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Transdermal drug delivery with a pressure wave.
Apostolos G Doukas1, Nikiforos Kollias
1Department of Dermatology, Wellman Laboratories of Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. adoukas@partners.org
Advanced Drug Delivery Reviews
|March 17, 2004
Summary
Intense laser-generated pressure waves non-invasively permeabilize skin layers, enabling drug delivery. This method effectively transports macromolecules and achieves systemic effects, like glucose reduction, with full skin barrier recovery.
Area of Science:
- Biophysics
- Dermatology
- Drug Delivery
Background:
- Stratum corneum (SC) presents a significant barrier to transdermal drug delivery.
- Intense laser radiation generates unique pressure waves distinct from ultrasound or cavitation.
- Understanding pressure wave interactions with biological tissues is crucial for novel therapeutic applications.
Purpose of the Study:
- To investigate the potential of laser-induced pressure waves for permeabilizing the stratum corneum and cell membranes.
- To characterize the effects of pressure waves on tissue and evaluate their suitability for drug transport.
- To demonstrate the feasibility of systemic drug delivery using pressure wave technology.
Main Methods:
- Generation of high-amplitude, nanosecond-duration pressure waves using intense laser radiation.
- Application of pressure waves to skin models to assess stratum corneum and cell membrane permeabilization.
- In vivo administration of insulin via pressure wave-mediated delivery to evaluate systemic effects.
Main Results:
- A single pressure wave application was sufficient to permeabilize the SC, allowing macromolecule transport into the epidermis and dermis.
- Delivered drugs, such as insulin, successfully entered the vasculature, producing a sustained systemic effect (e.g., reduced blood glucose).
- Pressure wave application was found to be painless, and the SC barrier function consistently recovered post-treatment.
Conclusions:
- Laser-induced pressure waves offer a non-invasive method for enhancing transdermal drug delivery.
- This technology facilitates the transport of macromolecules and achieves systemic drug effects without compromising skin integrity.
- Pressure wave technology holds promise for painless and effective drug delivery systems with reliable barrier recovery.