Unlocking Dithranol’s Potential: Advanced Drug Delivery Systems for Improved Pharmacokinetics
Pankaj Kumar1*, Kuldip Kumar Savita1, Anubhav Dubey2, Sandeep Singh Gaur3
1Smt. Vidyawati College of Pharmacy, Jhansi, Uttar Pradesh, India.
2Department of Pharmacology, Maharana Pratap College of Pharmacy, Kanpur, Uttar Pradesh India.
3Shri Rawatpura Sarkar College of Pharmacy, Jhansi, Uttar Pradesh, India.
Received: 23rd May, 2024; Revised: 25th May, 2024; Accepted: 02nd June, 2024; Available Online: 25th June, 2024
ABSTRACT
Dithranol is a therapeutic agent mainly used for psoriasis; however, its clinical use is limited by poor stability, skin irritation, and low patient compliance with conventional formulations. This paper reviews the various advanced drug delivery systems that have been formulated to bypass the above limitations and improve the pharmacokinetics of dithranol. In this context, we describe the problems of the current formulations, which are the instability of the drug and adverse reactions to the skin. Further, we present the advantages of advanced delivery systems, including nanoparticles, nanosuspensions, liposomes, niosomes, solid lipid nanoparticles and nanostructured lipid carriers, for drug stabilization and delivery to target tissues. We elaborate on the working of polymeric systems, including hydrogels, microparticles, micelles, and prodrugs, with which drug solubility is improved and drug release is sustained. Finally, through in-vitro and in-vivo studies and clinical procedures, details are given regarding the drug release kinetics, pharmacokinetics, and biodistribution of such formulations. The text elaborates on future directions and new technological approaches toward the delivery of dithranol. These advanced delivery systems will help to overcome the limitations of the existing formulations and achieve a higher therapeutic impact of the drug on psoriasis and other skin diseases.
Keywords: Dithranol, Advanced drug delivery, Nanotechnology, Pharmacokinetics, Psoriasis treatment. International Journal of Drug Delivery Technology (2024); DOI: 10.25258/ijddt.14.2.83
How to cite this article: Kumar P, Savita KK, Dubey A, Gaur SS. Unlocking Dithranol’s Potential: Advanced Drug Delivery Systems for Improved Pharmacokinetics. International Journal of Drug Delivery Technology. 2024;14(2):1174-1180.
REFERENCES
- Ayala-Fontánez N, Soler DC, McCormick Current knowledge on psoriasis and autoimmune diseases. Psoriasis: Targets and Therapy. 2016 Feb 22:7-32.
- Nanda S, Gold LS. Current and future topical treatments for psoriasis. InPsoriasis 2017 Apr 11 (pp. 193-202). CRC Press.
- Pendlebury GA, Oro P, Ludlow K, Merideth D, Haynes W, Shrivastava V, Ludlow KS. Relevant dermatoses among US military service members: an operational review of management strategies and telemedicine Cureus. 2023 Jan 2;15(1).
- Knop K, Hoogenboom R, Fischer D, Schubert Poly (ethylene glycol) in drug delivery: pros and cons as well as potential alternatives. Angewandte chemie international edition. 2010 Aug 23;49(36):6288-308.
- Fenton OS, Olafson KN, Pillai PS, Mitchell MJ, Langer R. Advances in biomaterials for drug Advanced Materials. 2018 Jul;30(29):1705328.
- Kim YG, Lee Y, Lee N, Soh M, Kim D, Hyeon T. Ceria‐based therapeutic antioxidants for biomedical applications. Advanced Materials. 2024 Mar;36(10):2210819.
- Raina N, Rani R, Thakur VK, Gupta New insights in topical drug delivery for skin disorders: from a nanotechnological perspective. ACS omega. 2023 May 19;8(22):19145-67.
- Lubwika A stability study of dithranol in solution, formulations and in normal and psoriatic skin (Doctoral dissertation).
- Hsieh GC, Acosta Dithranol-induced cytotoxicity in primary cultures of rat epidermal keratinocytes: I. The role of reactive oxygen species. Toxicology and applied pharmacology. 1991 Jan 1;107(1):16-26.
- Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesthesia & Analgesia. 2003 Aug 1;97(2):534-40.
- Biradar Formulation and Evaluation of Dithranol Proniosomal Gel (Doctoral dissertation, Rajiv Gandhi University of Health Sciences (India)).
- Buhse L, Kolinski R, Westenberger B, Wokovich A, Spencer J, Chen CW, Turujman S, Gautam-Basak M, Kang GJ, Kibbe A, Heintzelman Topical drug classification. International journal of pharmaceutics. 2005 May 13;295(1-2):101-12.
- Saraswat A, Agarwal R, Katare OP, Kaur I, Kumar Arandomized, double‐blind, vehicle‐controlled study of a novel liposomal dithranol formulation in psoriasis. Journal of dermatological treatment. 2007 Jan 1;18(1):40-5.
