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Photopheresis

Photopheresis is a science topic covered in the lgStudy science library. This page brings together a partial reference excerpt, illustrations, worked examples, real-world applications and a short study plan, so you can understand Photopheresis rather than just read about it. In short: In medicine, photopheresis (aka extracorporeal photopheresis or ECP) is a form of apheresis and photodynamic therapy in which blood is subject to apheresis to separate buffy coat (WBC + platelets) from whole blood, chemically treated with 8-methoxypsoralen (instilled into a collection bag or given per os in advance), exposed to ultraviolet light (UVA), and then returned to the patient. Activated 8-methoxypsoralen cr…

Key takeaways

  • Photopheresis belongs to science; place it in that map before memorising details.
  • Learn the definition first, then one example that makes the definition concrete.
  • Connect Photopheresis to a quantity you can measure, compute or draw — that is where exam questions come from.
  • Reproduce the core statement of Photopheresis from memory before moving on to harder problems.

Reference excerpt

In medicine, photopheresis (aka extracorporeal photopheresis or ECP) is a form of apheresis and photodynamic therapy in which blood is subject to apheresis to separate buffy coat (WBC + platelets) from whole blood, chemically treated with 8-methoxypsoralen (instilled into a collection bag or given per os in advance), exposed to ultraviolet light (UVA), and then returned to the patient. Activated 8-methoxypsoralen crosslinks DNA in exposed cells, ultimately resulting apoptosis of nucleated cells. The photochemically damaged T-cells returned to the patient appear to induce cytotoxic effects on T-cell formation. The mechanism of such "antitumor" action has not been elucidated. A 1987 New England Journal of Medicine publication introduced photopheresis involving 8-methoxypsoralen., now standard U.S. Food and Drug Administration (FDA) therapy for cutaneous T-cell lymphoma. Evidence suggests that this treatment might help treat graft-versus-host disease, though this evidence is largely observational; controlled trials are needed to support this use. Photopheresis has also been successful in treating epidermolysis bullosa acquisita when all other treatments have been ineffective. Minimal observed side effects for patients receiving photopheresis include hypotension and syncope resulting from volume shifts during leukapheresis phase of treatment. Photopheresis is also an experimental treatment for patients with cardiac, pulmonary and renal allograft rejection, graft-versus-host disease, autoimmune diseases, nephrogenic systemic fibrosis and ulcerative colitis.

See also Blood irradiation therapy

Notes

References

Further reading Maceira Rozas MC. Fotoaféresis para pacientes con enfermedad de injerto contra huésped resistente a esteroides. Santiago de Compostela: Axencia de Avaliación de Tecnoloxías Sanitarias de Galicia, avalia-t; 2014. Available from: http://www.sergas.es/docs/Avalia-t/electroporacion/CT201402Fotoafereis_Def.pdf

External links American Society for Apheresis Extracorporeal photopheresis entry in the public domain NCI Dictionary of Cancer Terms Extracorporeal photopheresis definition at eMedicine.com

Worked examples

Example 1 — a first encounter with Photopheresis

Start with the simplest possible case. Write down what Photopheresis claims or describes in one sentence, then invent the smallest concrete situation in which that sentence is true. In science, the smallest case is usually a single object, a single equation or a single measurement. Check that every symbol or term in your sentence has a meaning in that case.

Example 2 — changing one variable

Take the situation from Example 1 and change exactly one quantity: double it, halve it, or set it to zero. Predict what should happen to Photopheresis before you calculate. Comparing your prediction with the result is the fastest way to find out whether you understand the idea or only the words.

Example 3 — an exam-style question

Typical questions about Photopheresis ask you to (a) state it precisely, (b) apply it to given data, and (c) explain a limitation. Practise writing all three answers in under five minutes; the third part is what separates a full-mark answer from an average one.

Applications of Photopheresis

In research
Photopheresis appears in science research whenever the underlying quantities have to be modelled precisely. Papers usually cite it as a starting assumption and then explore where it breaks down.
In technology and industry
Engineering practice reuses Photopheresis in design rules, simulations and safety margins. Knowing the idea lets you read a specification sheet and understand why the numbers look the way they do.
In the classroom
Photopheresis is common in secondary-school and first-year university syllabi. It links to neighbouring topics Blood, Light therapy, Medical treatments, so understanding it makes those chapters shorter.
In everyday life
Look for Photopheresis outside the textbook — in sport, cooking, traffic, electronics or the sky above you. An example you found yourself is remembered far longer than one you were given.
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How to study Photopheresis in 20 minutes

  1. Read the reference excerpt below once, without taking notes.
  2. Close the page and write down what Photopheresis means in your own words.
  3. Compare your version with the excerpt and mark what you missed.
  4. Work through the three examples above with pen and paper.
  5. Explain Photopheresis out loud to somebody else — or to Teacher Smith in the lgStudy chat.

Frequently asked questions

What is Photopheresis in simple terms?

In medicine, photopheresis (aka extracorporeal photopheresis or ECP) is a form of apheresis and photodynamic therapy in which blood is subject to apheresis to separate buffy coat (WBC + platelets) from whole blood, chemically treated with 8-methoxypsoralen (instilled into a collection bag or given…

Why does Photopheresis matter?

Because it connects several science ideas at once: it gives you a definition you can apply, a quantity you can calculate, and a way to check whether a result is plausible.

How should I study Photopheresis?

Read the excerpt, restate it from memory, then work through the examples and applications listed on this page. The five-step study plan above takes about twenty minutes.

What does this page cover?

It gives you a compact reference excerpt plus original lgStudy explanations, examples, applications and study material on Photopheresis.

Tags

  • Blood
  • Light therapy
  • Medical treatments

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