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[一种抗氧化及线粒体刺激乳膏配方对稳定期寻常型白癜风患者皮肤的评估]

[Evaluation of an antioxidant and mitochondria-stimulating cream formula on the skin of patients with stable common vitiligo].

作者信息

Rojas-Urdaneta Janeth Elizabeth, Poleo-Romero Abel Gustavo

机构信息

Departamento de Salud Púiblica, Núcleo Aragua, Maracay, Facultad de Ciencias de la Salud, Universidad de Carabobo, Venezuela.

出版信息

Invest Clin. 2007 Mar;48(1):21-31.

Abstract

Vitiligo is a chronic illness of a yet unknown etiology, characterized by an acquired and progressive depigmentation of the skin. There are diverse treatments for this condition around the world, but up to now, none has been completely effective. The objective of this work was to evaluate the application of an antioxidant and mitochondrial stimulating formula, of topic use in leukodermic areas of patients with stable vulgar vitiligo. A clinical, experimental, randomized, double blind study was carried out in 50 male and 50 female patients with stable vulgar vitiligo. The patients were distributed in five groups as follows: Group 1 (labelled as VitilVenz AF): application of antioxidant and mitochondrial stimulating cream and oral administration of antioxidants and phenylalanine. Group 2 (labelled as Placebo AF): application of a placebo cream and oral administration of antioxidants and phenylalanine. Group 3 (labelled as without cream AF): oral administration of antioxidants and phenylalanine. Group 4 (labelled as Placebo cream): application of a placebo cream. Group 5 (labelled as VitilVenz): application of the antioxidant and mitochondrial stimulating cream. The following were measured in all patients: the clinical area of newly formed pigment every 30 days, during five months; and the presence of melanocytes in the histological study, at the beginning and at the end of treatment. The test of multiple comparison of Turkey-Kramer was used for the analysis of the results. The scheme of treatment that produced the best results was that of the Group 1, which consisted of the joint application of the antioxidant and mitochondrial stimulating cream and oral administration of antioxidants and phenylalanine (p < 0.001); followed by Group 5 that only received the topical treatment with the antioxidant and mitochondrial stimulating cream. The clinical and histological responses of these two groups (1 and 5) were significantly different to the rest of the groups. We concluded that the melanocytes in these patients could be in a dysfunctional state, product of the formation of free radicals that cause cellular and mitochondrial toxicity; and that these free radicals are removed by the antioxidant and mitochondrial stimulating elements present in the cream, turning the melanocytes functional and producing melanin in the achromic area of the vitiligo. This effect would be potentiated by the use of oral antioxidants and phenylalanine.

摘要

白癜风是一种病因不明的慢性疾病,其特征是皮肤出现后天性、进行性色素脱失。世界各地针对这种病症有多种治疗方法,但截至目前,尚无一种方法完全有效。本研究的目的是评估一种抗氧化和线粒体刺激配方在稳定期寻常型白癜风患者白斑区域局部应用的效果。对50名男性和50名女性稳定期寻常型白癜风患者进行了一项临床、实验、随机、双盲研究。患者被分为五组,如下:第1组(标记为VitilVenz AF):应用抗氧化和线粒体刺激乳膏,并口服抗氧化剂和苯丙氨酸。第2组(标记为安慰剂AF):应用安慰剂乳膏,并口服抗氧化剂和苯丙氨酸。第3组(标记为无乳膏AF):口服抗氧化剂和苯丙氨酸。第4组(标记为安慰剂乳膏):应用安慰剂乳膏。第5组(标记为VitilVenz):应用抗氧化和线粒体刺激乳膏。在所有患者中测量以下指标:在五个月内,每30天测量一次新形成色素的临床面积;在治疗开始和结束时,进行组织学研究以检测黑素细胞的存在情况。采用Turkey-Kramer多重比较检验对结果进行分析。产生最佳效果的治疗方案是第1组,即联合应用抗氧化和线粒体刺激乳膏以及口服抗氧化剂和苯丙氨酸(p < 0.001);其次是第5组,该组仅接受抗氧化和线粒体刺激乳膏的局部治疗。这两组(第1组和第5组)的临床和组织学反应与其他组有显著差异。我们得出结论,这些患者的黑素细胞可能处于功能失调状态,这是自由基形成导致细胞和线粒体毒性的结果;并且乳膏中含有的抗氧化和线粒体刺激成分可清除这些自由基,使黑素细胞恢复功能并在白癜风的无色素区域产生黑色素。口服抗氧化剂和苯丙氨酸可增强这种效果。

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