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使用人指甲和皮肤感染模型对一种新型外用甲真菌病治疗方法的抗真菌疗效评估。

An Assessment of the Antifungal Efficacy of a Novel Topical Onychomycosis Treatment Using Human Nail and Skin Infection Models.

作者信息

Brown Anthony, Goñi-de-Cerio Felipe, Bilbao Ainhoa, Ribes Adrià, Fernández de Henestrosa Antonio R, Prudkin Ludmila, Perugini Paola, Foyaca Mónica

机构信息

Innovation and Development, ISDIN, 08019 Barcelona, Spain.

GAIKER Technology Centre, Basque Research and Technology Alliance (BRTA), 48170 Zamudio, Spain.

出版信息

J Fungi (Basel). 2025 Apr 29;11(5):345. doi: 10.3390/jof11050345.

DOI:10.3390/jof11050345
PMID:40422679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12112648/
Abstract

Onychomycosis, a fungal nail infection, affects about 4% of the global population. Current topical antifungals like ciclopirox and amorolfine have limited effectiveness, highlighting the need for better treatments. WSNS-PO is a novel water-soluble therapy designed to treat and prevent onychomycosis by enhancing nail health. This study evaluated WSNS-PO's ability to penetrate the nail plate and to treat and prevent infection by using bovine hoof membranes and human nail clippings. The anti-fungal efficacy of WSNS-PO was additionally evaluated against other dermatophytes, non-dermatophyte fungi, and yeast. The results showed that WSNS-PO effectively permeated nails and reduced and prevented the colonization of human nail fragments by ex vivo, demonstrating an efficacy comparable to ciclopirox and amorolfine. WSNS-PO also prevented the transfer of infection between nails and inhibited the fungal colonization of human skin by dermatophyte and non-dermatophyte fungi and yeast. Together, these results indicate that WSNS-PO possesses fungistatic, barrier-forming, and anti-adhesive properties, suggesting that it holds promise as an onychomycosis treatment against dermatophytes, yeast, and molds.

摘要

甲癣是一种指甲真菌感染,影响着全球约4%的人口。目前的外用抗真菌药物如环吡酮和阿莫罗芬效果有限,这凸显了对更好治疗方法的需求。WSNS-PO是一种新型水溶性疗法,旨在通过改善指甲健康来治疗和预防甲癣。本研究使用牛蹄膜和人类指甲剪屑评估了WSNS-PO穿透甲板以及治疗和预防感染的能力。此外,还评估了WSNS-PO对其他皮肤癣菌、非皮肤癣菌真菌和酵母菌的抗真菌功效。结果表明,WSNS-PO能有效渗透指甲,并在体外减少和预防人类指甲碎片的定植,显示出与环吡酮和阿莫罗芬相当的疗效。WSNS-PO还能防止指甲之间的感染传播,并抑制皮肤癣菌、非皮肤癣菌真菌和酵母菌在人体皮肤上的真菌定植。这些结果共同表明,WSNS-PO具有抑菌、形成屏障和抗黏附特性,表明它有望成为治疗皮肤癣菌、酵母菌和霉菌引起的甲癣的药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/4ce4ec22b0f7/jof-11-00345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/4e0c311868d1/jof-11-00345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/148209f4370d/jof-11-00345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/7d1983d62761/jof-11-00345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/4ce4ec22b0f7/jof-11-00345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/4e0c311868d1/jof-11-00345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/148209f4370d/jof-11-00345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/7d1983d62761/jof-11-00345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ace/12112648/4ce4ec22b0f7/jof-11-00345-g004.jpg

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本文引用的文献

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J Clin Aesthet Dermatol. 2024 Mar;17(3):24-33.
2
Onychomycosis: Old and New.甲癣:新旧情况
J Fungi (Basel). 2023 May 12;9(5):559. doi: 10.3390/jof9050559.
3
α-Pinene: Docking Study, Cytotoxicity, Mechanism of Action, and Anti-Biofilm Effect against .α-蒎烯:对接研究、细胞毒性、作用机制及对……的抗生物膜效应
Antibiotics (Basel). 2023 Feb 28;12(3):480. doi: 10.3390/antibiotics12030480.
4
High Frequency of Self-Diagnosis and Self-Treatment in a Nationally Representative Survey about Superficial Fungal Infections in Adults-United States, 2022.2022年美国一项关于成人浅表真菌感染的全国代表性调查中自我诊断和自我治疗的高频率
J Fungi (Basel). 2022 Dec 22;9(1):19. doi: 10.3390/jof9010019.
5
Total Dystrophic Onychomycosis of All the Nails Caused by Non-dermatophyte Fungal Species: A Case Report.非皮肤癣菌引起的全甲营养不良型甲真菌病:一例报告
Cureus. 2022 Sep 29;14(9):e29765. doi: 10.7759/cureus.29765. eCollection 2022 Sep.
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Pharmacy Technicians and Improving Onychomycosis Treatment Outcomes.药剂师与改善甲癣治疗效果
J Pharm Technol. 2019 Apr;35(2):82-87. doi: 10.1177/8755122518815057. Epub 2018 Nov 28.
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The Growing Problem of Antifungal Resistance in Onychomycosis and Other Superficial Mycoses.甲真菌病和其他浅部真菌病中抗真菌耐药性日益严重的问题。
Am J Clin Dermatol. 2021 Mar;22(2):149-157. doi: 10.1007/s40257-020-00580-6. Epub 2020 Dec 22.
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