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基于脂质的巴瑞替尼纳米系统作为特应性皮炎治疗的局部替代方案

Baricitinib Lipid-Based Nanosystems as a Topical Alternative for Atopic Dermatitis Treatment.

作者信息

Garrós Núria, Bustos-Salgados Paola, Domènech Òscar, Rodríguez-Lagunas María José, Beirampour Negar, Mohammadi-Meyabadi Roya, Mallandrich Mireia, Calpena Ana C, Colom Helena

机构信息

Departament de Farmàcia i Tecnologia Farmacèutica, i Fisicoquímica, Facultat de Farmàcia i Ciències de l'Alimentació, Universitat de Barcelona (UB), 08028 Barcelona, Spain.

Institut de Nanociència i Nanotecnologia, Universitat de Barcelona (UB), 645 Diagonal Avenue, 08028 Barcelona, Spain.

出版信息

Pharmaceuticals (Basel). 2023 Jun 18;16(6):894. doi: 10.3390/ph16060894.

Abstract

Atopic dermatitis (AD) is a chronic autoimmune inflammatory skin disorder which causes a significant clinical problem due to its prevalence. The ongoing treatment for AD is aimed at improving the patient's quality of life. Additionally, glucocorticoids or immunosuppressants are being used in systemic therapy. Baricitinib (BNB) is a reversible Janus-associated kinase (JAK)-inhibitor; JAK is an important kinase involved in different immune responses. We aimed at developing and evaluating new topical liposomal formulations loaded with BNB for the treatment of flare ups. Three liposomal formulations were elaborated using POPC (1-palmitoyl-2-oleoyl-glycero-3-phosphocholine), CHOL (Cholesterol) and CER (Ceramide) in different proportions: (i) POPC, (ii) POPC:CHOL (8:2, mol/mol) and (iii) POPC:CHOL:CER (3.6:2.4:4.0 mol/mol/mol). They were physiochemically characterized over time. In addition, an in vitro release study, ex vivo permeation and retention studies in altered human skin (AHS) were also performed. Histological analysis was used to study the tolerance of the formulations on the skin. Lastly, the HET-CAM test was also performed to evaluate the irritancy capacity of the formulations, and the modified Draize test was performed to evaluate the erythema and edema capacity of the formulations on the altered skin. All liposomes showed good physicochemical properties and were stable for at least one month. POPC:CHOL:CER had the highest flux and permeation, and the retention in the skin was equal to that of POPC:CHOL. The formulations exhibited no harmful or irritating effects, and the histological examination revealed no changes in structure. The three liposomes have shown promising results for the aim of the study.

摘要

特应性皮炎(AD)是一种慢性自身免疫性炎症性皮肤病,因其患病率而导致严重的临床问题。AD的现行治疗旨在改善患者的生活质量。此外,糖皮质激素或免疫抑制剂正用于全身治疗。巴瑞替尼(BNB)是一种可逆的 Janus 相关激酶(JAK)抑制剂;JAK是参与不同免疫反应的重要激酶。我们旨在开发和评估负载BNB的新型局部脂质体制剂用于治疗病情发作。使用不同比例的1-棕榈酰-2-油酰-甘油-3-磷酸胆碱(POPC)、胆固醇(CHOL)和神经酰胺(CER)制备了三种脂质体制剂:(i)POPC,(ii)POPC:CHOL(8:2,摩尔/摩尔)和(iii)POPC:CHOL:CER(3.6:2.4:4.0摩尔/摩尔/摩尔)。随着时间的推移对它们进行了物理化学表征。此外,还进行了体外释放研究、在人工皮肤(AHS)中的离体渗透和滞留研究。组织学分析用于研究制剂对皮肤的耐受性。最后,进行了鸡胚绒毛尿囊膜(HET-CAM)试验以评估制剂的刺激性,进行了改良的Draize试验以评估制剂在人工皮肤上的红斑和水肿形成能力。所有脂质体均表现出良好的物理化学性质,并且至少稳定一个月。POPC:CHOL:CER具有最高的通量和渗透率,在皮肤中的滞留与POPC:CHOL相同。这些制剂未表现出有害或刺激作用,组织学检查未发现结构变化。这三种脂质体在该研究目标方面显示出了有前景的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f710/10305096/d1028e6848a9/pharmaceuticals-16-00894-g001.jpg

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