Skip to main content

Sunscreen-Based Skin Protection Against Solar Insult: Molecular Mechanisms and Opportunities

  • Chapter
  • First Online:
Fundamentals of Cancer Prevention

Abstract

Solar ultraviolet (UV) photons are established environmental carcinogens. Sunscreens (small molecule organic filters that absorb solar UV-photons and particle-sized inorganic filters that reflect and scatter UV-photons) are important topical solar photoprotectants and cancer chemopreventive molecular agents. Based on the emerging consensus that broad-spectrum photoprotection is an effective key component of a sun-safe strategy to reduce lifetime exposure to detrimental cumulative doses of solar UV light, much effort has been directed towards the identification, development, and optimization of photoprotectants that prevent and attenuate solar skin damage, a topic of particular relevance to high-risk patients such as immunosuppressed organ transplant recipients and individuals suffering from conditions associated with extreme photosensitivity. Generally, sunscreen development has aimed at (a) increased absorbance with broadened spectral coverage over the whole UVA/B spectrum, (b) optimized photostability of UV-active chromophores, and (c) prolonged skin residence time with minimal skin penetration and lack of off-target activity and systemic availability upon topical application. Extensive research has focused on the identification of targeted molecular interventions and agents that are expected to synergize with sunscreens and may also provide photoprotective benefit if used in stand-alone topical regimens (referred to as “non-sunscreen photoprotection”) through anti-inflammatory and antioxidant mechanisms. Importantly, recent legislation that responds to ecotoxicological concerns associated with sunscreen use that damages marine environments emphasizes an urgent need for the continuous development of more efficacious and safer molecular and nonmolecular strategies for skin photoprotection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Afaq F, Mukhtar H (2006) Botanical antioxidants in the prevention of photocarcinogenesis and photoaging. Exp Dermatol 15:678–684

    Article  CAS  PubMed  Google Scholar 

  • Agar NS, Halliday GM, Barnetson RS, Ananthaswamy HN, Wheller M, Jones AM (2004) The basal layer in human squamous tumors harbors more UVA than UVB fingerprint mutations: a role for UVA in human skin carcinogenesis. PNAS 101:4954–4959

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ashby J, Tinwell H, Plautz J, Twomey K, Lefevre PA (2001) Lack of binding to isolated estrogen or androgen receptors, and inactivity in the immature rat uterotrophic assay, of the ultraviolet sunscreen filters Tinosorb M-active and Tinosorb S. Regul Toxicol Pharmacol 34:287–291

    Article  CAS  PubMed  Google Scholar 

  • Astner S, Wu A, Chen J, Philips N, Rius-Diaz F, Parrado C, Mihm MC, Goukassian DA, Pathak MA, Gonzalez S (2007) Dietary lutein/zeaxanthin partially reduces photoaging and photocarcinogenesis in chronically UVB-irradiated Skh-1 hairless mice. Skin Pharmacol Physiol 20:283–291

    Article  CAS  PubMed  Google Scholar 

  • auf dem Keller U, Huber M, Beyer TA, Kumin A, Siemes C, Braun S, Bugnon P, Mitropoulos V, Johnson DA, Johnson JA, Hohl D, Werner S (2006) Nrf transcription factors in keratinocytes are essential for skin tumor prevention but not for wound healing. Mol Cell Biol 26:3773–3784

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Autier P, Boniol M, Dore JF (2007) Sunscreen use and increased duration of intentional sun exposure: still a burning issue. Int J Cancer 121:1–5

    Article  CAS  PubMed  Google Scholar 

  • Autier P, Boniol M, Dore JF (2011) Is sunscreen use for melanoma prevention valid for all sun exposure circumstances? J Clin Oncol 29:e425–e426; author reply e427

    Article  PubMed  Google Scholar 

  • Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F, Cogliano V (2006) Carcinogenicity of carbon black, titanium dioxide, and talc. Lancet Oncol 7:295–296

    Article  PubMed  Google Scholar 

  • Bech-Thomsen N, Wulf HC (1992) Sunbathers’ application of sunscreen is probably inadequate to obtain the sun protection factor assigned to the preparation. Photodermatol Photoimmunol Photomed 9:242–244

    PubMed  Google Scholar 

  • Beck I, Deflandre A, Lang G, Arnaud R, Lemair J (1981) Study of the photochemical behaviour of sunscreens - benzylidene camphor and derivatives. Int J Cosmet Sci 3:139–152

    Article  CAS  PubMed  Google Scholar 

  • Benevenuto CG, Guerra LO, Gaspar LR (2015) Combination of retinyl palmitate and UV-filters: phototoxic risk assessment based on photostability and in vitro and in vivo phototoxicity assays. Eur J Pharm Sci 68:127–136

    Article  CAS  PubMed  Google Scholar 

  • Bens G (2008) Sunscreens. Adv Exp Med Biol 624:137–161

    Article  CAS  PubMed  Google Scholar 

  • Bernerd F, Marionnet C (2017) In vitro skin models for the evaluation of sunscreen-based skin photoprotection: molecular methodologies and opportunities. Curr Med Chem

    Google Scholar 

  • Bissonnette R (2008) Update on sunscreens. Skin Therapy Lett 13:5–7

    CAS  PubMed  Google Scholar 

  • Bissonnette R, Nigen S, Bolduc C, Mery S, Nocera T (2008) Protection afforded by sunscreens containing inorganic sunscreening agents against blue light sensitivity induced by aminolevulinic acid. Dermatol Surg 34:1469–1476

    CAS  PubMed  Google Scholar 

  • Bohm F, Edge R, Truscott TG (2012) Interactions of dietary carotenoids with singlet oxygen (1O2) and free radicals: potential effects for human health. Acta Biochim Pol 59:27–30

    Article  PubMed  Google Scholar 

  • Boniol M, Dore JF, Autier P (2008) Changing the labeling of sunscreen, will we transform sun avoiders into sunscreen users? J Invest Dermatol 128:481; author reply 481–482

