Abstract
Although transdermal drug delivery is more attractive than injection, it has not been applied to macromolecules because of low skin permeability. Here we describe particular mixtures of penetration enhancers that increase skin permeability to macromolecules (∼1–10 kDa) by up to ∼100-fold without inducing skin irritation. The discovery of these mixtures was enabled by an experimental tool, in vitro skin impedance guided high-throughput (INSIGHT) screening, which is >100-fold more efficient than current tools. In vitro experiments demonstrated that the mixtures delivered macromolecular drugs, including heparin, leutinizing hormone releasing hormone (LHRH) and oligonulceotides, across the skin. In vivo experiments on hairless rats with leuprolide acetate confirmed the potency and safety of one such mixture, sodium laureth sulfate (SLA) and phenyl piperazine (PP). These studies show the feasibility of using penetration enhancers for systemic delivery of macromolecules from a transdermal patch.
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Acknowledgements
The authors acknowledge the technical assistance of Maricella Castaneda, Jeffery O'Neil and Drew Lassen. The authors also thank ISIS pharmaceuticals for providing oligonucleotides and Chemron for providing betaines. This research was funded in part by Cottage hospital research program, Santa Barbara, California, USA.
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The technology described in the paper is licensed to fqubed, in which S.M. is a shareholder.
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Karande, P., Jain, A. & Mitragotri, S. Discovery of transdermal penetration enhancers by high-throughput screening. Nat Biotechnol 22, 192–197 (2004). https://doi.org/10.1038/nbt928
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DOI: https://doi.org/10.1038/nbt928
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