{"title":"微针经皮给药的安全性","authors":"Hiep X. Nguyen","doi":"10.4172/2329-6887.1000e172","DOIUrl":null,"url":null,"abstract":"Volume 6 • Issue 2 • 1000e172 J Pharmacovigil, an open access journal ISSN: 2329-6887 Transdermal delivery is an attractive route of administration, allowing the therapeutic agents to bypass first pass-hepatic metabolism to minimize the drug toxicity and enhance the treatment efficacy, especially for drugs that are unstable in the acidic environment in the stomach or those cause irritation in the gastrointestinal tract [13]. Despite these advantages, a drawback is observed in skin delivery: numerous drugs have extremely low skin permeability due to the outermost lipophilic stratum corneum layer of skin. Passive diffusion is generally limited to small molecules (molecular weight less than 500 Da) with a low dose (highly potent), and moderate lipophilicity (log P 1-3) [2-5]. The drug delivery can be enhanced by optimizing the drug formulations or disrupting the skin barrier function using either chemical penetration enhancers or physical enhancement technologies including microneedles, laser, sonophoresis, iontophoresis, and thermal energy [6,7]. Microneedles application is a minimally invasive, cost-effective, and patient-compliant technique to significantly enhance the drug delivery into and across skin [8-10]. Upon being inserted into the skin, microneedles disrupt the stratum corneum and penetrate the epidermis layer to create interstitial fluid-filled and micronsized channels in skin. These microchannels allow the penetration of therapeutic agents of any size (monoclonal antibody, vaccines, proteins and peptides, microparticles, and cosmeceuticals) [8,11-13] without causing irreversible damage to skin, irritation, or infection [14-16]. The safety of microneedles could be evaluated on various factors including pore closure, potential infection, risk of bleeding, local reactions, needle breakage, biocompatibility of needle materials, concerns related to microneedles reuse, and safe disposal.","PeriodicalId":16958,"journal":{"name":"Journal of Pharmacovigilance","volume":"103 1","pages":"1-2"},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Safety of Microneedles for Transdermal Drug Delivery\",\"authors\":\"Hiep X. 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The drug delivery can be enhanced by optimizing the drug formulations or disrupting the skin barrier function using either chemical penetration enhancers or physical enhancement technologies including microneedles, laser, sonophoresis, iontophoresis, and thermal energy [6,7]. Microneedles application is a minimally invasive, cost-effective, and patient-compliant technique to significantly enhance the drug delivery into and across skin [8-10]. Upon being inserted into the skin, microneedles disrupt the stratum corneum and penetrate the epidermis layer to create interstitial fluid-filled and micronsized channels in skin. These microchannels allow the penetration of therapeutic agents of any size (monoclonal antibody, vaccines, proteins and peptides, microparticles, and cosmeceuticals) [8,11-13] without causing irreversible damage to skin, irritation, or infection [14-16]. 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引用次数: 3
摘要
J Pharmacovigil,开放获取期刊,ISSN: 2329-6887透皮给药是一种很有吸引力的给药途径,它可以使药物绕过第一经肝代谢,最大限度地减少药物毒性,提高治疗效果,特别是对于那些在胃酸性环境中不稳定或引起胃肠道刺激的药物[13]。尽管有这些优点,但在皮肤输送中也存在一个缺点:由于皮肤最外层的亲脂性角质层,许多药物的皮肤渗透性极低。被动扩散通常局限于小分子(分子量小于500 Da),具有低剂量(强效)和中等亲脂性(log P 1-3)[2-5]。可以通过优化药物配方或使用化学渗透增强剂或物理增强技术(包括微针、激光、声透、离子透和热能)破坏皮肤屏障功能来增强药物的传递[6,7]。微针的应用是一种微创、成本效益高且符合患者要求的技术,可显著增强药物进入和穿过皮肤的能力[8-10]。微针一插入皮肤,就会破坏角质层,穿透表皮层,在皮肤中形成充满液体的微型通道。这些微通道允许任何大小的治疗剂(单克隆抗体、疫苗、蛋白质和多肽、微粒和药妆品)渗透[8,11-13],而不会对皮肤造成不可逆转的损伤、刺激或感染[14-16]。微针的安全性可以从孔隙闭合、潜在感染、出血风险、局部反应、针头断裂、针头材料的生物相容性、与微针重复使用有关的问题以及安全处置等多种因素进行评估。
Safety of Microneedles for Transdermal Drug Delivery
Volume 6 • Issue 2 • 1000e172 J Pharmacovigil, an open access journal ISSN: 2329-6887 Transdermal delivery is an attractive route of administration, allowing the therapeutic agents to bypass first pass-hepatic metabolism to minimize the drug toxicity and enhance the treatment efficacy, especially for drugs that are unstable in the acidic environment in the stomach or those cause irritation in the gastrointestinal tract [13]. Despite these advantages, a drawback is observed in skin delivery: numerous drugs have extremely low skin permeability due to the outermost lipophilic stratum corneum layer of skin. Passive diffusion is generally limited to small molecules (molecular weight less than 500 Da) with a low dose (highly potent), and moderate lipophilicity (log P 1-3) [2-5]. The drug delivery can be enhanced by optimizing the drug formulations or disrupting the skin barrier function using either chemical penetration enhancers or physical enhancement technologies including microneedles, laser, sonophoresis, iontophoresis, and thermal energy [6,7]. Microneedles application is a minimally invasive, cost-effective, and patient-compliant technique to significantly enhance the drug delivery into and across skin [8-10]. Upon being inserted into the skin, microneedles disrupt the stratum corneum and penetrate the epidermis layer to create interstitial fluid-filled and micronsized channels in skin. These microchannels allow the penetration of therapeutic agents of any size (monoclonal antibody, vaccines, proteins and peptides, microparticles, and cosmeceuticals) [8,11-13] without causing irreversible damage to skin, irritation, or infection [14-16]. The safety of microneedles could be evaluated on various factors including pore closure, potential infection, risk of bleeding, local reactions, needle breakage, biocompatibility of needle materials, concerns related to microneedles reuse, and safe disposal.