    Article  CAS  PubMed  Google Scholar 

  • Borghi A, Corazza M, Battaglia Y, Maietti E, Minghetti S, Virgili A (2016) What is the key to improving renal transplant recipients’ awareness of skin cancer risk? Dermatology 232:715–720

    Article  PubMed  Google Scholar 

  • Bosch R, Philips N, Suarez-Perez JA, Juarranz A, Devmurari A, Chalensouk-Khaosaat J, Gonzalez S (2015) Mechanisms of photoaging and cutaneous photocarcinogenesis, and photoprotective strategies with phytochemicals. Antioxidants (Basel) 4:248–268

    Article  CAS  Google Scholar 

  • Bowden GT (2004) Prevention of non-melanoma skin cancer by targeting ultraviolet-B-light signalling. Nat Rev Cancer 4:23–35

    Article  CAS  PubMed  Google Scholar 

  • Brash DE (2016) UV-induced melanin chemiexcitation: a new mode of melanoma pathogenesis. Toxicol Pathol 44:552–554

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burnett ME, Wang SQ (2011) Current sunscreen controversies: a critical review. Photodermatol Photoimmunol Photomed 27:58–67

    Article  CAS  PubMed  Google Scholar 

  • Cantrell A, McGarvey DJ (2001) Photochemical studies of 4-tert-butyl-4′-methoxydibenzoylmethane (BM-DBM). J Photochem Photobiol B 64:117–122

    Article  CAS  PubMed  Google Scholar 

  • Chatelain E, Gabard B (2001) Photostabilization of butyl methoxydibenzoylmethane (Avobenzone) and ethylhexyl methoxycinnamate by bis-ethylhexyloxyphenol methoxyphenyl triazine (Tinosorb S), a new UV broadband filter. Photochem Photobiol 74:401–406

    Article  CAS  PubMed  Google Scholar 

  • Chen AC, Martin AJ, Choy B, Fernandez-Penas P, Dalziell RA, McKenzie CA, Scolyer RA, Dhillon HM, Vardy JL, Kricker A, St George G, Chinniah N, Halliday GM, Damian DL (2015) A phase 3 randomized trial of nicotinamide for skin-cancer chemoprevention. N Engl J Med 373:1618–1626

    Article  CAS  PubMed  Google Scholar 

  • Chen AC, Martin AJ, Dalziell RA, McKenzie CA, Lowe PM, Eris JM, Scolyer RA, Dhillon HM, Vardy JL, Bielski VA, Halliday GM, Damian DL (2016) A phase II randomized controlled trial of nicotinamide for skin cancer chemoprevention in renal transplant recipients. Br J Dermatol 175:1073–1075

    Article  CAS  PubMed  Google Scholar 

  • Cole C, Shyr T, Ou-Yang H (2016) Metal oxide sunscreens protect skin by absorption, not by reflection or scattering. Photodermatol Photoimmunol Photomed 32:5–10

    Article  CAS  PubMed  Google Scholar 

  • Darvin ME, Haag SF, Lademann J, Zastrow L, Sterry W, Meinke MC (2010) Formation of free radicals in human skin during irradiation with infrared light. J Invest Dermatol 130:629–631

    Article  CAS  PubMed  Google Scholar 

  • de Gruijl FR (2000) Photocarcinogenesis: UVA vs UVB. Methods Enzymol 319:359–366

    Article  PubMed  Google Scholar 

  • Dickinson SE, Wondrak GT (2017) TLR4-directed molecular strategies targeting skin photodamage and carcinogenesis. Curr Med Chem. https://doi.org/10.2174/0929867324666170828125328

    Article  CAS  Google Scholar 

  • Dickinson SE, Melton TF, Olson ER, Zhang J, Saboda K, Bowden GT (2009) Inhibition of activator protein-1 by sulforaphane involves interaction with cysteine in the cFos DNA-binding domain: implications for chemoprevention of UVB-induced skin cancer. Cancer Res 69:7103–7110

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Diehl JW, Chiu MW (2010) Effects of ambient sunlight and photoprotection on vitamin D status. Dermatol Ther 23:48–60

    Article  PubMed  Google Scholar 

  • Diffey B (2001) Sunscreen isn’t enough. J Photochem Photobiol B 64:105–108

    Article  CAS  PubMed  Google Scholar 

  • Diffey B (2016) New sunscreens and the precautionary principle. JAMA Dermatol 152:511–512

    Article  PubMed  Google Scholar 

  • Diffey B, Osterwalder U (2017) Labelled sunscreen SPFs may overestimate protection in natural sunlight. Photochem Photobiol Sci 16:1519–1523

    Article  CAS  PubMed  Google Scholar 

  • DiNardo JC, Downs CA (2017) Dermatological and environmental toxicological impact of the sunscreen ingredient oxybenzone/benzophenone-3. J Cosmet Dermatol. https://doi.org/10.1111/jocd.12449

    Article  PubMed  Google Scholar 

  • Dinkova-Kostova AT (2008) Phytochemicals as protectors against ultraviolet radiation: versatility of effects and mechanisms. Planta Med 74:1548–1559

    Article  CAS  PubMed  Google Scholar 

  • Dinkova-Kostova AT, Jenkins SN, Fahey JW, Ye L, Wehage SL, Liby KT, Stephenson KK, Wade KL, Talalay P (2006) Protection against UV-light-induced skin carcinogenesis in SKH-1 high-risk mice by sulforaphane-containing broccoli sprout extracts. Cancer Lett 240:243–252

    Article  CAS  PubMed  Google Scholar 

  • Dorr RT, Ertl G, Levine N, Brooks C, Bangert JL, Powell MB, Humphrey S, Alberts DS (2004) Effects of a superpotent melanotropic peptide in combination with solar UV radiation on tanning of the skin in human volunteers. Arch Dermatol 140:827–835

