In Vitro Skin Permeation Techical
In Vitro Skin Permeation Techical
This paper reviews various techniques used to assess permeation of drugs into and through skin
under in vitro conditions. There have been a wide variety of diffusion cells designed for in vitro mea-
surement of skin permeation. These cells have generally been designed in one of two ways: side-by-side
(bichambers) and vertical in viva mimic diffusion cells. A primary goal of in vitro permeation studies
is the prediction of skin permeation in viva. In this regard, side-by-side diffusional cells arc useful in
delineating mechanisms of permeation under controlled conditions, but are of more limited usefulness
in predicting skin permeation in viva. Vertical cells are more versatile because a wide variety of exper-
imental conditions can he used to gain information useful in the evaluation of formulations ultimately
destined for clinical use. A number of diffusion cell designs are reviewed and some of their advantages
and disadvantages are discussed. In addition to diffusion cells used to assess passive diffusion, ionto-
phorctic- and phonophoretic-enhanced skin permeation in vitro is also considered. Until the use of
differentiated keratinocytes in culture becomes inexpensive and the relationships between skin per-
meation in vitro and in viva are established, skin permeability will be measured using excised animal
or human skin in diffusion cells.
Key words: Percutaneous absorption; Diffusion cells; In vitro techniques; Human skin, Rodent skin
these factors are expanded upon in this review dermis) gave consistently higher permeability
on in vitro skin permeation techniques. when frozen at - I7 “C and subseauentlv thawed
than the same skin samplesexa&ed2prior to
Percutaneous absorption storage. The studies mentioned above used a sin-
gle model permeant and skir.fromoolyone site.
It has also been recommended that glycerol be
used in the storage of frozen skin to inhibit the
formation of ice crystals which can disrupt cell
Ideally, fresh human skin should be used in envelopes [6]. There is considerable variation in
percutaneous absorption studies when research permeability observed within and between spec-
will ultimately lead to clinical applications. While imens [ 7 and references therein]. Interestingly,
it has been difficult to obtain human skin on reg- it was noted that variability in viva was lower on
ular basis, there are LOWcommercial organ sup- average than that observed in in vitm experi-
pliers who provide skin (dermatomed) as they ments [7].
do many other body organs. rnformation re- For most compounds, the stratum corneum is
quired (age, body site, sex, race, cause of death, the primary diffusional barrier toward drugs,
frozen or stored at 4-5’ C) for proper evaluation particularly hydrophilic compounds [ 81.There
of the results obtained using skin is given with may be instances when partitioning of hydro-
each sample. It is possible that skin obtained from phobic drugs from the stratum corneum into the
commercial organ suppliers may be treated with viable tissues may lead to low transdermal fluxes.
a variety of solvents, particularly if the skin is This situation has been addressed theoretically
prepared for cryogenic freezing. Such treatments bv Guv and Haderaft 191. Most drugs are nor-
I , _ __
can lead to extraction of lipids and proteina- mally cleared by the microvasculature, which lie
ceous materials as well as alter phase or confor- close to the stratum corneum at a depth of 150-
mational structures in the skin. Skin thickness 200 pm from the skin surface [IO]. The micro-
can vary considerably and the investigator should circulation begins close to the dermal/epidermal
measure the thickness of the skin prior to per- junction (the average thickness ofthe epidermis
formingpermeation experiments. Removalofthe is approximately 40 to 50 /Irn [ 11 I). Under in
remaining dermis leaving the viable epidermis is vitro conditions, the microcirculation system is
also used by investigators. Generally, frozen skin absent: therefore, an important aspect of proper
obtained from organ donors has limited meta- design of in vitro permeability experiments is the
bolic activity following thawing. ability to ensure skin conditions similar to those
There are a host of physiologic factors that that exist in viva.
must be considered when evaluating the perme-
ability of human skin under in vitro conditions.
