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基于脂质的纳米颗粒:推进白癜风治疗策略

Lipid-based nanoparticles: advancing therapeutic strategies for vitiligo management.

作者信息

Darvishi Mahdi, Chekeni Amir Mohammad, Fazelhosseini Mohammad, Rajabalizadeh Soheil, Rizwanullah Md, Aslam Mohammed, Alam Md Sabir, Iqbal Zeenat, Mirza Mohd Aamir

机构信息

Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Bioimpacts. 2025 Jul 26;15:30860. doi: 10.34172/bi.30860. eCollection 2025.

DOI:10.34172/bi.30860
PMID:40922957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12413983/
Abstract

Vitiligo, a chronic autoimmune disorder characterized by the presence of depigmented skin patches, remains a therapeutic challenge due to its multifactorial pathogenesis and the absence of highly effective treatment options. Although the exact etiology of vitiligo is not fully understood, factors such as genetic factors, oxidative stress, autoimmunity, and inflammation are implicated in the destruction of melanocytes. Current therapeutic strategies primarily focus on modulating immune responses and alleviating oxidative stress. Conventional treatments, including topical corticosteroids, phototherapy, and immunosuppressive agents, often exhibit limited efficacy and are associated with significant side effects, limiting their long-term application. In recent years, nanotechnology has emerged as a transformative approach in drug delivery systems, offering precise targeting, enhanced drug bioavailability, and minimized systemic toxicity. Nanocarrier-based systems especially lipid-based nanoparticles (LNPs) effectively address critical barriers in vitiligo treatment, such as poor drug solubility, rapid degradation, and inadequate skin penetration. Moreover, controlled drug release mechanisms offered by LNPs ensure sustained therapeutic drug levels at the target site, improving efficacy and reducing the frequency of administration. This review provides an overview of vitiligo, its pathogenesis, and the limitations of conventional treatments while highlighting recent advancements in LNPs-based drug delivery systems as a promising strategy for the effective management of vitiligo.

摘要

白癜风是一种慢性自身免疫性疾病,其特征为皮肤出现色素脱失斑,由于其发病机制的多因素性以及缺乏高效的治疗选择,仍然是一个治疗难题。尽管白癜风的确切病因尚未完全明确,但遗传因素、氧化应激、自身免疫和炎症等因素与黑素细胞的破坏有关。目前的治疗策略主要集中在调节免疫反应和减轻氧化应激。包括外用皮质类固醇、光疗和免疫抑制剂在内的传统治疗方法往往疗效有限,且伴有明显的副作用,限制了它们的长期应用。近年来,纳米技术已成为药物递送系统中的一种变革性方法,具有精确靶向、提高药物生物利用度和最小化全身毒性等优点。基于纳米载体的系统,尤其是基于脂质的纳米颗粒(LNPs),有效地解决了白癜风治疗中的关键障碍,如药物溶解度差、快速降解和皮肤穿透不足等问题。此外,LNPs提供的可控药物释放机制可确保靶部位持续的治疗药物水平,提高疗效并减少给药频率。本综述概述了白癜风及其发病机制以及传统治疗方法的局限性,同时强调了基于LNPs的药物递送系统作为有效管理白癜风的一种有前景策略的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/5bce418d309b/bi-15-30860-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/e369652796b3/bi-15-30860-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/e71cb1fe6738/bi-15-30860-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/dae57c5e18b5/bi-15-30860-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/5bce418d309b/bi-15-30860-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/e369652796b3/bi-15-30860-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/e71cb1fe6738/bi-15-30860-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/dae57c5e18b5/bi-15-30860-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce65/12413983/5bce418d309b/bi-15-30860-g004.jpg

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本文引用的文献

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Int J Pharm. 2025 Feb 10;670:125106. doi: 10.1016/j.ijpharm.2024.125106. Epub 2024 Dec 22.
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Skin Structure, Physiology, and Pathology in Topical and Transdermal Drug Delivery.局部和透皮给药中的皮肤结构、生理学与病理学
Pharmaceutics. 2024 Oct 31;16(11):1403. doi: 10.3390/pharmaceutics16111403.
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Current Insights on Treatment Adherence in Prevalent Dermatological Conditions and Strategies To Optimize Adherence Rates.
常见皮肤病治疗依从性的当前见解及优化依从率的策略
Cureus. 2024 Sep 19;16(9):e69764. doi: 10.7759/cureus.69764. eCollection 2024 Sep.
4
Emerging therapies and innovations in vitiligo management: a comprehensive review.白癜风治疗的新兴疗法与创新:全面综述
J Immunoassay Immunochem. 2025 Jan 2;46(1):1-28. doi: 10.1080/15321819.2024.2412528. Epub 2024 Oct 6.
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Pharmaceutics. 2024 Mar 25;16(4):449. doi: 10.3390/pharmaceutics16040449.
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