    Article  CAS  PubMed  Google Scholar 

  • Downs CA, Kramarsky-Winter E, Segal R, Fauth J, Knutson S, Bronstein O, Ciner FR, Jeger R, Lichtenfeld Y, Woodley CM, Pennington P, Cadenas K, Kushmaro A, Loya Y (2016) Toxicopathological effects of the sunscreen UV filter, oxybenzone (benzophenone-3), on coral planulae and cultured primary cells and its environmental contamination in Hawaii and the U.S. Virgin islands. Arch Environ Contam Toxicol 70:265–288

    Article  CAS  PubMed  Google Scholar 

  • Forestier S (2008) Rationale for sunscreen development. J Am Acad Dermatol 58:S133–S138

    Article  PubMed  Google Scholar 

  • Fourtanier A, Moyal D, Seite S (2012) UVA filters in sun-protection products: regulatory and biological aspects. Photochem Photobiol Sci 11:81–89

    Article  CAS  PubMed  Google Scholar 

  • Gallagher RP, Rivers JK, Lee TK, Bajdik CD, McLean DI, Coldman AJ (2000) Broad-spectrum sunscreen use and the development of new nevi in white children: a randomized controlled trial. JAMA 283:2955–2960

    Article  CAS  PubMed  Google Scholar 

  • Gao D, Luo Y, Guevara D, Wang Y, Rui M, Goldwyn B, Lu Y, Smith EC, Lebwohl M, Wei H (2005) Benzo[a]pyrene and its metabolites combined with ultraviolet A synergistically induce 8-hydroxy-2′-deoxyguanosine via reactive oxygen species. Free Radic Biol Med 39:1177–1183

    Article  CAS  PubMed  Google Scholar 

  • Gasparro FP (2000) Sunscreens, skin photobiology, and skin cancer: the need for UVA protection and evaluation of efficacy. Environ Health Perspect 108(Suppl 1):71–78

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gensler HL, Timmermann BN, Valcic S, Wachter GA, Dorr R, Dvorakova K, Alberts DS (1996) Prevention of photocarcinogenesis by topical administration of pure epigallocatechin gallate isolated from green tea. Nutr Cancer 26:325–335

    Article  CAS  PubMed  Google Scholar 

  • Ghiasvand R, Weiderpass E, Green AC, Lund E, Veierod MB (2016) Sunscreen use and subsequent melanoma risk: a population-based cohort study. J Clin Oncol 34:3976–3983

    Article  PubMed  Google Scholar 

  • Giovannucci E (2005) The epidemiology of vitamin D and cancer incidence and mortality: a review (United States). Cancer Causes Control 16:83–95

    Article  PubMed  Google Scholar 

  • Goldenhersh MA, Koslowsky M (2011) Increased melanoma after regular sunscreen use? J Clin Oncol 29:e557–e558; author reply e859

    Article  PubMed  Google Scholar 

  • Gonzaga ER (2009) Role of UV light in photodamage, skin aging, and skin cancer: importance of photoprotection. Am J Clin Dermatol 10(Suppl 1):19–24

    Article  PubMed  Google Scholar 

  • Gonzalez H, Farbrot A, Larko O, Wennberg AM (2006) Percutaneous absorption of the sunscreen benzophenone-3 after repeated whole-body applications, with and without ultraviolet irradiation. Br J Dermatol 154:337–340

    Article  CAS  PubMed  Google Scholar 

  • Gonzalez S, Gilaberte Y, Philips N (2010) Mechanistic insights in the use of a Polypodium leucotomos extract as an oral and topical photoprotective agent. Photochem Photobiol Sci 9:559–563

    Article  CAS  PubMed  Google Scholar 

  • Gordon-Thomson C, Gupta R, Tongkao-On W, Ryan A, Halliday GM, Mason RS (2012) 1alpha,25 Dihydroxyvitamin D(3) enhances cellular defences against UV-induced oxidative and other forms of DNA damage in skin. Photochem Photobiol Sci 11:1837–1847

    Article  CAS  PubMed  Google Scholar 

  • Green A, Williams G, Neale R, Hart V, Leslie D, Parsons P, Marks GC, Gaffney P, Battistutta D, Frost C, Lang C, Russell A (1999) Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet 354:723–729

    Article  CAS  PubMed  Google Scholar 

  • Green AC, Williams GM, Logan V, Strutton GM (2011) Reduced melanoma after regular sunscreen use: randomized trial follow-up. J Clin Oncol 29:257–263

    Article  CAS  PubMed  Google Scholar 

  • Hanson KM, Gratton E, Bardeen CJ (2006) Sunscreen enhancement of UV-induced reactive oxygen species in the skin. Free Radic Biol Med 41:1205–1212

    Article  CAS  PubMed  Google Scholar 

  • Hawkins KE, Joy S, Delhove JM, Kotiadis VN, Fernandez E, Fitzpatrick LM, Whiteford JR, King PJ, Bolanos JP, Duchen MR, Waddington SN, McKay TR (2016) NRF2 orchestrates the metabolic shift during induced pluripotent stem cell reprogramming. Cell Rep 14:1883–1891

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hayes JD, McMahon M, Chowdhry S, Dinkova-Kostova AT (2010) Cancer chemoprevention mechanisms mediated through the Keap1-Nrf2 pathway. Antioxid Redox Signal 13:1713–1748

    Article  CAS  PubMed  Google Scholar 

  • Haywood R, Wardman P, Sanders R, Linge C (2003) Sunscreens inadequately protect against ultraviolet-A-induced free radicals in skin: implications for skin aging and melanoma? J Invest Dermatol 121:862–868

    Article  CAS  PubMed  Google Scholar 

  • Haywood R, Volkov A, Andrady C, Sayer R (2012) Measuring sunscreen protection against solar-simulated radiation-induced structural radical damage to skin using ESR/spin trapping: development of an ex vivo test method. Free Radic Res 46:265–275

    Article  CAS  PubMed  Google Scholar 

  • Heinrich U, Neukam K, Tronnier H, Sies H, Stahl W (2006) Long-term ingestion of high flavanol cocoa provides photoprotection against UV-induced erythema and improves skin condition in women. J Nutr 136:1565–1569

