Christopher Cullander

(D) Routes of delivery: Case studies: (6) Transdermal delivery of peptides and proteins

Abstract Transdermal drug delivery has attracted considerable attention in recent years and the potential advantages of this mode of administration have been well documented [1]. The transdermal delivery of peptides and small proteins is of particular interest, since percutaneous administration overcomes many of the problems associated with conventional means of administering these potent therapeutic agents. The major obstacles to the passive permeation of peptidic agents are their hydrophilicity and size; however, therapeutically significant dosage levels have been achieved in vivo using either electrical or chemical enhancement.

Iontophoretic delivery of amino acids and amino acid derivatives across the skin in vitro.

The effects of penetrant properties (lipophilicity and charge) and of vehicle pH on the iontophoretically enhanced delivery of amino acids and their N-acetylated derivatives have been examined in vitro. The penetrants were nine amino acids (five were zwitterionic, two positively charged, and two negatively charged) and four N-acetylated amino acids, which carry a net negative charge at pH 7.4. Iontophoresis at constant current (0.36 mA/cm2), using Ag/AgCl electrodes, was conducted across freshly excised hairless mouse skin. Iontophoretic flux of the zwitterions was significantly greater than passive transport. Delivery from the anode was greater than from the cathode for all zwitterions. The level of enhancement was inversely proportional to permeant octanol/pH 7.4 buffer distribution coefficient. Cathodal iontophoresis of the negatively charged amino acids and of the N-acetylated derivatives produced degrees of enhancement which were significantly greater than those measured for the “neutral” zwitterions. Furthermore, the enhanced flux reached a steady-state level within a few hours for the negatively charged species, whereas the transport of the zwitterions continued to increase with time. Anodal iontophoresis of histidine and lysine, the two positively charged amino acids studied, induced substantial enhancement which was sensitive to the pH of the delivery vehicle. For example, the flux of histidine from an applied solution at pH 4 (where the amino acid carries a net positive charge) was significantly greater than that from a vehicle at pH 7.4 (where histidine is essentially neutral). The behavior of lysine was more complex and suggested a certain degree of neutralization of the skins net negative charge.

A New System for In Vitro Studies of Iontophoresis

This report describes a new iontophoretic diffusion cell that allows both electrodes to be applied to the same side of the same piece of skin. The cell permits a better approximation of the in vivo situation than do conventional side-by-side cells. The unique construction of the cell allows nonliquid material to be applied to the skin surface and makes it possible to investigate horizontal transport paths. Preliminary results utilizing the cell are described. Iontophoretic enhancement of morphine and clonidine delivery across full-thickness hairless mouse skin has been achieved. The importance of pH control in these experiments is apparent. Further experiments with morphine indicate that, for this drug at least, iontophoretically driven lateral transport within the skin is unimportant. Because the cell design allows significant parallels to the use of iontophoresis in vivo, we suggest that it will prove to be a useful tool in the determination of fundamental structure/transport relationships under the influence of an externally applied current.

What are the pathways of iontophoretic current flow through mammalian skin

Abstract The skin is an excellent barrier to the transport of charged compounds and large molecules. Many substances of present and potential therapeutic utility carry charge at physiological pH, have high molecular weights and/or are hydrophilic and, consequently, do not transport well across the skin. Pathways for the transport of small ions do appear to exist through the skin and flow along these pathways can be substantially enhanced by iontophoresis. The imposition of an exogenous transdermal potential may also create new routes of permeation. Iontophoretic transport appears to take place primarily at discrete sites, which are often referred to as ‘pores’; note, however, that the pores are not necessarily skin appendages. Paracellular transport also takes place and may be a major route of permeation. Binding within the skin and access to the circulation may constitute additional barriers, and the barrier function of the skin may be altered by iontophoresis. There is not an adequate in vivo or in vitro skin model for iontophoretic studies. An understanding of these conductive routes as well as whether and how they change (with time, current density, etc.) is essential for the optimization of transdermal drug delivery and the treatment of dermatologic conditions.

