Sunscreen photoprotection and vitamin D status.

BACKGROUND: Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements. OBJECTIVES: To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors. METHODS: An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1-day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed. RESULTS: A serum level of ≥ 50 nmol L-1 25(OH)D is a target for all individuals. Broad-spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group. CONCLUSIONS: Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions. What's already known about this topic? Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this. Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people. What does this study add? Judicious use of daily broad-spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people. However, photoprotection strategies for patients with photosensitivity disorders that include high sun-protection factor sunscreens with high UVA protection, along with protective clothing and shade-seeking behaviour are likely to compromise vitamin D status. Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.

Clinical and anthropological perspectives on chemical relaxing of afro-textured hair.

The culturally engrained practice of 'relaxing' afro-textured hair has been linked with hair and scalp disorders. Herein, we discuss the evolution of human hair types, focusing in particular on afro-textured hair. We explore the biological features of this hair type, and discuss the different methods employed to straighten afro-textured hair, focusing in particular on chemical straightening. We also examine clinical, anthropological, and psychological issues associated with this latter practice. Examples of common scalp pathologies associated with chronic hair relaxing, such as alopecia, hair breakage, caustic burns and irritant contact dermatitis, are also highlighted. The data presented herein should enable clinicians to engage in culturally appropriate discussions with their patients about issues of appearance and conformity.

The evolution of human skin colouration and its relevance to health in the modern world.

Functionally naked skin which comes in a range of colours is unique to the human species. This review summarises current evidence pertaining to the evolution of these attributes. The biggest changes in the integument occurred during the course of human evolution in equatorial Africa, under regimes of high daytime temperatures and high ultraviolet radiation (UVR). Loss of most functional body hair was accompanied by the evolution of an epidermis with a specialised stratum corneum and permanent, protective, eumelanin pigmentation. The main reason for the evolution of dark pigmentation was to protect against folate deficiency caused by elevated demands for folate in cell division, DNA repair, and melanogenesis stimulated by UVR. Dispersal out of tropical Africa created new challenges for human physiology especially because of lower and more seasonal levels of UVR and ultraviolet B (UVB) outside of the tropics. In these environments, the challenge of producing a vitamin D precursor in the skin from available UVB was met by natural selection acting on mutations capable of producing varying degrees of depigmentation. The range of pigmentation observed in modern humans today is, thus, the product of two opposing clines, one favoring photoprotection near the equator, the other favoring vitamin D photosynthesis nearer the poles. Recent migrations and changes in lifestyle in the last 500 years have brought many humans into UVR regimes different from those experienced by their ancestors and, accordingly, exposed them to new disease risks, including skin cancer and vitamin D deficiency.

Vitamin D: in the evolution of human skin colour.

The natural selection hypothesis suggests that lighter skin colour evolved to optimise vitamin D production. Some authors question if vitamin D deficiency leads to sufficient health problems to act as a selection pressure. This paper reviews the numerous effects of vitamin D deficiency on human health and argues that vitamin D deficiency is sufficient to pose as a potent selection pressure for lighter skin colour. Vitamin D deficiency manifesting as rickets and osteomalacia are sufficient to impair reproductive success, but additionally, animal studies and some clinical observations suggest that vitamin D may have more direct impact on human fertility. Vitamin D deficiency may lead to a whole host of clinical conditions which impair health and increase mortality rates: increase susceptibility to bacterial and viral infections; rickets, osteomalacia and osteoporosis, with increased risk of falls and fractures; increased risk of cancers; hypertension and cardiovascular disease; maturity onset diabetes; autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, inflammatory bowel disease and Type 1 diabetes; and gum disease. We submit that at higher latitudes, lighter skin colour evolved to facilitate vitamin D production under conditions of low ultra-violet B radiation in order to avoid a plethora of ill health, reproductive difficulties and early mortality.

The influence of life history and diet on the distribution of catarrhine primates during the Pleistocene in eastern Asia.

