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优化老年患者的皮肤药物治疗:未来已来,但我们是否已做好准备?

Optimizing skin pharmacotherapy for older patients: the future is at hand but are we ready for it?

机构信息

Freie Universität Berlin, Institute of Pharmacy (Pharmacology & Toxicology), Königin-Luise-Strasse 2+4, 14195 Berlin, Germany.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.

出版信息

Drug Discov Today. 2020 May;25(5):851-861. doi: 10.1016/j.drudis.2020.01.011. Epub 2020 Jan 24.

Abstract

Age-related changes affect both the local pharmacotherapy of skin diseases and the transdermal administration of drugs. The development of aged skin models disregards the highly individual process of aging, facilitating general conclusions for older patients. Nevertheless, 'omics technology, high-content screening, and non-invasive imaging, as well as bioprinting, CRISPR-Cas, and, patients-on-a-chip, can retrieve personalized information for the generation of in vitro models. Herein, we suggest a strategy to optimize pharmacotherapy for older patients. The technology for relevant human cell-based models is at hand and the consideration of patient heterogeneity is required to unlock their full potential.

摘要

年龄相关的变化不仅影响皮肤病的局部药物治疗,也影响药物的经皮给药。老化皮肤模型的发展忽略了个体老化的高度个体化过程,有利于为老年患者得出一般结论。然而,“组学”技术、高通量筛选和非侵入性成像以及生物打印、CRISPR-Cas 和“芯片上的患者”,可以为体外模型的生成检索个性化信息。在此,我们建议优化老年患者药物治疗的策略。相关的基于人类细胞的模型技术已经具备,需要考虑患者的异质性以充分发挥其潜力。

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