Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research

Psoriasis, a chronic inflammatory dermatosis, represents a significant clinical challenge due to its complex pathogenesis and the limitations of existing therapeutic strategies. Current psoriasis diagnoses are primarily clinician-dependent, with instrumental diagnostics serving as adjuncts. Ongoing...

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Main Authors: Yujie Gao, Tianqi Xu, Yu Wang, Yanjinhui Hu, Shaoping Yin, Zhiguo Qin, Hua Yu
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/17/1/56
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author Yujie Gao
Tianqi Xu
Yu Wang
Yanjinhui Hu
Shaoping Yin
Zhiguo Qin
Hua Yu
author_facet Yujie Gao
Tianqi Xu
Yu Wang
Yanjinhui Hu
Shaoping Yin
Zhiguo Qin
Hua Yu
author_sort Yujie Gao
collection DOAJ
description Psoriasis, a chronic inflammatory dermatosis, represents a significant clinical challenge due to its complex pathogenesis and the limitations of existing therapeutic strategies. Current psoriasis diagnoses are primarily clinician-dependent, with instrumental diagnostics serving as adjuncts. Ongoing research is progressively deciphering its molecular underpinnings; the future of psoriasis diagnostics may involve genetic and immunological profiling to pinpoint biomarkers, enabling more accurate and timely interventions. The administration of psoriasis medications, whether oral, injectable, or topical, is associated with a range of side effects and compliance issues. Topical medications, despite their advantages in patient compliance and reduced systemic side effects, are hindered by the altered skin barrier in psoriasis, which impedes effective drug penetration and retention. In recent years, the development of novel transdermal drug delivery systems represents a promising frontier in psoriasis management. Nanotechnology-, microneedle- and dressing-based systems have demonstrated the potential for improved skin penetration, enhanced bioavailability, or extended retention time. Here, we will focus on the latest insights into the etiology, diagnostic methodologies, and therapeutic approaches for psoriasis, with a particular emphasis on the evolution and challenges of novel transdermal drug delivery systems.
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spelling doaj-art-b7e6a353ab8b4bb4a960be312e9c963c2025-01-24T13:45:44ZengMDPI AGPharmaceutics1999-49232025-01-011715610.3390/pharmaceutics17010056Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic ResearchYujie Gao0Tianqi Xu1Yu Wang2Yanjinhui Hu3Shaoping Yin4Zhiguo Qin5Hua Yu6State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau 999078, ChinaDepartment of Pharmacy, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, ChinaSchool of Pharmacy, Jiangsu Provincial Engineering Research Center of Traditional Chinese Medicine External Medication Development and Application, Nanjing University of Chinese Medicine, Nanjing 210023, ChinaSchool of Pharmacy, Jiangsu Provincial Engineering Research Center of Traditional Chinese Medicine External Medication Development and Application, Nanjing University of Chinese Medicine, Nanjing 210023, ChinaSchool of Pharmacy, Jiangsu Provincial Engineering Research Center of Traditional Chinese Medicine External Medication Development and Application, Nanjing University of Chinese Medicine, Nanjing 210023, ChinaDepartment of Pharmacy, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, ChinaState Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau 999078, ChinaPsoriasis, a chronic inflammatory dermatosis, represents a significant clinical challenge due to its complex pathogenesis and the limitations of existing therapeutic strategies. Current psoriasis diagnoses are primarily clinician-dependent, with instrumental diagnostics serving as adjuncts. Ongoing research is progressively deciphering its molecular underpinnings; the future of psoriasis diagnostics may involve genetic and immunological profiling to pinpoint biomarkers, enabling more accurate and timely interventions. The administration of psoriasis medications, whether oral, injectable, or topical, is associated with a range of side effects and compliance issues. Topical medications, despite their advantages in patient compliance and reduced systemic side effects, are hindered by the altered skin barrier in psoriasis, which impedes effective drug penetration and retention. In recent years, the development of novel transdermal drug delivery systems represents a promising frontier in psoriasis management. Nanotechnology-, microneedle- and dressing-based systems have demonstrated the potential for improved skin penetration, enhanced bioavailability, or extended retention time. Here, we will focus on the latest insights into the etiology, diagnostic methodologies, and therapeutic approaches for psoriasis, with a particular emphasis on the evolution and challenges of novel transdermal drug delivery systems.https://www.mdpi.com/1999-4923/17/1/56psoriasispathogenesisdiagnosisclinical treatmenttransdermal drug delivery system
spellingShingle Yujie Gao
Tianqi Xu
Yu Wang
Yanjinhui Hu
Shaoping Yin
Zhiguo Qin
Hua Yu
Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
Pharmaceutics
psoriasis
pathogenesis
diagnosis
clinical treatment
transdermal drug delivery system
title Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
title_full Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
title_fullStr Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
title_full_unstemmed Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
title_short Pathophysiology and Treatment of Psoriasis: From Clinical Practice to Basic Research
title_sort pathophysiology and treatment of psoriasis from clinical practice to basic research
topic psoriasis
pathogenesis
diagnosis
clinical treatment
transdermal drug delivery system
url https://www.mdpi.com/1999-4923/17/1/56
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AT yanjinhuihu pathophysiologyandtreatmentofpsoriasisfromclinicalpracticetobasicresearch
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