- Tiwari P, Sinha VR, Kaur R. Clinical considerations on micro- and nanodrug delivery systems. InDrug Delivery Trends 2020 Jan 1 (pp. 77-101). Elsevier.
- Lavan DA, McGuire T, Langer Small-scale systems for in-vivodrug delivery. Nature biotechnology. 2003 Oct 1;21(10):1184-91.
- Mota AH, Sousa A, Figueira M, Amaral M, Sousa B, Rocha J, Fattal E, Almeida AJ, Reis CP. Natural-based consumer health nanoproducts: Medicines, cosmetics, and food supplements. InHandbook of functionalized nanomaterials for industrial applications 2020 Jan 1 (pp. 527-578). Elsevier.
- Geetha G, Poojitha U, Khan KA. Various techniques for preparation of nanosuspension-a review. International Journal of Pharma Research & Review. 2014 Sep;3(9):30-7.
- Zheng B, McClements DJ. Formulation of more efficacious curcumin delivery systems using colloid science: enhanced solubility, stability, and bioavailability. Molecules. 2020 Jun 17;25(12):2791.
- Vinchhi P, Patel JK, Patel MM. High-pressure homogenization techniques for nanoparticles. InEmerging Technologies for Nanoparticle Manufacturing 2021 Jun 24 (pp. 263-285). Cham: Springer International Publishing.
- Amoabediny G, Haghiralsadat F, Naderinezhad S, Helder MN, Akhoundi Kharanaghi E, Mohammadnejad Arough J, Zandieh- Doulabi Overview of preparation methods of polymeric and lipid-based (niosome, solid lipid, liposome) nanoparticles: A comprehensive review. International Journal of Polymeric Materials and Polymeric Biomaterials. 2018 Apr 13;67(6):383-400.
- Liu RR, Cannon JB, Paspal SY. Liposomes in solubilization. InWater-Insoluble Drug Formulation 2018 Mar 12 (pp. 405-449). CRC Press.
- Agarwal R, Katare OP, Vyas Preparation and in-vitro evaluation of liposomal/niosomal delivery systems for antipsoriatic drug dithranol. International journal of pharmaceutics. 2001 Oct 9;228(1-2):43-52.
- Amoabediny G, Haghiralsadat F, Naderinezhad S, Helder MN, Akhoundi Kharanaghi E, Mohammadnejad Arough J, Zandieh- Doulabi Overview of preparation methods of polymeric and lipid-based (niosome, solid lipid, liposome) nanoparticles: A comprehensive review. International Journal of Polymeric Materials and Polymeric Biomaterials. 2018 Apr 13;67(6):383-400.
- Zheng B, McClements DJ. Formulation of more efficacious curcumin delivery systems using colloid science: enhanced solubility, stability, and bioavailability. Molecules. 2020 Jun 17;25(12):2791.
- Shukla D, Chakraborty S, Singh S, Mishra Lipid-based oral multiparticulate formulations–advantages, technological advances and industrial applications. Expert opinion on drug delivery. 2011 Feb 1;8(2):207-24.
- Fanun Microemulsions as delivery systems. Current Opinion in Colloid & Interface Science. 2012 Oct 1;17(5):306-13.
- Vilar G, Tulla-Puche J, Albericio Polymers and drug delivery systems. Current drug delivery. 2012 Jul 1;9(4):367-94.
- Figueiras A, Domingues C, Jarak I, Santos AI, Parra A, Pais AAlvarez-Lorenzo C, Concheiro A, Kabanov A, Cabral H, Veiga New advances in biomedical application of polymeric micelles.Pharmaceutics. 2022 Aug 15;14(8):1700.
- Souto EB, Fangueiro JF, Fernandes AR, Cano A, Sanchez-Lopez E, Garcia ML, Severino P, Paganelli MO, Chaud MV, Silva Physicochemical and biopharmaceutical aspects influencing skin permeation and role of SLN and NLC for skin drug delivery. Heliyon. 2022 Feb 11.
- Kamaly N, Yameen B, Wu J, Farokhzad OC. Degradable controlled-release polymers and polymeric nanoparticles: mechanisms of controlling drug Chemical reviews. 2016 Feb 24;116(4):2602-63.
- Chanchal DK, Alok S, Kumar M, Bijauliya RK, Rashi S, Gupt A Brief Review on Abelmoschus esculentus linn. okra. International Journal of Pharmaceutical Sciences and Research. 2018 Jan 1;9(1):58-66.
- Singh S, Jain SK, Alok S, Chanchal D, Rashi S, Pradesh U. A review on Ficus religiosa-An important medicinal plant. Int J Life Sci Rev (IJLSR). 2016;2(1):1-1.
- Dongray A, Irchhaiya R, Chanchal D, Chaudhary Phytochemical and pharmacological properties of Bauhinia acuminata. World journal of pharmaceutical research. 2016;5(1):531-46.
