人体和动物角质层的离体模型作为经皮吸收的 15 个步骤的部分模型:强调去污,第二部分。

Isolated human and animal stratum corneum as a partial model for the 15 steps of percutaneous absorption: emphasizing decontamination, part II.

机构信息

Department of Dermatology, School of Medicine, University of California-San Francisco, CA 94143, USA

出版信息

J Appl Toxicol. 2013 Mar;33(3):173-82. doi: 10.1002/jat.2826. Epub 2012 Oct 30.

Abstract

Cutaneously directed chemical warfare agents can elicit significant morbidity and mortality. The optimization of prophylactic and therapeutic interventions counteracting these agents is crucial, and the development of decontamination protocols and methodology of post dermal exposure risk assessments would be additionally applicable to common industrial and consumer dermatotoxicants. Percutaneous (PC) penetration is often considered a simple one-step diffusion process but presently consists of at least 15 steps. The systemic exposure to an agent depends on multiple factors and the second part of this review covers absorption and excretion kinetics, wash and rub effects, skin substantivity and transfer, among others. Importantly, the partitioning behavior and diffusion through the stratum corneum (SC) of a wide physicochemical array of compounds shows that many compounds have approximately the same diffusion coefficient which determines their percutaneous absorption in vivo. After accounting for anatomical variation of the SC, the penetration flux value of a substance depends mainly on its SC/vehicle partition coefficient. Additionally, the SC acts as a 'reservoir' for topically applied molecules, and tape stripping methodology can quantify the remaining chemical in the SC which can predict the total molecular penetration in vivo. The determination of ideal decontamination protocols is of utmost importance to reduce morbidity and mortality. However, even expeditious standard washing procedures post dermal chemical exposure often fails to remove chemicals. The second part of this overview continues to review percutaneous penetration extending insights into the complexities of penetration, decontamination and potential newer assays that may be of practical importance.

摘要

经皮(PC)渗透通常被认为是一个简单的一步扩散过程,但目前至少包括 15 个步骤。全身暴露于一种制剂取决于多种因素,这篇综述的第二部分涵盖了吸收和排泄动力学、冲洗和摩擦效应、皮肤持久性和转移等。重要的是,广泛的物理化学化合物的分配行为和通过角质层(SC)的扩散表明,许多化合物具有大致相同的扩散系数,这决定了它们在体内的经皮吸收。在考虑到 SC 的解剖变异后,物质的渗透通量值主要取决于其在 SC/载体中的分配系数。此外,SC 作为局部应用分子的“储库”,胶带剥离方法可以定量 SC 中残留的化学物质,从而可以预测体内总分子渗透。确定理想的去污方案对于降低发病率和死亡率至关重要。然而,即使在皮肤接触化学物质后迅速进行标准的清洗程序,也往往无法去除化学物质。这篇综述的第二部分继续探讨经皮渗透,深入了解渗透、去污和潜在的新检测方法的复杂性,这些可能具有实际意义。

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