The multilamellar bilayer system of the skin's stratum corneum (SC) provide
s the main barrier to transdermal transport of ions and charged molecules.
Electrically driven transport of charged species at low trans-SC voltages (
U-SC<5 V) occurs predominantly via pre-existing aqueous pathways. In contra
st, high voltage, (HV; U-SC>50 V) has been hypothesized to involve electrop
oration within the SC's multilamellar bilayer membranes, creating new aqueo
us pathways that contribute to a rapid, large increase in transport. Thus,
it might be expected that HV-pulses would always increase subsequent iontop
horesis. Here we show, however, that for some charged molecules the opposit
e occurs, because the low skin resistance due to new aqueous pathways leads
to an actual decrease in U-SC for the same applied current, and the transp
ort of some, highly charged molecules has a highly nonlinear dependence on
U-SC. (C) 2000 Elsevier Science B.V. All rights reserved.