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纳米载体介导的局部给药治疗银屑病

Nanocarriers Mediated Topical Drug Delivery for Psoriasis Treatment.

作者信息

Gungor Sevgi, Rezigue Meriem

机构信息

Department of Pharmaceutical Technology, Faculty of Pharmacy, Istanbul University, 34116, Istanbul. Turkey.

出版信息

Curr Drug Metab. 2017;18(5):454-468. doi: 10.2174/1389200218666170222145240.

Abstract

BACKGROUND

Psoriasis is a chronic autoimmune inflammatory skin disease affecting 2 to 3% of people worldwide. Topical therapy as first option in the management of psoriasis is an attractive strategy by delivering drugs efficiently into target sites of disease, minimizing systemic side effects of drugs and ensuring high patient compliance. However, the delivery of antipsoriatic agents via conventional topical formulations is limited due to their poor percutaneous penetration and targeting into deeper layers of the skin.

METHOD

In this review, an overview of skin structure and psoriatic skin as well as different approaches used for the treatment are provided. We discussed the topical nanocarriers including solid lipid nanoparticles, nanostructured lipid carriers, liposomes, niosomes, ethosomes, transfersomes, dendrimers and micelles used to deliver antipsoriatic drugs. We also summarized the 2011 onward research studies dealing with the application of nanocarriers for psoriasis treatment.

RESULT

In the last decades, numerous types of nanocarriers have been widely investigated as a novel delivery approach to reach effective antipsoriatic drug concentrations. These nanocarriers can enhance the therapeutic efficacy and minimize the toxicity of the drugs by lowering the dose. They also improve drug localization in the skin and achieve site-specific drug targeting. But, most of the available studies have lack of clinical outcome in psoriasis and required more focus on the clinical evaluation.

CONCLUSION

Nanocarriers could enhance deposition of antipsoriatic drugs in targeted sites of the skin. Nevertheless, still there is a need to develop more effective simulated models that provide realistic model for psoriasis.

摘要

背景

银屑病是一种慢性自身免疫性炎症性皮肤病,全球约2%至3%的人受其影响。局部治疗作为银屑病治疗的首选方案,是一种颇具吸引力的策略,它能将药物有效输送至疾病靶部位,使药物的全身副作用降至最低,并确保患者的高依从性。然而,由于抗银屑病药物经传统局部制剂的经皮渗透能力差且难以靶向进入皮肤深层,其递送受到限制。

方法

在本综述中,我们概述了皮肤结构和银屑病皮肤,以及用于治疗的不同方法。我们讨论了用于递送抗银屑病药物的局部纳米载体,包括固体脂质纳米粒、纳米结构脂质载体、脂质体、非离子表面活性剂泡囊、醇质体、传递体、树枝状大分子和胶束。我们还总结了2011年以来关于纳米载体在银屑病治疗中应用的研究。

结果

在过去几十年中,多种类型的纳米载体作为一种新型递送方法被广泛研究,以达到有效的抗银屑病药物浓度。这些纳米载体可以通过降低剂量提高治疗效果并使药物毒性最小化。它们还能改善药物在皮肤中的定位并实现药物的位点特异性靶向。但是,大多数现有研究缺乏银屑病的临床结果,需要更多地关注临床评估。

结论

纳米载体可以增强抗银屑病药物在皮肤靶向部位的沉积。然而,仍需要开发更有效的模拟模型,为银屑病提供逼真的模型。

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