Spatial distribution of cutaneous
microvasculature and local drug
clearance after drug application on the skin
Gregor Cevc, Ulrich Vierl
Journal of Controlled Release 118 (2007) 18–26
Abstract:
We analysed quantitatively blood microvessels distribution in normal
skin. We conclude that the segmental area of blood vessels peaks approximately
0.1 mm below the skin surface, where the upper cutaneous blood plexus
resides. Total blood vessels area then decreases quasi-exponentially to
a depth of approx. –0.75 mm, with a decay length of ~0.1 mm, which
is site and skin condition dependent, but at greater depths the decrease
is approx. 6-times less steep. The corresponding permeability sink exhibits
a similar, but superficially steeper, depth-profile. The lateral localisation
of superficial blood vessels is such that ensures maximum diffusion from
and into the capillaries, which affects transdermal drug delivery: each
hairpin-like loop is in the centre of a papilla that corresponds to a
cluster of corneocytes surrounded by main diffusion pathways. The aggregate
area of blood vessels in the skin is ³2.5-fold greater than total
organ surface area under normal physiological conditions. The molecules
diffusing through the skin barrier are thus largely cleared in outermost
20% of the organ, which may create a drug concentration maximum in the
dermis, if clearance increases significantly with time. Skin microdialysis
data are therefore extremely sensitive to cutaneous blood flow (distribution)
and sampling. Skin microvasculature and its distribution must consequently
be considered in all topical or transdermal drug transport studies, for
example, by including suitably formulated clearance term into generalised
diffusion equation.
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