Ultra-high efficiency of drug and peptide transfer through
the intact skin by means of novel drug-carriers, Transfersomes
G. Cevc, A. Schätzlein, D. Gebauer, and G. Blume
Medizinische Biophysik, Urologische Klinik und Poliklinik,
Klinikum r.d.I. Technische Universität München, Ismaningerstr. 22, 8000
München 80, Germany
In: Prediction of Percutaneous Penetration. (Bain, K.
R., Hadgkraft, J., W. J. James, K. A. Water, eds.), STS Publishing, Cardiff,
1993, Volume 3b, pp 226-234.
In order to penetrate efficiently through the permeability
barrier lipid vesicles should be flexible enough to ensure that the energetic
cost of their elastic deformation will be smaller than the work that can
be delivered by the penetration-driving force. Dermally applied standard
lipid vesicles do not fulfil this requirement. High vesicle penetration
rates, consequently, can only be achieved by using specially designed,
ultraflexible drug carriers, Transfersomes.
Transepidermal lipid concentration gradients can only drive
very small material fluxes across the intact skin (< 1 ng h^-1 cm^-2).
Such gradients, consequently, are of little practical value in the context
of drug delivery. It is predominantly the water-concentration gradient
in the upper skin layers which may push noticeable amounts of the superficially
applied lipid vesicles into the dermis provided that the carrier deformability
is high enough. The simplest highly deformable vesicles, Transfersomes,
consist of a common phospholipid mixed with an edge-active component.
The elasticity of the resulting optimised mixtures may be up to three
orders of magnitude higher than for the standard lipid vesicles, liposomes.
This explains why Transfersomes in contrast to liposomes can be used for
the non-invasive transdermal agent delivery. For the same reason skin
occlusion may block entirely the vesicle penetration into the depth of
the skin.
The efficacy and the depth of lipid vesicle penetration
in the intact skin are strongly affected by the carrier type and composition.
They also depend on the applied carrier dose. Standard vesicles made from
nearly pure phosphatidylcholine at all applied doses only bring insignificant
amounts of their associated material across the intact skin. Transfersomes
applied at small doses permeate across the skin rather inefficiently.
Only when ultraflexible vesicles with an optimal composition are applied
in sufficiently high but not excessive quantities they can transport up
to 95% of their associated lipid mass into and through the intact horny
layers. This offers means for the non-invasive drug delivery in humans
and animals.
Multilitre quantities of sterile, well defined Transfersomes
containing therapeutic agents can be-and have been-prepared relatively
easily. It therefore should be not before long that the corresponding
drug formulations will have found their way into clinics to be tested
for the widespread usage.
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