    Article  CAS  PubMed  Google Scholar 

  • Hirota A, Kawachi Y, Yamamoto M, Koga T, Hamada K, Otsuka F (2011) Acceleration of UVB-induced photoageing in nrf2 gene-deficient mice. Exp Dermatol 20:664–668

    Article  CAS  PubMed  Google Scholar 

  • Holmstrom KM, Kostov RV, Dinkova-Kostova AT (2016) The multifaceted role of Nrf2 in mitochondrial function. Curr Opin Toxicol 1:80–91

    Article  PubMed  PubMed Central  Google Scholar 

  • Hughes MC, Williams GM, Baker P, Green AC (2013) Sunscreen and prevention of skin aging: a randomized trial. Ann Intern Med 158:781–790

    Article  PubMed  Google Scholar 

  • Iannacone MR, Hughes MC, Green AC (2014) Effects of sunscreen on skin cancer and photoaging. Photodermatol Photoimmunol Photomed 30:55–61

    Article  PubMed  Google Scholar 

  • Jaeger A, Weiss DG, Jonas L, Kriehuber R (2012) Oxidative stress-induced cytotoxic and genotoxic effects of nano-sized titanium dioxide particles in human HaCaT keratinocytes. Toxicology 296:27–36

    Article  CAS  PubMed  Google Scholar 

  • Janda J, Burkett NB, Blohm-Mangone K, Huang V, Curiel-Lewandrowski C, Alberts DS, Petricoin EF 3rd, Calvert VS, Einspahr J, Dong Z, Bode AM, Wondrak GT, Dickinson SE (2016) Resatorvid-based pharmacological antagonism of cutaneous TLR4 blocks UV-induced NF-kappaB and AP-1 signaling in keratinocytes and mouse skin. Photochem Photobiol 92:816–825

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Justiniano R, Perer J, Hua A, Fazel M, Krajisnik A, Cabello CM, Wondrak GT (2017a) A topical zinc ionophore blocks tumorigenic progression in UV-exposed SKH-1 high-risk mouse skin. Photochem Photobiol 93:1472–1482

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Justiniano R, Williams JD, Perer J, Hua A, Lesson J, Park SL, Wondrak GT (2017b) The B6-vitamer pyridoxal is a sensitizer of UVA-induced genotoxic stress in human primary keratinocytes and reconstructed epidermis. Photochem Photobiol 93:990–998

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kalra S, Knatko EV, Zhang Y, Honda T, Yamamoto M, Dinkova-Kostova AT (2012) Highly potent activation of Nrf2 by topical tricyclic bis(cyano enone): implications for protection against UV radiation during thiopurine therapy. Cancer Prev Res (Phila) 5:973–981

    Article  CAS  Google Scholar 

  • Kawachi Y, Xu X, Taguchi S, Sakurai H, Nakamura Y, Ishii Y, Fujisawa Y, Furuta J, Takahashi T, Itoh K, Yamamoto M, Yamazaki F, Otsuka F (2008) Attenuation of UVB-induced sunburn reaction and oxidative DNA damage with no alterations in UVB-induced skin carcinogenesis in Nrf2 gene-deficient mice. J Invest Dermatol 128:1773–1779

    Article  CAS  PubMed  Google Scholar 

  • Kensler TW, Wakabayashi N (2010) Nrf2: friend or foe for chemoprevention? Carcinogenesis 31:90–99

    Article  CAS  PubMed  Google Scholar 

  • Knatko EV, Ibbotson SH, Zhang Y, Higgins M, Fahey JW, Talalay P, Dawa R, Ferguson J, Huang JT, Clarke R, Zheng S, Saito A, Kalra S, Benedict AL, Honda T, Proby CM, Dinkova-Kostova AT (2015) Nrf2 activation protects against solar-simulated ultraviolet radiation in mice and humans. Cancer Prev Res (Phila) 8:475–486

    Article  CAS  Google Scholar 

  • Knatko EV, Higgins M, Fahey JW, Dinkova-Kostova AT (2016) Loss of Nrf2 abrogates the protective effect of Keap1 downregulation in a preclinical model of cutaneous squamous cell carcinoma. Sci Rep 6:25804

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kolbe L (2012) How much sun protection is needed?: Are we on the way to full-spectrum protection? J Invest Dermatol 132:1756–1757

    Article  CAS  PubMed  Google Scholar 

  • Krause M, Klit A, Blomberg Jensen M, Soeborg T, Frederiksen H, Schlumpf M, Lichtensteiger W, Skakkebaek NE, Drzewiecki KT (2012) Sunscreens: are they beneficial for health? An overview of endocrine disrupting properties of UV-filters. Int J Androl 35:424–436

    Article  CAS  PubMed  Google Scholar 

  • Kreuter A, Lehmann P (2014) Relevant new insights into the effects of photoprotection in cutaneous lupus erythematosus. Exp Dermatol 23:712–713

    Article  PubMed  Google Scholar 

  • Kullavanijaya P, Lim HW (2005) Photoprotection. J Am Acad Dermatol 52:937–958; quiz 959–962

    Article  PubMed  Google Scholar 

  • Kundu JK, Surh YJ (2010) Nrf2-Keap1 signaling as a potential target for chemoprevention of inflammation-associated carcinogenesis. Pharm Res 27:999–1013

    Article  CAS  PubMed  Google Scholar 

  • Kvam E, Tyrrell RM (1997) Induction of oxidative DNA base damage in human skin cells by UV and near visible radiation. Carcinogenesis 18:2379–2384

    Article  CAS  PubMed  Google Scholar 

  • Langendonk JG, Balwani M, Anderson KE, Bonkovsky HL, Anstey AV, Bissell DM, Bloomer J, Edwards C, Neumann NJ, Parker C, Phillips JD, Lim HW, Hamzavi I, Deybach JC, Kauppinen R, Rhodes LE, Frank J, Murphy GM, Karstens FPJ, Sijbrands EJG, de Rooij FWM, Lebwohl M, Naik H, Goding CR, Wilson JHP, Desnick RJ (2015) Afamelanotide for erythropoietic protoporphyria. N Engl J Med 373:48–59

