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The UV erythema test as a model to investigate the anti-inflammatory potency of topical preparations--reevaluation and optimization of the method.
Jocher, A; Kessler, S; Hornstein, S; Schulte Mönting, J; Schempp, C M.
Afiliación
  • Jocher A; Universitäts-Hautklinik, Albert Ludwigs-Universität Freiburg, Germany.
Skin Pharmacol Physiol ; 18(5): 234-40, 2005.
Article en En | MEDLINE | ID: mdl-16015022
BACKGROUND: The ultraviolet (UV) erythema test is one of the most frequently used methods to investigate the anti-inflammatory potency of topical dermatological preparations in vivo. METHODS: The following questions were addressed in four separate studies with healthy persons (skin types 2 and 3): (1) the optimal localization was determined by comparing light scales on the back, buttocks and volar forearms; (2) the optimal UV-B dose was determined by comparing the 1-fold, 1.5-fold and 2-fold minimal erythema doses (MEDs); (3) hydrocortisone and prednicarbate were evaluated as positive controls, and a sample size calculation was performed, and (4) betamethasone valerate and pimecrolimus were tested as further positive controls in the optimized study model. RESULTS: The back proved to be the best localization for the UV erythema test. It showed a good correlation between the light scale and the test areas. The 1.5-fold MED was the best irradiation dose. In contrast to prednicarbate and betamethasone valerate, hydrocortisone was a rather weak positive control. However, when the sample size was > or = 40 subjects, significant results were also obtained with hydrocortisone. Pimecrolimus was not effective in the UV erythema test. CONCLUSIONS: The UV erythema test should be performed on the back with at least 40 subjects using the 1.5-fold MED. It may be useful to include a potent corticosteroid, such as prednicarbate or betamethasone valerate, in addition to hydrocortisone. The UV erythema test seems to be suitable only for substances with corticosteroid-like effects, since in this test model the calcineurin inhibitor pimecrolimus was not effective.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Rayos Ultravioleta / Eritema / Antiinflamatorios Tipo de estudio: Etiology_studies Límite: Female / Humans / Male Idioma: En Revista: Skin Pharmacol Physiol Asunto de la revista: DERMATOLOGIA / FARMACOLOGIA / FISIOLOGIA Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Rayos Ultravioleta / Eritema / Antiinflamatorios Tipo de estudio: Etiology_studies Límite: Female / Humans / Male Idioma: En Revista: Skin Pharmacol Physiol Asunto de la revista: DERMATOLOGIA / FARMACOLOGIA / FISIOLOGIA Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza