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. 2021 Jan 20;21(3):231. doi: 10.3892/etm.2021.9662

Table II.

Late adverse reactions to phototherapy in neonatal hyperbilirubinemia.

Late adverse reactions Underlying mechanisms Signal molecules Targets Preventive measures (Refs.)
Phototherapy and allergic diseases Oxidative stress induced by phototherapy damages the relevant regulatory genes of Th2 to Th1 conversion, resulting in disrupted Th2 to Th1 conversion - Correlation regulatory genes converted from Th2 to Th1 Intermittent phototherapy applied when possible (8,42,90-100)
DNA damage by phototherapy May be associated with production of oxygen free radicals, BCL2 downregulation and BAX upregulation BCL2 gene, BAX gene DNA of the mitochondria and nucleus Intermittent phototherapy applied when possible to reduce oxidative stress (10,11,41,50,100-106)
Phototherapy and tumor May be associated with oxidative stress - - Intermittent phototherapy applied when possible to reduce oxidative stress associated with tumorigenesis (12,51,107-112)
Phototherapy and infant mortality May be associated with oxidative stress - - Intermittent phototherapy applied when possible to shorten the duration of light exposure (13,113-115)