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An explorative study of non-invasive ultra-weak photon emission and the anti-oxidative influence of oral zinc sulphate in light-sensitive patients with erythropoietic protoporphyria.
[erythropoietic protoporphyria]
Erythropoietic
protoporphyria
(
EPP
)
is
a
rare
,
inherited
disorder
of
haem
biosynthesis
owing
to
deficient
ferrochelatase
(
FECH
)
and
accumulation
of
protoporphyrin
IX
(
PPIX
)
.
This
results
in
acute
cutaneous
photosensitivity
upon
light
exposure
with
production
of
reactive
oxygen
species
(
ROS
)
and
ultra-
weak
photon
emission
(
UPE
)
as
a
by
-product
.
We
investigated
if
UPE
evaluated
the
light
sensitivity
in
EPP
patients
and
influence
of
zinc
treatment
.
Fourteen
EPP
patients
took
zinc
sulphate
(
3
×
200
Â
mg
/
day
)
during
spring
and
summer
.
Using
a
photomultiplier
(
PM
)
,
UPE
was
measured
from
the
buttock
skin
and
dorsal
hand
before
and
after
solar-simulated
light
(
SUN
)
exposure
.
Blood
samples
were
analysed
routinely
for
plasma
zinc
,
iron
,
ferritin
,
transferrin
,
haemoglobin
,
erythrocyte
PPIX
and
Zn-
PPIX
.
UPE
in
EPP
patients
resembled
that
seen
in
healthy
individuals
.
Without
treatment
,
a
seasonal
decrease
was
seen
from
spring
to
summer
in
four
control
patients
.
However
,
oral
zinc
treatment
reduced
ROS
formation
significantly
regardless
of
SUN
exposure
.
After
SUN
exposure
,
the
initial
burst
was
correlated
to
plasma
iron
and
erythrocyte
PPIX
.
During
treatment
,
an
inverse
correlation
was
found
between
plasma
zinc
concentration
and
the
initial
burst
.
Measurements
of
UPE
can
be
used
for
monitoring
UVA-induced
oxidative
processes
in
vivo
in
the
skin
of
EPP
patients
.
Diseases
Validation
Diseases presenting
"oral zinc treatment"
symptom
erythropoietic protoporphyria
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