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Nano-Based Drug Delivery System for Psoriasis Management: A Comprehensive Review

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Abstract
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Psoriasis is an autoimmune and inflammatory conditions and characterized by red, inflammatory plaques and macules that develop due to poor differentiation and increased proliferation of keratin-produced by epidermal cells. Pathophysiology, including as immune cells, genetic predisposition, antimicrobial peptides, and non-coding RNAs. The traditional prescription drugs are not enough to control the condition because they have many drawbacks. They are link to large dosage of drugs and the potential for toxicity and the adverse effects, which can result in long- term poor patient compliance. Nanotechnology-based approaches aiming at a greater therapeutic effect in order to get beyond the aforementioned restrictions and allow tailored pharmaceuticals treatments for psoriasis and reduced toxicity in psoriasis topical treatment. This comprehensive review included the type, onset of disease and pathophysiology of psoriasis, conventional treatment, the need for nano based drug delivery systems for the treatment of psoriasis and also described the nanobased drug delivery approaches such as lipid based nanocarriers: - nanoemulsion, liposomes, ethosomes, transferosomes, cerosomes, NLC, SLN and polymer based nannocarriers such as: - hydrogels, nanosphere nanocapsules, dendrimers and also metallic nanocarriers: - gold and silver nanoparticles. The review was prepared through literature search using the databases ScienceDirect, PubMed, and Google Scholar. The review article offered information on the utilization of nano carriers while talking about the drawbacks of traditional psoriasis treatment. Throughout the skin's penetration and permeation process, the biodegradable nanoformulations usually result in targeted drug administrations. Additionally, it controls drug release, avoids toxicity, and protects labile compounds from degradation. Keywords: Psoriasis, Nanotechnology, Traditional medicines, Nanocarriers

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  • Cite Count Icon 12
  • 10.1016/j.jid.2021.11.036
Antimicrobial Late Cornified Envelope Proteins: The Psoriasis Risk Factor Deletion of LCE3B/C Genes Affects Microbiota Composition
  • Dec 21, 2021
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Late cornified envelope proteins are predominantly expressed in the skin and other cornified epithelia. On the basis of sequence similarity, this 18-member homologous gene family has been subdivided into six groups. The LCE3 proteins have been the focus of dermatological research because the combined deletion of LCE3B and LCE3C genes (LCE3B/C-del) is a risk factor for psoriasis. We previously reported that LCE3B/C-del increases the expression of the LCE3A gene and that LCE3 proteins exert antibacterial activity. In this study, we analyzed the antimicrobial properties of other family members and the role of LCE3B/C-del in the modulation of microbiota composition of the skin and oral cavity. Differences in killing efficiency and specificity between the late cornified envelope proteins and their target microbes were found, and the amino acid content rather than the order of the well-conserved central domain of the LCE3A protein was found responsible for its antibacterial activity. Invivo, LCE3B/C-del correlated with a higher beta-diversity in the skin and oral microbiota. From these results, we conclude that all late cornified envelope proteins possess antimicrobial activity. Tissue-specific and genotype-dependent antimicrobial protein profiles impact skin and oral microbiota composition, which could direct toward LCE3B/C-del‒associated dysbiosis and a possible role for microbiota in the pathophysiology of psoriasis.

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A review on brain-targeting nano-based drug delivery
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<p indent="0mm">In the ever-evolving biomedical field, the nano-based drug delivery system has emerged as a revolutionary and transformative force. It has shattered the traditional boundaries of drug delivery, thereby unfurling novel and exciting vistas for the development of highly innovative drug delivery modalities. In recent years, brain-targeting nano drug delivery systems have garnered increasing attention from researchers, clinicians, and the scientific community at large. This newfound focus is primarily attributable to the truly remarkable strides made in both the quantity and quality of related research efforts. Characterized by high brain penetration efficiency, elevated bioavailability, and controlled release properties, these systems hold significant promise for the treatment of central nervous system (CNS) disorders. Nevertheless, it is an inescapable reality that the vast majority is still in the preclinical research phase. The entry of nanocarriers to the brain is limited to such critical challenges as the restrictive blood-brain barrier (BBB), nonspecific distribution, and potential nanotoxicity. Addressing these challenges—particularly improving the efficacy and safety of BBB penetration, enhancing targeting specificity, and optimizing brain clearance mechanisms—remains essential for the clinical translation of these technologies. This review discusses the methods for brain-targeted nano drug delivery systems to overcome BBB, including using brain-targeted ligands to modify nanoparticles to interact with BBB for crossing or repairing BBB, using external physical stimuli to open BBB, and avoiding BBB by entering the brain through peripheral pathways. To further enhance the precision and efficacy of treatment, continuous exploration and breakthroughs are being made in research targeting specific lesions and particular cell subpopulations within the brain. By delving into the distribution, differential characteristics of different brain cell types and their roles in promoting specific brain functions and neuropathological processes, nano-based drug delivery systems can be meticulously designed to achieve precise targeted delivery, thus driving the development of multimodal therapy and personalized medicine. The biocompatibility and safety of nano drug delivery systems are crucial criteria for clinical translation. Therefore, this review also explores the intracerebral fate and clearance mechanisms of nano-based drug delivery systems, aiming to optimize future nano-based drug delivery systems in terms of entering into the brain safely and efficiently, with controllable and precise targeting, and can be metabolized and cleared. Ultimately, we perform a systematic analysis of the research status of these representative nano-based drug delivery systems, especially those that have entered the clinical trial stage or are expected to enter clinical applications. We highly value the mechanisms of entering the brain, therapeutic effects and safety of these systems, aiming to provide a framework for designing more efficient, selective, and biocompatible brain-targeting drug delivery systems to advance the treatment of brain diseases. By doing so, it is hoped that this review will contribute significantly to propelling the development of clinical treatments for brain diseases, bringing new hope and improved outcomes for patients suffering from these debilitating conditions.