Environmental changes during the Pleistocene in eastern Asia had profound impacts on the distributions of mammalian groups. Critical for many mammals were the southward latitudinal shifts of the tropical and subtropical vegetational zones, and decreases in the areas of these zones. Examination of the responses of members of a single clade, the Catarrhini, indicates that the main catarrhine genera of eastern Asia responded individually to the environmental changes in the Pleistocene. These responses were influenced by the life history parameters and diets of the genera involved. Those animals (macaques, langurs) with shorter gestation times, shorter weaning periods, shorter interbirth intervals, higher intrinsic rates of increase of population, and abilities to survive on a wider variety of vegetation in seasonal habitats were less adversely affected than those (gibbons, orangutans and the giant extinct hominoid, Gigantopithecus) with more protracted reproductive schedules, lower intrinsic rates of population increase and preferences for the higher quality foods (especially ripe fruits) of less seasonal environments. Hominids, while displaying "hyper-ape" life history parameters, increasingly overcame the constraints of these parameters through extrasomatic means not available to other catarrhines. This ability made possible their colonization, by the Late Pleistocene, of highly seasonal habitats such as tundra, which were off-limits to non-culture-bearing catarrhines.

The evolution of human skin coloration.

Skin color is one of the most conspicuous ways in which humans vary and has been widely used to define human races. Here we present new evidence indicating that variations in skin color are adaptive, and are related to the regulation of ultraviolet (UV) radiation penetration in the integument and its direct and indirect effects on fitness. Using remotely sensed data on UV radiation levels, hypotheses concerning the distribution of the skin colors of indigenous peoples relative to UV levels were tested quantitatively in this study for the first time. The major results of this study are: (1) skin reflectance is strongly correlated with absolute latitude and UV radiation levels. The highest correlation between skin reflectance and UV levels was observed at 545 nm, near the absorption maximum for oxyhemoglobin, suggesting that the main role of melanin pigmentation in humans is regulation of the effects of UV radiation on the contents of cutaneous blood vessels located in the dermis. (2) Predicted skin reflectances deviated little from observed values. (3) In all populations for which skin reflectance data were available for males and females, females were found to be lighter skinned than males. (4) The clinal gradation of skin coloration observed among indigenous peoples is correlated with UV radiation levels and represents a compromise solution to the conflicting physiological requirements of photoprotection and vitamin D synthesis. The earliest members of the hominid lineage probably had a mostly unpigmented or lightly pigmented integument covered with dark black hair, similar to that of the modern chimpanzee. The evolution of a naked, darkly pigmented integument occurred early in the evolution of the genus Homo. A dark epidermis protected sweat glands from UV-induced injury, thus insuring the integrity of somatic thermoregulation. Of greater significance to individual reproductive success was that highly melanized skin protected against UV-induced photolysis of folate (Branda & Eaton, 1978, Science201, 625-626; Jablonski, 1992, Proc. Australas. Soc. Hum. Biol.5, 455-462, 1999, Med. Hypotheses52, 581-582), a metabolite essential for normal development of the embryonic neural tube (Bower & Stanley, 1989, The Medical Journal of Australia150, 613-619; Medical Research Council Vitamin Research Group, 1991, The Lancet338, 31-37) and spermatogenesis (Cosentino et al., 1990, Proc. Natn. Acad. Sci. U.S.A.87, 1431-1435; Mathur et al., 1977, Fertility Sterility28, 1356-1360).As hominids migrated outside of the tropics, varying degrees of depigmentation evolved in order to permit UVB-induced synthesis of previtamin D(3). The lighter color of female skin may be required to permit synthesis of the relatively higher amounts of vitamin D(3)necessary during pregnancy and lactation. Skin coloration in humans is adaptive and labile. Skin pigmentation levels have changed more than once in human evolution. Because of this, skin coloration is of no value in determining phylogenetic relationships among modern human groups.

A possible link between neural tube defects and ultraviolet light exposure.

The protective role of folate in preventing neural tube defects is now well established. The hypothesis is advanced here that photolysis of folate by ultraviolet (UV) light may, in some women, precipitate a folate deficiency sufficient to cause a neural tube defect (NTD) during the first few weeks of pregnancy. This hypothesis is supported by the demonstration of in vitro photolysis of folate by simulated strong sunlight (1), a decline in folate levels in light-skinned subjects exposed to UV light for dermatological conditions (1), and the occurrence of NTDs in the offspring of women who exposed themselves to high levels of UV light on the sunbeds of tanning salons (2). If established, a connection between in vivo folate photolysis by UV light, clinical folate deficiency and NTDs would suggest that intense or prolonged periconceptual exposure of women to UV light for recreational or therapeutic reasons should be avoided.

