Passive delivery of protein drugs through transdermal route

B Chaulagain, A Jain, A Tiwari, A Verma… - Artificial Cells …, 2018 - Taylor & Francis
Artificial Cells, Nanomedicine, and Biotechnology, 2018Taylor & Francis
Skin is the largest external organ in the human body but its use for therapeutic purposes has
been minimal. Stratum corneum residing on the uppermost layer of the skin provides a tough
barrier to transport the drugs across the skin. Very small group of drugs sharing Lipinski
properties, ie drugs having molecular weight not larger than 500 Da, having high lipophilicity
and optimum polarity are fortunate enough to be used on skin therapeutics. But, at a time
where modern therapeutics is slowly shifting from use of small molecular drugs towards the …
Abstract
Skin is the largest external organ in the human body but its use for therapeutic purposes has been minimal. Stratum corneum residing on the uppermost layer of the skin provides a tough barrier to transport the drugs across the skin. Very small group of drugs sharing Lipinski properties, i.e. drugs having molecular weight not larger than 500 Da, having high lipophilicity and optimum polarity are fortunate enough to be used on skin therapeutics. But, at a time where modern therapeutics is slowly shifting from use of small molecular drugs towards the use of macromolecular therapeutic agents such as peptides, proteins and nucleotides in origin, skin therapeutics need to be evolved accordingly to cater the delivery of these agents. Physical technologies like iontophoresis, laser ablation, micro-needles and ultrasound, etc. have been introduced to enhance skin permeability. But their success is limited due to their complex working mechanisms and involvement of certain irreversible skin damage in some or other way. This review therefore explores the delivery strategies for transport of mainly peptide and protein drugs that do not involve any injuries (non-invasive) to the skin termed as passive delivery techniques. Chemical enhancers, nanocarriers, certain biological peptides and miscellaneous approaches like prodrugs are also thoroughly reviewed for their applications in protein delivery.
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