Abstract
Psoriasis is an autoimmune skin disorder that is characterised by chronic inflammation and erythematous scaly patches. It has a significant impact on the patient's quality of life and can cause psychological stress. There are several aspects that cause psoriasis, for instance, environmental issues, immune disorders, bacterial infections, and genetic issues. Plentiful therapeutic means or treatments are accessible, but not any of them can completely and effectively cure psoriasis without hindering patient compliance. Hence, it becomes challenging to discover a new drug moiety or any drug delivery method to cure psoriasis. Conventional treatment of psoriasis involves anti-inflammatory agents, immune suppressants, phototherapy, and biological treatment, which were given in different forms such as topical, oral, or systemic formulations, but these all were unsuccessful to accomplish complete reduction of psoriasis as well as causing adverse side effects. In terms of dose frequency, doses, efficacy, and side effects, nanotechnology-based new formulations are the most promising prospects for addressing the challenges and limits associated with present psoriasis formulations. Hence, our major goal of this review is to present various advanced nanotechnological approaches for the effective topical treatment of psoriasis. In short, nano-formulations continue to be formed as very promising modalities in the treatment of psoriasis as they suggest improved penetration, targeted delivery, increased safety, and efficacy.
Keywords: Psoriasis, nanotechnology, nanocarrier, delivery system, phototherapy, anti-inflammatory.
Graphical Abstract
[http://dx.doi.org/10.1016/S0190-9622(03)01135-6] [PMID: 12894126]
[http://dx.doi.org/10.1038/sj.gene.6364351] [PMID: 17093502]
[http://dx.doi.org/10.1007/s12016-007-0039-2] [PMID: 18094946]
[http://dx.doi.org/10.1155/2012/561018] [PMID: 23213332]
[http://dx.doi.org/10.1056/NEJMra041320] [PMID: 15872205]
[http://dx.doi.org/10.1016/S0190-9622(85)70188-0] [PMID: 4056119]
[http://dx.doi.org/10.1046/j.1523-1747.2002.01749.x] [PMID: 11982750]
[http://dx.doi.org/10.1016/j.molimm.2014.12.014] [PMID: 25594889]
[http://dx.doi.org/10.1136/ard.2004.030775] [PMID: 15708933]
[http://dx.doi.org/10.1007/s13671-013-0066-6] [PMID: 25580373]
[http://dx.doi.org/10.3390/ijms18122526] [PMID: 29186830]
[http://dx.doi.org/10.1586/eci.09.13] [PMID: 20477039]
[http://dx.doi.org/10.1001/archderm.135.9.1104] [PMID: 10490116]
[http://dx.doi.org/10.1016/j.biopha.2018.07.156] [PMID: 30103117]
[http://dx.doi.org/10.1016/j.jconrel.2013.05.020] [PMID: 23770117]
[http://dx.doi.org/10.1016/j.jaad.2008.12.032] [PMID: 19217694]
[http://dx.doi.org/10.1016/j.clindermatol.2007.10.026] [PMID: 18755363]
[http://dx.doi.org/10.1016/S0025-6196(11)62116-2] [PMID: 11560307]
[http://dx.doi.org/10.1046/j.1365-4362.1999.00500.x] [PMID: 10065604]
[http://dx.doi.org/10.3390/ijms22094983] [PMID: 34067151]
[http://dx.doi.org/10.4103/0019-5154.48977] [PMID: 20049260]
[http://dx.doi.org/10.1016/j.cair.2006.06.003]
[http://dx.doi.org/10.2165/00002512-200219110-00003] [PMID: 12428994]
[http://dx.doi.org/10.3390/ijms20102558] [PMID: 31137673]
[http://dx.doi.org/10.1007/s00403-013-1316-y] [PMID: 23354931]
[http://dx.doi.org/10.2174/0929867323666160321121819] [PMID: 26997153]
[http://dx.doi.org/10.1155/2020/9416962] [PMID: 33149756]
[http://dx.doi.org/10.1039/B406727D] [PMID: 15726163]
