positive melanocytes disappeared from 1 to 3 DA1 when melanocytes showed prominent degeneration (Fig. 6a). At 6 DAI, when melanocytes came to show well- developed melanosomes and dendrites (Fig. 6b), the

number of DOPA-positive melanocytes increased again. These findings support that suntan reactions were weaker or more delayed in the present case than in the cases exposed to solar UV (Kimura and Doi, 1994a, 1995). In fact, it is considered that epidermal lesions were too severe for the epidermis to develop prominent suntan reactions in this case.

In the present case, melanocytes were damaged by the irradiation of high energy dose of UV. DOPA- positive melanocytes were disappeared from 1 to 3 DAI, and then, the number of DOPA-positive melanocytes were increased over the leve1 before W irradiation at 6 DAI. The expression of melanocyte-stimulating hormone WSH) receptor is considered to be involved in W-induced melanogenesis (Hirobe, 1995). Bolognia et al. (1989) showed that W and topically applied MSH acted synergistically to increase skin darkening in hairless mice and that MSH binding activity was increased by UV irradiation in mouse melanoma cell. Relationship between the activity of melanocytes and expression of MSH receptor remained to be examined in this study. Furthermore, it has also been reported that human rnelanocytes are activated when they are mltured with proinflammatory mediators, such as arachidonic acid metabolites and histamine (Tomita et al., 1989, 1992). These chemical mediators have possibilities to take part in the activation of melanocytes in the present study.

In hairless descendants of MHDs, epidermal ingrowths into the dermis almost disappeared by 1 year old (Kimura and Doi, 1994b). Interestingly, formation of epidermal ingrowths into the dermis was frequently observed at 3DAi in the present study using 1-year-old hairless dogs. This seems to be due to proliferation of basa1 cells responsible to epidermal damage. In this connection, mitotic figures were found in such epidermal ingrowths.

In conclusion, hairless descendants of MHDs exposed to high energy dose of artificial UVA+B (180kl/m2) are useful as a model of severe form of UV- induced dermatological damage in humans.

Bolognia J., Murray M. and Pawelek J. (1989). UVB-induced melanogenesis may be mediated through the MSH-receptor system. J. Invest. Demiatol. 92,651-656.

Gilchrest B.A., Soter N.A., Stoff J.S. and Mihm M.C. Jr. (1981). The human sunbum reaciion: histologic and biochemical studies. J. Arn. Acad. Dematol. 5, 41 1-422.

Hanada K., Chiyoya S., Suzuki K., Hashimoto l. and Hatayama l. (1988). Study of the skin of a new hairless rat mutant. J. Dennatol. 15,257-262.

Hirobe T. (1 995). Structure and function of melanocytes: Microscopic morphology and cell biology of mouse rnelanocytes in the epidermis and hair follicle. Histol. Histopathol. 10, 223-237.

lshii Y., Kimura T., ltagaki S. and Doi K. (1995). Ultrastructure of the dorsal skins of hairiess descendants derived from Mexican hairless dogs. Exp. Anim. 44,353-357.

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UV-induced skin injury in hairless dogs

Kmura T. and Doi K. (1994a). Responses of the skin over the dorsum to sunlight in hairless descendants of Mexican hairless dogs. Am. J. Vet. Res. 55, 199-203.

Kimura T. and Doi K. (1994b). Age-related changes in the skin color and histologic features of hairless descendants of Mexican hairless dogs. Am. J. Vet. Res. 55, 480-486.

Kimura T. and Doi K. (1995). Dorsal skin reactions to sunlight and artificial ultraviolet light in hairless descendants of Mexican hairless dogs. Exp. Anim. 44,293-299.

Kimura T., Ohshima S. and Doi K. (1993). The inheritance and breeding results of hairless descendants of Mexican hairless dogs. Lab. Anim. 27,5558.

Kochevar I.E., Pathak M.A. and Parrish J.A. (1993). Photophysics, photochemistry, and photobiology. In: Dermatology in general medicine. 4th ed. Fitzpatrick T.B., Eizen A.Z. and WoWf K. (eds). McGraw-Hill. New York. pp 1627-1638.

Pathak M.A. and Fitzpatrick T.B. (1993). Preventive treatment of sunburn, dermatoheliosis, and skin cancer with sun-protective agents. In: Dermatology in general medicine. 4th ed. Fitzpatrick T.B., Eizen A.Z. and Wolff K. (eds). McGraw-Hill. New York. pp

1689-1 71 7. Rigdon R.T. and Packchanian A.A. (1974). Histologic study of the skin

of congenitally athymic unude- mice. Texas Rep. Biol. Med. 32, 71 1-723.

Sundberg J.P., Dunstan R.W. and Compton J.G. (1989). Hairless mouse, HRSIJ hrihr. In: lntegument and mammary glands. Jones T.C., Mohr U. and Hunt R.D. (eds). Springer-Verlag. Heidelberg. pp 192-1 97.

Taylor C.R., Stern R.S., Leyden J.J. and Gilchrest B.A. (1990). Photoaginglphotodamagel and photoprotection. J. Am. Acad. Dermatol. 22, 1-15.

Tomita Y., Maeda K. and Tagami H. (1989). Mechanisms for hyperpigmentation in postinflammatory pigmentation, urticaria pigmentosa and sunburn. Dermatologica 179 (Suppl. l), 49- 53.

Tomita Y., Maeda K. and Tagami H. (1992). Melanocyte-stimulating properties of arachidonic acid metabolites: possible role in postinflammatory pigmentation. Pigment Cell Res. 5.357361.

Accepted October 23,1996