Models for human skin
These factors have been reviewed recently by
Siddiqui [ 2 1. One issue is the storage of the skin
prior to use in the in vitro permeability experi- Animal skin
ment. It is common to freeze human skin for
storage until needed for experimental purposes. Researchers have for many years used skin ex-
In one case, it was found that there was no sig- cised from rodents and other animals. Skin from
niticant difference between the permeability of animals is much easier to obtain, the age and sex
human skin stored frozen for over 1 year and the of the animals can be controlled, and large num-
same skin stored without freezing(fresh) 131. bers of samples can easily be obtained. The pri-
Franzhas alsoconcludedthat freezingfor up to mary problem with using rodentskinas a model
3 monthsdoesnot damagethe barrierproperties for human skin is that it can overestimate per-
of excised skin 141. In contrast, Swarbrick et al. meation relative to that in human skin [ 12-171.
[ 51 found that skin (stratum corneum plus epi- This problem is partly associated with the effects
237
prolonged(generally24 h
of hydration wherein Analysis of skin permeability
or longer) exposure of rodent skin (hairless
mouseskin is the most notorious) to aqueous There arc a numberof factorsthat can affect
donorandreceptorphasesbringsabouta marked drug release, uptake into the skin, diffusion
diminutionin the barrierpropertiesof the skin through the skin, and transport of the drug into
[IS]. The primary difference between human the systemic vasculature. The design of a topi-
skin and rodent skin is the lipid composition and cally applied dosage form requires ioformation
organization in the stratum corneum. Some spe- regarding these factors if the dosage is to func-
cies of rodentskinmaybe useful in studying per- tion effectively. Therefore, design ofin vitro per-
meation of compounds ifthe total exposure time meation experiments must permit accurate col-
is I2 h or less. It has been suggested that hairless lection of this information and, if the primary
mouse skin can, when using limited amounts of goal of these experiments is to predict the perme-
acetone, be used to provide relevant guidelines ability of the drug in humans, to duplicate the
for risk assessment calculations and bioavaila- conditions that occur in viva.
bility determinations 1 18) although this conclu- Percutaneous absorption experiments gener-
sion is limited to using acetone in small volumes ally require a specific apparatus such as a side-
to deposit a penetrant onto skin. Interestingly, by-side or flow-through apparatus (see below).
many patents are issued based on data collected In these cases, the appearance of drug in the re-
using rodent skin; it is possible that the utility of ceptor solution or a decline fmm the donor phase,
these patents may be limited in clinical practice. is monitored as a function of time. Data CO&
lected are expressed as permeation profiles. There
Other models are a number of relationships used to describe
the permeation of drugs through skin. While the
A reliable model for human skin has been a basis for these relationships can be very com-
highly desirable goal for a number of years. The plex, it has been foundthat the amountof drug
goal remains elusive: nonetheless, significant ad- permeating through skin over time can be de-
vances are being made in the area of tissue cul- scribed in a reasonably straightforward manner.
ture. For example, human keratinocyte cultures The amount of drug appearing in the receptor
grown at the air-liquid interface have been found fluid when using diffusion cells with an infinite
to develop substantial barrier properties to water dose can be described with the following rela-
diffusion [ 191, Reconstructed human epidermis tionship [23 1:
has been used to examine the nitroglycerin and
sucrose permeability 1201. Houk and Guy have M,=C,K,d
reviewed the literature on various membrane
models such as eggshell membranes, composites,
laminates, zeolites, silastic and organic liquid
membranes [21]. Reconstituted stratum cor- where M, is the amount of drug passing through
neum tilms have also been examined as a poten- a unit area of the skin in time, I, from a drug sat-
tial model for skin transport [221. However, urated delivery system; C, is the concentration
preparation of a reconstituted membrane using of the diffusing material just within the mem-
a surf&ant to disaggregate stratum corneum into brane surface (usually taken as the concentra-
cells requires intact human skin, which could be tion in the vehicle). K. is the skin/vehicle oar-
used directly in permeabilityexperiments.At iition coefficient, 0, is%Ibsion cokflicient, &d
present,the mostcommonmeansto evaluatethe d is the diffusionalpath length.BecauseD, rep
in vitro permeabihfyof skin involvesthe use of resentsthe net propenicsof the variousstrataof
excised human skinobtainedduringplasticsur- the skin, it is an apparentdiirusioncoelficient.
