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      Skin models for the testing of transdermal drugs

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          Abstract

          The assessment of percutaneous permeation of molecules is a key step in the evaluation of dermal or transdermal delivery systems. If the drugs are intended for delivery to humans, the most appropriate setting in which to do the assessment is the in vivo human. However, this may not be possible for ethical, practical, or economic reasons, particularly in the early phases of development. It is thus necessary to find alternative methods using accessible and reproducible surrogates for in vivo human skin. A range of models has been developed, including ex vivo human skin, usually obtained from cadavers or plastic surgery patients, ex vivo animal skin, and artificial or reconstructed skin models. Increasingly, largely driven by regulatory authorities and industry, there is a focus on developing standardized techniques and protocols. With this comes the need to demonstrate that the surrogate models produce results that correlate with those from in vivo human studies and that they can be used to show bioequivalence of different topical products. This review discusses the alternative skin models that have been developed as surrogates for normal and diseased skin and examines the concepts of using model systems for in vitro–in vivo correlation and the demonstration of bioequivalence.

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          Most cited references131

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          Epidermal thickness at different body sites: relationship to age, gender, pigmentation, blood content, skin type and smoking habits.

          Epidermal thickness and its relationship to age, gender, skin type, pigmentation, blood content, smoking habits and body site is important in dermatologic research and was investigated in this study. Biopsies from three different body sites of 71 human volunteers were obtained, and thickness of the stratum corneum and cellular epidermis was measured microscopically using a preparation technique preventing tissue damage. Multiple regressions analysis was used to evaluate the effect of the various factors independently of each other. Mean (SD) thickness of the stratum corneum was 18.3 (4.9) microm at the dorsal aspect of the forearm, 11.0 (2.2) microm at the shoulder and 14.9 (3.4) microm at the buttock. Corresponding values for the cellular epidermis were 56.6 (11.5) microm, 70.3 (13.6) microm and 81.5 (15.7) microm, respectively. Body site largely explains the variation in epidermal thickness, but also a significant individual variation was observed. Thickness of the stratum corneum correlated positively to pigmentation (p = 0.0008) and negatively to the number of years of smoking (p < 0.0001). Thickness of the cellular epidermis correlated positively to blood content (P = 0.028) and was greater in males than in females (P < 0.0001). Epidermal thickness was not correlated to age or skin type.
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            Permeability of the skin.

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              Porcine ear skin: an in vitro model for human skin.

              Porcine ear skin is used in studies of percutaneous penetration as a substitute for human skin. The structure of this tissue, including hair follicles, was studied qualitatively and quantitatively in comparison with human skin. Sections of shock-frozen biopsies, biopsies embedded in paraffin and cyanoacrylate skin surface biopsies were investigated using microscopy. The thickness of the different skin layers and the follicular characteristics were determined. The thickness of the stratum corneum was 17-28 microm, whereas the viable epidermis was 60-85 microm thick. On 1 cm(2), 11-25 hairs were detected, showing a diameter of 58-97 microm and a maximal extension depth of 0.96-1.38 mm into the skin. The orifices of the porcine infundibula showed a diameter of approximately 200 microm. The results obtained are similar to those of human skin, indicating the suitability of this porcine tissue as a model for human skin.
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                Author and article information

                Journal
                Clin Pharmacol
                Clin Pharmacol
                Clinical Pharmacology: Advances and Applications
                Clinical Pharmacology : Advances and Applications
                Dove Medical Press
                1179-1438
                2016
                19 October 2016
                : 8
                : 163-176
                Affiliations
                [1 ]Translational Research Institute, School of Medicine, University of Queensland, Brisbane
                [2 ]School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia
                Author notes
                Correspondence: Michael S Roberts, Level 5, Translational Research Institute, 37 Kent St, Woolloongabba, Queensland 4102, Australia, Email m.roberts@ 123456uq.edu.au
                Article
                cpaa-8-163
                10.2147/CPAA.S64788
                5076797
                27799831
                7925dbf3-766a-4699-ae0f-576481a12a7b
                © 2016 Abd et al. This work is published and licensed by Dove Medical Press Limited

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

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                Categories
                Review

                Pharmacology & Pharmaceutical medicine
                percutaneous permeation,dermal delivery,transdermal,bioequivalence,ex vivo skin models,reconstructed skin

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