Omolu Abbie, Bailly Maryse, Day Richard M
a Applied Biomedical Engineering Group, Division of Medicine , University College London , London , UK.
b UCL Institute of Ophthalmology , London , UK.
Drug Deliv. 2017 Nov;24(1):942-951. doi: 10.1080/10717544.2017.1337826.
Many chronic wounds exhibit high matrix metalloproteinase (MMP) activity that impedes the normal wound healing process. Intradermal delivery (IDD) of sub-antimicrobial concentrations of doxycycline, as an MMP inhibitor, could target early stages of chronic wound development and inhibit further wound progression. To deliver doxycycline intradermally, the skin barrier must be disrupted. Microneedle rollers offer a minimally invasive technique to penetrate the skin by creating multiple microchannels that act as temporary conduits for drugs to diffuse through. In this study, an innovative and facile approach for delivery of doxycycline across Strat-M membrane was investigated using microneedle rollers. The quantity and rate of doxycycline diffusing through the micropores directly correlated with increasing microneedle lengths (250, 500 and 750 μm). Treatment of Strat-M with microneedle rollers resulted in a reduction in fibroblast-mediated collagen gel contraction and MMP activity compared with untreated Strat-M. Our results show that treatment of an epidermal mimetic with microneedle rollers provides sufficient permeabilization for doxycycline diffusion and inhibition of MMP activity. We conclude that microneedle rollers are a promising, clinically ready tool suitable for delivery of doxycycline intradermally to treat chronic wounds.
许多慢性伤口表现出较高的基质金属蛋白酶(MMP)活性,这会阻碍正常的伤口愈合过程。作为一种MMP抑制剂,以亚抗菌浓度的强力霉素进行皮内给药(IDD)可以针对慢性伤口发展的早期阶段,并抑制伤口的进一步发展。为了将强力霉素皮内给药,必须破坏皮肤屏障。微针滚轮提供了一种微创技术,通过创建多个微通道来穿透皮肤,这些微通道可作为药物扩散的临时管道。在本研究中,使用微针滚轮研究了一种创新且简便的方法,用于将强力霉素递送穿过Strat-M膜。强力霉素通过微孔扩散的量和速率与微针长度(250、500和750μm)的增加直接相关。与未处理的Strat-M相比,用微针滚轮处理Strat-M导致成纤维细胞介导的胶原凝胶收缩和MMP活性降低。我们的结果表明,用微针滚轮处理表皮模拟物可为强力霉素扩散和抑制MMP活性提供足够的通透性。我们得出结论,微针滚轮是一种有前景的、临床可用的工具,适用于皮内递送强力霉素以治疗慢性伤口。