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. 2023 May 18;8(21):18340–18357. doi: 10.1021/acsomega.3c00924

Table 2. Summarized Topical Applications of Nanofibers in Skin Disorders.

Disease Active Moiety Incorporated Polymers Used and Fabricating Technique Outcomes
Antifungal Eucalyptol Ellan/polyvinyl alcohol (Electrospinning) • Smooth, bead-free, uniform nanofibers with 219.23 ± 30.93 nm as average diameter and 40 ± 6.2% of encapsulation efficiency were prepared.
• 67–74% developing biofilms inhibition and 45–47% matured biofilms eradication of Candida strains.
• Enhanced antifungal activity due to nanofibers hydrophobic encapsulation of oils decreasing its degradation and increasing its therapeutic efficacy.84
Ketoconazole Polycaprolactone (Electrospinning) • Ketoconazole-functionalized nanofibers (with a mean diameter of 526 ± 148 nm) consistently inhibited more fungal growth as compared to the pure drug.
• The drug load was found to be 45.3 ± 1.7 μg of ketoconazole per mg of nanofiber.
• Enhanced the activity of a poorly water-soluble drug.85
Wound dressing/healing Ciprofloxacin hydrochloride Polyurethane and soy protein (Electrospinning) • Biocompatible, flexible nanofibers with an average diameter of 312 nm, tensile strength of 4.5 MPa, and tensile strain of 105.5%.
• Antibactericidal activity against Gram-positive (inhibition rate about 70%) and Gram-negative bacteria (inhibition rate about 90%) and efficiency in wound healing.86
Chlorhexidine acetate Polyurethane/clay nanocomposite (Electrospinning) • Nanofiber diameter ranging between 325 and 375 nm with a mean pore diameter of the nanofibrous web as 0.357 μm.
• With 5% of drug loading, nanofibers exhibited a maximum of 91% drug release at pH 7.4.
• Maintained wound moisture, prevented dehydration during wound healing, and sustained release with long-term activity.87
Doxycycline (DCH) Polylactide (PLA) (Electrospinning) • The bead-free, continuous, and smooth nanofibers were obtained with 5–30% of loading efficiency. Also, it was observed that with an increase in loading to 30%, the DCH-encapsulated nanofibers’ mean diameter also increased to 424 ± 62nm.
• Exhibited faster healing due to half of the wound beds being filled with tissue, and it regenerated epidermis.88
Psoriasis Methotrexate magnetic nanoparticles Polyvinyl alcohol polymer (Electrospinning) • Smooth surface and uniform fibers with 330 to 480 nm diameter range and 88.4% drug entrapment efficiency.
• Smart and sensitive stimuli-responsive release of drugs (5 min of alternate magnetic field released ∼10% of the drug as temperature increased by ∼5 °C) in a controlled manner (once a day, h, etc.).89
Acne Clindamycin Polyvinyl alcohol and tamarind seed gum (Electrohydrodynamic atomization, i.e., electrospraying and electrospinning) • Fabricated nanofibers with smooth surfaces had an average diameter between 202.65 ± 26.45 nm and 277.80 ± 27.05 nm depending upon the voltage applied, PVA concentration, and amount of clindamycin loaded (range between 1 to 2.5% w/w) into it.
• Drug-loaded fibers showed slightly greater antibacterial activity, with a bacterial inhibition zone approximately greater than 3 cm2 as compared to commercial 1% clindamycin gel (inhibition zone around 2.7 cm2).90
Zinc oxide nanoparticles Polyvinyl alcohol cross-linked by citric acid (Electrospinning) • Nanofibers with 325 ± 48 nm diameter for 7 wt % of ZnO concentration incorporated and swelling ratio 780 ± 58:77%, suggesting its potential use as a facial mask.
