Zhang Yun, Li Sijia, Huang Yanfang, Song Congjing, Chen Weiqiang, Yang Yiling
School of Nursing, Guangdong Pharmaceutical University, Guangzhou 510006, China.
School of Basic Medical Sciences, Guangdong Pharmaceutical University, Guangzhou 510006, China.
Pharmaceutics. 2024 Jul 28;16(8):1001. doi: 10.3390/pharmaceutics16081001.
Glucocorticoids are often used and highly effective anti-inflammatory medications, but prolonged topical application may alter the epidermis' normal structure and function, potentially resulting in a number of adverse effects. Topical glucocorticoid-induced skin inflammation is a dangerous condition that develops after topical glucocorticoid use. The patients become dependent on the medication and, even after the medication is stopped, the dermatitis symptoms recur, severely impairing their quality of life. Thus, the need to aggressively confront Topical glucocorticoid-induced skin inflammation is critical. Prior research has demonstrated that topical administration of licorice's flavonoid component liquiritin stimulates epidermal proliferation, which in turn enhances the creation of collagen and the healing of wounds. Therefore, the purpose of this work was to determine if topical use of liquiritin carbomer gel can treat glucocorticoid-induced changes in mice skin epidermal function, and the mechanisms involved. The findings demonstrated that, in the mice model of topical glucocorticoid-induced skin inflammation, liquiritin carbomer gel aided in the restoration of skin barrier function. These outcomes may have been caused by enhanced expression of the proteins Aquaporin 3, Keratin 10, and Claudin-1, as well as the restoration of epidermal hyaluronan content. In the meantime, liquiritin carbomer gel dramatically decreased the expression of TNF-α, IL-1β, IL-6, IFN-γ, and IgE in mice, according to ELISA tests. Furthermore, topical treatment of liquiritin carbomer gel boosted the expression of superoxide dismutase, catalase, and decreased malondialdehyde expression, potentially counteracting the detrimental effects of glucocorticoids on the epidermis. In summary, these findings imply that topical liquiritin carbomer gel can treat glucocorticoid-induced skin damage through various mechanisms of action.
糖皮质激素是常用且高效的抗炎药物,但长期局部应用可能会改变表皮的正常结构和功能,从而可能导致多种不良反应。局部糖皮质激素诱导的皮肤炎症是在局部使用糖皮质激素后发生的一种危险状况。患者会对药物产生依赖,即使停药后,皮炎症状仍会复发,严重损害他们的生活质量。因此,积极应对局部糖皮质激素诱导的皮肤炎症至关重要。先前的研究表明,局部应用甘草的黄酮类成分甘草苷可刺激表皮增殖,进而增强胶原蛋白的生成和伤口愈合。因此,本研究的目的是确定局部使用甘草苷卡波姆凝胶是否能治疗糖皮质激素诱导的小鼠皮肤表皮功能变化及其相关机制。研究结果表明,在局部糖皮质激素诱导的皮肤炎症小鼠模型中,甘草苷卡波姆凝胶有助于恢复皮肤屏障功能。这些结果可能是由于水通道蛋白3、角蛋白10和紧密连接蛋白1的表达增强以及表皮透明质酸含量的恢复所致。同时,根据酶联免疫吸附测定试验,甘草苷卡波姆凝胶显著降低了小鼠体内肿瘤坏死因子-α、白细胞介素-1β、白细胞介素-6、干扰素-γ和免疫球蛋白E的表达。此外,局部应用甘草苷卡波姆凝胶可提高超氧化物歧化酶、过氧化氢酶的表达,并降低丙二醛的表达,可能抵消糖皮质激素对表皮的有害影响。总之,这些研究结果表明局部使用甘草苷卡波姆凝胶可通过多种作用机制治疗糖皮质激素诱导引起的皮肤损伤。