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lautenschlager S, Wulf HC, Pittelkow MR (2007) Photoprotection. Lancet 370:528–537

    Article  CAS  PubMed  Google Scholar 

  • Lawrence KP, Long PF, Young AR (2017a) Mycosporine-like amino acids for skin photoprotection. Curr Med Chem. https://doi.org/10.2174/0929867324666170529124237

    Article  CAS  Google Scholar 

  • Lawrence KP, Gacesa R, Long PF, Young AR (2017b) Molecular photoprotection of human keratinocytes in vitro by the naturally occurring mycosporine-like amino acid (MAA) palythine. Br J Dermatol. https://doi.org/10.1111/bjd.16125

    Article  CAS  PubMed  Google Scholar 

  • Lee TK, Rivers JK, Gallagher RP (2005) Site-specific protective effect of broad-spectrum sunscreen on nevus development among white schoolchildren in a randomized trial. J Am Acad Dermatol 52:786–792

    Article  PubMed  Google Scholar 

  • Liebel F, Kaur S, Ruvolo E, Kollias N, Southall MD (2012) Irradiation of skin with visible light induces reactive oxygen species and matrix-degrading enzymes. J Invest Dermatol 132:1901–1907

    Article  CAS  PubMed  Google Scholar 

  • Mahmoud BH, Hexsel CL, Hamzavi IH, Lim HW (2008) Effects of visible light on the skin. Photochem Photobiol 84:450–462

    Article  CAS  PubMed  Google Scholar 

  • Maier H, Schauberger G, Brunnhofer K, Honigsmann H (2001) Change of ultraviolet absorbance of sunscreens by exposure to solar-simulated radiation. J Invest Dermatol 117:256–262

    Article  CAS  PubMed  Google Scholar 

  • Makarova, A., Wang, G., Dolorito, J. A., Kc, S., Libove, E., and Epstein, E. H., Jr. (2017) Vitamin D3 produced by skin exposure to UVR inhibits murine basal cell carcinoma carcinogenesis. J Invest Dermatol 137, 2613-2619

    Article  CAS  PubMed  Google Scholar 

  • Mancuso JB, Maruthi R, Wang SQ, Lim HW (2017) Sunscreens: an update. Am J Clin Dermatol 18:643–650

    Article  PubMed  Google Scholar 

  • Marionnet C, Nouveau S, Hourblin V, Pillai K, Manco M, Bastien P, Tran C, Tricaud C, de Lacharriere O, Bernerd F (2017) UVA1-induced skin darkening is associated with molecular changes even in highly pigmented skin individuals. J Invest Dermatol 137:1184–1187

    Article  CAS  PubMed  Google Scholar 

  • Marrot L (2017) Pollution and sun exposure: a deleterious synergy. Mechanisms and opportunities for skin protection. Curr Med Chem. https://doi.org/10.2174/0929867324666170918123907

    Article  CAS  Google Scholar 

  • Marrot L, Meunier JR (2008) Skin DNA photodamage and its biological consequences. J Am Acad Dermatol 58:S139–S148

    Article  PubMed  Google Scholar 

  • McSweeney PC (2016) The safety of nanoparticles in sunscreens: an update for general practice. Aust Fam Physician 45:397–399

    PubMed  Google Scholar 

  • Middelkamp-Hup MA, Pathak MA, Parrado C, Goukassian D, Rius-Diaz F, Mihm MC, Fitzpatrick TB, Gonzalez S (2004) Oral Polypodium leucotomos extract decreases ultraviolet-induced damage of human skin. J Am Acad Dermatol 51:910–918

    Article  PubMed  Google Scholar 

  • Minocha R, Damian DL, Halliday GM (2017) Melanoma and nonmelanoma skin cancer chemoprevention: a role for nicotinamide? Photodermatol Photoimmunol Photomed. https://doi.org/10.1111/phpp.12328

    Article  CAS  Google Scholar 

  • Monteiro-Riviere NA, Wiench K, Landsiedel R, Schulte S, Inman AO, Riviere JE (2011) Safety evaluation of sunscreen formulations containing titanium dioxide and zinc oxide nanoparticles in UVB sunburned skin: an in vitro and in vivo study. Toxicol Sci 123:264–280

    Article  CAS  PubMed  Google Scholar 

  • Morrison GC, Beko G, Weschler CJ, Schripp T, Salthammer T, Hill J, Andersson AM, Toftum J, Clausen G, Frederiksen H (2017) Dermal uptake of benzophenone-3 from clothing. Environ Sci Technol 51:11371–11379

    Article  CAS  PubMed  Google Scholar 

  • Moseley H, Cameron H, MacLeod T, Clark C, Dawe R, Ferguson J (2001) New sunscreens confer improved protection for photosensitive patients in the blue light region. Br J Dermatol 145:789–794

    Article  CAS  PubMed  Google Scholar 

  • Moyal D (2004) Prevention of ultraviolet-induced skin pigmentation. Photodermatol Photoimmunol Photomed 20:243–247

    Article  CAS  PubMed  Google Scholar 

  • Nakagami Y, Masuda K (2016) A novel Nrf2 activator from microbial transformation inhibits radiation-induced dermatitis in mice. J Radiat Res 57:567–571

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nakashima Y, Ohta S, Wolf AM (2017) Blue light-induced oxidative stress in live skin. Free Radic Biol Med 108:300–310

    Article  CAS  PubMed  Google Scholar 

  • Nash JF, Tanner PR (2014) Relevance of UV filter/sunscreen product photostability to human safety. Photodermatol Photoimmunol Photomed 30:88–95

