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微针作为用于增强皮肤病治疗的透皮给药系统。

Microneedles as transdermal drug delivery system for enhancing skin disease treatment.

作者信息

Wu Chaoxiong, Yu Qingyu, Huang Chenlu, Li Fangzhou, Zhang Linhua, Zhu Dunwan

机构信息

State Key Laboratory of Advanced Medical Materials and Devices, Tianjin Key Laboratory of Biomedical Materials, Key Laboratory of Biomaterials and Nanotechnology for Cancer Immunotherapy, Institute of Biomedical Engineering, Tianjin Institutes of Health Science, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300192, China.

出版信息

Acta Pharm Sin B. 2024 Dec;14(12):5161-5180. doi: 10.1016/j.apsb.2024.08.013. Epub 2024 Aug 22.

Abstract

Microneedles (MNs) serve as a revolutionary paradigm in transdermal drug delivery, heralding a viable resolution to the formidable barriers presented by the cutaneous interface. This review examines MNs as an advanced approach to enhancing dermatological pathology management. It explores the complex dermis structure and highlights the limitations of traditional transdermal methods, emphasizing MNs' advantage in bypassing the stratum corneum to deliver drugs directly to the subdermal matrix. The discourse outlines the diverse typologies of MNs, including solid, coated, hollow, hydrogel, and dissolvable versions. Each type is characterized by its unique applications and benefits. The treatise details the deployment of MNs in the alleviation of cutaneous cancers, the administration of inflammatory dermatoses such as psoriasis and atopic dermatitis, and their utility in wound management. Additionally, the paper contemplates the prospects of MNs within the realm of aesthetic dermatology and the burgeoning market traction of cosmetic MN formulations. The review summarizes the scientific and commercial challenges to the clinical adoption of MN therapeutics, including dosage calibration, pharmacodynamics, biocompatibility, patient compliance, sterilization, mass production, and regulatory oversight. It emphasizes the need for ongoing research, innovation, and regulatory harmonization to overcome these obstacles and fully realize MNs' potential in treating skin diseases and improving patient welfare.

摘要

微针(MNs)是经皮给药领域的一种革命性范例,为解决皮肤界面所带来的巨大障碍提供了可行的解决方案。本综述将微针作为一种改善皮肤病治疗的先进方法进行研究。它探讨了复杂的真皮结构,强调了传统经皮给药方法的局限性,突出了微针在绕过角质层直接将药物递送至皮下基质方面的优势。论述概述了微针的多种类型,包括实心、包衣、空心、水凝胶和可溶解型。每种类型都有其独特的应用和益处。论文详细阐述了微针在缓解皮肤癌、治疗银屑病和特应性皮炎等炎症性皮肤病以及伤口管理中的应用。此外,本文还思考了微针在美容皮肤科领域的前景以及化妆品微针制剂日益增长的市场吸引力。综述总结了微针疗法临床应用所面临的科学和商业挑战,包括剂量校准、药效学、生物相容性、患者依从性、灭菌、大规模生产和监管监督。强调需要持续进行研究、创新和监管协调,以克服这些障碍并充分发挥微针在治疗皮肤疾病和改善患者福祉方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91c5/11725105/73f8ad67664d/ga1.jpg

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