Sexual dimorphism in the snub-nosed langurs (Colobinae: Rhinopithecus).

Sexual dimorphism in the dentition and skeleton of the four extant species of snub-nosed langurs, Rhinopithecus (R.) bieti, R. (R.) brelichi, R. (R.) roxellana and R. (Presbytiscus) avunculus, was studied. The species shared a similar general pattern of sexual dimorphism, but were found to differ in respects that appear to reflect the influence of disparate socioecological and environmental factors. All the species showed marked canine dimorphism but the very high degree of canine dimorphism in R. bieti appeared to be due to the intensity of intermale competition for mates during a temporally restricted breeding season, and possibly also to the intensity of competition between males for other resources during other times of the year. Sexual dimorphism in the postcranial skeleton of Rhinopithecus species was also most pronounced in R. bieti and may be related to the relatively higher frequency of terrestrial locomotion in males of the species.

New fossil cercopithecid remains from the Humpata Plateau, southern Angola.

The aim of the present investigation was to describe and identify the well-preserved cranial remains of a fossil cercopithecid recently recovered from sites on the Humpata Plateau in southern Angola. In the past, papionin fossils recovered from the Angolan site of Tchiua (Leba) have been referred to various taxa, including Dinopithecus ingens, Parapapio sp., and Papio (Dinopithecus) quadratirostris. Comparison of the new Angolan papionin cranial remains with those previously described from the Humpata Plateau and a large range of living and fossil Papionini revealed that the range of metrical and morphological variation present in the Humpata papionin sample was consistent with that found in a single extant papionin species. The Humpata cranial remains bear the largest number of similarities to Theropithecus baringensis R. Leakey, 1969, and it is to this species that the remains are hereby referred. This assignment is based on a suite of 11 shared attributes of the Humpata papionin fossils and the type specimen of T. baringensis, KNM BC2, which include: large molar teeth of relatively low relief with pinched cusps and with a prominent distal fovea on M3; a small, low cranial vault with little mid-parietal expansion; a bow-shaped supraorbital torus; trapezoidal, inferiorly tapering orbits; a functional complex related to the presence of a large and vertically oriented anterior temporalis muscle; a large infratemporal fossa with an anteromedially oriented posterior border; a long muzzle with a steep interorbital drop, shallow incisive arc, flattened dorsum, and rounded maxillary ridges; nasal bones that extend across the breadth of the posterior margin of the nasal aperture and then taper markedly as they approach nasion; prominent, inferiorly divergent mental ridges; and relatively shallow mandibular fossae that are long, elliptical in shape, and extend to the level of the M3. The results of the current study suggest that T. baringensis (now including the Humpata papionin sample) and T. quadratirostris occupy a position at the base of the Theropithecus radiation very close to the origin of Dinopithecus ingens and Gorgopithecus major. The species of the genera Theropithecus (including its Humpata representatives) and Papio, along with D. ingens and G. major, form a cluster of taxa that are more closely related to each other than they are to other extant or extinct papionins.

Classification and evolution of Asian colobines.

In order to study the differentiation of Asian colobines, 14 variables measured on 123 skulls, including Rhinopithecus, Presbytis, Presbytiscus (Rhinopithecus avunculus), Pygathrix and Nasalis were analyzed by one-way, cluster and discriminant function analyses. Information on paleoenvironmental changes in China and southeast Asia since the late Tertiary was used to examine the influences of migratory routes and range of distribution in Asian colobines. A cladogram for 6 genera of Asian colobines was constructed from the results of various analyses. Some new points or revisions were suggested: (1) Following one of two migratory routes, ancient species of Asian colobines perhaps passed through Xizang (Tibet) along the northern bank of the Tethys sea and through the Heng Duan Shan regions of Yunnan into Vietnam. An ancient landmass linking Yunnan and Xizang was already present on the east bank of the Tethys sea. Accordingly, Asian colobines would have two centers of evolutionary origin: Sundaland and the Heng Duan Shan regions of China. (2) Pygathrix shares more cranial features with Presbytiscus than with Rhinopithecus. This differs somewhat from the conclusion reached by Groves. (3) Nasalis (karyotype: 2n = 48) may be the most primitive genus among Asian colobines. Certain features shared with Rhinopithecus, e.g. large body size, terrestrial activity and limb proportions, can be interpreted as symplesiomorphic characters. (4) Rhinopithecus, with respect to craniofacial features, is a special case among Asian colobines. It combines a high degree of evolutionary specialization with retention of some primitive features thought to have been present in the ancestral Asian colobine.

