Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People's Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang, China.
College of Biological & Pharmaceutical Sciences, China Three Gorges University, Yichang, China.
J Mater Sci Mater Med. 2024 Jul 29;35(1):41. doi: 10.1007/s10856-024-06810-1.
As an acne sequela, post-acne scarring (PSA) has huge negative impact on sufferers' quality of life because of aesthetical embarrassment. Transdermal delivery of botulinum toxin-A (BTXA) is a promising strategy for PAS treatment, but currently reported approaches are far from satisfactory. In this work, phosphatidylcholine/cholesterol (PC/Chol) nanoliposomes were utilized for encapsulation and transdermal delivery of BTXA. The composition, structure, morphology, size, size distribution, etc. of as-prepared BTXA@liposome nanoparticles were investigated in detail. Simulated transdermal delivery assay indicated that the diffusion depth of the BXTA@liposome nanoparticles was nearly 8 times that of pure BTXA and reached 380 μm. 12 facial PSA patients were recruited to evaluate the curative effect of the BTXA@liposome nanoparticles on PSA. Through ECCA (échelle d'évaluation clinique des cicatrices d'acné) scoring and self-evaluation of patients, the resultant data indicated that compared to hyaluronic acid (HA) hydrogel treatment the BTXA@liposome/HA hydrogel treatment could better relieve PSA to some extent but didn't show significant advantage. Further work is needed to verify the feasibility and curative effect of this method in PSA treatment in the future.
作为痤疮后遗症,痤疮后瘢痕(PSA)会因美观问题给患者的生活质量带来巨大负面影响。将肉毒毒素-A(BTXA)经皮给药是治疗 PAS 的一种很有前途的策略,但目前报道的方法远不能令人满意。在这项工作中,我们利用磷脂酰胆碱/胆固醇(PC/Chol)纳米脂质体包封和经皮递送 BTXA。详细研究了所制备的 BTXA@liposome 纳米颗粒的组成、结构、形态、大小、大小分布等。模拟经皮传递试验表明,BTXA@liposome 纳米颗粒的扩散深度接近纯 BTXA 的 8 倍,达到 380μm。招募了 12 名面部 PSA 患者来评估 BTXA@liposome 纳米颗粒对 PSA 的治疗效果。通过 ECCA(痤疮瘢痕评估量表)评分和患者自评,结果数据表明,与透明质酸(HA)水凝胶治疗相比,BTXA@liposome/HA 水凝胶治疗在一定程度上能更好地缓解 PSA,但没有显示出明显的优势。未来需要进一步的工作来验证这种方法在 PSA 治疗中的可行性和疗效。
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