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基于纳米技术的炎症性皮肤病局部治疗药物递送展望

A drug delivery perspective on nanotechnology-based topical therapeutics for inflammatory skin diseases.

作者信息

Di Filippo Leonardo Delello, Duarte Jonatas Lobato, de Almeida Allana Carolina Leme, Tashiro Felipe Mota, Peleje Isabel Rheinfranck, Chorilli Marlus

机构信息

Department of Drugs and Medicines, School of Pharmaceutical Sciences, São Paulo State University "Júlio de Mesquita Filho", Araraquara, Brazil.

出版信息

Nanomedicine (Lond). 2025 Jun;20(12):1441-1459. doi: 10.1080/17435889.2025.2506347. Epub 2025 May 25.

DOI:10.1080/17435889.2025.2506347
PMID:40415475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143682/
Abstract

Inflammatory skin diseases are chronic conditions that significantly affect patients' skin health and quality of life. Traditional treatments, including systemic immunosuppressants and topical therapies, often face limitations such as low efficacy, inadequate skin penetration, and severe side effects. Nanotechnology has emerged as a promising solution to tackle these challenges by providing innovative drug delivery systems that not only enhance therapeutic precision but also reduce systemic exposure. This review highlights the technological innovations and pre-clinical potential of nanotechnology-based therapies in managing inflammatory skin diseases, emphasizing their advantages over conventional treatments and their ability to overcome existing therapeutic limitations. Drug delivery nanosystems like lipid, polymeric, and metallic nanocarriers can be designed to penetrate the skin barrier and deliver drugs directly to the affected tissues. These nanocarriers improve drug stability, bioavailability, and retention in target areas while minimizing adverse effects. Furthermore, nanoparticles can be functionalized with bioadhesive molecules (e.g. hyaluronic acid) to achieve targeted and sustained drug release. In preclinical studies, such advanced formulations have demonstrated the potential to modulate immune responses and reduce inflammation by delivering therapeutics in a controlled and localized manner.

摘要

炎症性皮肤病是严重影响患者皮肤健康和生活质量的慢性疾病。传统治疗方法,包括全身免疫抑制剂和局部治疗,常常面临疗效低、皮肤渗透性不足以及严重副作用等局限性。纳米技术作为一种有前景的解决方案应运而生,它通过提供创新的药物递送系统来应对这些挑战,这种系统不仅能提高治疗精准度,还能减少全身暴露。本综述重点介绍了基于纳米技术的疗法在治疗炎症性皮肤病方面的技术创新和临床前潜力,强调了它们相对于传统治疗方法的优势以及克服现有治疗局限性的能力。脂质、聚合物和金属纳米载体等药物递送纳米系统可设计用于穿透皮肤屏障并将药物直接递送至受影响的组织。这些纳米载体可提高药物稳定性、生物利用度,并在靶区域保持药物,同时将不良反应降至最低。此外,纳米颗粒可用生物粘附分子(如透明质酸)进行功能化修饰,以实现靶向和持续的药物释放。在临床前研究中,此类先进制剂已显示出通过以可控和局部的方式递送治疗药物来调节免疫反应和减轻炎症的潜力。

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本文引用的文献

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Topical formulation of Boswellia nano emulsion in psoriasis mouse model.乳香纳米乳剂在银屑病小鼠模型中的局部制剂
Arch Dermatol Res. 2024 Dec 20;317(1):144. doi: 10.1007/s00403-024-03565-1.
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Nanotechnology in healthcare, and its safety and environmental risks.纳米技术在医疗保健中的应用,及其安全性和环境风险。
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Eugenol-Loaded Lipid Nanoparticles-Derived Hydrogels Ameliorate Psoriasis-like Skin Lesions by Lowering Oxidative Stress and Modulating Inflammation.负载丁香酚的脂质纳米粒水凝胶通过降低氧化应激和调节炎症改善银屑病样皮肤损伤。
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Lipid extract from Black Soldier Fly larvae: A high value excipient for solid lipid nanoparticles tailored to tackle atopic dermatitis.黑水虻幼虫脂质提取物:一种用于治疗特应性皮炎的固体脂质纳米粒的高价值辅料。
Int J Pharm. 2024 Dec 25;667(Pt B):124929. doi: 10.1016/j.ijpharm.2024.124929. Epub 2024 Nov 9.
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Differences in the permeation of Licoricchalcone A-polysaccharide self-assembled nanoparticles on healthy and DNCB-induced atopic dermatitis in Balb/c mice.甘草查尔酮A-多糖自组装纳米粒在健康和二硝基氯苯诱导的Balb/c小鼠特应性皮炎模型中的渗透差异
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The Pathophysiology, Diagnosis and Management of Chronic Inflammatory Skin Diseases.慢性炎症性皮肤疾病的病理生理学、诊断和治疗。
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Skin-permeable gold nanoparticles with modifications azelamide monoethanolamine ameliorate inflammatory skin diseases.经壬二酸单乙醇胺修饰的可透皮金纳米颗粒可改善炎症性皮肤病。
Biomark Res. 2024 Oct 9;12(1):118. doi: 10.1186/s40364-024-00663-0.
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Resilience of dermis resident macrophages to inflammatory challenges.真皮驻留巨噬细胞对炎症挑战的弹性。
Exp Mol Med. 2024 Oct;56(10):2105-2112. doi: 10.1038/s12276-024-01313-z. Epub 2024 Oct 1.
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Nano-Sized Graphene Oxide Attenuates Ovalbumin/Alum-Induced Skin Inflammation by Down-Regulating Th2 Immune Responses in Balb/c Mice.纳米级氧化石墨烯通过下调 Balb/c 小鼠 Th2 免疫应答减轻卵清蛋白/明矾诱导的皮肤炎症。
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