20.08.2013 Views

Monteiro-Riviere NA - College of Veterinary Medicine

Monteiro-Riviere NA - College of Veterinary Medicine

Monteiro-Riviere NA - College of Veterinary Medicine

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Comparative Anatomical Factors<br />

Affecting Topical Delivery<br />

Nancy A. <strong>Monteiro</strong>-<strong>Riviere</strong>, Ph.D., Fellow ATS<br />

Pr<strong>of</strong>essor <strong>of</strong> Investigative Dermatology and Toxicology<br />

Center for Chemical Toxicology Research and Pharmacokinetics<br />

Department <strong>of</strong> Clinical Sciences<br />

<strong>College</strong> <strong>of</strong> <strong>Veterinary</strong> <strong>Medicine</strong><br />

North Carolina State University<br />

Raleigh, NC, 27606, USA<br />

Phone: (919) 513-6426 Fax: (919) 513-6358<br />

Nancy_<strong>Monteiro</strong>@ncsu.edu


Why talk about skin ?<br />

• Most visible organ in the body<br />

• Complexity <strong>of</strong> biology inherent to this “barrier<br />

organ” is <strong>of</strong>ten underestimated<br />

• Target <strong>of</strong> multi-billion dollar cosmetic industry<br />

• Skin is also a portal for entry <strong>of</strong> topically applied<br />

chemicals


Biological Functions <strong>of</strong> Skin<br />

• Physical and metabolic barrier to the environment :<br />

stratum corneum<br />

• Thermoregulation : hair and fur, apocrine and eccrine<br />

sweat glands, sebaceous glands and blood flow shunts<br />

• Mechanical Support : collagen and water<br />

• Endocrine (e.g., vitamin D)<br />

• Neurosensory reception<br />

• Immunologic responses : keratinocytes, Langerhans cells<br />

• Metabolism, Biotransformation<br />

• Uniquely exposed to UV light – sunburn


Cutaneous Biotransformation<br />

• Although P450 activity is less in skin, it can have a<br />

pr<strong>of</strong>ound effect on bioavailability<br />

• Phase I and II occur in basal layer<br />

• Applications<br />

• Prodrugs: conversion <strong>of</strong> lipid ester to free drug<br />

• detoxification <strong>of</strong> pesticides (parathion)<br />

• bioactivation <strong>of</strong> toxicants (benzo(a)pyrene)<br />

Minimal work published on species differences in<br />

absorption related to biotransformation!


Overview<br />

• Potential pathways for absorption<br />

• Species differences<br />

• Regional differences<br />

• Experimental model systems<br />

• Disease and alteration <strong>of</strong> the barrier


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Comparative Anatomy, Physiology, and Biochemistry <strong>of</strong> Mammalian Skin.<br />

In Dermal and Ocular Toxicology: Fundamentals and Methods (Ed. DW Hobson). CRC Press,<br />

Inc., New York, New York, Chapter 1, pp. 3-71, 1991.


Anatomical Considerations<br />

• Primary barrier to drug absorption is the stratum<br />

corneum<br />

• Composed <strong>of</strong> dead keratinocytes embedded in a lipid<br />

matrix, through which most drugs are absorbed<br />

• Lipid matrix excreted by cells in lower layer<br />

• Basal layer consists <strong>of</strong> viable keratinocytes which<br />

migrate to surface and are ultimately shed. Other cell<br />

types present:melanocytes, Merkel cells, Langerhans<br />

cells, etc.)<br />

• Dermis and vasculature


Menon and Fartasch. Structure and Functional Correlations <strong>of</strong> Skin Barrier. In Toxicology <strong>of</strong> the Skin-Target<br />

Organ Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapt. 10, 110-130, 2010.


Menon and Fartasch. Structure and Functional Correlations <strong>of</strong> Skin Barrier. In Toxicology <strong>of</strong> the Skin-Target<br />

Organ Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapt. 10, 110-130, 2010.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>. Structure and Function <strong>of</strong> Skin. In Toxicology <strong>of</strong> the Skin-Target Organ<br />

Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol . 29, Chapter 1, 1-18, 2010.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>. Structure and Function <strong>of</strong> Skin. In Toxicology <strong>of</strong> the Skin-Target Organ<br />

Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapter 1, 1-18, 2010.


Interactions Between Solutes and Intercellular Lipids<br />

Grice, Zhang, Roberts. Chemical Structure- Skin Transport Relationships. In Toxicology <strong>of</strong> the<br />

Skin-Target Organ Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapt.<br />

6, 55-68, 2010.


