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新兴的局部药物传递方法治疗特应性皮炎。

Emerging topical drug delivery approaches for the treatment of Atopic dermatitis.

机构信息

Department of Pharmaceutics, SVKM's Dr Bhanuben Nanavati College of Pharmacy, Vile Parle (W), Mumbai, 400056, India.

出版信息

J Cosmet Dermatol. 2022 Feb;21(2):536-549. doi: 10.1111/jocd.14685. Epub 2021 Dec 21.

Abstract

BACKGROUND

Atopic dermatitis is a chronic, relapsing skin inflammation disease that generally affects 20% of children and 1-3% of adults. It is characterized by pruritus, inflammatory skin lesions, and skin barrier defect. The pillar treatment is topical therapies that have shown great adherence and incredible results in alleviating symptoms of atopic dermatitis. Topical corticosteroids and calcineurin inhibitors have shown improvement in the symptoms of atopic dermatitis but have certain side effects. There is need to develop new therapies or novel drug delivery approaches which can overcome drawbacks of the conventional formulation and increase the therapeutic efficacy.

AIM

The scope of this review is to describe the new topical therapies including phosphodiesterase inhibitors, Janus kinase inhibitors, and nano-formulations such as nanoemulsion, polymeric and lipid nanoparticles, vesicular system, and micelles.

METHODS

The article reviews and discusses the published literature of the topical drug delivery approaches for treatment of Atopic dermatitis.

RESULTS

The reported literature highlighted the benefits of novel topical formulations exhibiting targeted drug delivery, better penetration, enhanced therapeutic efficacy, and overcome systemic side effects.

CONCLUSION

Literature indicated that the new therapies and novel drug delivery approaches found to be the therapeutically more effective in increasing the efficacy of drugs and reducing the side effects in comparison with the conventional treatments for Atopic dermatitis. This has provided a way to modify and develop more such formulations for dermal delivery.

摘要

背景

特应性皮炎是一种慢性、复发性皮肤炎症性疾病,通常影响 20%的儿童和 1-3%的成年人。其特征为瘙痒、炎症性皮肤损伤和皮肤屏障缺陷。特应性皮炎的主要治疗方法是局部治疗,这些疗法在缓解特应性皮炎症状方面表现出了很好的依从性和令人难以置信的效果。局部皮质类固醇和钙调神经磷酸酶抑制剂已显示出对特应性皮炎症状的改善,但具有一定的副作用。因此需要开发新的治疗方法或新的药物传递方法,以克服传统制剂的缺点并提高治疗效果。

目的

本综述的范围是描述新的局部治疗方法,包括磷酸二酯酶抑制剂、Janus 激酶抑制剂以及纳米制剂,如纳米乳液、聚合物和脂质纳米粒、囊泡系统和胶束。

方法

本文综述和讨论了特应性皮炎治疗的局部药物传递方法的已发表文献。

结果

所报道的文献强调了新型局部制剂的优势,这些制剂具有靶向药物传递、更好的穿透性、增强的治疗效果,并克服了全身副作用。

结论

文献表明,与特应性皮炎的传统治疗方法相比,新的治疗方法和新型药物传递方法在提高药物疗效和减少副作用方面具有更好的疗效。这为皮肤传递提供了一种改进和开发更多此类制剂的方法。

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