Current Pediatric Reviews,
Journal Year:
2023,
Volume and Issue:
20(3), P. 240 - 252
Published: Sept. 13, 2023
Abstract:
Atopic
dermatitis
(AD)
is
the
most
frequent
chronic-recurrent
inflammatory
skin
disease
in
pediatric
age.
It
has
a
complex
and
multifactorial
pathogenesis:
two
key
actors
are
im-
paired
barrier
function
immune
system
dysregulation,
which
represent
main
targets
of
AD
therapy.
Monoclonal
antibodies
have
revolutionized
management
moderate-to-severe
AD,
by
selective
inhibition
cytokines
pathogenetic
process.
For
this
reason,
there
great
interest
exploring
mechanisms
to
develop
new
therapeutic
strategies.
This
review
aims
summarize
recent
scientific
evidence
on
available
future
biologi-
cal
therapies
for
treatment
emphasizing
molecular
underlying
their
action.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: May 19, 2023
Abstract
The
Janus
kinase
(JAK)
signal
transducer
and
activator
of
transcription
(JAK-STAT)
pathway
is
an
evolutionarily
conserved
mechanism
transmembrane
transduction
that
enables
cells
to
communicate
with
the
exterior
environment.
Various
cytokines,
interferons,
growth
factors,
other
specific
molecules
activate
JAK-STAT
signaling
drive
a
series
physiological
pathological
processes,
including
proliferation,
metabolism,
immune
response,
inflammation,
malignancy.
Dysregulated
related
genetic
mutations
are
strongly
associated
activation
cancer
progression.
Insights
into
structures
functions
have
led
development
approval
diverse
drugs
for
clinical
treatment
diseases.
Currently,
been
developed
mainly
target
commonly
divided
three
subtypes:
cytokine
or
receptor
antibodies,
JAK
inhibitors,
STAT
inhibitors.
And
novel
agents
also
continue
be
tested
in
preclinical
studies.
effectiveness
safety
each
kind
drug
warrant
further
scientific
trials
before
put
being
applications.
Here,
we
review
current
understanding
fundamental
composition
function
pathway.
We
discuss
advancements
JAK-STAT–related
pathogenic
mechanisms;
targeted
therapies
various
diseases,
especially
disorders,
cancers;
newly
inhibitors;
challenges
directions
field.
Pharmaceutics,
Journal Year:
2025,
Volume and Issue:
17(2), P. 229 - 229
Published: Feb. 10, 2025
Skin
disorders
are
the
fourth
most
common
cause
of
all
diseases,
which
affect
nearly
one-third
world’s
population.
Topical
drug
delivery
can
be
effective
in
treating
a
range
skin
disorders,
including
microbial
infections,
cancer,
dermatitis,
burn
injury,
wounds,
and
psoriasis.
Bioadhesive
nanoparticles
(BNPs)
serve
as
an
efficient
topical
system
they
dual
purposes
bioadhesives
nanocarriers,
mediate
targeted
delivery,
prolong
retention
time,
deepen
penetration
through
layers.
There
is
increasing
demand
for
BNP-based
applications
medicine
because
their
various
advantages,
biodegradability,
flexibility,
biocompatibility,
enhanced
adhesive
strength.
A
number
BNPs
have
already
been
developed
evaluated
potential
systems.
In
addition,
studies
carried
out
to
evaluate
treatment
atopic
irritant
contact
psoriasis,
severe
injuries.
This
review
article
timely
unique,
it
provides
extensive
unique
summary
recent
advances
wide-ranging
disorders.
Moreover,
this
also
useful
discussion
on
bioadhesion
mechanism
biopolymers
that
used
prepare
BNPs.
Pharmaceutics,
Journal Year:
2023,
Volume and Issue:
15(2), P. 577 - 577
Published: Feb. 8, 2023
Atopic
dermatitis
(AD),
a
pruritic,
inflammatory
chronic
disease
with
multifactorial
pathogenesis,
has
been
therapeutic
challenge.
Novel
target
treatments
aim
to
reduce
not
only
the
immunologic
dysfunction
and
microbiome
dysbiosis
but
also
recovery
of
damaged
skin
barrier.
The
current
review
focuses
on
interleukin
31
(IL-31)
pathway
AD
offers
an
overview
clinical
studies
monoclonal
antibodies
blocking
this
cascade.
