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Interaction, for compound 4. Compound 5 shows a preference for the small rim inclusion with a best configuration binding mode comparable to the closely related compound 3. The compound 6 brings a positive charge onto the sidechain tertiary nitrogen. The inclusion preference is statistically toward the large rim. In the global minimum energy configuration the ammonium group interacts with a secondary hydroxyl of the large rim with one hydrogen bond interaction, on the other hand the net positive charge of such a moiety induces a local conformational change of another secondary hydroxyl due electrostatic repulsion Figure 4 ; . Compound 7 interacts with CYD mainly in the small rim. Its extended conformation interacts with a consistent hydrogen network Figure 4 ; . Similar considerations can be done for the complex with the other alcohol 8, interacting mainly in the small rim accepting in its most stable configuration two hydrogen bonds from primary CYD hydroxyls. The carboxylic moiety of compound 9 has been modeled in neutral form according to the acid pH conditions. The lack of the negative net charge probably is the cause of the reduced free energy of complexation with respect to anionic form of compound 2. The preferred rim recognition is for the small one. Four hydrogen bonds stabilize the global minimum configuration Figure 4 ; . The ammonium cation 10 interacts in one conformation only with CYD. Also in this case the preferred rim recognition is for the small one. The global minimum configuration shows the positively charged nitrogen exposed in the small rim cavity toward the solvent. It is worth noting the electrostatic effect of such charged atom onto all primary hydroxyl hydrogen atoms forced to loss the intramolecular hydrogen bond network of the small ring Figure 4 ; . The hydrophobic effect not explicitly considered in our simulations is evaluated by the GB SA implicit model of solvation mimicking the presence of water. As shown in the energy minimum configurations figure 4 ; most of hydrophobic moieties of compounds 1-10 fit into the cyclodextrin cavity minimizing their exposition to the solvent. Other effects, such as the volume and the dipole moments of the guests respectively taken into account by Van der Waals and electrostatic terms of the force field, are responsible of the different recognition of similar compounds, as in the case of acids 2 and 9.
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Placebo-controlled study of ketoconazole + desonide gel combination in the treatment of facial seborrheic dermatitis. Dermatology 2002; 204: 344-7. Cassano N, Amoruso A, Loconsole F, Vena GA. Oral terbinafine for the treatment of seborrheic dermatitis in adults. Int J Dermatol 2002; 41: 821-2. Taieb A, Legrain V, Palmier C, Lejean S, Six M, Maleville J. Topical ketoconazole for infantile seborrheic dermatitis. Dermatologica 1990; 181: 26-32. Satchell AC, Saurajen A, Bell C, Barnetson RS. Treatment of dandruff with 5% tea tree oil shampoo. J Acad Dermatol 2002; 47: 852-5. Meshkinpour A, Sun J, Weinstein G. An open pilot study using tacrolimus ointment in the treatment of seborrheic dermatitis. J Acad Dermatol 2003; 49: 145-7. Szepietowski J. Pimecrolimus: a new treatment for seborrheic dermatitis. J Eur Acad Dermatol Venereol [in press]. 28. Rigopoulos D, Ioannides D, Kalogeromitros D, Gregoriou S, Katsambas A. Pimecrolimus cream 1% vs. betamethasone 17-valerate 0.1% cream in the treatment of seborrhoeic dermatitis. A randomized open-label clinical trial. Br J Dermatol 2004; 151: 1071-5. Rigopoulos D, Katsambas A, Antoniou C, Theocharis S, Stratigos J. Facial seborrheic dermatitis treated with fluconazole 2% shampoo. Int J Dermatol 1994; 33: 136-7. Squire RA, Goode K. A randomised, single-blind, single-centre clinical trial to evaluate comparative clinical efficacy of shampoos containing ciclopirox olamine 1.5% ; and salicylic acid 3% ; , or ketoconazole 2%, Nizoarl ; for the treatment of dandruff seborrhoeic dermatitis. J Dermatolog Treat 2002; 13: 51-60. Chosidow O, Maurette C, Dupuy P. Randomized, open-labeled, non-inferiority study between ciclopiroxolamine 1% cream and ketoconazole 2% foaming gel in mild to moderate facial seborrheic dermatitis. Dermatology 2003; 206: 233-40. Dreno B, Chosidow O, Revuz J, Moyse D, for the Study Investigator Group. Lithium gluconate 8% vs ketoconazole 2% in the treatment of seborrhoeic dermatitis: a multicentre, randomized study. Br J Dermatol 2003; 148: 1230-6. Baysal V, Yildirim M, Ozcanli C, Ceyhan AM. Itraconazole in the treatment of seborrheic dermatitis: a new treatment modality. Int J Dermatol 2004; 43: 63-6. Milani M, Antonio Di Molfetta S, Gramazio R, Fiorella C, Frisario C, Fuzio E, et al. Efficacy of betamethasone valerate 0.1% thermophobic foam in seborrhoeic dermatitis of the scalp: an open-label, multicentre, prospective trial on 180 patients. Curr Med Res Opin 2003; 19: 342-5. Zeharia A, Mimouni M, Fogel D. Treatment of bifonazole shampoo for scalp seborrhea in infants and young children. Pediatr Dermatol 1996; 13: 151-3. Lebwohl M, Plott T. Safety and efficacy of ciclopirox 1% shampoo for the treatment of seborrheic dermatitis of the scalp in the U.S. population: results of a double-blind, vehicle-controlled trial. Int J Dermatol 2004; 43 suppl 1 ; : S17-20. 37. Reichrath J. Antimycotics: why are they effective in the treatment of seborrheic dermatitis? Dermatology 2004; 208: 174-5 and piroxicam.
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