Mahamuni Sarang Sunil, Desai Madhuri Mahesh, Thorawades Koustubh Mansing, Bhagwat Durgacharan A
Krishna College of Pharmacy, Karad, India.
KVV's Krishna Institute of Pharmacy, Karad, India.
Curr Opin Pharmacol. 2025 Aug;83:102545. doi: 10.1016/j.coph.2025.102545. Epub 2025 May 30.
Skin fungal infection and systemic fungal infections are highly prevalent, causing significant healthcare burden. Addressing the pervasive and sometimes life-threatening nature of fungal infections has spurred extensive research into novel therapeutic strategies, particularly focusing on effective drug formulations and innovative delivery routes. Among this transdermal drug delivery (TDD) using microneedles (MNs) is a promising approach. 3D-printed MN patches are composed of arrays of tiny, needle-like structures engineered to facilitate the delivery of therapeutic agents by breaching the stratum corneum. Using the precision of 3D printing and improved drug delivery of MNs, 3D-printed transdermal MNs present a promising approach to manage fungal infections. This review provides a comprehensive analysis of recent literature on the use of 3D-printed MNs for antifungal therapy, emphasizing advancements in fabrication methods, drug incorporation techniques, and preclinical assessment outcomes. Furthermore, the study informs on various novel innovations employing antifungal agent administered through transdermal patches, demonstrating their efficacy and superiority over traditional methods. The majority of the studies are in vitro experimental studies, highlighting the need for human trials to translate 3D-printed MN-based TDD into clinical practice. The findings highlight the promise of 3D-printed microneedle patches in transforming transdermal antifungal therapy; however, extensive clinical validation remains crucial for regulatory endorsement and practical implementation.
皮肤真菌感染和全身性真菌感染非常普遍,造成了巨大的医疗负担。应对真菌感染的普遍性以及有时危及生命的特性,促使人们对新型治疗策略进行了广泛研究,尤其侧重于有效的药物制剂和创新的给药途径。其中,使用微针(MNs)的透皮给药(TDD)是一种很有前景的方法。3D打印的微针贴片由微小的针状结构阵列组成,这些结构经过设计,可通过穿透角质层来促进治疗剂的递送。利用3D打印的精度和微针对药物递送的改善,3D打印的透皮微针为管理真菌感染提供了一种很有前景的方法。本综述全面分析了近期关于使用3D打印微针进行抗真菌治疗的文献,重点介绍了制造方法、药物掺入技术和临床前评估结果方面的进展。此外,该研究还介绍了通过透皮贴片施用抗真菌剂的各种新颖创新方法,展示了它们相对于传统方法的有效性和优越性。大多数研究都是体外实验研究,这突出表明需要进行人体试验,以便将基于3D打印微针的透皮给药转化为临床实践。这些发现凸显了3D打印微针贴片在变革透皮抗真菌治疗方面的前景;然而,广泛的临床验证对于监管批准和实际应用仍然至关重要。