Evidence map›Paper›PMID 27411377›Full record

ArticleThe British journal of dermatology2016

Concurrent beneficial (vitamin D production) and hazardous (cutaneous DNA damage) impact of repeated low-level summer sunlight exposures.

S J Felton, M S Cooke, R Kift, J L Berry, A R Webb, P M W Lam, F R de Gruijl, A Vail, L E Rhodes

Open access · hybridAbstract read
In one paragraph

Article in The British journal of dermatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 67 citations in OpenAlex.

  1. Environmental consequences of interacting effects of changes in stratospheric ozone, ultraviolet radiation, and climate: UNEP Environmental Effects Assessment Panel, Update 2024.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
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  4. Urinary thymidine dimer excretion reflects personal ultraviolet radiation exposure levels.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2024
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  8. A revised action spectrum for vitamin D synthesis by suberythemal UV radiation exposure in humans in vivo.Proceedings of the National Academy of Sciences of the United States of America · 2021
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  14. Food-based strategies for prevention of vitamin D deficiency as informed by vitamin D dietary guidelines, and consideration of minimal-risk UVB radiation exposure in future guidelines.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2020
    Review
  15. Sunscreen photoprotection and vitamin D status.The British journal of dermatology · 2019
    Review
  16. Review
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  20. Environmental effects of ozone depletion, UV radiation and interactions with climate change: UNEP Environmental Effects Assessment Panel, update 2017.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

S J FeltonDermatology Research Centre, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, U.K.
M S CookeOxidative Stress Group, Department of Environmental and Occupational Health, Florida International University, Miami, FL, U.S.A.
R KiftSchool of Earth Atmospheric and Environmental Sciences, University of Manchester, Manchester, U.K.
J L BerryDepartment of Clinical Biochemistry, Manchester Royal Infirmary, Central Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, Oxford Road, Manchester, U.K.
A R WebbSchool of Earth Atmospheric and Environmental Sciences, University of Manchester, Manchester, U.K.
P M W LamOxidative Stress Group, Department of Cancer Studies and Molecular Medicine, University of Leicester, Leicester, U.K.
F R de GruijlDepartment of Dermatology, Leiden University Medical Centre, Leiden, the Netherlands.
A VailCentre for Biostatistics, Institute of Population Health, University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, U.K.
L E RhodesDermatology Research Centre, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, U.K.
Leiden University Medical Center · NLManchester University · USUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe concurrent impact of repeated low-level summer sunlight exposures on vitamin D production and cutaneous DNA damage, potentially leading to mutagenesis and skin cancer, is unknown.

objectivesThis is an experimental study (i) to determine the dual impact of repeated low-level sunlight exposures on vitamin D status and DNA damage/repair (via both skin and urinary biomarkers) in light-skinned adults; and (ii) to compare outcomes following the same exposures in brown-skinned adults.

methodsTen white (phototype II) and six South Asian volunteers (phototype V), aged 23-59 years, received 6 weeks' simulated summer sunlight exposures (95% ultraviolet A/5% ultraviolet B, 1·3 standard erythemal doses three times weekly) wearing summer clothing exposing ~35% body surface area. Assessments made were circulating 25-hydroxyvitamin D [25(OH)D], immunohistochemistry for cyclobutane pyrimidine dimer (CPD)-positive nuclei and urinary biomarkers of direct and oxidative (8-oxo-deoxyguanosine) DNA damage.

resultsSerum 25(OH)D rose from mean 36·5 ± 13·0 to 54·3 ± 10·5 nmol L

conclusionsLow-dose summer sunlight exposures confer vitamin D sufficiency in light-skinned people concurrently with low-level, nonaccumulating DNA damage. The same exposures produce minimal DNA damage but less vitamin D in brown-skinned people. This informs tailoring of sun-exposure policies.

Indexed as

SeasonsSunlight8-Hydroxy-2'-DeoxyguanosineAdolescentAdultAsia, SoutheasternBiomarkersDeoxyguanosineDietDNA DamageDNA RepairEnvironmental ExposureFemaleHumansMaleMiddle Aged25-hydroxyvitamin D8-Hydroxy-2'-DeoxyguanosineBiomarkersDeoxyguanosinePyrimidine DimersVitamin D

Identifiers

PMID27411377
PMCPMC5215649
OpenAlexW2462619429

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.