P07 Mutagenicity of narrowband ultraviolet B

Abstract

Abstract Introduction and aims Exposure to ultraviolet (UV) radiation causes DNA mutations in skin and development of skin cancer. Despite this, UV radiation in the form of narrowband UVB is commonly used by dermatologists to treat skin diseases such as psoriasis. However, the mutagenicity of narrowband UVB in human skin is unknown. In this study, we investigated the mutation burden resulting from a course of narrowband UVB in patients with psoriasis. Methods Skin biopsies were taken from uninvolved skin of sixteen patients with psoriasis before and after a treatment course of narrowband UVB. Following microdissection, DNA was extracted from the epidermis and sequenced using nanorate sequencing (NanoSeq), which detects mutations in single molecules of DNA with an error rate of fewer than five errors per billion base pairs. Whole-genome sequencing of blood DNA was employed as germline control. Comparison of mutations in prenarrowband UVB and postnarrowband UVB skin samples allowed quantification of mutation burden and mutational signatures owing to narrowband UVB. Results There was a significant increase in the mutation burden in skin following the narrowband UVB treatment course, with UV radiation signatures SBS7a, SBS7b and DBS1 documented in both nonsun-exposed skin and frequently sun-exposed skin samples. Comparison of the magnitude of the mutation burden resulting from narrowband UVB to that in keratinocyte cancers provided insight into the mutagenicity of narrowband UVB in relation to the potential numbers of narrowband UVB courses over a lifetime that might lead to skin cancer development. Conclusions Narrowband UVB treatment for psoriasis Results in significant numbers of UV-radiation-induced mutations in human skin.