R. Vanbever et al., MACROMOLECULES AS NOVEL TRANSDERMAL TRANSPORT ENHANCERS FOR SKIN ELECTROPORATION, Pharmaceutical research, 14(5), 1997, pp. 638-644
Purpose. Macromolecules were investigated as chemical enhancers of tra
nsdermal transport by skin electroporation. Although unable to enhance
passive or iontophoretic transport, macromolecules are proposed to en
hance electroporation-assisted delivery by stabilizing the increased p
ermeability caused by high-voltage pulses. Methods. To test this hypot
hesis, we examined the timescale of transport, the influence of electr
ical protocol and the influence of macromolecule size, structure, and
charge on enhancement of transdermal mannitol transport in vitro by he
parin, dextran-sulfate, neutral dextran, and poly-lysine. Results. Ski
n electroporation increased transdermal mannitol delivery by approxima
tely two orders of magnitude. The addition of macromolecules further i
ncreased transport up to five-fold, in support of the proposed hypothe
sis. Macromolecules present during pulsing enhanced mannitol transport
after pulsing for hours, apparently by a macromolecule-skin interacti
on. No enhancement was observed during passive diffusion or low-voltag
e iontophoresis, suggesting that macromolecules interact specifically
with transport pathways created at high voltage. Although all macromol
ecules studied enhanced transport, those with greater charge and size
were more effective. Conclusions. This study demonstrates that macromo
lecules can be used as trandermal transport enhancers uniquely suited
to skin electroporation.