Topical Drug Delivery 1-7 Flashcards
(96 cards)
State the functions of the skin
- Largely they act as a protective barrier against external forces; protects against loss of moisture, microbial infection etc.
- Stabilises blood pressure and temperature (site of heat loss for the body)
- Mediates sensitisation of
- Temperature, touch and pain
State the three main layers of the skin
Epidermis - Dermis - Subcutaneous tissue
What is the hypodermis, What are its thickness factors dependent on?
The hypodermis (the subcutaneous tissue) is a structured fatty layer that exists almost over the whole body. The purpose of this layer is partially to provide protection to the body and also serves as a source of energy
Thickness depends on:
- Sex
- Age
- Endocrine and nutritional status of the person
Describe the dermis
Composed of a matrix of connective tissue, formed of fibrous protein (around 80% collagen and elastin) and also glycosaminoglycan gel (20%), As this is a relatively hydrophilic layer, this is a potential barrier to the absorption of some lipophilic molecules.
It is the site of:
- Blood vessels
- Some Sweat glands
- Hair follicles
What sweat glands are found in the dermis
Eccrine sweat glands
Apocrine sweat glands
Sebacious glands
What does the Eccrine glands secrete?
- These glands secrete a watery fluid with a pH of 4-7 and can secrete roughly 1L per day of fluid.
What do Apocrine glands release?
The apocrine sweat glands secrete a different fluid; milky fluid in nature and is responsible for the “sweat odour”.
Talk to me about the sebaceuous gland
Found around Forehead/face/ear and Middle of the back. Releases Sebum. The sebaceous glands are the site at which acne generally develops. This could potentially be a site for drug delivery into the skin for treating acne conditions. Sebum is a complex mixture of lipids of which lubricate the skin surface and maintains the skin at pH around 5
What is the epidermis?
It’s the top layer of the skin - A major barrier to drug absorption through the skin.
- This thickness of this layer varies depending on the site on the body:
- 0.06mm(eyelids) – 0.8mm(soles of feet)
formed of four distinct layers, and by the time we get to the top layer of the skin, the cells found on the stratum corneum become non-viable/dead cells by the time they are at the top of the skin surface.
Describe the basement membrane
Found at the very base of the stratum corneum. The basement membrane is connected to the rest of the epidermis via hemi-desmosomes. Above the basement membrane is the viable epidermis
describe the viable epidermis
- Formed of: 75-50µm thick, stratified, squamous epithelium; a major component of the stratum corneum being the keratinocytes.
- There are four distinctive strata of which are responsible for keratinocyte differentiation; keratinocytes differentiate as they move up this epidermis layer until they reach the stratum corneum, at which we have non-viable cells.
Name the last of the 4 strata, and explain what is it composed of
stratum basale (just above BM). Consists of 4 viable, active dividing cells
- Keratinocytes - the dominant cell type in the skin structure. At this point, its a viable cell. Later migrates upwards
- Melanocytes (synthesis of melanin free radical scavengers and absorb UV radiation),
- Langerhans cells, capable of antigen binding. So plays an immune role to alert body of foreign species
- Merkel cells involved with skin sensation because associated with nerve endings
Describe the stratum corneum!
(“Horny layer” - Uppermost layer)
This layer forms the main barrier to absorption through the skin; the part of the skin of which is mainly responsible for its barrier properties.
- It is this layer of the skin which prevents water loss or terrestrial animals as well as preventing entry of microorganisms/dirt into the skin.
- Formed of 10µm layer of thick, dead, flattened keratinocytes
In this layer, once the keratinocytes have differentiated up to the upper layer and become fully flattened, with their contents fully extruded – we refer to them as corneocytes. These are very dry cells of which have very low water content compared to other areas of the body
Talk about the Stratum Corneum on a cellular level
- Dead, flattened cells with insoluble keratin bundles in them.
- The intracellular region between the flattened corneocytes is formed of a lipid domain (formed of mostly lipid and some desmosomes which aid cohesion between corneocytes)
what distinguishing feature makes the stratum corneum impenetratable
In terms of a drug passing through the skin it is not as simple as a lipophilic drug being able to cross through three lipidic domains. It will have to move through structured rigid layers of lipids, providing three different layers of differing hydrophobicity. This is the main reason of which the stratum corneum is a principle barrier to penetration and thus drug delivery.
summarise the regions drug penetrate the skin through
what is able to permeate through all levels of skin?
nicotine patch, hormones, fentanyl etc. Able to permeate through all layers of the skin and successfully reach the blood.
Appendages (hair follicles + sweat glands) are sites of delivery for what drugs?
antimicrobials, depilatories, acne treatment/infection of the follicle
what kind of drugs exhibit a local effect?
corticosteroids, cytotoxics, antiviral, antihistamines, anaesthetics (interested in permeating through one layer) – They’re not systemic
What type of drugs are targeted at the Stratum Corneum?
Barriers/repellants, sunscreens, antimicrobials for infections on the surface of skin, antiseptics (e.g. targeting wounds)
For drugs to be delivered successfully to the skin, they need…
Low molecular weight: <500 Da
LogP (octanol/water partition coefficient): 1-3
Low melting point <200˚C
Relatively high solubility
(Need high concentration of drug to maintain the concentration gradient)
>1mg/mL
In order to create a diffusion gradient to encourage transport of the drug through the skin (through this impermeable barrier – the creation of a concentration gradient is extremely important as a driving force to get drugs into the skin)
Advantages of drug delivery to the skin:
- It is a non-invasive dosing mechanism
- Unlike oral dosage forms we can bypass the GI tract and first-pass metabolism
- Allows lower drug doses for topical delivery as we are targeting our site of action
- Minimises any side effects that may occur from systemic administration
- Easy, simple to apply – increase patient compliance, preferred over routes such as injection
- Dosing regimen can easily and promptly be interrupted – we can easily instantly stop the delivery of the drug to the patient if needed
- This type of drug delivery is flexible and versatile – there is a possibility of use as controlled/sustained systemic (e.g. transdermal patches) or localised (dermal) drug delivery.
State the three mechanisms of drug transport to the skin
Shunt (transappendageal) route
Paracellular route
Transcellular route (intracellular)
With the transcellular route, drugs must be able to..
For this route, the drug is going to diffuse through, into the keratinised cell and then diffuse back out again going through the cell layer – in and out of the cells one by one.