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PERMEATION
Skin
Skin:
Skin is a large multilayered organ. It is far more than just the
outer covering of human beings. It is an organ just like heart,
lung or liver.
Epidermis
Dermis
Hypodermis (subcutaneous fatty layer or superfacial fascia)
Anatomy of Skin
Epidermis: Epidermis is the outermost skin layer an comprises
of stratified squamous epithelial cells. The main function of
epidermis is
Protection
Absorption
Homeostasis
The stratum corneum or horny layer consists of dead keratinized cells in stratified layers
with a density of about 1.4 -1.55 g/cm3. Hence it is also referred as stratum compactum. Because
of this dense nature, it acts as a barrier for inward or outward movement of chemical substance
making it impenetrable.
The keratinized squamous cells of stratum corneum are linked by intercellular bridges.
The lipid rich intercellular space in the stratum corneum contains lamellar matrices of
alternate hydrophilic and lipophilic bilayers formed during keratinization. Hence this
region is tough as well as flexible and coherent.
The stratum corneum is hygroscopic and its thickness is hygroscopic and its thickness increases to
40 -50 micron when hydrated. Chemically stratum corneum is 75-80% protein, 15-20% lipid and
15% water. Stratum corneum is covered by an acidic film of pH 4 – 6.5, made up of emulsified lipids.
Anatomy of Skin
Viable Epidermis: beneath the stratum corneum are the metabolically active layers of
the epidermis. These germinal layers just above the dermis start their mitotic activity
upward to the surface. They flatten and shrink and slowly die because of lack of
nutrition and oxygen.
Cells at the basement of the stratum corneum contain high water activity where as at the
surface there is low water activity. As a result water diffuses out through the skin leading
to water loss called as insensible perspiration.
Stratum lucidum
Stratum granulosum
Stratum spinosum
Stratum basale
Apart from keratinocytes, epidermis also consists of other cells Langerhan cells, Merkel
cells and melanocytes. These melanocytes secrete pigment granules that give the
human race their unique coloration.
Anatomy of Skin
Dermis: dermis is a gel structure situated between epidermis and
subcutaneous fat. It is complex structure comprising of fibers, collagen,
reticulum and elastin protein in mucopolysaccharide gel called as
ground substance.
Skin appendages:
Hair follicles and their associated sebaceous glands (pilosebaceous glands), sweat glands
(eccrine and apocrine) and nails are considered as skin appendages. Hair follicles are
distributed over the entire skin surface with exception of sole, palms and lips. The
density varies from 250 follicles / sq cm for scalp and 50 / sq cm for other areas.
Human hair consists of compacted keratinized cells formed by follicle. Sebaceous glands
empty into follicle to form pilosebaceous units. The human hair, follicles are surrounded
by sensory nerves.
Sebaceous glands population in the scalp face and anogenital area can vary from 400 –
900 / sq cm and less than 100 / sq cm in other areas. Sebaceous glands are supplied with
blood vessels. Sebaceous glands secrete sebum. Sebum is comprising of lipids (squalene,
triglycerides, wax esters, cholesterol) which is secreted out through pilosebaceous canal
via duct. Blockage to the surface causes bacteria Propionibacterium acne to multiply
thereby causing acne.
Anatomy of Skin
Sweat glands: are of 2 types eccrine and apocrine. Apocrine
glands are secretory but not responsive to thermal stimulation.
Apocrine glands are located in the axillae and anogenital
regions. Eccrine glands (salty sweat glands) equipped with blood
supply and found over entire body. They are coiled secretory
glands extending from dermis to epidermis.
Containment: Protect the body’s internal living tissues and organs and holding
them. The containment function relates specifically to ability of skin to confine
underlying tissues and movements. This function is contributed from tough and
fibrous dermis. The skin is taut at resting position but when in motion it is
extensible.
While designing transdermal dosage form, one must take into account the permeability
nature of the skin membrane and desired effect (local or absorption) of the dosage form
in question.