    Article  CAS  PubMed  Google Scholar 

  • Naylor MF, Boyd A, Smith DW, Cameron GS, Hubbard D, Neldner KH (1995) High sun protection factor sunscreens in the suppression of actinic neoplasia. Arch Dermatol 131:170–175

    Article  CAS  PubMed  Google Scholar 

  • Newman MD, Stotland M, Ellis JI (2009) The safety of nanosized particles in titanium dioxide- and zinc oxide-based sunscreens. J Am Acad Dermatol 61:685–692

    Article  CAS  PubMed  Google Scholar 

  • Nichols JA, Katiyar SK (2010) Skin photoprotection by natural polyphenols: anti-inflammatory, antioxidant and DNA repair mechanisms. Arch Dermatol Res 302:71–83

    Article  CAS  PubMed  Google Scholar 

  • Olsen CM, Wilson LF, Green AC, Biswas N, Loyalka J, Whiteman DC (2017a) How many melanomas might be prevented if more people applied sunscreen regularly? Br J Dermatol

    Google Scholar 

  • Olsen CM, Wilson LF, Green AC, Biswas N, Loyalka J, Whiteman DC (2017b) Prevention of DNA damage in human skin by topical sunscreens. Photodermatol Photoimmunol Photomed 33:135–142

    Article  CAS  PubMed  Google Scholar 

  • Osburn WO, Kensler TW (2008) Nrf2 signaling: an adaptive response pathway for protection against environmental toxic insults. Mutat Res 659:31–39

    Article  CAS  PubMed  Google Scholar 

  • Osmond-McLeod MJ, Oytam Y, Rowe A, Sobhanmanesh F, Greenoak G, Kirby J, McInnes EF, McCall MJ (2016) Long-term exposure to commercially available sunscreens containing nanoparticles of TiO2 and ZnO revealed no biological impact in a hairless mouse model. Part Fibre Toxicol 13:44

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Osterwalder U, Herzog B (2010) The long way towards the ideal sunscreen—where we stand and what still needs to be done. Photochem Photobiol Sci 9:470–481

    Article  CAS  PubMed  Google Scholar 

  • Parrado C, Mascaraque M, Gilaberte Y, Juarranz A, Gonzalez S (2016) Fernblock (polypodium leucotomos extract): molecular mechanisms and pleiotropic effects in light-related skin conditions, photoaging and skin cancers, a review. Int J Mol Sci 17(7)

    Article  PubMed Central  CAS  Google Scholar 

  • Premi S, Wallisch S, Mano CM, Weiner AB, Bacchiocchi A, Wakamatsu K, Bechara EJ, Halaban R, Douki T, Brash DE (2015) Photochemistry. Chemiexcitation of melanin derivatives induces DNA photoproducts long after UV exposure. Science 347:842–847

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Reichrath J, Nurnberg B (2009) Cutaneous vitamin D synthesis versus skin cancer development: the Janus faces of solar UV-radiation. Dermatoendocrinology 1:253–261

    Article  Google Scholar 

  • Reisman, S. A., Goldsberry, A. R., Lee, C. Y., O’Grady, M. L., Proksch, J. W., Ward, K. W., and Meyer, C. J. (2015) Topical application of RTA 408 lotion activates Nrf2 in human skin and is well-tolerated by healthy human volunteers. BMC Dermatol 15, 10

    Google Scholar 

  • Rensburg JJV, Dbeibo L, Spinol SM (2016) The cutaneous microbiota as a determinant of skin barrier function: molecular interactions and therapeutic opportunities. In: Wondrak GT (ed) Skin stress response pathways: environmental factors and molecular opportunities. Springer Nature, pp 379–401

    Google Scholar 

  • Rojo de la Vega M, Krajisnik A, Zhang DD, Wondrak GT (2017) Targeting NRF2 for improved skin barrier function and photoprotection: focus on the achiote-derived apocarotenoid bixin. Nutrients 9:1371

    Article  PubMed Central  CAS  Google Scholar 

  • Rojo de la Vega, M., Zhang, D. D., Wondrak, G. T. (2018) Topical bixin confers NRF2-dependent protection against photodamage and hair graying in mouse skin. Front Pharmacol 9, 287

    Google Scholar 

  • Ruppert L, Koster B, Siegert AM, Cop C, Boyers L, Karimkhani C, Winston H, Mounessa J, Dellavalle RP, Reinau D, Diepgen T, Surber C (2017) YouTube as a source of health information: analysis of sun protection and skin cancer prevention related issues. Dermatol Online J 23

    Google Scholar 

  • Saw CL, Huang MT, Liu Y, Khor TO, Conney AH, Kong AN (2011) Impact of Nrf2 on UVB-induced skin inflammation/photoprotection and photoprotective effect of sulforaphane. Mol Carcinog 50:479–486

    Article  CAS  PubMed  Google Scholar 

  • Schafer M, Werner S (2015) Nrf2—a regulator of keratinocyte redox signaling. Free Radic Biol Med 88:243–252

    Article  CAS  PubMed  Google Scholar 

  • Schafer M, Farwanah H, Willrodt AH, Huebner AJ, Sandhoff K, Roop D, Hohl D, Bloch W, Werner S (2012) Nrf2 links epidermal barrier function with antioxidant defense. EMBO Mol Med 4:364–379

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Scharffetter-Kochanek K, Wlaschek M, Brenneisen P, Schauen M, Blaudschun R, Wenk J (1997) UV-induced reactive oxygen species in photocarcinogenesis and photoaging. Biol Chem 378:1247–1257

    CAS  PubMed  Google Scholar 

  • Schneider SL, Lim HW (2018) Review of environmental effects of oxybenzone and other sunscreen active ingredients. J Am Acad Dermatol Dermatol 18:32189–32193

    Google Scholar 

  • Schroeder P, Calles C, Benesova T, Macaluso F, Krutmann J (2010) Photoprotection beyond ultraviolet radiation—effective sun protection has to include protection against infrared: a radiation-induced skin damage. Skin Pharmacol Physiol 23:15–17