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INNOVATIVE APPROACH TO THE TREATMENT OF PSORIASIS USING NANOTECHNOLOGIES
  • Nov 3, 2023
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Psoriasis is a chronic immune-mediated genetic disease with systemic and cutaneous manifestations that can significantly impair patients' quality of life. 2-3% of the world population suffers from psoriasis, and this imposes a significant economic burden on patients. Aetiology is mainly related to genes and environmental factors. The pathophysiology of psoriasis is characterized by T cells and dendritic cells, antimicrobial peptides, genetic predisposition, lipoprotein-2, galactosin-3, fractalkine, vaspin, human neutrophil peptides, etc. in the progression of psoriasis. For patients with psoriasis, conventional treatments include corticosteroids, vitamin D3 analogs, calcineurin inhibitors, methotrexate, cyclosporine, acitretin, phototherapy, and biological agents, etc. Today, there are various standard topical therapeutic approaches that can help control the condition for months to years, however, complete recovery from psoriasis with these treatments has not been reported. Therefore, researchers around the world are mainly considering the possibility of using various nanotechnological therapies for complete recovery. New drug delivery carriers, in particular nanocarriers, can overcome certain disadvantages of conventional treatment methods, such as: dose minimization, frequency of administration, and dose-dependent side effects. Nanodermatology is a new multidisciplinary science that is gaining more and more recognition in the treatment of psoriasis. The use of nanotechnology makes it possible to select drugs to achieve dermal targeting, increase efficiency and minimize unwanted effects. Currently, these nanocarriers are becoming increasingly popular as delivery vehicles for psoriasis drugs due to their non-toxicity, natural degradability, excellent biocompatibility and biodegradability, they do not cause harmful inflammatory reactions and are easily excreted from the body. Reports of nanocarrier delivery for the treatment of psoriasis have shown improved efficacy and reduced toxicity compared to standard pharmacotherapy. To better clarify the application of nanotechnology in the treatment of psoriasis, various drugs based on nanocarriers will be summarized. This review provides a concise overview of the pathophysiology, epidemiology, clinical diagnosis, and classical pharmacotherapy of psoriasis. The review also summarizes various nanotechnological treatments for the effective treatment of psoriasis.

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  • Jan 1, 2025
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This study aims to explore the applications, advantages, challenges, and future perspectives of nanotechnology in dentistry, highlighting its role in improving diagnostic accuracy, treatment precision, and patient outcomes. A scientific narrative review was conducted using a descriptive analysis method to synthesize literature published between 2020 and 2025 on nanotechnology applications in dentistry. Relevant peer-reviewed articles, systematic reviews, and clinical studies were obtained from databases such as PubMed, Scopus, Web of Science, and Google Scholar. The selection criteria included studies focusing on nanomaterials, nanocomposites, nanorobotics, and nano-based drug delivery systems in various dental disciplines, including preventive, restorative, endodontic, periodontal, prosthodontic, orthodontic, and diagnostic applications. The analysis examined the mechanical, antimicrobial, and biocompatible properties of nanomaterials, their clinical effectiveness, and associated risks. The findings indicate that nanotechnology has significantly enhanced the strength, durability, and antibacterial properties of dental materials, leading to improved restorative and preventive treatments. Nanoparticles, nanorods, and nanotubes have been integrated into composite resins, implants, and regenerative scaffolds, improving osseointegration, tissue regeneration, and enamel remineralization. Nanobiosensors and nanosensors have facilitated early disease detection, while nano-based drug delivery systems have optimized targeted therapies with minimal systemic side effects. Despite these advancements, concerns regarding cytotoxicity, long-term biocompatibility, regulatory challenges, and high costs remain barriers to widespread clinical adoption. Nanotechnology has revolutionized modern dentistry by providing innovative solutions for diagnosis, treatment, and prevention. Its integration with artificial intelligence, regenerative medicine, and robotics is expected to further enhance patient-centered and minimally invasive treatments. Future research should focus on addressing safety concerns, improving cost-effectiveness, and establishing standardized regulatory guidelines to ensure the long-term success of nanotechnology in dentistry.

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