Effects of bile salts on transport rates and routes of FITC-labelled compounds across porcine buccal epithelium in vitro

Abstract In this study the penetration enhancing effect of bile salts on the transport of hydrophilic macromolecular compounds across porcine buccal mucosa was investigated in-vitro. Coadministration of 100 mM of the trihydroxy bile salts sodium glycocholate (GC) and sodium taurocholate (TC) and the dihydroxy bile salts sodium glycodeoxycholate (GDC) and sodium taurodeoxycholate (TDC) increased the in-vitro transport of fluorescein isothiocyanate (FITC) by a factor of a hundred or more, without a significant difference between the four bile salts. The concentration dependence of the enhancing effect of GDC was studied using FITC-labelled dextrans of increasing molecular weight as permeants (FD4, MW 4400; FD10, MW 9400; FD20, MW 19 600). The maximal enhancement was observed when GDC was coadministered in a concentration of 10 mM, resulting in an enhancement ratio of about 2000 for FD4. Using confocal laser scanning microscopy the effects of bile salts on the penetration pathways of hydrophilic compounds were investigated. The uniform distribution of FITC throughout the epithelium was changed by coadministration of 100 mM of bile salt to an increased amount of the fluorescent probe present in the intercellular domains. The intercellular distribution of both FD4 and FD10 was not changed by a low, but effective, concentration of GDC (2 mM, enhancement ratio of 72 for FD4). Increasing the concentration of GDC to 10 and 100 mM resulted in uptake of the fluorescent probe in the epithelial cells. From these results we conclude that the di- and trihydroxy bile salts studied increase the transport of hydrophilic compounds across buccal epithelium in vitro, below 10 mM by increasing the intercellular transport and at 10 mM and higher concentrations by opening up a transcellular route.

Diffusion Rates and Transport Pathways of Fluorescein Isothiocyanate (FITC)-Labeled Model Compounds Through Buccal Epithelium

The aim of this study was to characterize transport of FITC-labeled dextrans of different molecular weights as model compounds for peptides and proteins through buccal mucosa. The penetration of these dextrans through porcine buccal mucosa (a nonkeratinized epithelium, comparable to human buccal mucosa) was investigated by measuring transbuccal fluxes and by analyzing the distribution of the fluorescent probe in the epithelium, using confocal laser scanning microscopy for visualizing permeation pathways. The results revealed that passage of porcine buccal epithelium by hydrophilic compounds such as the FITC-dextrans is restricted to permeants with a molecular weight lower than 20 kDa. The permeabilities of buccal mucosa for the 4- and 10-kDa FITC-dextran (of the order of 10−8 cm/sec) were not significantly different from each other or from the much smaller compound FITC. The confocal images of the distribution pattern of FITC-dextrans showed that the paracellular route is the major pathway through buccal epithelium.

Confocal laser scanning microscopic visualization of the transport of dextrans after nasal administration to rats: effects of absorption enhancers.

AbstractPurpose. To visualize the transport pathway(s) of high molecular weight model compounds across rat nasal epithelium in vivousing confocal laser scanning microscopy. Furthermore, the influence of nasal absorption enhancers (randomly methylated β-cyclodextrin and sodium taurodihydrofusidate) on this transport was studied. Methods. Fluorescein isothiocyanate (FITC)-labelled dextrans with a molecular weight of 3,000 or 10,000 Da were administered intranasally to rats. Fifteen minutes after administration the tissue was fixed with Bouin. The nasal septum was surgically removed and stained with Evans Blue protein stain or DiIC18(5) lipid stain prior to visualization with the confocal laser scanning microscope. Results. Transport of FITC-dextran 3,000 across nasal epithelium occurred via the paracellular pathway. Endocytosis of FITC-dextran 3,000 was also shown. In the presence of randomly methylated β-cyclodextrin 2% (w/v) similar transport pathways for FITC-dextran 3,000 were observed. With sodium taurodihydrofusidate 1% (w/v) the transport route was also paracellular with endocytosis, but cells were swollen and mucus was extruded into the nasal cavity. For FITC-dextran 10,000 hardly any transport was observed without enhancer, or after co-administration with randomly methylated β-cyclodextrin 2% (w/v). Co-administration with sodium taurodihydrofusidate 1% (w/v) resulted in paracellular transport of FITC-dextran 10,000, but morphological changes, i.e. swelling of cells and mucus extrusion, were observed. Conclusions. Confocal laser scanning microscopy is a suitable approach to visualize the transport pathways of high molecular weight hydrophilic compounds across nasal epithelium, and to study the effects of absorption enhancers on drug transport and cell morphology.