gery or cadavers and from common laboratory Using Eq. I, it is possible to schematically rep-
animals such as rodents. resent the appearance of drug in the receptor fluid
238
of in vitro permeation cells (Fig. I ). The utility as a single term called the permeability coeffi-
of Eq. 1 is limited in practice. The permeation of cient, P, such that:
drug through skin gradually increases until a
steady-state condition is reached where I&co so
that&. I can be rewritten in a more usable form:
Using a #mposite term such as P, it is easier
to describe the relative effects of changes in a
formulation as it is difficult to identify specific
which describes the amount of drug penetrating changes in diffusivity, partitioning, and path
per unit time under steady-state conditions (the length. II should be noted that skin is a hetero-
linear portion of the curve in Fig. 1). The steady- geneous membrane and hence a variety of sim-
state flux is obtained from equation 3 by differ- plifying assumptions have been made in the der-
entiating M, with respect to t: ivation of the above equations. The validity of
these assumptions is the subject of research in the
area of skin permeation. Osborne [24] has de-
scribed a number of ~mpu~~ional methods
us&l in predicting skin permeability.
The lag time, &, can be used to estimate DSby Ideally, the in vitro permeation experiments
extrapolating the linear portion of the cumnla- should provide accurate data to permit determi-
ti,ve penetration curve to the axis where drug re- nation of parameters such as lag time, permea-
lease=O, such that: bility coefficient, apparent diffusion coefli-
cicnts, and the amount of drug permeating
through the skin over time at steady state. The
most common technique used to gather this type
of data involves diffusion c&s. The following
ivhere BS is an apparent value because of as-
section describes various diffusion cells used and
sumptions concerning the length of the permea-
some advantages and disadvantages of each.
tion pathway through the skin.
It is commcm to express l&D,/6 of equation 4
Diffusion cells for measuring skin
permeation in vitro
problem in several types of diffusion cell design. mg/l or less may demonstrate limited partition-
Controlling the temperature has been accom- ing in vitro in aqueous receptor solutions.
plished using water-jackets or simply submerg- A technique used to obviate the problem of
ing the entire cell assembly into a water bath. poor in vitro/in viva correlation when using full
Temperature gradients can be introduced if the thickness skin in vitro to evaluate hydrophobic
membrane flange is not properly heated; such compounds is the addition of sohtbilizing agents
temperature gradients could be exacerbated by to the receptor solution, Examples of useful sol-
systems with incomplete fluid agitation. How- ubilizing agents include PEG-20 oleyl ether, oc-
ever, small temperature variations will probably toxynol-9 (T&on X-100) [27], bovine serum
not significantly affect relative rates of albumin (3% in buffer) [32], Poloxamer 188
penetration. [33],PEG400 [34],andethanoI [35].Anim-
A key concern in the use of diffusion cells is portant requirement ofsolubilizingagents is that
whether there is sufficient agitation to prevent they must not alter the inherent permeability
local concentrations of drug and to minimize . .
orooerties of the skin. The addition of PEG 400
static diffusion boundary layers. The goal, as far to the receptor solution reportedly leads to a sig-
as possible, is to maintain sink conditions during nificant alteration of the inherent barrier prop-
the experiment. It has been shown that as agita- erties of human skin [ 361. Also, methanolic and
tion in the receptor phase increases, the thick- ethanohc receptor solvents can damage full-
ness of the unstirred boundary layer decreases: thickness rat skin in vitro as assessed by variable
the permeation rate therefore increases [ 25,263. cortisone fluxes [27]. It has been suggested that
Sufftcient agitation of the receptor fluid can isopropyl myristate is a potential receptor-phase
minimize the unstirred boundary layers, thereby solttbilizing agent [ 371. While certain properties
minimizing diffusional resistance. Under in viva (bipolarity, inertness) make isopropyl myristate
attractive as a solubilizing agent, it is immiscible
conditions, it is generally assumed that diffu-
with water, can potentially extract lipophilic
sional boundat,y layers in dermal capillaries are
components of skin, and has been found to in-
insignificant. The calculation of diffusion coef-
crease the flux of theophyliine in propylene gly-
ficients will include a contribution from the
co1 following pretreatment of hait!% mouse skin
boundary layer barrier and hence result in an ap-
parent diffusion coefficient. [38,39]
Hydration is another variable to consider in
The problem of boundary layer effects can be
long-term permeation experiments under in vi-
exaggerated when relatively hydrophobic drugs
tro conditions. While some studies have found
and chemicals are studied in vitro. When full-
the effects of hydration in long-tetm permeation
thickness rodent skins are used in in vitro per- experiments to be negligible [ 38,401, other stud-
meation experiments, the results indicate that ies have demonstrated that certain rodent skins,
permeation is underestimiated compared with in particular hairless mouse skin, are susceptible
that observed in viva [27-291. It has been hy- to hydration leading to changes in permeation
pothesized that compounds of low water solubil- rates over time [ 11,18,41].
