Salman Hayder R, Alzubaidy Adeeb A, Abbas Alaa H, Mohammad Hussein A
Al-Mustaqbal University, College of Pharmacy, Department of Pharmacology, Hillah, Babylon, Iraq.
Al-Nahrain University, College of Medicine, Department of Pharmacology, Baghdad, Iraq.
J Taibah Univ Med Sci. 2023 Sep 20;19(1):35-53. doi: 10.1016/j.jtumed.2023.09.002. eCollection 2024 Feb.
Psoriasis is an uncontrolled, long-lasting inflammatory dermatosis distinguished by thickened, erythematous, and flaky skin lesions. Massive amounts of inflammatory cytokines are produced when immune system imbalances are driven by genetic and environmental triggers. Vinpocetine (VNP), a man-made analogue of the compound vincamine found in the dwarf periwinkle herb, has robust anti-inflammatory, immunomodulatory, and anti-oxidative effects; alleviates the epidermal penetration of immune cells, such as eosinophils and neutrophils; and abolishes the generation of pro-inflammatory molecules.
This study was aimed at exploring the effects of long-term topical VNP, both alone and co-administered with clobetasol propionate, in an imiquimod-induced mouse model of psoriasiform dermatitis.
The study protocol consisted of 48 Swiss albino mice, randomly divided into six groups of eight mice each. In group I, petroleum jelly was administered daily for 8 days. In group II, imiquimod was administered topically at 62.5 mg daily for 8 days. In groups III, VI, V, and VI, 0.05% clobetasol propionate, 1% VNP, 3% VNP, and 3% VNP plus 0.05% clobetasol were administered topically for an additional 8 days after the induction, thus resulting in a total trial length of 16 days.
Topical VNP at various doses alleviated the severity of imiquimod-induced psoriatic lesions-including erythema, silvery-white scaling, and thickening-and reversed the histopathological abnormalities. Moreover, imiquimod-exposed animals treated with VNP showed markedly diminished concentrations of inflammatory biomarkers, including tumour necrosis factor-α, interleukin (IL)-8, IL-17A, IL-23, IL-37, nuclear factor-kappa B (NF-κB), and transforming growth factor-β1.
This research provides new evidence that VNP, alone and in combination with clobetasol, may serve as a potential adjuvant for long-term management of autoimmune and autoinflammatory skin diseases, particularly psoriasis, by attenuating psoriatic lesion severity, suppressing cytokine generation, and limiting NF-κB-mediated inflammation.
银屑病是一种难以控制的、持久的炎症性皮肤病,其特征为皮肤病变增厚、发红和脱屑。当遗传和环境因素引发免疫系统失衡时,会产生大量炎性细胞因子。长春西汀(VNP)是一种从矮小长春花中提取的化合物长春胺的人工合成类似物,具有强大的抗炎、免疫调节和抗氧化作用;可减轻免疫细胞(如嗜酸性粒细胞和中性粒细胞)向表皮的浸润,并抑制促炎分子的产生。
本研究旨在探讨长期局部应用VNP单独或与丙酸氯倍他索联合使用,在咪喹莫特诱导的银屑病样皮炎小鼠模型中的作用。
研究方案包括48只瑞士白化小鼠,随机分为6组,每组8只。第I组每天涂抹凡士林,持续8天。第II组每天局部涂抹62.5mg咪喹莫特,持续8天。第III、IV、V和VI组在诱导后再局部涂抹0.05%丙酸氯倍他索、1%VNP、3%VNP和3%VNP加0.05%丙酸氯倍他索,持续8天,因此总试验时长为16天。
不同剂量的局部VNP均可减轻咪喹莫特诱导的银屑病病变的严重程度,包括红斑、银白色鳞屑和增厚,并逆转组织病理学异常。此外,用VNP治疗的咪喹莫特暴露动物的炎性生物标志物浓度显著降低,包括肿瘤坏死因子-α、白细胞介素(IL)-8、IL-17A、IL-23、IL-37、核因子-κB(NF-κB)和转化生长因子-β1。
本研究提供了新的证据,表明VNP单独或与丙酸氯倍他索联合使用,可通过减轻银屑病病变严重程度、抑制细胞因子产生和限制NF-κB介导的炎症,作为自身免疫性和自身炎症性皮肤病(尤其是银屑病)长期管理的潜在佐剂。