Drug Candidates for the Treatment of Atopic Dermatitis

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: closed (25 January 2025) | Viewed by 3142

Special Issue Editor


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Guest Editor
Department of Physiology, School of Medicine, Daegu Catholic University, Daegu 42472, Republic of Korea
Interests: atopic dermatitis; T-cell-mediated disease; autoimmune disease

Special Issue Information

Dear Colleagues,

Atopic dermatitis (AD) is an immune-mediated skin disease influenced by immune system imbalance, genetic defects, and environmental conditions. It has been studied as the most common inflammatory skin disease, with a worldwide prevalence ranging from 1 to 3% in adults and 5 to 10% in children. It is especially true that the incidence of AD has been gradually increasing globally due to changes in lifestyle. Therefore, the discovery of therapeutics or compounds that attenuate the symptoms of AD is increasingly necessary.

Several strategies to conquer AD have been widely used. Since dry environments surrounding the skin barrier exacerbate AD manifestations, the treatment of AD focuses on how to maintain the moisture content of the skin barrier. Although steroids are also widely used for attenuating AD symptoms over a short period of time, a variety of studies have demonstrated severe disadvantages of steroid use when administered over a long time. Recent approaches for AD treatment have moved to the identification of potent candidates from naturally derived compounds due to their safety in long-term use and outstanding efficacy. A number of studies have shown that compounds discovered from natural products control the activity of immune cells for people with AD.

This Special Issue aims to collect reviews that consider the current state of the art and future prospects in the field of atopic dermatitis, as well as original research articles reflecting.

Dr. Hyun-Su Lee
Guest Editor

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Keywords

  • atopic dermatitis
  • skin barrier
  • skin disease
  • house-dust-mite-induced atopic dermatitis
  • small molecules for atopic dermatitis treatment

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Published Papers (1 paper)

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Review

18 pages, 1123 KiB  
Review
Atopic Dermatitis-Related Problems in Daily Life, Goals of Therapy and Deciding Factors for Systemic Therapy: A Review
by Liborija Lugović-Mihić, Ema Barac, Renata Tomašević, Ena Parać, Lucija Zanze, Ana Ljevar, Lorena Dolački and Maja Štrajtenberger
Pharmaceuticals 2024, 17(11), 1455; https://doi.org/10.3390/ph17111455 - 30 Oct 2024
Cited by 1 | Viewed by 2437
Abstract
Background/Objectives/Methods: Atopic dermatitis (AD) impacts various aspects of patients’ lives including personal life, psychological aspects/disturbances (e.g., depression, anxiety, or even suicidal thoughts), school, and work-related activities, including career advancement. The aim of this narrative review is to present the latest information available [...] Read more.
Background/Objectives/Methods: Atopic dermatitis (AD) impacts various aspects of patients’ lives including personal life, psychological aspects/disturbances (e.g., depression, anxiety, or even suicidal thoughts), school, and work-related activities, including career advancement. The aim of this narrative review is to present the latest information available on how to best approach AD patient management, as well as decisions regarding standard/advanced systemic therapy, by gathering evidence from the relevant medical literature (PubMed and other prominent medical databases). Results: Thus, AD patient management and decisions regarding advanced/systemic therapy are complex, requiring the consideration of multiple disease-related factors: age; disease severity; patient medical history and comorbidities; previous topical therapy use and any adverse reactions; treatment efficacy concerns; patient preferences, expectations and fears; pregnancy planning; ability and willingness to adhere to the treatment regimen; impact on related risks; and any associated psychological or psychiatric issues. Current guidelines and systematic reviews support the safety and efficacy of systemic therapy including conventional drugs (cyclosporine, methotrexate, and azathioprine), biologics (dupilumab and tralokinumab), and JAK inhibitors (baricitinib, upadacitinib, and abrocitinib) recommended for treating moderate and severe AD. Recently, additional biologics have been evaluated in clinical trials, including lebrikizumab, nemolizumab, eblasakimab, and OX40/OX40L, among others. Conclusions: The most recently suggested approach to treating AD patients suggests focusing on therapy that targets and achieves minimal disease activity (MDA), where therapy decisions are informed by both the patient and the clinician. Available data also indicate the importance of a personalized, stepwise, and multidisciplinary approach. This type of approach promotes patient compliance, satisfaction with therapy, and increased engagement, which all lead to better patient outcomes. Full article
(This article belongs to the Special Issue Drug Candidates for the Treatment of Atopic Dermatitis)
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