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Combining in vitro, in vivo, and in silico approaches to evaluate the effect of serotonergic-based topical therapies on mild to moderate psoriasis

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMartins, Ana M.
dc.contributor.authorGonçalves, Lídia
dc.contributor.authorSimões, Sandra
dc.contributor.authorSerra, Patrícia A.
dc.contributor.authorGuedes, Rita C.
dc.contributor.authorRibeiro, Helena
dc.contributor.authorMarto, Joana
dc.date.accessioned2026-04-29T15:33:58Z
dc.date.available2026-04-29T15:33:58Z
dc.date.issued2025-03
dc.description.abstractPsoriasis, a chronic inflammatory skin disease, poses a significant burden on patients’ quality of life and healthcare systems. While mild-to-moderate cases are treated topically, usually combined with phototherapy, severe cases require systemic treatment with immunosuppressants, retinoids or biologics. However, all available treatments have drawbacks in terms of efficiency and side effects. Drawing from studies linking depression treatment to psoriasis improvement, we investigated whether topical formulations of selective serotonin reuptake inhibitors (SSRIs) could offer a viable therapy for psoriasis. Five SSRIs (sertraline, fluoxetine, paroxetine, escitalopram, fluvoxamine) were evaluated for their in vitro cytotoxicity, in human keratinocytes and THP-1 monocytes. Their anti-inflammatory action was tested using cell differentiation assays and immunoassays of pro-inflammatory cytokines in THP-1 monocytes. The results obtained with sertraline, escitalopram, and fluvoxamine suggested further evaluation in vivo. Anti-inflammatory effects were evaluated by skin parameter monitoring and histopathology, in an imiquimod-induced psoriasis-like inflammation mice model, and the best results were obtained for fluvoxamine. These findings were further supported by in silico molecular docking studies of the structural interaction between the serotonergic receptors and the drugs. Future research will focus on developing and characterizing of topical fluvoxamine formulations, like emulsions and penetration-enhancer vesicles, which offer advantages over the gels used herein.eng
dc.identifier.citationMartins, A. M., Gonçalves, L., Simões, S., Serra, P. A., Guedes, R. C., Ribeiro, H., & Marto, J. (2025). Combining in vitro, in vivo, and in silico approaches to evaluate the effect of serotonergic-based topical therapies on mild to moderate psoriasis. European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 206, 107013. https://doi.org/10.1016/j.ejps.2025.107013
dc.identifier.doi10.1016/j.ejps.2025.107013
dc.identifier.issn1879-0720
dc.identifier.urihttp://hdl.handle.net/10400.26/62957
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://doi.org/10.1016/j.ejps.2025.107013
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPsoriasis
dc.subjectinflammation
dc.subjectspecific serotonin reuptake inhibitors
dc.subjectin vitro
dc.subjectin vivo
dc.subjectin silico
dc.titleCombining in vitro, in vivo, and in silico approaches to evaluate the effect of serotonergic-based topical therapies on mild to moderate psoriasiseng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.startPage107013
oaire.citation.titleEuropean Journal of Pharmaceutical Sciences
oaire.citation.volume206
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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