The drug may diffuse freely in an uncombined form with a kinetic energy appropriate to
its thermal environment, or alternatively, it may travel in combination with extracellular
or cellular constituents. These processes sometime allow the complexes or molecules to
overcome the barrier to simple diffusion.
Five different types of transport processes and their characteristics are summarized
further on
Passive Transport
Ionic or Electrochemical Diffusion
Facilitated Diffusion
Active Transport
Pinocytosis.
Passive Transport
In this type of transport process, molecules in solution move in random
fashion, provided they are not charged and moving in an electrical
ingredient. Such random movement is called diffusion. If the molecule is
uncharged, it is called nonionic diffusion. In this type of movement, the net
movement is from higher to lower concentration and is proportional to the
concentration gradient.
Active Transport
This transport process is defined as energy-dependent movement of drugs against an
electro-chemical gradient. The process is characterized by transportation from lower to
higher electro-chemical activity. This type of movement approaches an asymptote
(saturable) as concentration increases. This system is required for transport of
anticancer drugs across cell membranes. Some drugs are also secreted from renal tubules
into urine, liver cells into bile, and cerebrospinal fluid into blood by this process.
Pinocytosis
In this process, the cell membrane invaginates into a saccular structure containing
extracellular material and then pinch off the saccule at the membrane. In this way, the
saccule remains as a vesicle or vacuole inside the cell. This process is normally slow and
inefficient except in GI absorption of macromolecules and larger particles.
Percutaneous absorption
Penetration of drugs through skin or percutaneous absorption is defined as the
penetration of substances into various layers of skin and permeation across the
skin into systemic circulation.
The percutaneous absorption is a stepwise process and can be divided basically
into three steps:
Penetration: - This is the entry of a substance into a particular layer.
Permeation: - This is the permeation from one layer into another, which is
different both functionally and structurally from the first layer.
Absorption: - This is the uptake of a substance into the systemic circulation.
a constant rate of drug permeation can be obtain when Cd >> Cr i.e., the drug concentration at
the surface of the stratum corneam (Cd) is consistently and substantially greater than the drug
concentration in the body (Cr).
And the rate of skin permeation (dQ/dt) is constant provide the magnitude of Cd remains
fairly constant throughout the course of skin permeation. For keeping Cd constant, the drug
should be released from the device at a rate (Rr) that is either constant or greater than the rate
of skin uptake (Ra) i.e., Rr >> Ra
Dissolution of drug in
vehicle
Rskin = Rsc + Re + R pd
Greater resistance to diffusion of drug is met in stratum corneum and this becomes rate
limiting step for Percutaneous absorption. The resistance of a layer to permeation is
proportional to thickness and inversely proportional to diffusion coefficient, partition
coefficient (capacity of layer to solubilize the substance) and area of membrane through
which diffusion is taken place.
Ri = Hi
------------------
Fi x Di x Ki
•This medicated polymer matrix is then molded into disc with definite surface area &
thickness.
•Drug polymer reservoir disc is then mounted on occlusive base plate then into
compartment made of impermeable plastic backing.
•Unlike the first system, where the adhesive is applied directly on the surface of disc. Here
in this system adhesive polymer is applied along the circumference of the patch to form a
strip or rim of adhesive surrounding the medicated disc.
•The rate of drug release from this polymer matrix drug dispersion type TDD is given by
•dQ Ld Cp Dp 1/2
------- = ------------------ Ld = drug loading dose, Cp & Dp solubility & diffusivity of
dt 2t drug in the polymer matrix
•4.Polymeric membranes:
These kinds of membranes are usually used for in vitro release testing (IVRT). According to
the FDA SUPAC-SS (May 1997), any “appropriate inert and commercially available synthetic
membranes such as polysulfone, cellulose acetate/nitrate mixed ester,” ... “of appropriate size
to fit the diffusion cell diameter” . can be used. Usually hydrophilic polymeric membranes
with a pore size of 0.45 μm are used.