CEB-Centre of Biological Engineering, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal.
Department of Pharmaceutical Technology, Faculty of Pharmacy, University of Coimbra, Pólo das Ciências da Saúde, Azinhaga de Santa Comba, 3000-548 Coimbra, Portugal.
Int J Mol Sci. 2021 Sep 9;22(18):9743. doi: 10.3390/ijms22189743.
Administration of active pharmaceutical ingredients (APIs) through the skin, by means of topical drug delivery systems, is an advanced therapeutic approach. As the skin is the largest organ of the human body, primarily acting as a natural protective barrier against permeation of xenobiotics, specific strategies to overcome this barrier are needed. Liposomes are nanometric-sized delivery systems composed of phospholipids, which are key components of cell membranes, making liposomes well tolerated and devoid of toxicity. As their lipid compositions are similar to those of the skin, liposomes are used as topical, dermal, and transdermal delivery systems. However, permeation of the first generation of liposomes through the skin posed some limitations; thus, a second generation of liposomes has emerged, overcoming permeability problems. Various mechanisms of permeation/penetration of elastic/ultra-deformable liposomes into the skin have been proposed; however, debate continues on their extent/mechanisms of permeation/penetration. In vivo bioavailability of an API administered in the form of ultra-deformable liposomes is similar to the bioavailability achieved when the same API is administered in the form of a solution by subcutaneous or epi-cutaneous injection, which demonstrates their applicability in transdermal drug delivery.
通过皮肤给药,即利用局部药物传递系统来管理活性药物成分(APIs),是一种先进的治疗方法。由于皮肤是人体最大的器官,主要起到天然保护屏障的作用,防止异生物渗透,因此需要采取特定的策略来克服这一屏障。脂质体是由磷脂组成的纳米级药物传递系统,磷脂是细胞膜的关键组成部分,使脂质体具有良好的耐受性且无毒。由于其脂质组成与皮肤相似,脂质体可用作局部、真皮和经皮传递系统。然而,第一代脂质体通过皮肤的渗透存在一些限制,因此出现了第二代脂质体,克服了渗透问题。已经提出了各种弹性/超变形脂质体渗透/穿透皮肤的机制;然而,关于它们的渗透/穿透程度/机制仍存在争议。以超变形脂质体形式给药的 API 的体内生物利用度与以相同 API 以皮下或表皮内注射溶液形式给药时获得的生物利用度相似,这表明它们在经皮药物传递中的适用性。