Pruritus,
key
symptom
AD,
substantial
participation
IL-31
complex
activation
relevant
signaling
pathways.
Epidermal
keratinocytes,
cells,
cutaneous
peripheral
nerves
express
interleukin-31
receptor
α-chain
(IL-31RA),
upregulated
by
Staphylococcus
aureus
toxins
or
Th2
cytokines
involved
in
AD.
Nemolizumab
is
humanized
antibody
that
antagonizes
IL-31RA,
inhibiting
cascade
therefore
contributing
reducing
pruritus
inflammation
recovering
barrier
patients.
Phases
2
3
trials
nemolizumab
show
suitable
safety
profile,
fast,
efficient,
sustained
reduction
severity
scores,
especially
when
associated
topical
treatment.
Deciphering
full
interplay
may
expand
potential
as
targeted
therapy
for
other
pruritic
conditions.
Lipids in Health and Disease,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: Jan. 23, 2024
Abstract
Atopic
dermatitis
(AD)
is
a
chronic
skin
condition
with
intense
pruritus,
eczema,
and
dry
skin.
The
recurrent
pruritus
numerous
complications
in
patients
AD
can
profoundly
affect
their
quality
of
life.
Obesity
one
its
comorbidities
that
has
been
confirmed
to
be
the
hazard
factor
also
worsen
severity.
Nevertheless,
specific
mechanisms
explain
connection
between
obesity
remain
incompletely
recognized.
Recent
studies
have
built
hopes
on
various
adipokines
this
connection.
Adipokines,
which
are
disturbed
by
an
obese
state,
may
lead
immune
system
imbalances
people
promote
development
disease.
This
review
focuses
abnormal
expression
patterns
potential
regulatory
molecular
associated
AD.
elucidated
through
involvement
adipokines.
conduces
in-depth
exploration
pathogenesis
provides
new
perspective
develop
therapeutic
targets.
Allergologia et Immunopathologia,
Journal Year:
2024,
Volume and Issue:
52(1), P. 65 - 70
Published: Jan. 1, 2024
Atopic
dermatitis
(AD)
is
a
relapsing,
chronic
cutaneous
inflammatory
disease
with
onset,
in
general,
early
childhood.
Chronic
skin
inflammation
associated
overproduction
of
reactive
oxygen
species
(ROS)
such
as
superoxide
and
hydrogen
peroxide.
Oxidative
stress,
an
imbalance
between
the
production
free
radicals
antioxidant
defense,
results
tissue
due
to
upregulation
genes
that
encode
cytokines.
This
condition
plays
important
role
pathogenesis
AD.
Dermatology and Therapy,
Journal Year:
2024,
Volume and Issue:
14(7), P. 1729 - 1738
Published: June 14, 2024
Atopic
dermatitis
(AD)
is
a
chronic
inflammatory
skin
condition.
The
pathogenesis
involves
genetic,
environmental,
and
immunological
factors
as
well
barrier
dysfunction
of
the
epidermis.
Biomarkers
may
play
significant
role
in
diagnosis,
severity
assessment,
treatment
monitoring
AD.
They
are
categorizable
into
diagnostic
prognostic
stratification
biomarkers,
offering
potential
for
more
personalized
approach.
Although
there
have
been
tremendous
therapeutic
advancements
with
interleukin
(IL)
antagonists
Janus
kinase
(JAK)
inhibitors,
domain
biomarkers
still
requires
further
research
to
clarify
their
place
diagnosis
prognosis
AD
unravel
better
scientific
basis
medical
care
patients
This
article
reviews
various
relation
different
phenotypes
endotypes.
Anais Brasileiros de Dermatologia,
Journal Year:
2024,
Volume and Issue:
99(6), P. 895 - 915
Published: Aug. 12, 2024
Atopic
dermatitis
is
a
chronic,
recurrent,
and
multifactorial
skin-mucosal
manifestation
resulting
from
the
interaction
between
elements
mainly
associated
with
skin
barrier
deficit,
homeostasis
of
immune
response,
neurological
aspects,
patterns
reactivity
to
environmental
antigens,
which
are
established
in
genetically
predisposed
individuals.
