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全球人群中的浅表皮肤癣菌病:基于纳米载体疗法的潜在益处及日益增加的挑战

Superficial Dermatophytosis across the World's Populations: Potential Benefits from Nanocarrier-Based Therapies and Rising Challenges.

作者信息

Keshwania Puja, Kaur Narinder, Chauhan Jyoti, Sharma Gajanand, Afzal Obaid, Alfawaz Altamimi Abdulmalik Saleh, Almalki Waleed H

机构信息

Department of Microbiology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana 133207, India.

University Institute of Pharmaceutical Sciences, UGC-Centre of Advanced Studies, Panjab University, Chandigarh 160014, India.

出版信息

ACS Omega. 2023 Aug 22;8(35):31575-31599. doi: 10.1021/acsomega.3c01988. eCollection 2023 Sep 5.

Abstract

The most prevalent infection in the world is dermatophytosis, which is a major issue with high recurrence and can affect the entire body including the skin, hair, and nails. The major goal of this Review is to acquire knowledge about cutting-edge approaches for treating dermatophytosis efficiently by adding antifungals to formulations based on nanocarriers in order to overcome the shortcomings of standard treatment methods. Updates on nanosystems and research developments on animal and clinical investigations are also presented. Along with the currently licensed formulations, the investigation also emphasizes novel therapies and existing therapeutic alternatives that can be used to control dermatophytosis. The Review also summarizes recent developments on the prevalence, management approaches, and disadvantages of standard dosage types. There are a number of therapeutic strategies for the treatment of dermatophytosis that have good clinical cure rates but also drawbacks such as antifungal drug resistance and unfavorable side effects. To improve therapeutic activity and get around the drawbacks of the traditional therapy approaches for dermatophytosis, efforts have been described in recent years to combine several antifungal drugs into new carriers. These formulations have been successful in providing improved antifungal activity, longer drug retention, improved effectiveness, higher skin penetration, and sustained drug release.

摘要

世界上最普遍的感染是皮肤癣菌病,这是一个复发率高的主要问题,可累及全身,包括皮肤、毛发和指甲。本综述的主要目的是通过将抗真菌药物添加到基于纳米载体的制剂中,以克服标准治疗方法的缺点,从而获得有效治疗皮肤癣菌病的前沿方法的相关知识。还介绍了纳米系统的更新以及动物和临床研究的进展。除了目前已获许可的制剂外,该研究还强调了可用于控制皮肤癣菌病的新疗法和现有治疗选择。该综述还总结了标准剂型在患病率、管理方法和缺点方面的最新进展。治疗皮肤癣菌病有多种治疗策略,临床治愈率高,但也存在抗真菌药物耐药性和不良副作用等缺点。为了提高治疗活性并克服皮肤癣菌病传统治疗方法的缺点,近年来人们一直在努力将几种抗真菌药物组合成新的载体。这些制剂已成功提供了增强的抗真菌活性、更长的药物保留时间、更高的有效性、更高的皮肤渗透性和持续的药物释放。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10cc/10483660/8daf67a4a256/ao3c01988_0001.jpg

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