Got you under my skin
Nature Biotechnology pp 192 - 197
An approach for rapidly screening and identifying combinations of chemicals that can penetrate the skin could make medicine by patch, rather than pill, more common. Skin patches are in widespread use for combating nicotine addiction or delivering contraceptive hormones, but most drugs have to be popped in the mouth or injected by needle. What's more, few approved chemicals are available to drug makers that can help therapeutics permeate skin. In the February issue of Nature Biotechnology, Samir Mitragotri and colleagues describe a large-scale screen that can find combinations of chemicals capable of transporting medicines across the skin.
The skin is a protective barrier that usually prevents protein drugs from crossing it. Scientists have discovered chemicals that enhance protein transport across the skin, but the chemicals that do this best are also likely to cause skin irritation. Mitragotri and colleagues have found that combinatorial screening can identify rare combinations of chemicals that improve drug delivery across the skin while minimizing irritation. Two chemicals are better than one because each can act on a different layer of the skin, allowing smaller doses to be used.
Protein drugs cannot generally be delivered in the form of pills because the proteins are broken down in the intestinal tract. Skin patches, once optimized, would avoid the need for delivery by injection, with the associated pain and risk of infection.