In
addition
skin,
atopic
diathesis
involves
other
organs
such
as
airways
(upper
lower),
eyes,
digestive
tract,
neuropsychiatric
inflict
additional
morbidity
on
dermatological
patient.
The
different
phenotypes
disease
fundamentally
depend
participation
each
these
factors,
life
circumstances,
age
groups,
occupational
exposure
patterns,
physical
activity,
pollution,
genetic
load,
climatic
factors.
A
better
understanding
complexity
its
pathogenesis
allows
not
only
therapeutic
targets
but
also
how
identify
preponderant
that
mediate
activity
circumstance,
for
selecting
best
treatment
strategies
mitigation
triggering
This
narrative
review
presents
an
update
dermatitis,
especially
aimed
at
clinical
manifestations,
main
context
available
strategies.
Dermatology and Therapy,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 25, 2025
Atopic
dermatitis
(AD)
is
a
chronic
inflammatory
skin
disease
characterized
by
pruritus
and
relapsing
course,
affecting
approximately
25%
of
children
4–7%
adults.
This
study
evaluated
the
efficacy,
safety,
quality-of-life
impact
tralokinumab,
humanized
monoclonal
antibody
targeting
interleukin-13
(IL-13),
in
treating
moderate-to-severe
AD
real-world
setting,
with
focus
on
different
phenotypes.
An
observational
cohort
30
adults
treated
tralokinumab
for
≥
16
weeks
was
analyzed.
Clinical
demographic
data
were
collected,
outcomes
assessed
using
Eczema
Area
Severity
Index
(EASI),
Dermatology
Life
Quality
(DLQI),
numeric
rating
scales
(NRS)
sleep
disturbances.
By
week
16,
60%
achieved
75%
improvement
EASI
(EASI75)
31%
reached
90%
(EASI90),
reflecting
substantial
clinical
improvements.
A
4-point
reduction
NRS
observed
63%
patients
increasing
to
70%
32.
Similarly,
significant
improvements
disturbance
sustained
effects
through
Subgroup
analysis
revealed
superior
responses
early-onset
atopic
comorbidities.
Lower
total
immunoglobulin
E
(IgE)
levels
at
correlated
better
outcomes,
suggesting
IgE
as
potential
biomarker.
32,
had
DLQI
≤
5,
indicating
minimal
impact.
Additionally,
88%
least
one
therapeutic
target,
81%
met
composite
endpoints
combining
clinician-assessed
patient-reported
outcomes.
The
safety
profile
consistent
trials,
mild
conjunctivitis
injection
site
reactions
most
common
adverse
events.
These
findings
support
an
effective
well-tolerated
treatment,
emphasizing
importance
phenotype-specific
approaches
management.
International Journal of Pharmaceutics,
Journal Year:
2025,
Volume and Issue:
671, P. 125305 - 125305
Published: Feb. 1, 2025
Atopic
dermatitis
(AD)
is
a
severe
inflammatory
skin
disorder,
affecting
children
and
adults
worldwide,
despite
the
several
existing
treatments,
it
necessary
to
find
new
alternative
topical
therapies.
Hydrogels
may
represent
good
tool
treat
AD
due
their
high
water
content,
making
them
excellent
candidates
for
drug
delivery
vehicles
in
research.
This
work
aimed
develop
characterize
hybrid
hydrogels
composed
of
gel-forming
polymers
(k-carrageenan
polyvinyl
alcohol)
cutaneous
betamethasone
(up
0.2
mg
mL-1)
widely
used
manage
AD,
with
retention.
Bergamot
oil
menthol
essential
oils
were
also
incorporated
into
study
effects
on
penetration
retention
corticosteroid.
Rheological
properties
revealed
pseudoplastic
behavior
hydrogels,
favorable
characteristic
application.
Cytocompatibility
towards
fibroblasts
keratinocytes
was
determined,
revealing
safe
usage
hydrogel
blends
up
100
mL-1,
corresponding
20
µg
mL-1
betamethasone,
but
compromised
by
presence
higher
tested
concentrations
(50
mL-1).
The
ex
vivo
pig
ear
permeation
assay
showed
that
promote
%
added
dose
(c.a.
10
µg)
even
after
24
h
permeation,
independently
use
oils'
composition,
showing
they
might
be
strategy
skin.