    Article  CAS  PubMed  Google Scholar 

  • Seite S, Moyal D, Richard S, de Rigal J, Leveque JL, Hourseau C, Fourtanier A (1998) Mexoryl SX: a broad absorption UVA filter protects human skin from the effects of repeated suberythemal doses of UVA. J Photochem Photobiol B 44:69–76

    Article  CAS  PubMed  Google Scholar 

  • Serpone N, Salinaro A, Emeline AV, Horikoshi S, Hidaka H, Zhao J (2002) An in vitro systematic spectroscopic examination of the photostabilities of a random set of commercial sunscreen lotions and their chemical UVB/UVA active agents. Photochem Photobiol Sci 1:970–981

    Article  CAS  PubMed  Google Scholar 

  • Sies H, Stahl W (2004) Nutritional protection against skin damage from sunlight. Annu Rev Nutr 24:173–200

    Article  CAS  PubMed  Google Scholar 

  • Singh RP, Agarwal R (2005) Mechanisms and preclinical efficacy of silibinin in preventing skin cancer. Eur J Cancer 41:1969–1979

    Article  CAS  PubMed  Google Scholar 

  • Sklar LR, Almutawa F, Lim HW, Hamzavi I (2012) Effects of ultraviolet radiation, visible light, and infrared radiation on erythema and pigmentation: a review. Photochem Photobiol Sci

    Google Scholar 

  • Smijs TG, Pavel S (2011) Titanium dioxide and zinc oxide nanoparticles in sunscreens: focus on their safety and effectiveness. Nanotechnol Sci Appl 4:95–112

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Soeur J, Belaidi JP, Chollet C, Denat L, Dimitrov A, Jones C, Perez P, Zanini M, Zobiri O, Mezzache S, Erdmann D, Lereaux G, Eilstein J, Marrot L (2017) Photo-pollution stress in skin: traces of pollutants (PAH and particulate matter) impair redox homeostasis in keratinocytes exposed to UVA1. J Dermatol Sci 86:162–169

    Article  CAS  PubMed  Google Scholar 

  • Sohn M, Heche A, Herzog B, Imanidis G (2014) Film thickness frequency distribution of different vehicles determines sunscreen efficacy. J Biomed Opt 19:115,005

    Article  CAS  Google Scholar 

  • Sohn M, Herzog B, Osterwalder U, Imanidis G (2016) Calculation of the sun protection factor of sunscreens with different vehicles using measured film thickness distribution—comparison with the SPF in vitro. J Photochem Photobiol B 159:74–81

    Article  CAS  PubMed  Google Scholar 

  • Stanton WR, Janda M, Baade PD, Anderson P (2004) Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promot Int 19:369–378

    Article  PubMed  Google Scholar 

  • Surber C, Pittelkow M, Lautenschlager S (2012) Photoprotection in transplant recipients. Curr Probl Dermatol 43:171–196

    Article  PubMed  Google Scholar 

  • Surh YJ, Kundu JK, Na HK, Lee JS (2005) Redox-sensitive transcription factors as prime targets for chemoprevention with anti-inflammatory and antioxidative phytochemicals. J Nutr 135:2993S–3001S

    Article  CAS  PubMed  Google Scholar 

  • Svobodova A, Vostalova J (2010) Solar radiation induced skin damage: review of protective and preventive options. Int J Radiat Biol 86:999–1030

    Article  CAS  PubMed  Google Scholar 

  • Talalay P, Fahey J, Healy Z, Wehage S, Benedict A, Min C, Dinkova-Kostova AT (2007) Sulforaphane mobilizes cellular defenses that protect skin against damage by UV radiation. Proc Natl Acad Sci U S A 104:17500–17505

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tao S, Justiniano R, Zhang DD, Wondrak GT (2013) The Nrf2-inducers tanshinone I and dihydrotanshinone protect human skin cells and reconstructed human skin against solar simulated UV. Redox Biol 1:532–541

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tao S, Park SL, de la Vega MR, Zhang DD, Wondrak GT (2015) Systemic administration of the apocarotenoid bixin protects skin against solar UV-induced damage through activation of NRF2. Free Radic Biol Med 89:690–700

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tarozzi A, Marchesi A, Hrelia S, Angeloni C, Andrisano V, Fiori J, Cantelli-Forti G, Hrelia P (2005) Protective effects of cyanidin-3-O-beta-glucopyranoside against UVA-induced oxidative stress in human keratinocytes. Photochem Photobiol 81:623–629

    Article  CAS  PubMed  Google Scholar 

  • Tarras-Wahlberg N, Stenhagen G, Larko O, Rosen A, Wennberg AM, Wennerstrom O (1999) Changes in ultraviolet absorption of sunscreens after ultraviolet irradiation. J Invest Dermatol 113:547–553

    Article  CAS  PubMed  Google Scholar 

  • Thompson SC, Jolley D, Marks R (1993) Reduction of solar keratoses by regular sunscreen use. N Engl J Med 329:1147–1151

    Article  CAS  PubMed  Google Scholar 

  • Tian FF, Zhang FF, Lai XD, Wang LJ, Yang L, Wang X, Singh G, Zhong JL (2011) Nrf2-mediated protection against UVA radiation in human skin keratinocytes. Biosci Trends 5:23–29

    Article  CAS  PubMed  Google Scholar 

  • Tonolli PN, Chiarelli-Neto O, Santacruz-Perez C, Junqueira HC, Watanabe IS, Ravagnani FG, Martins WK, Baptista MS (2017) Lipofuscin generated by UVA turns keratinocytes photosensitive to visible light. J Invest Dermatol 137:2447–2450

    Article  CAS  PubMed  Google Scholar 

  • Touitou E, Godin B (2008) Skin nonpenetrating sunscreens for cosmetic and pharmaceutical formulations. Clin Dermatol 26:375–379

    Article  PubMed  Google Scholar 

  • Tyrrell RM (1995) Ultraviolet radiation and free radical damage to skin. Biochem Soc Symp 61:47–53

