Abstract

A cream formulation containing Artemisia capillaris (AC) extract (ACE) was developed for psoriasis therapy. Although ACE can be dissolved in organic solvents, its topical application is restricted because of toxicities. Therefore, a cream formulation was developed for the convenient and safe local application of ACE on skin lesions. The antipsoriatic properties of the ACE cream were evaluated using an imiquimod- (IMQ-) induced psoriasis-like mouse model. In psoriasis-like mouse models, the cumulative score (redness, thickness, and scaling) of the IMQ + ACE cream group was significantly lower than those of the other groups on day 4 (p < 0.05). The results of the hematoxylin and eosin staining of skin tissues revealed that the epidermal thickness value of the IMQ + ACE cream group was significantly lower than those of the other experimental groups (p < 0.05). The expression level of intracellular adhesion molecule-1 (ICAM-1), which indicates the leukocyte infiltration into the skin and subsequent interactions with keratinocytes, was also lower in the IMQ + ACE cream group than in the IMQ group. These results indicate that ACE cream formulation could be used safely and conveniently for psoriasis treatment.

Highlights

  • Psoriasis is an autoimmune disease characterized by itchy, red, and scaly skin patches [1]

  • All solvents were of high-performance liquid chromatography (HPLC) grade and the other chemicals were of analytical grade

  • Because of the presence of pharmaceutical excipients in the cream formulation, the amounts of the four markers slightly differed from those values previously reported in ACE [8]

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Summary

Introduction

Psoriasis is an autoimmune disease characterized by itchy, red, and scaly skin patches [1]. The pathogenesis of psoriasis involves the abnormally rapid growth of the skin epidermis. The transfer of immune cells (i.e., dendritic, macrophage, and T cells) from the dermis to the epidermis and secretion of cytokines (i.e., interleukin[IL-] 1β, IL-6, and IL-22 and tumor necrosis factor- [TNF] α) may stimulate the proliferation of keratinocytes [3]. DNA, which can be released from dying cells, may act as an inflammatory stimulus in psoriatic lesion and could lead to the secretion of cytokines (i.e., IL-1, IL-6, and TNF-α) from keratinocytes [3]. The increase of dendritic cells in psoriatic lesions and its involvement in the proliferation of T cells and type 1 helper T cells may be one of mechanisms of psoriasis development [4]

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