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纳米囊泡光动力学疗法治疗耐药性足底疣。

Nanovesicular Photodynamic Clinical Treatment of Resistant Plantar Warts.

机构信息

Pharmaceutical Nanotechnology Unit, Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University, Giza, Egypt.

Photobiology and Cell Photosensitization Unit, National Institute of Laser Enhanced Sciences, Cairo University, Giza, Egypt.

出版信息

Curr Drug Deliv. 2020;17(5):396-405. doi: 10.2174/1567201817666200324142221.

Abstract

BACKGROUND

Photodynamic therapy which involves the use of photosensitizer molecule activated by a light source was proven very promising for the treatment of dermatological diseases, especially the resistant ones such as recalcitrant Plantar Warts (PW).

OBJECTIVE

However, its efficacy is hindered by the poor permeation of the photosensitizer molecule required to initiate skin photo-induced effects.

METHODS

In this manuscript, the efficiency of the nano-vesicular system (transfersomes) as a potential topical drug delivery system for the photosensitizer methylene blue (MB) was investigated following clinical Photodynamic Therapy (PDT) in patients suffering from PW.

RESULTS

Results revealed that MB transfersomal gel displayed a higher complete healing percentage for the lesions compared to the free MB gel (86.67% versus 53.57%) achieved at a lower number of treatment sessions (2.2 versus 4.14). Patients reported no signs of pain or inflammation, with no recurrence of the lesions during the follow up period of 8 months.

CONCLUSION

PDT using transfersomal MB is an effective and safe therapeutic modality for the treatment of PW.

摘要

背景

光动力疗法涉及使用光敏剂分子,该分子通过光源激活,已被证明对治疗皮肤病非常有前途,特别是对难治性足底疣(PW)等疾病。

目的

然而,其疗效受到启动皮肤光诱导效应所需的光敏剂分子渗透不良的限制。

方法

在本文中,研究了纳米囊泡系统(转胞体)作为一种潜在的局部药物递送系统,用于治疗 PW 患者的临床光动力疗法(PDT)后的光敏剂亚甲蓝(MB)。

结果

结果表明,与游离 MB 凝胶(86.67%比 53.57%)相比,MB 转胞体凝胶在较少的治疗次数(2.2 次比 4.14 次)下,对病变的完全愈合百分比更高。患者报告无疼痛或炎症迹象,在 8 个月的随访期间病变无复发。

结论

使用转胞体 MB 的 PDT 是治疗 PW 的有效且安全的治疗方法。

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