Quaternary environments and the evolution of primates in East Asia, with notes on two new specimens of fossil Cercopithecidae from China.

Primate faunas in East Asia since the mid-Tertiary have undergone a series of major changes in response to a complex sequence of environmental changes. As a consequence of the Himalayan orogeny and the rapid, episodic uplift of the Tibetan plateau, the climate of East Asia during the late Tertiary became monsoonal and thus more strongly seasonal. This led to the expansion of seasonal tropical forests and, in some areas, grasslands. During the Pleistocene, the climatic consequences of continued rapid uplift of the Tibetan plateau and other land masses (e.g. the Qinling mountains) were combined with those of glaciations, resulting in dramatic climatic oscillations between warm-humid and cold-dry phases. The contraction of tropical environments that began in the late Tertiary reached its peak at the last glacial maximum (LGM) and was responsible for the decline in the distribution and diversity of hominoids in East Asia. Cercopithecids, which were only minor elements of the late Tertiary primate faunas, colonized tropical, subtropical and temperate environments in the Pleistocene and were able to reradiate into those environments after the LGM. The abilities of monkeys to populate a wide range of terrestrial environments (eurytopy) contrast with those of apes, which are restricted to tropical forest environments (stenotopy).

A comparative study of the elbow joints in five species of Chinese macaques.

In this paper, we report the findings of a comparative study of the elbow joints of five species of macaque that inhabit China: Macaca assamensis, M. arctoides, M. mulatta, M. thibetana and M. nemestrina. Results of multivariate analyses of size-related variables and indices of the elbow joint suggested that the breadths of the ventral aspect of the trochlea and of the medial epicondyle of the humerus as well as indices describing the head of the radius are important factors for discriminating these species. The elbow joint of M. arctoides was most similar to that of M. thibetana, no doubt reflecting recency of common ancestry and similarity in terrestrial locomotion. The structures of the elbow joints in M. nemestrina and M. assamensis seemed more adapted to arboreal quadrupedalism. The elbow joint of M. mulatta, however, appears intermediate between the most terrestrial and the most arboreal forms.

The phylogenetic relationships and classification of the doucs and snub-nosed langurs of China and Vietnam.

The taxonomy of the douc and snub-nosed langurs has changed several times during the 20th century. The controversy over the systematic position of these animals has been due in part to difficulties in studying them: both the doucs and the snub-nosed langurs are rare in the wild and are generally poorly represented in institutional collections. This review is based on a detailed examination of relatively large numbers of specimens of most of the species of langurs concerned. An attempt was made to draw upon as many types of information as were available in order to make an assessment of the phyletic relationships between the langur species under discussion. Toward this end, quantitative and qualitative features of the skeleton, specific features of visceral anatomy and characteristics of the pelage were utilized. The final data matrix comprised 178 characters. The matrix was analyzed using the program Hennig86. The results of the analysis support the following conclusions: (1) that the douc and snub-nosed langurs are generically distinct and should be referred to as species of Pygathrix and Rhinopithecus, respectively; (2) that the Tonkin snub-nosed langur be placed in its own subgenus as Rhinopithecus (Presbytiscus) avunculus and that the Chinese snub-nosed langur thus be placed in the subgenus Rhinopithecus (Rhinopithecus); (3) that four extant species of Rhinopithecus be recognized: R. (Rhinopithecus) roxellana Milne Edwards, 1870; R. (Rhinopithecus) bieti Milne Edwards, 1897; R. (Rhinopithecus) brelichi Thomas, 1903, and R. (Presbytiscus) avunculus Dollman, 1912; (4) that the Chinese snub-nosed langurs fall into northern and southern subgroups divided by the Yangtze river; (5) that R. lantianensis Hu and Qi, 1978, is a valid fossil species, and (6) the precise affinities and taxonomic status of the fossil species R. tingianus Matthew and Granger, 1923, are unclear because the type specimen is a subadult.