Wu Qingqing, Zheng Huilan, Wu Jingping, Tang Yuruo, Cheng Hongbin
Department of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.
Department of Medical Aesthetics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.
Clin Cosmet Investig Dermatol. 2025 Apr 16;18:929-947. doi: 10.2147/CCID.S520625. eCollection 2025.
The majority of oral and topical skin-whitening products, as well as chemical peels, are commonly used to treat chloasma, a challenging skin pigmentation disorder. However, the therapeutic efficacy of these treatments often falls short of patients' expectations and is accompanied by notable side effects. Oxidative stress, characterized by an imbalance between oxidation and antioxidation, plays a crucial role in various clinical conditions and leads to oxidative damage, including cellular dysfunction, DNA damage, protein and lipid peroxidation, and even irreversible cell death. Recent research has shown that the onset of chloasma is closely associated with oxidative stress. This review explores the role of oxidative stress in the pathogenesis of chloasma and examines the related signaling pathways and biomarkers. Our findings suggest that antioxidant therapy can enhance the effectiveness of chloasma treatment by inhibiting tyrosinase activity and reducing melanin production. We hope this review will provide a theoretical foundation for future antioxidant-based treatments for chloasma.
大多数口服和外用皮肤美白产品以及化学换肤术通常用于治疗黄褐斑,这是一种具有挑战性的皮肤色素沉着紊乱疾病。然而,这些治疗方法的疗效往往达不到患者的期望,并且伴有明显的副作用。氧化应激以氧化与抗氧化之间的失衡为特征,在各种临床病症中起关键作用,并导致氧化损伤,包括细胞功能障碍、DNA损伤、蛋白质和脂质过氧化,甚至不可逆的细胞死亡。最近的研究表明,黄褐斑的发病与氧化应激密切相关。本综述探讨氧化应激在黄褐斑发病机制中的作用,并研究相关的信号通路和生物标志物。我们的研究结果表明,抗氧化疗法可通过抑制酪氨酸酶活性和减少黑色素生成来提高黄褐斑的治疗效果。我们希望本综述能为未来基于抗氧化剂的黄褐斑治疗提供理论基础。
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