维甲酸类药物治疗皮肤老化:临床疗效与安全性概述
Retinoids in the treatment of skin aging: an overview of clinical efficacy and safety.
作者信息
Mukherjee Siddharth, Date Abhijit, Patravale Vandana, Korting Hans Christian, Roeder Alexander, Weindl Günther
机构信息
Department of Pharmacology, Bombay College of Pharmacy, Kalina, Santacruz (E), Mumbai, India.
出版信息
Clin Interv Aging. 2006;1(4):327-48. doi: 10.2147/ciia.2006.1.4.327.
Aging of skin is an intricate biological process consisting of two types. While intrinsic or chronological aging is an inevitable process, photoaging involves the premature aging of skin occurring due to cumulative exposure to ultraviolet radiation. Chronological and photoaging both have clinically differentiable manifestations. Various natural and synthetic retinoids have been explored for the treatment of aging and many of them have shown histological and clinical improvement, but most of the studies have been carried out in patients presenting with photoaged skin. Amongst the retinoids, tretinoin possibly is the most potent and certainly the most widely investigated retinoid for photoaging therapy. Although retinoids show promise in the treatment of skin aging, irritant reactions such as burning, scaling or dermatitis associated with retinoid therapy limit their acceptance by patients. This problem is more prominent with tretinoin and tazarotene whereas other retinoids mainly represented by retinaldehyde and retinol are considerably less irritating. In order to minimize these side effects, various novel drug delivery systems have been developed. In particular, nanoparticles have shown a good potential in improving the stability, tolerability and efficacy ofretinoids like tretinoin and retinol. However, more elaborate clinical studies are required to confirm their advantage in the delivery of topical retinoids.
皮肤老化是一个复杂的生物学过程,分为两种类型。虽然内在老化或自然老化是一个不可避免的过程,但光老化是由于长期暴露于紫外线辐射而导致的皮肤过早老化。自然老化和光老化都有临床上可区分的表现。人们已经探索了各种天然和合成的维甲酸用于治疗皮肤老化,其中许多已显示出组织学和临床改善,但大多数研究是在光老化皮肤患者中进行的。在维甲酸中,维甲酸可能是治疗光老化最有效的,也是研究最广泛的维甲酸。虽然维甲酸在治疗皮肤老化方面显示出前景,但与维甲酸治疗相关的刺激性反应,如灼烧、脱屑或皮炎,限制了患者对它们的接受度。这个问题在维甲酸和他扎罗汀中更为突出,而其他主要以视黄醛和视黄醇为代表的维甲酸刺激性要小得多。为了尽量减少这些副作用,人们开发了各种新型药物递送系统。特别是,纳米颗粒在提高维甲酸(如维甲酸和视黄醇)的稳定性、耐受性和疗效方面显示出良好的潜力。然而,需要更详细的临床研究来证实它们在局部递送维甲酸方面的优势。
相似文献
Clin Interv Aging. 2006
Clin Dermatol. 1996
Aesthet Surg J. 2010-1
J Drugs Dermatol. 2005
J Cutan Med Surg. 1999-10
Skin Pharmacol Physiol. 2004
J Drugs Dermatol. 2008-6
J Drugs Dermatol. 2004
引用本文的文献
J Clin Aesthet Dermatol. 2025-8
Am J Clin Dermatol. 2025-5
Dermatol Ther (Heidelb). 2025-3
本文引用的文献
Skin Pharmacol Physiol. 2006
J Dermatolog Treat. 2005-4
J Control Release. 2005-5-5
Skin Pharmacol Physiol. 2005