ity have low partition coefficients from the lipoi-
da1 domains of the stratum comeum and the Diff&ion cells for measuring in vitro permeation
aqueous environment of the viable epidermis or
the aqueous receptor fluid [27]. Low partition A myriad of cell designs have been used over
coefftcients lower the overall permeation rate ac- the past 30 years. However, most designs fall into
cordingly. In viva, the drug is absorbed by the one of two general categories: side-by-side diffi-
blood in capillaries that lie at a depth of about sion cells and in viva mimic diffusion cells. The
I50-200pm from the surface ofthe skin [30,31]. examples provided herein are far from exhaus-
Bronaugh and Stewart [27] have suggested that tive: they were chosen to illustrate some of the
compounds having an aqueous solubility of IO basic design considerations and some potential
problems encountered during the routine use of
diffusion cells for in vitro skin oermeation
While many of the features of this side-by-side called Valia-Chien cell, hasbeen studied exten-
are well-suited for assessing skin permeation un- sively by Chien and coworkers [44-46). These
der in vitro conditions, the complexity of the de- cells are composed of two identical horizontal
sign (motors, shafts, cogs) make the widespread chambers, 0.9 cm in diameter and 3.8 cm in
use of this system limited despite its advantages leasth: the stoppered sampling ports are vertical
over many other in vitro diffusion cells. (see Fig 5). The active surface arca, suf~ciently
Another de&n for s&&v-side diffnsjon ceils small for use with biomembmaes such as human
is shown in Fig.4 149] Twdglass chambers with skin, is 0.64 cm’. As can be seen in Fig. 5. the
a relatively smalt diffusional area are tempera- cylindrical portions of the ceils are enclosed in a
ture-controlled by immersion in a water bath. water jacket although the membrane connecting
Both chambers arc stirred with Teflon-coated flange is open to ambient temperatures. Fluid
magnetic bars; a magnetic stirrer is positioned mixing is reduced in the constricted region of the
below the side-by-side cell system to produce flange; however, mixing and temperature equi-
synchronous stirring of the bars in tsth cells. AS librium are reached relativelv ranidlv in this cell.
with the example shown in Fig. 3, the membrane As noted by Smith and Naigb [37],ihedesignof
can be supported with a stainless steel mesh. This cehs as shown in fig 5 has led to the apparent
mesh can &so be used to prevent distention of requirement of a computational correction to ac-
the membrane ifthe receptor chamber is used to count for the nonideal design. Again, such cor-
measure vapor diffusion through skin [ 501. Re- rections lead to, at best, only minimal changes in
ceptor and donor sampling is accomplished, the interpretation of data obtained with Valia-
through ports located on each chamber; each port Chien diffusion cells.
can be sealed with Pamfilm if needed. Depend- A combination ofa magnetically-stirred donor
ing on the height of the fluid in the sampling chamber and a flow-through receptor c!ramber
ports, mixing may be inadequate if a substantial has aiso been developed [ 511 (seeFig. 6). A
portion of the receptor (or donor) solution is unique feature of this design is the location of
within the sampling port. the receptor fluid inlet positioned at the center
Another side-by-side diffusicn cell, the so-
Diffuusiicncells designed to mimic in viva
conditions
Acknowledgement
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