Scientists develop new way to deliver more drugs through the skin

Date:
August 4, 2020
Source:
Nanyang Technological University
Summary:
Scientists have showed that applying 'temporal pressure' to the
skin of mice can create a new way to deliver drugs.



FULL STORY ========================================================================== Scientists from Nanyang Technological University, Singapore (NTU
Singapore) and the Agency for Science, Technology and Research (A*STAR)
have showed that applying "temporal pressure" to the skin of mice can
create a new way to deliver drugs.


==========================================================================
In a paper published in Science Advances, the researchers showed that
bringing together two magnets so that they pinch and apply pressure
to a fold of skin, led to short term changes in the skin barrier and specifically the formation of "micropores" underneath its surface.

In tests, they showed that these micropores, of about 3 micrometres in
area, allowed drugs applied on the surface of the skin to diffuse through
it more easily. Six times greater quantity of drug diffused through the
skin of mice with the micropores compared to the skin of mice which did
not receive the temporal pressure treatment.

Lead author of the paper, Dr Daniel Lio, who did this research as
part of his doctoral thesis at NTU's School of Chemical and Biomedical Engineering, Interdisciplinary Graduate Programme, said that while needles
and microneedle injections damage the skin, micropores could pave the
way towards painless transdermal delivery of drugs such as insulin.

"Our research project was first inspired by the traditional Chinese
medicine 'tuina' therapy where physicians rub and apply pressure on
skin and muscle tissue and apply a topical ointment," explained Dr Lio,
who is now working at A*STAR's Enterprise Group.

Going a step further, the joint team which included Prof David Laurence
Becker from NTU Lee Kong Chian School of Medicine and Skin Research
Institute of Singapore; Assoc Prof Wang Xiaomeng from the NTU Lee Kong
Chian School of Medicine, and Assistant Prof Xu Chenjie from the School
of Chemical and Biomedical Engineering, tested the delivery of insulin
through the skin of mice using the new method.



========================================================================== Reducing skin damage and pain from delivering drugs through skin
Experimental results showed that nanoparticles and insulin were
effectively delivered through the skin of mice, at molecular masses up
to 20,000 daltons.

This mass is 40 times the largest currently reported in the scientific literature for transdermal drug delivery (i.e. via patches), which is
500 daltons.

The amount of drug delivered via the temporal pressure method was also comparable to the amount delivered by a microneedle patch -- dozens of
needles smaller than the width of a human hair made from biocompatible compounds, commonly used to deliver small amounts of drugs through the
skin over time.

Compared to conventional injection where the skin has to be penetrated and there is a risk of a hypoglycaemia effect -- when the injected insulin
acts too fast and the patient gets dizzy -- the new method is able to
slowly deliver drugs over time without breaking the skin, thus causing
less pain.



==========================================================================
In experiments, the team also found that with their method, cells in the
skin layer (epidermis) were observed to have an increase in the number of
"gap junctions" and a reduction in "tight junctions." These junctions
control the amount of molecules being delivered between the cells: if
there is an increased expression of gap junctions, more molecules can
be delivered across the cell barrier, while tight junctions restrict
the extracellular movement of molecules.

In the animal experiments, two magnets were used to apply pressure on
the mouse dorsal skin for 1 or 5 minutes, depending on how fast the drug delivery is needed, before being removed and the drug is then topically
applied like a cream.

The team hypothesised that for drugs that need to be delivered more
slowly or in smaller doses -- 1 minute would be sufficient, while for
drugs to be delivered faster, more micropores would be needed, therefore
5 minutes would be required.

The drug was then left for 12 hours before the skin was imaged with
fluorescent microscopy to see to what extent the drug had penetrated
through the skin.

The team compared three types of skin: skin that received pressure
treatment, skin which had not, and skin which had drugs delivered through microneedles.

Skin that received pressure treatment had similar amounts of drug
delivered through the skin to that found with a microneedle patch, while
skin that did not receive the pressure treatment had significantly less
drug delivered.

Micropores were also observed to disappear a day after they were formed,
which suggests that the skin cells have filled up the gaps.

Prof Becker, whose research expertise is in tissue repair and
regeneration, said their paper highlighted the potential to use this
method which could alleviate the need for diabetes patients to inject
insulin multiple times daily using conventional needles and syringes.

"Patients who have to inject drugs daily, such as insulin, are constantly asking whether there is another way to deliver their medicines that
doesn't involve hurting or penetrating the skin. Our new findings hold
promise for them and we hope that we can refine this method so that one
day it may be possible to deliver enough drugs through the skin via a
patch and to rid them of their daily injections," Prof Becker added.

This multidisciplinary project, supported by the Skin Research Institute
of Singapore (SRIS) -- a collaboration between A*STAR, National Skin
Center (NSC) and NTU, took two years and is continuing.

It is also supported by multiple grants from various agencies, which
include A*STAR, SRIS, and the National Medical Research Council.

The team has since filed a patent for a pressure device, which looks like
a vice-like clamp for the skin, through NTU's innovation and enterprise company, NTUtive, and is currently carrying out further experiments to
refine the drug delivery mechanism.


========================================================================== Story Source: Materials provided by
Nanyang_Technological_University. Note: Content may be edited for style
and length.


========================================================================== Journal Reference:
1. Daniel Chin Shiuan Lio, Rui Ning Chia, Milton Sheng Yi Kwek,
Christian
Wiraja, Leigh Edward Madden, Hao Chang, S. Mohideen Abdul Khadir,
Xiaomeng Wang, David L. Becker, Chenjie Xu. Temporal pressure
enhanced topical drug delivery through micropore formation. Science
Advances, 2020; 6 (22): eaaz6919 DOI: 10.1126/sciadv.aaz6919 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2020/08/200804111503.htm

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