Department of Pharmacy, Singidunum University, Belgrade, Serbia.
Faculty of Health and Business studies, Singidunum University, Valjevo, Serbia.
Expert Opin Drug Deliv. 2024 Feb;21(2):279-307. doi: 10.1080/17425247.2024.2318460. Epub 2024 Feb 20.
Photodynamic therapy (PDT) has gained significant attention due to its superiority over conventional treatments. In the context of skin cancers and nonmalignant skin diseases, topical application of photosensitizer formulations onto affected skin, followed by illumination, offers distinct advantages. Topical PDT simplifies therapy by providing easy access to the skin, increasing drug concentration within the target area, and confining residual photosensitivity to the treated skin. However, the effectiveness of topical PDT is often hindered by challenges such as limited skin penetration or photosensitizer instability. Additionally, the hypoxic tumor environment poses further limitations. Nanocarriers present a promising solution to address these challenges.
The objective of this review is to comprehensively explore and highlight the role of various nanocarriers in advancing topical PDT for the treatment of skin diseases. The primary focus is to address the challenges associated with conventional topical PDT approaches and demonstrate how nanotechnology-based strategies can overcome these challenges, thereby improving the overall efficiency and efficacy of PDT.
Nanotechnology has revolutionized the field of PDT, offering innovative tools to combat the unfavorable features of photosensitizers and hurdles in PDT. Nanocarriers enhance skin penetration and stability of photosensitizers, provide controlled drug release, reduce needed dose, increase production of reactive oxygen species, while reducing side effects, thereby improving PDT effectiveness.
光动力疗法(PDT)因其优于传统治疗方法而受到广泛关注。在皮肤癌和非恶性皮肤病的背景下,将光敏剂制剂局部应用于受影响的皮肤,然后进行光照,具有明显的优势。局部 PDT 通过提供易于接触皮肤、增加目标区域内药物浓度以及将残余光敏性限制在治疗皮肤内,使治疗变得简单。然而,局部 PDT 的效果常常受到皮肤穿透性有限或光敏剂不稳定等挑战的限制。此外,缺氧肿瘤环境也带来了进一步的限制。纳米载体为解决这些挑战提供了一种有前途的解决方案。
本综述的目的是全面探讨和强调各种纳米载体在推进皮肤病局部 PDT 中的作用。主要重点是解决常规局部 PDT 方法所面临的挑战,并展示纳米技术策略如何克服这些挑战,从而提高 PDT 的整体效率和疗效。
纳米技术彻底改变了 PDT 领域,为克服光敏剂的不利特征和 PDT 中的障碍提供了创新工具。纳米载体可增强皮肤穿透性和光敏剂的稳定性,提供药物控制释放,减少所需剂量,增加活性氧的产生,同时减少副作用,从而提高 PDT 的效果。