Composition and Orientation <strong>of</strong> Stratum Corneum Lipids<br />

are Important Determinants <strong>of</strong> Barrier Function


Skin: PORTAL <strong>of</strong> Entry and TARGET for Toxicity<br />

IL-8, TNF α, Others<br />

SYSTEMIC EFFECT


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong> and <strong>Riviere</strong> JE: Skin Toxicology In Toxicology, (Eds. H Marquardt,<br />

S Schafer, R McClellan, F Welsch), Academic Press, San Diego, CA, Chapt. 18, 439-457, 1999.


Target for immune localization and potential<br />

lymphatic transport are Langerhans cells located<br />

just beneath stratum corneum<br />

Absorption pass the epidermis is NOT required for a toxicological<br />

response. The same can be said for skin carcinogens.


AUTOPOIESIS<br />

Menon and Fartasch. Structure and Functional Correlations <strong>of</strong> Skin Barrier. In Toxicology <strong>of</strong> the Skin-Target<br />

Organ Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapt. 10, 110-130, 2010.


Dancik, Thompson, Krishnan, Roberts. Cutaneous Metabolism and Active Transport in<br />

Transdermal Drug Delivery. In Toxicology <strong>of</strong> the Skin-Target Organ Series. (Ed. <strong>NA</strong><br />

<strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol. 29, Chapt. 7, 69-82, 2010.


Importance <strong>of</strong> Lipid Biochemistry/ Biophysics<br />

• Removal <strong>of</strong> rate-limiting stratum corneum increases<br />

absorption<br />

• Intercellular lipids are the primary pathway for drug<br />

absorption<br />

• Consist primarily <strong>of</strong> ceramides, sterols, and other<br />

neutral lipids<br />

• Exist in a liquid-crystalline matrix, the fluidity <strong>of</strong> which<br />

is related to permeability <strong>of</strong> hydrophilic drugs<br />

• Temperature, hydration and chemical penetration<br />

enhancers increase fluidity and permeability


Absorption<br />

•Relates to the amount <strong>of</strong> chemical that penetrates<br />

the skin and then absorbed into the bloodstream to<br />

have a systemic effect.<br />

•Detected by flux into the perfusate or blood.<br />

Penetration<br />

•Relates to the amount <strong>of</strong> chemical that gets to<br />

targets within the skin and could be available for<br />

local cutaneous activity.<br />

•Detected by confocal microscopy, transmission<br />

electron microscopy, special stains, biopsies and tape<br />

stripping.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Structure and Function <strong>of</strong> Skin. In Dermal Absorption Models in<br />

Toxicology and Pharmacology (Ed. JE <strong>Riviere</strong>). CRC, Taylor and Francis, Boca Raton, FL.<br />

Chapter 1. pp. 1-19, 2006.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Integument. In Eurell J, Frappier B, eds. Dellman’s Textbook <strong>of</strong><br />

<strong>Veterinary</strong> Histology, Blackwell Publishing, Ames, Iowa, 6 th ed., pp.320-349, 2006.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Integument. In Eurell J, Frappier B, eds. Dellman’s Textbook <strong>of</strong><br />

<strong>Veterinary</strong> Histology, Blackwell Publishing, Ames, Iowa, 6 th ed., pp.320-349, 2006.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Integument. In Eurell J, Frappier B, eds. Dellman’s Textbook <strong>of</strong><br />

<strong>Veterinary</strong> Histology, Blackwell Publishing, Ames, Iowa, 6 th ed., pp.320-349, 2006.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Integument. In Eurell J, Frappier B, eds. Dellman’s Textbook <strong>of</strong><br />

<strong>Veterinary</strong> Histology, Blackwell Publishing, Ames, Iowa, 6 th ed., pp.320-349, 2006.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>. Ultrastructural Evaluation <strong>of</strong> the Porcine Integument. In Swine in<br />

Biomedical Research, Tumbleson ME (ed), NY, Plenum Press, vol 1.pp 641-655, 1986.


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>: Integument. In Eurell J, Frappier B, eds. Dellman’s Textbook<br />

<strong>of</strong> <strong>Veterinary</strong> Histology, Blackwell Publishing, Ames, Iowa, 6 th ed., pp.320-349, 2006


<strong>Monteiro</strong>-<strong>Riviere</strong> <strong>NA</strong>. Structure and Function <strong>of</strong> Skin. In Toxicology <strong>of</strong> the Skin-Target Organ<br />

Series. (Ed. <strong>NA</strong> <strong>Monteiro</strong>-<strong>Riviere</strong>). Informa Healthcare, NY, Vol . 29, Chapter 1, 1-18, 2010.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!