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纤维素、壳聚糖和透明质酸在肥胖症经皮治疗管理中的应用:综述。

The use of cellulose, chitosan and hyaluronic acid in transdermal therapeutic management of obesity: A review.

机构信息

NITTE Deemed-to-be University, NGSM Institute of Pharmaceutical Sciences, Department of Pharmaceutics, Mangalore 575018, India.

NITTE Deemed-to-be University, NGSM Institute of Pharmaceutical Sciences, Department of Pharmaceutics, Mangalore 575018, India.

出版信息

Int J Biol Macromol. 2023 Jul 31;244:125374. doi: 10.1016/j.ijbiomac.2023.125374. Epub 2023 Jun 15.

Abstract

Obesity is a clinical condition with rising popularity and detrimental impacts on human health. According to the World Health Organization, obesity is the sixth most common cause of death worldwide. It is challenging to combat obesity because medications that are successful in the clinical investigation have harmful side effects when administered orally. The conventional approaches for treating obesity primarily entail synthetic compounds and surgical techniques but possess severe adverse effects and recurrences. As a result, a safe and effective strategy to combat obesity must be initiated. Recent studies have shown that biological macromolecules of the carbohydrate class, such as cellulose, hyaluronic acid, and chitosan, can enhance the release and efficacy of medications for obesity but due to their short biological half-lives and poor oral bioavailability, their distribution rate is affected. This helps to comprehend the need for an effective therapeutic approach via a transdermal drug delivery system. This review focuses on the transdermal administration, utilizing cellulose, chitosan, and hyaluronic acid via microneedles, as it offers a promising solution to overcome existing therapy limitations in managing obesity and it also highlights how microneedles can effectively deliver therapeutic substances through the skin's outer layer, bypassing pain receptors and specifically targeting adipose tissue.

摘要

肥胖是一种日益流行的临床病症,对人类健康有不利影响。世界卫生组织(WHO)指出,肥胖是全球第六大致死原因。由于在临床试验中成功的药物经口服给药时具有有害的副作用,因此对抗肥胖具有挑战性。治疗肥胖的传统方法主要涉及合成化合物和手术技术,但具有严重的不良反应和复发。因此,必须启动一种安全有效的肥胖症防治策略。最近的研究表明,碳水化合物类的生物大分子,如纤维素、透明质酸和壳聚糖,可以增强肥胖症药物的释放和疗效,但由于其生物半衰期短和口服生物利用度差,会影响其分布率。这有助于理解通过透皮给药系统进行有效治疗的必要性。本文综述了通过微针技术经皮给予纤维素、壳聚糖和透明质酸,因为它为克服肥胖症现有治疗方法的局限性提供了一种有前途的解决方案,还强调了微针如何通过皮肤外层有效传递治疗物质,绕过疼痛感受器,专门针对脂肪组织。

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