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治疗雄激素性脱发的透皮给药系统进展

Advances in Transdermal Delivery Systems for Treating Androgenetic Alopecia.

作者信息

Xu Shilong, Zhou Lian, Zhao Haodong, Li Siwen

机构信息

State Key Laboratory of Natural Medicines, Department of Biomedical Engineering, School of Engineering, China Pharmaceutical University, No. 639 Longmian Avenue, Jiangning District, Nanjing 211198, China.

NMPA Key Laboratory for Impurity Profile of Chemical Drugs, Jiangsu Institute for Drug Control, Nanjing 210019, China.

出版信息

Pharmaceutics. 2025 Jul 30;17(8):984. doi: 10.3390/pharmaceutics17080984.

DOI:10.3390/pharmaceutics17080984
PMID:40871007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12389719/
Abstract

Androgenetic alopecia (AGA) is the most prevalent form of alopecia areata. Traditional treatment options, including minoxidil, finasteride, and hair transplantation, have their limitations, such as skin irritation, systemic side effects, invasiveness, and high costs. The transdermal drug delivery system (TDDS) offers an innovative approach for treating AGA by administering medications through the skin to achieve localized and efficient delivery while overcoming the skin barrier. This review systematically explores the application of TDDS in AGA treatment, highlighting emerging technologies such as microneedles (MNs), liposomes, ionic liquids (ILs), nanostructured lipid carriers (NLCs), and transporters (TFs). It analyzes the underlying mechanisms that enhance drug penetration through hair follicles. Finally, this review presents a forward-looking perspective on the future use of TDDS in the management of AGA, aiming to provide insights and references for designing effective transdermal drug delivery systems for this condition.

摘要

雄激素性脱发(AGA)是斑秃最常见的形式。传统的治疗方法,包括米诺地尔、非那雄胺和毛发移植,都有其局限性,如皮肤刺激、全身副作用、侵入性和高成本。经皮给药系统(TDDS)通过皮肤给药来治疗AGA,提供了一种创新方法,以实现局部高效给药,同时克服皮肤屏障。本文系统地探讨了TDDS在AGA治疗中的应用,重点介绍了微针(MNs)、脂质体、离子液体(ILs)、纳米结构脂质载体(NLCs)和转运体(TFs)等新兴技术。分析了增强药物通过毛囊渗透的潜在机制。最后,本文对TDDS在AGA管理中的未来应用提出了前瞻性观点,旨在为设计针对这种情况的有效经皮给药系统提供见解和参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/dd581b82f060/pharmaceutics-17-00984-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/8d6d516bcf3f/pharmaceutics-17-00984-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/d178d79643c1/pharmaceutics-17-00984-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/d3f6ed24fdbd/pharmaceutics-17-00984-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/c3f27f77f99b/pharmaceutics-17-00984-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/3dfa3c220536/pharmaceutics-17-00984-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/0fb2cdfb4df9/pharmaceutics-17-00984-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/dbdadb78f238/pharmaceutics-17-00984-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/fad1de727263/pharmaceutics-17-00984-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/dd581b82f060/pharmaceutics-17-00984-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/8d6d516bcf3f/pharmaceutics-17-00984-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/d178d79643c1/pharmaceutics-17-00984-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/d3f6ed24fdbd/pharmaceutics-17-00984-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/c3f27f77f99b/pharmaceutics-17-00984-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/3dfa3c220536/pharmaceutics-17-00984-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/0fb2cdfb4df9/pharmaceutics-17-00984-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/dbdadb78f238/pharmaceutics-17-00984-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/fad1de727263/pharmaceutics-17-00984-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b71/12389719/dd581b82f060/pharmaceutics-17-00984-g009.jpg

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本文引用的文献

1
Liposomes enhance the hair follicle delivery of minoxidil sulfate with improved treatment of androgenic alopecia.脂质体可增强硫酸米诺地尔向毛囊的递送,从而改善雄激素性脱发的治疗效果。
Int J Pharm. 2025 May 30;677:125642. doi: 10.1016/j.ijpharm.2025.125642. Epub 2025 Apr 24.
2
Immune and Non-immune Interactions in the Pathogenesis of Androgenetic Alopecia.雄激素性脱发发病机制中的免疫与非免疫相互作用
Clin Rev Allergy Immunol. 2025 Mar 1;68(1):22. doi: 10.1007/s12016-025-09034-5.
3
Evaluation of Dutasteride-Loaded Liposomes and Transfersomes for Follicular-Targeting for Androgenic Alopecia Topical Treatment.
用于雄激素性脱发局部治疗的靶向毛囊的载度他雄胺脂质体和传递体的评估。
Pharmaceutics. 2024 Nov 27;16(12):1524. doi: 10.3390/pharmaceutics16121524.
4
Platinum Nanozyme-Loaded Dissolving Microneedles Scavenge ROS and Promote Lineage Progression for Androgenetic Alopecia Treatment.负载铂纳米酶的可溶解微针清除活性氧并促进雄激素性脱发治疗中的谱系进展。
Small Methods. 2025 Apr;9(4):e2401176. doi: 10.1002/smtd.202401176. Epub 2024 Oct 18.
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A Scoping Review on Complications in Modern Hair Transplantation: More than Just Splitting Hairs.现代毛发移植并发症的范围综述:不仅仅是吹毛求疵
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Hydrogel forming microneedles loaded with VEGF and Ritlecitinib/polyhydroxyalkanoates nanoparticles for mini-invasive androgenetic alopecia treatment.负载血管内皮生长因子和利特昔替尼/聚羟基脂肪酸酯纳米颗粒的水凝胶形成微针用于微创治疗雄激素性脱发。
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Synergistic therapeutic effect of ginsenoside Rg3 modified minoxidil transfersomes (MXD-Rg3@TFs) on androgenic alopecia in C57BL/6 mice.人参皂苷 Rg3 修饰的米诺地尔传递体(MXD-Rg3@TFs)对 C57BL/6 小鼠雄激素性脱发的协同治疗作用。
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Clinical efficacy and safety of low-dose oral minoxidil versus topical solution in the improvement of androgenetic alopecia: A randomized controlled trial.低剂量口服米诺地尔与外用溶液治疗雄激素性脱发的临床疗效和安全性:一项随机对照试验。
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Thermodynamically stable ionic liquid microemulsions pioneer pathways for topical delivery and peptide application.热力学稳定的离子液体微乳液为局部给药和肽的应用开辟了新途径。
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