- Vigata M, Meinert C, Hutmacher DW, Bock N. Hydrogels as drug delivery systems: A review of current characterization and evaluation Pharmaceutics. 2020 Dec 7;12(12):1188.
- Chanchal DK, Singh K, Bhushan B, Chaudhary JS, Kumar S, Varma AK, Agnihotri N, Garg An Updated Review of Chinese Skullcap (Scutellaria baicalensis): Emphasis on Phytochemical Constituents and Pharmacological Attributes. Pharmacological Research-Modern Chinese Medicine. 2023 Nov 7:100326.
- Biradar Formulation and Evaluation of Dithranol Proniosomal Gel (Doctoral dissertation, Rajiv Gandhi University of Health Sciences (India)).
- Chaudhary S, Alok S, Jain SK, Chanchal D, Dongray A. Phytopharamacology and pharmacognostic properties of Ficus benghalensis-A International Journal of Pharmacognosy and Phytochemical Research. 2015;2(12):560-9.
- Chanchal DK, Niranjan PS, Alok S, Rashi S. Evaluation of macroscopical and microscopical study, phytochemical analysis, TLC and HPTLC fingerprinting of Bauhinia purpurea Linn. Leaves. International Journal of Pharmaceutical Sciences and Research. 2016 Aug 1;7(8):3539.
- Kumar M, Alok S, Chanchal DK, Bijauliya RK, Yadav RD, Sabharwal M. An updated pharmacological activity of coccinia indica (wight & arn.). International journal of pharmaceutical sciences and research. 2018 Feb 1;9(2):456-65.
- Chanchal DK, Singh K, Bhushan B, Chaudhary JS, Kumar S, Varma AK, Agnihotri N, Garg An Updated Review of Chinese Skullcap (Scutellaria baicalensis): Emphasis on Phytochemical Constituents and Pharmacological Attributes. Pharmacological Research-Modern Chinese Medicine. 2023 Nov 7:100326.
- Brutti P, Gubbiotti S, Sambucini V. An extension of the single threshold design for monitoring efficacy and safety in phase II clinical Statistics in Medicine. 2011 Jun 30;30(14):1648-64.
- Pifferi G, Restani The safety of pharmaceutical excipients. Il Farmaco. 2003 Aug 1;58(8):541-50.
- Saraswat A, Agarwal R, Katare OP, Kaur I, Kumar B. A randomized, double‐blind, vehicle‐controlled study of a novel liposomal dithranol formulation in psoriasis. Journal of dermatological treatment. 2007 Jan 1;18(1):40-5.
- Liu D, Yang F, Xiong F, Gu The smart drug delivery system and its clinical potential. Theranostics. 2016;6(9):1306.
- Chimene D, Lennox KK, Kaunas RR, Gaharwar Advanced bioinks for 3D printing: a materials science perspective. Annals of biomedical engineering. 2016 Jun;44:2090-102.
- Al-Hussainawy MK, Aljeboree AM, Jawad MA, Sheri FS, Alkaim Preparation of Bentonite Clay/TiO2 Nanocomposites Surface as Drug Carrier: In-vitro Release Study of Chloramphenicol Drug. International Journal of Drug Delivery Technology. 2023;13(3):990-994.
- Wan T, Pan Q, Ping Y. Microneedle-assisted genome editing: A transdermal strategy of targeting NLRP3 by CRISPR-Cas9 for synergistic therapy of inflammatory skin disorders. Science advances. 2021 Mar 10;7(11):eabe2888.
- Chauhan NK, Malik A, Ratiyen PK. Solid Lipid Nanoparticles: Drug Delivery Systems for Enhancing the Bioavailability of Antihypertensives. International Journal of Drug Delivery Technology. 2023;13(3):1059-1064.
- Bakshi H, Nagpal M, Singh M, Dhingra GA, Aggarwal G. Treatment of psoriasis: a comprehensive review of entire therapies. Current drug safety. 2020 Jul 1;15(2):82-104.
- Son GH, Lee BJ, Cho Mechanisms of drug release from advanced drug formulations such as polymeric-based drug-delivery systems and lipid nanoparticles. Journal of Pharmaceutical Investigation. 2017 Jul;47:287-96.
- Bukkawar A, Jain AK, Chatap VK. Formulation Development and Evaluation of Freeze-dried Aviptadil injection using Mannitol as Cryoprotectant. International Journal of Pharmaceutical Quality Assurance. 2023;14(3):541-547.
- Meidan VM, Touitou E. Treatments for androgenetic alopecia and alopecia areata: current options and future Drugs. 2001 Jan;61:53-69.
- Gnana RPM, Devhare LD, Dharmamoorthy G, Khairnar MV, Prasidha R. Synthesis, Characterisation, Molecular Docking Studies and Biological Evaluation of Novel Benzothiazole Derivatives as EGFR Inhibitors for Anti-breast Cancer Agents. International Journal of Pharmaceutical Quality Assurance. 2023;14(3):475-480.