Institute of Genomics and Integrative Biology, Council for Scientific and Industrial Research, New Delhi, India.
Acta Derm Venereol. 2018 Nov 5;98(10):924-931. doi: 10.2340/00015555-3002.
Abnormally high production of melanin or melanogenesis in skin melanocytes results in hyperpigmentation disorders, such as melasma, senile lentigines or freckles. These hyperpigmentary skin disorders can significantly impact an individual's appearance, and may cause emotional and psychological distress and reduced quality of life. A large number of melanogenesis inhibitors have been developed, but most have unwanted side-effects. Further research is needed to better understand the mechanisms of hyperpigmentary skin disorders and to develop potent and safe inhibitors of melanogenesis. This review summarizes the current understanding of melanogenesis regulatory pathways, the potential involvement of the immune system, various drugs in current use, and emerging treatment strategies to suppress melanogenesis.
皮肤黑素细胞中黑色素或黑素生成的异常增加会导致色素沉着紊乱,如黄褐斑、老年斑或雀斑。这些色素沉着性皮肤疾病会显著影响个体的外貌,并可能导致情绪和心理困扰以及生活质量下降。已经开发出大量的黑素生成抑制剂,但大多数都有不良的副作用。需要进一步的研究来更好地理解色素沉着性皮肤疾病的机制,并开发出有效且安全的黑素生成抑制剂。本文综述了目前对黑素生成调控途径的认识、免疫系统的潜在参与、现有药物的各种用途以及抑制黑素生成的新兴治疗策略。