Department of Pharmaceutics, School of Pharmaceutical Education and Research , Jamia Hamdard, New Delhi, India.
School of Pharmacy and Medical Sciences, University of South Australia (UniSA) , Adelaide, SA, Australia.
Expert Opin Drug Deliv. 2020 Jun;17(6):817-838. doi: 10.1080/17425247.2020.1758665. Epub 2020 May 14.
Psoriasis is identified as an inflammatory, chronic, auto-immune disease requiring long-term treatment, imposing an unnecessary burden on the patient. A significant impediment for the treatment of dermatological disorders via transdermal route is the inability of drug molecules to cross the stratum corneum (SC), as the larger size of drug molecules inhibits them to pervade into the skin, thus hampering their absorption. Some drugs exhibit systemic side-effects, which curbs patient compliance, resulting in treatment discontinuation.
This review aims to describe the detailed study such as demographic status, molecular factors of psoriasis, treatment with emerging combination therapy and role of nanotechnology tools in the treatment of psoriasis.
To overcome problems related to the conventional drug delivery system, several nanotechnology-based formulations have been devised to enhance bioavailability, drug permeation and accumulation in the skin. Nano-formulations provide better permeation, targeted delivery and enhanced efficacy, thus gaining enormous popularity for cutaneous disorders. This pervasive review provides an overview of the pathophysiology of the disease, its molecular targets and the available herbal, synthetic and combination treatment modalities. The review also systematizes recent works utilizing nano-carriers to improve the treatment denouement of psoriasis.
银屑病被认为是一种炎症性、慢性、自身免疫性疾病,需要长期治疗,给患者带来了不必要的负担。药物分子无法穿透角质层(SC),是通过经皮途径治疗皮肤病的一个重大障碍,因为药物分子的体积较大,会阻止它们渗透到皮肤中,从而阻碍它们的吸收。一些药物表现出全身副作用,这会抑制患者的依从性,导致治疗中断。
本综述旨在描述详细的研究,如人口统计学状况、银屑病的分子因素、新兴联合疗法的治疗以及纳米技术工具在银屑病治疗中的作用。
为了克服与传统药物输送系统相关的问题,已经设计了几种基于纳米技术的制剂,以提高生物利用度、药物渗透和在皮肤中的积累。纳米制剂提供了更好的渗透、靶向递送和增强的疗效,因此在皮肤疾病中得到了广泛的应用。本综述全面概述了疾病的病理生理学、分子靶点以及现有的草药、合成和联合治疗方法。综述还系统地介绍了最近利用纳米载体改善银屑病治疗结局的工作。