Iontophoresis of Poly-L-lysines: The Role of Molecular Weight?

AbstractPurpose. (1) To determine the extent of iontophoretic transport as a function of molecular weight (MW) of the penetrant; and (2) to visually and quantitatively characterize the iontophoretic transport pathways (follicular (F) versus nonfollicular (NF)) of the fluorescently-labeled poly-L-lysines employed. Methods. A series of fluorescently-labeled poly-L-lysines (FITC-PLLs) [4 KDa, 7 KDa and 26 KDa] were used to study the extent and distribution of iontophoretic skin penetration as a function of MW using laser scanning confocal microscopy (LSCM). Results. It was found that, relative to the passive controls, and under the electrical conditions considered, iontophoresis greatly enhanced the penetration of the 4 KDa analog, slightly elevated the delivery of the 7 KDa FITC-PLL, but had no effect on the transport of the larger 26 KDa FITC-PLL. Quantitative analyses of LSCM images revealed that iontophoresis increased transport via F pathways only slightly more than that through NF pathways for the 4 KDa and 7 KDa FITC-PLL molecules. Conclusions. It is visually apparent that the iontophoretic transport pathways taken are importantly determined by the physicochemical properties (including size and charge) of the penetrant. The results presented here demonstrate an inverse dependence of iontophoretic delivery upon the MW of the penetrant.

Visualization of iontophoretic pathways with confocal microscopy and the vibrating probe electrode

Abstract The primary barrier to the permeation of water and charged compounds through mammalian skin is an extracellular lipid matrix in its outermost layer, but skin is traverse by hair follicles and sweat glands, which may act as shunts. Transdermal permeation can be electrically facilitated (iontophoresis), but the pathways of this current flow are not known. We have used a vibrating probe electrode (VPE) to identify and vectorize site-specific ionic flows at the surface of current-clamped mammalian skin. The currents located were primarily appendageal. Laser-scanning confocal microscopy (LSCM) can optically section thick tissues that are sufficiently transparent, do not strongly scatter light, and have low autofluorescence. The permeation pathways of iontophoretically driven fluorescent probes (used as model compounds) were visualized with LSCM in whole, unfixed skin. Transport of charged and polar substances appears to take place primarily via appendageal routes, whereas (non-facilitated) lipophilic fluores travel by paracellular pathways in the stratum corneum, and by both paracellular and transcellular paths in the living layers of the skin. Conventional methods (e.g., TEM) of tissue pathway visualization provide static images of pathways, and sample preparation may substantially modify tissue structure. dynamic information about current flow into and through living skin can be obtained by the VPE and by LSCM.

Transdermal iontophoresis of amino acids and peptides in vitro

Abstract The effects of penetrant properties (lipophilicity and charge) and of vehicle pH on the iontophoretically enhanced delivery of amino acids, their N-acetylated derivatives, and eight tripeptides, of the general structure alanine-X-alanine, have been examined in vitro. The penetrants were (a) 9 amino acids (five were zwitterionic, two positively charged and two negatively charged), (b) four N-acetylated amino acids, which carry a net negative charge at pH 7.4, and (c) peptides which were blocked both at the carboxyl terminus using the mixed anhydride reaction with t-butylamine, and at the amino terminus by acetylation with 14C-acetic anhydride; the central residue (X) was varied widely by selecting one of five neutral amino acids, two negatively chargeable moieties (aspartic and glutamic acids), and a positively chargeable species (histidine). Iontophoresis at constant current (0.36 mA/cm2), using Ag/AgCl electrodes, was conducted across freshly excised hairless mouse skin. The diffusion cells used were designed so that both anode and cathode were situated on the same (epidermal) side of a single piece of skin. Overall, it was found that the results of this research support the principle of enhanced peptide delivery across the skin by iontophoresis.