    Article  CAS  PubMed  Google Scholar 

  • Ulrich C, Jurgensen JS, Degen A, Hackethal M, Ulrich M, Patel MJ, Eberle J, Terhorst D, Sterry W, Stockfleth E (2009) Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24 months, prospective, case-control study. Br J Dermatol 161(Suppl 3):78–84

    Article  PubMed  Google Scholar 

  • van der Pols JC, Williams GM, Pandeya N, Logan V, Green AC (2006) Prolonged prevention of squamous cell carcinoma of the skin by regular sunscreen use. Cancer Epidemiol Biomarkers Prev 15:2546–2548

    Article  PubMed  Google Scholar 

  • Wakabayashi N, Itoh K, Wakabayashi J, Motohashi H, Noda S, Takahashi S, Imakado S, Kotsuji T, Otsuka F, Roop DR, Harada T, Engel JD, Yamamoto M (2003) Keap1-null mutation leads to postnatal lethality due to constitutive Nrf2 activation. Nat Genet 35:238–245

    Article  CAS  PubMed  Google Scholar 

  • Wetz F, Routaboul C, Denis A, Rico-Lattes I (2005) A new long-chain UV absorber derived from 4-tert-butyl-4′-methoxydibenzoylmethane: absorbance stability under solar irradiation. J Cosmet Sci 56:135–148

    CAS  PubMed  Google Scholar 

  • Williams S, Tamburic S, Lally C (2009) Eating chocolate can significantly protect the skin from UV light. J Cosmet Dermatol 8:169–173

    Article  PubMed  Google Scholar 

  • Wolf R, Wolf D, Morganti P, Ruocco V (2001) Sunscreens. Clin Dermatol 19:452–459

    Article  CAS  PubMed  Google Scholar 

  • Wondrak GT (2007) Let the sun shine in: mechanisms and potential for therapeutics in skin photodamage. Curr Opin Investig Drugs 8:390–400

    CAS  PubMed  Google Scholar 

  • Wondrak GT, Roberts MJ, Jacobson MK, Jacobson EL (2004) 3-hydroxypyridine chromophores are endogenous sensitizers of photooxidative stress in human skin cells. J Biol Chem 279:30009–30020

    Article  CAS  PubMed  Google Scholar 

  • Wondrak GT, Jacobson MK, Jacobson EL (2005) Identification of quenchers of photoexcited states as novel agents for skin photoprotection. J Pharmacol Exp Ther 312:482–491

    Article  CAS  PubMed  Google Scholar 

  • Wondrak GT, Jacobson MK, Jacobson EL (2006) Endogenous UVA-photosensitizers: mediators of skin photodamage and novel targets for skin photoprotection. Photochem Photobiol Sci 5:215–237

    Article  CAS  PubMed  Google Scholar 

  • Wondrak GT, Cabello CM, Villeneuve NF, Zhang S, Ley S, Li Y, Sun Z, Zhang DD (2008) Cinnamoyl-based Nrf2-activators targeting human skin cell photo-oxidative stress. Free Radic Biol Med 45:385–395

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Xu J, Sagawa Y, Futakuchi M, Fukamachi K, Alexander DB, Furukawa F, Ikarashi Y, Uchino T, Nishimura T, Morita A, Suzui M, Tsuda H (2011) Lack of promoting effect of titanium dioxide particles on ultraviolet B-initiated skin carcinogenesis in rats. Food Chem Toxicol 49:1298–1302

    Article  CAS  PubMed  Google Scholar 

  • Yang J, Wiley CJ, Godwin DA, Felton LA (2008) Influence of hydroxypropyl-beta-cyclodextrin on transdermal penetration and photostability of avobenzone. Eur J Pharm Biopharm 69:605–612

    Article  CAS  PubMed  Google Scholar 

  • Young AR, Boles J, Herzog B, Osterwalder U, Baschong W (2010) A sunscreen’s labeled sun protection factor may overestimate protection at temperate latitudes: a human in vivo study. J Invest Dermatol 130:2457–2462

    Article  CAS  PubMed  Google Scholar 

  • Zastrow L, Lademann J (2016) Light—instead of UV protection: new requirements for skin cancer prevention. Anticancer Res 36:1389–1393

    CAS  PubMed  Google Scholar 

  • Zastrow L, Ferrero L, Herrling T, Groth N (2004) Integrated sun protection factor: a new sun protection factor based on free radicals generated by UV irradiation. Skin Pharmacol Physiol 17:219–231

    Article  CAS  PubMed  Google Scholar 

  • Zastrow L, Groth N, Klein F, Kockott D, Lademann J, Renneberg R, Ferrero L (2009) The missing link—light-induced (280-1,600 nm) free radical formation in human skin. Skin Pharmacol Physiol 22:31–44

    Article  CAS  PubMed  Google Scholar 

  • Zastrow L, Meinke MC, Albrecht S, Patzelt A, Lademann J (2017) From UV protection to protection in the whole spectral range of the solar radiation: new aspects of sunscreen development. Adv Exp Med Biol 996:311–318

    Article  CAS  PubMed  Google Scholar 

  • Zhang DD (2006) Mechanistic studies of the Nrf2-Keap1 signaling pathway. Drug Metab Rev 38:1–21

    Article  CAS  Google Scholar 

  • Zhang DD, Lo SC, Cross JV, Templeton DJ, Hannink M (2004) Keap1 is a redox-regulated substrate adaptor protein for a Cul3-dependent ubiquitin ligase complex. Mol Cell Biol 24:10941–10953

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Georg T. Wondrak .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Krajisnik, A., Perer, J., Wondrak, G.T. (2019). Sunscreen-Based Skin Protection Against Solar Insult: Molecular Mechanisms and Opportunities. In: Alberts, D., Hess, L. (eds) Fundamentals of Cancer Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-15935-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-15935-1_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15934-4

  • Online ISBN: 978-3-030-15935-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics