Department of Pharmaceutical Sciences, College of Pharmacy, University of Kentucky , Lexington, Kentucky 40536-0082, United States.
Mol Pharm. 2013 Oct 7;10(10):3745-57. doi: 10.1021/mp400227e. Epub 2013 Sep 23.
Although microneedle-assisted transdermal drug delivery has been the subject of multiple scientific investigations, very few attempts have been made to quantitatively relate in vitro and in vivo permeation. The case of naltrexone hydrochloride is not an exception. In the present study, a pharmacokinetic profile obtained following a "poke and patch" microneedle application method in the Yucatan minipig is reported. The profile demonstrates a rapid achievement of maximum naltrexone hydrochloride plasma concentration followed by a relatively abrupt concentration decline. No steady state was achieved in vivo. In an attempt to correlate the present in vivo findings with formerly published in vitro steady-state permeation data, a diffusion-compartmental mathematical model was developed. The model incorporates two parallel permeation pathways, barrier-thickness-dependent diffusional resistance, microchannel closure kinetics, and a pharmacokinetic module. The regression analysis of the pharmacokinetic data demonstrated good agreement with an independently calculated microchannel closure rate and in vitro permeation data. Interestingly, full-thickness rather than split-thickness skin employed in in vitro diffusion experiments provided the best correlation with the in vivo data. Data analysis carried out with the model presented herein provides new mechanistic insight and permits predictions with respect to pharmacokinetics coupled with altered microchannel closure rates.
虽然微针辅助透皮给药已经成为多个科学研究的主题,但很少有人试图定量地将体外和体内渗透联系起来。盐酸纳曲酮的情况也不例外。在本研究中,报道了一种在尤卡坦小型猪中使用“刺贴”微针给药方法获得的药代动力学曲线。该曲线表明,盐酸纳曲酮的血浆浓度迅速达到最大值,随后浓度迅速下降。在体内未达到稳态。为了将目前的体内发现与以前发表的体外稳态渗透数据相关联,开发了一个扩散-隔室数学模型。该模型包含两个平行的渗透途径、与屏障厚度相关的扩散阻力、微通道闭合动力学以及药代动力学模块。药代动力学数据的回归分析与独立计算的微通道闭合率和体外渗透数据吻合良好。有趣的是,与体外扩散实验中使用的半厚度皮肤相比,全厚度皮肤与体内数据的相关性更好。本文提出的模型进行的数据分析提供了新的机制见解,并允许根据改变的微通道闭合率进行药代动力学预测。