Department of Pharmacology, College of Medicine, Al-Nahrain University, Baghdad, Iraq.
Department of Pharmacology, College of Medicine, University of Warith Al-Anbiyaa, Karbala, Iraq.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Aug;397(8):6231-6248. doi: 10.1007/s00210-024-03017-7. Epub 2024 Mar 6.
Psoriasis is a long-lasting, immune-related inflammatory skin disease that affects 2-3% of the global population. It is distinguished by erythematous, silvery, and scaly patches. Ramelteon is a type of melatonin agonist that is used to treat insomnia. It has enhanced non-classical immunomodulatory and anti-inflammatory activities. The aim of the study is to assess the ameliorative effects of topical ramelteon on imiquimod (IMQ)-aggravated psoriasiform-like dermatosis in mice. The 32 albino mouse males were placed into six groups of eight animals, all of them. With the exception of the control group, all groups gained a once-a-day regimen of topical imiquimod 5% cream at a dose of 62.5 mg for eight uninterrupted days, while mice in the control group gained vaseline-based ointment alternately. Immediately after an 8-day induction period in the imiquimod group, mice in the clobetasol and ramelteon treatment groups obtained a twice-daily regimen of topical clobetasol propionate 0.05% ointment and 0.1% ointment, respectively, for a further 8 days. This extends the total duration of the experimental study to 16 continuous days. The findings of our study found that ramelteon significantly mitigated the concentrations of inflammatory cytokines in the skin tissue, including interleukin (IL)-6, IL-17A, IL-23, tumor necrosis factor-α (TNF-α), and vascular endothelial growth factor (VEGF), as well as the scores associated with psoriatic lesions, including erythema, scaling, skin thickening, ear thickness, and overall cumulative PASI scores. Additionally, the anti-inflammatory impact of ramelteon was achieved by markedly increasing IL-10 levels in the skin tissue and correcting cutaneous histopathological alterations. Ramelteon ointment (0.1%) was comparable to that of clobetasol (0.05%) ointment in alleviating a mouse model of imiquimod-induced psoriasiform inflammation; this is probably due to its potential anti-inflammatory and immunomodulatory activities. Therefore, ramelteon could be a good additive option for therapeutic management of immune-triggered inflammatory conditions such as psoriasis.
银屑病是一种慢性、免疫相关的炎症性皮肤病,影响全球 2-3%的人口。其特征为红斑、银白色和鳞屑状斑块。雷美替胺是一种褪黑素激动剂,用于治疗失眠。它具有增强的非经典免疫调节和抗炎活性。本研究的目的是评估局部雷美替胺对咪喹莫特(IMQ)加重的银屑病样皮肤病的改善作用。32 只雄性白化病小鼠被分为六组,每组 8 只。除对照组外,所有组每天接受一次 5%咪喹莫特乳膏治疗,剂量为 62.5mg,连续 8 天,而对照组则交替使用凡士林软膏。在 IMQ 组 8 天诱导期结束后,氯倍他索和雷美替胺治疗组的小鼠分别接受每日两次局部氯倍他索丙酸酯 0.05%软膏和 0.1%软膏治疗,共 8 天。这将实验研究的总持续时间延长至 16 天。我们的研究发现,雷美替胺显著减轻了皮肤组织中炎症细胞因子的浓度,包括白细胞介素(IL)-6、IL-17A、IL-23、肿瘤坏死因子-α(TNF-α)和血管内皮生长因子(VEGF),以及与银屑病病变相关的评分,包括红斑、鳞屑、皮肤增厚、耳朵厚度和总累积 PASI 评分。此外,雷美替胺通过显著增加皮肤组织中的 IL-10 水平和纠正皮肤组织学改变来发挥抗炎作用。雷美替胺软膏(0.1%)在缓解咪喹莫特诱导的银屑病样炎症的小鼠模型方面与氯倍他索(0.05%)软膏相当;这可能是由于其潜在的抗炎和免疫调节活性。因此,雷美替胺可能是治疗免疫触发的炎症性疾病(如银屑病)的一种良好的附加选择。
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