[http://dx.doi.org/10.1038/nbt1006-1211] [PMID: 17033654]
[http://dx.doi.org/10.1088/1748-6041/4/2/022001] [PMID: 19261988]
[http://dx.doi.org/10.3109/21691401.2014.930747] [PMID: 24992699]
[PMID: 19043379]
[http://dx.doi.org/10.3109/10717544.2013.855277] [PMID: 24251352]
[http://dx.doi.org/10.2174/22103031113036660018]
[http://dx.doi.org/10.3109/10717544.2015.1019653] [PMID: 25777339]
[http://dx.doi.org/10.1016/S1734-1140(12)70901-5] [PMID: 23238461]
[http://dx.doi.org/10.1016/j.ejpb.2012.04.005] [PMID: 22538098]
[http://dx.doi.org/10.2174/157341311795542453]
[http://dx.doi.org/10.3109/21691401.2014.885442http://dx.doi.org/24621011]
[http://dx.doi.org/10.3109/08982104.2013.843192]
[http://dx.doi.org/10.3109/08982104.2013.843192]
[http://dx.doi.org/10.1016/j.ijpharm.2008.06.028] [PMID: 18657601]
[http://dx.doi.org/10.1038/nrd1494] [PMID: 15340388]
[http://dx.doi.org/10.1016/S0378-5173(02)00180-1] [PMID: 12176234]
[http://dx.doi.org/10.1177/0885328213485141] [PMID: 24008629]
[http://dx.doi.org/10.1016/j.addr.2014.08.001] [PMID: 25109852]
[http://dx.doi.org/10.1016/j.ejpb.2013.08.013] [PMID: 24007657]
[http://dx.doi.org/10.1016/j.ijpharm.2014.07.009] [PMID: 25014369]
[http://dx.doi.org/10.1016/j.colsurfb.2015.06.054] [PMID: 26209963]
[http://dx.doi.org/10.1016/j.lfs.2013.09.027] [PMID: 24113071]
[http://dx.doi.org/10.1016/j.ijpharm.2013.02.037] [PMID: 23438979]
[http://dx.doi.org/10.1016/j.nano.2015.09.004] [PMID: 26410277]
[http://dx.doi.org/10.1615/CritRevTherDrugCarrierSyst.2014008285] [PMID: 24579767]
[http://dx.doi.org/10.3109/10717544.2014.894594] [PMID: 24611942]
[http://dx.doi.org/10.3109/10717544.2014.993486] [PMID: 25268151]
[http://dx.doi.org/10.3109/10611860903079454] [PMID: 19845484]
[http://dx.doi.org/10.1016/0168-3659(94)90039-6]
[http://dx.doi.org/10.3109/21691401.2014.927879] [PMID: 25016918]
[http://dx.doi.org/10.3109/10717544.2014.945018] [PMID: 25101832]
[PMID: 19579803]
[http://dx.doi.org/10.1615/CritRevTherDrugCarrierSyst.2014008193] [PMID: 24940748]
[http://dx.doi.org/10.3109/21691401.2014.937868] [PMID: 25046615]
[http://dx.doi.org/10.1016/S1389-1723(03)80059-2] [PMID: 16233454]
[http://dx.doi.org/10.1016/j.ijpharm.2017.06.037] [PMID: 28619450]
[http://dx.doi.org/10.3390/molecules25030638] [PMID: 32024189]
[http://dx.doi.org/10.7324/JAPS.2013.38.S15]
[http://dx.doi.org/10.2147/IJN.S52634] [PMID: 24363556]
[http://dx.doi.org/10.1016/j.ijpharm.2013.08.019] [PMID: 23973754]
[http://dx.doi.org/10.2147/IJN.S57314] [PMID: 24489470]
[http://dx.doi.org/10.1001/jamadermatol.2016.0859] [PMID: 27096709]
[http://dx.doi.org/10.1016/j.ejps.2017.02.030] [PMID: 28232140]
[http://dx.doi.org/10.3109/10837450.2013.763260] [PMID: 23369039]
[http://dx.doi.org/10.1111/exd.12321] [PMID: 24428418]
[http://dx.doi.org/10.2147/IJN.S156412] [PMID: 29503541]
[http://dx.doi.org/10.2217/nnm.13.202] [PMID: 24593003]
[http://dx.doi.org/10.1016/j.dit.2013.02.001]
[http://dx.doi.org/10.1016/j.nano.2017.02.009] [PMID: 28259803]
[http://dx.doi.org/10.3109/02652048.2012.717115] [PMID: 23088318]
[http://dx.doi.org/10.1016/j.jconrel.2017.10.034] [PMID: 29074408]
[http://dx.doi.org/10.2147/IJN.S165966] [PMID: 30057446]
[http://dx.doi.org/10.1016/j.colsurfb.2017.10.029] [PMID: 29035818]
[http://dx.doi.org/10.1016/j.ejpb.2016.06.019] [PMID: 27368748]
[http://dx.doi.org/10.1016/j.ijbiomac.2017.10.112] [PMID: 29054520]
[http://dx.doi.org/10.22377/ajp.v10i03.757]
[PMID: 18286859]