• PVA/ZnO (7%) reported antibacterial activity against Staphylococcus aureus and Candida acne bacterial strains with 1.5 mm and 2.25 mm inhibition zones, respectively.91
Resveratrol nanocrystals Polycaprolactone (Single nozzle electrospinning) • Nanofibers with mean diameters of 1457 ± 648 nm and 1506 ± 527 nm for 0.2 mg/cm2 and 1 mg/cm2 nanocrystals, respectively, with 89.32 ± 1.0% and 71.73 ± 9.0% adsorption efficiency, respectively.
• Effective antimicrobial activity against acne with 1.3 ± 0.02 cm and 1.6 ± 0.1 cm inhibition zone, respectively.92
Atopic dermatitis Pioglitazone Polyvinylpyrrolidone (Electrospinning) • Nanofiber mats with 0.230 ± 0.0196 mm as the mean thickness, and 82 to 88% drug loading efficiency.
• 5-fold enhanced drug permeation flux and highly retained (677.7 mg/cm2) in the epidermis skin layer as compared to casted film.93
Natural oils (borage, black cumin seed, and evening primrose oil) Poly(vinyl butyral-co-vinyl alcohol-co-vinyl acetate) (PVB) • 335 ± 86 nm was the average diameter of the prepared nanofibers with a porosity value of 92.6%, which affected the sorption, helped in the adhesion of oils with the skin, and provided better permeability.
• The average maximum tensile stress and the average maximum elongation of the nanofibers were observed to be 0.66 ± 0.11 MPa and 59 ± 9% respectively.
• In direct contact with fibroblasts, nanofibers exhibited high biocompatibility, with the rapid spread of oils aiding oil delivery for the desired period of time providing moisturization to the skin.94
Skin Cancer Doxorubicin (Dox) hydrochloride Polycaprolactone (Electrospinning) • Fe3O4 magnetic nanoparticles encapsulated polycaprolactone nanofibrous mat-based bandages with diameters in the range of 100–1000 nm.
• 20 μg of Dox was incorporated in 10 mg of a fibrous mat, and a 1.8-fold higher release of Dox was observed in the presence of a magnetic field as compared to normal.
• Irreversible necrotic tumor cell death was observed through 5 heating doses and specific parameters, and the treated mice exhibited complete recovery within 2 weeks of the treatment.
• Designed bandages dissipated heat energy locally and enhanced the activity of the drug through elevated temperature, which may potentially kill Dox-resistant cells as well.95
Gold nanoparticles (AuNPs) and curcumin Polyvinyl alcohol (PVA) and polycaprolactone (PCL) (Electrospinning) • Smooth and continuous PVA loaded with AuNPs and PCL loaded with curcumin nanofibers were produced in the diameter range of 300 nm and 600–800 nm, respectively, with tensile strengths of 4.5 MPa and 2–3 MPa, respectively.
• High drug entrapment efficiency of 95.60% was observed in the case of PCL–curcumin nanofibers.
• Reported cancer cell selective toxicity by the mechanism of apoptosis and lesser toxicity on normal cells better than as compared to free formulations due to sustained release with high antioxidant efficacy.96
Bioactive compounds of Terminalia catappa (TC) (extract) Sodium alginate (SA) (Electrospinning) • Nanofibers formed with interconnecting pores.
• In SA+TC, nanofibrous scaffold cell death was found to be at a maximum with an approximately 2-fold increase in the expression of Bax, Cyt C, p53, p21, Cas9, and Cas3 genes (apoptosis markers).97
Doxorubicin hydrochloride Chitosan/cobalt ferrite/titanium oxide (Electrospinning) • Smooth, uniform nanofibers 110 nm in diameter on average and with 96.5 ± 1% drug loading efficiency.
• At acidic pH, the release of the drug was faster (more than 40% in 10 h) in the presence of magnetic field from the magnetic nanofibers as compared to physiological pH, showing efficacy toward tumor cells with an acidic environment.
• Highest cytotoxicity and improved antitumor efficacy due to synergism in the case of the designed nanofibers with 58% and 78% cell deaths after 2 and 3 days, respectively.98