Institute of Pharmaceutical Research, GLA University, Mathura, 281406, U.P. India.
Curr Pharm Biotechnol. 2024;25(6):737-756. doi: 10.2174/0113892010245092230922180341.
Atopic dermatitis (AD) is known as a chronic disease characterized by eczematous and pruritus skin lesions. The pathology behind atopic dermatitis etiology is loss of epidermal barrier, which prevents the production of protein filaggrin that can induce T-cell infiltration and inflammation. Treatment of AD is majorly based on limiting skin repair as well as reducing inflammation and itching. There are several remedies available for the treatment of AD, such as Janus kinase and calcineurin inhibitors, topical corticosteroids, and phosphodiesterase-4 inhibitors. The conventional formulations in the market have limited safety and efficacy. Hence, effective treatment of atopic dermatitis requires the development of novel, efficacious, reliable, and specific therapies. Recent research data have revealed that some naturally occurring medicinal plants have potential applications in the management of AD through different mechanisms. The nanotechnology-based therapeutics have gained a lot of attention in the last decade for the improvement in the activity of drugs having low absorption due to poor solubility, thus leading to lesser bioavailability. Therapies based on nanotechnology can be an effective way to overcome these obstacles. Due to their effective propensity to provide better drug diffusion and bioavailability as well as drug targeting potential at the desired site of action, these approaches may have decreased adverse drug effects, better penetration, and enhanced therapeutic efficacy. Hence, this review highlights the potential of phytoconstituents-based novel formulations for the treatment of atopic dermatitis. Furthermore, recent patents on therapeutic approaches to atopic dermatitis have also been briefly described.
特应性皮炎(AD)是一种以湿疹样和瘙痒性皮损为特征的慢性疾病。特应性皮炎病因背后的病理学是表皮屏障的丧失,这会阻止蛋白丝聚蛋白的产生,而丝聚蛋白可以诱导 T 细胞浸润和炎症。AD 的治疗主要基于限制皮肤修复以及减少炎症和瘙痒。有几种治疗 AD 的方法,如 Janus 激酶和钙调神经磷酸酶抑制剂、局部皮质类固醇和磷酸二酯酶-4 抑制剂。市场上的常规制剂安全性和疗效有限。因此,有效的特应性皮炎治疗需要开发新型、有效、可靠和特定的疗法。最近的研究数据表明,一些天然存在的药用植物通过不同的机制在 AD 的治疗中有潜在的应用。基于纳米技术的疗法在过去十年中引起了很多关注,因为它们可以提高由于溶解度低而导致吸收不良的药物的活性,从而导致生物利用度降低。基于纳米技术的疗法可能是克服这些障碍的有效方法。由于它们具有提供更好的药物扩散和生物利用度以及在所需作用部位靶向药物的有效倾向,这些方法可能减少了药物的不良反应、增强了穿透力并提高了治疗效果。因此,本综述强调了基于植物成分的新型制剂治疗特应性皮炎的潜力。此外,还简要描述了特应性皮炎治疗的最新专利。