School of Pharmacy, Medical Biology Centre, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, U.K.
School of Pharmacy, Jinzhou Medical University, Jinzhou, Liaoning 121001, China.
Mol Pharm. 2024 Jun 3;21(6):2813-2827. doi: 10.1021/acs.molpharmaceut.3c01223. Epub 2024 May 16.
Psoriasis, affecting 2-3% of the global population, is a chronic inflammatory skin condition without a definitive cure. Current treatments focus on managing symptoms. Recognizing the need for innovative drug delivery methods to enhance patient adherence, this study explores a new approach using calcipotriol monohydrate (CPM), a primary topical treatment for psoriasis. Despite its effectiveness, CPM's therapeutic potential is often limited by factors like the greasiness of topical applications, poor skin permeability, low skin retention, and lack of controlled delivery. To overcome these challenges, the study introduces CPM in the form of nanosuspensions (NSs), characterized by an average particle size of 211 ± 2 nm. These CPM NSs are then incorporated into a trilayer dissolving microneedle patch (MAP) made from poly(vinylpyrrolidone) and w poly(vinyl alcohol) as needle arrays and prefrom 3D printed polylactic acid backing layer. This MAP features rapidly dissolving tips and exhibits good mechanical properties and insertion capability with delivery efficiency compared to the conventional Daivonex ointment. The effectiveness of this novel MAP was tested on Sprague-Dawley rats with imiquimod-induced psoriasis, demonstrating efficacy comparable to the marketed ointment. This innovative trilayer dissolving MAP represents a promising new local delivery system for calcipotriol, potentially revolutionizing psoriasis treatment by enhancing drug delivery and patient compliance.
银屑病影响全球人口的 2-3%,是一种慢性炎症性皮肤病,目前尚无明确的治愈方法。目前的治疗方法侧重于控制症状。鉴于需要创新的药物输送方法来提高患者的依从性,本研究探索了一种新方法,使用钙泊三醇一水合物(CPM),这是一种治疗银屑病的主要局部治疗药物。尽管 CPM 具有疗效,但由于局部应用的油腻性、皮肤渗透性差、皮肤保留率低和缺乏控释等因素,其治疗潜力往往受到限制。为了克服这些挑战,研究以纳米混悬剂(NS)的形式引入 CPM,其平均粒径为 211 ± 2nm。然后将这些 CPM NS 整合到由聚(乙烯基吡咯烷酮)和 w 聚(乙烯醇)制成的三层溶解微针贴片(MAP)中,作为针阵列,并由预 3D 打印的聚乳酸背衬层组成。这种 MAP 具有快速溶解的尖端,与传统的达力士软膏相比,具有良好的机械性能和插入能力以及输送效率。该新型 MAP 在咪喹莫特诱导的银屑病 Sprague-Dawley 大鼠上进行了有效性测试,结果表明其疗效可与市售软膏相媲美。这种创新的三层溶解 MAP 代表了一种有前途的新型钙泊三醇局部给药系统,通过增强药物输送和患者依从性,可能彻底改变银屑病的治疗方法。
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