Lee Seung-Won, Goo Boncheol Leo
Department of Physiology, College of Medicine, Korea University, Seoul, Korea.
Skin Rehabilitation Center, Naeum Dermatology and Aesthetics Clinic, Seoul, Korea.
Clin Cosmet Investig Dermatol. 2024 Jul 23;17:1711-1721. doi: 10.2147/CCID.S457145. eCollection 2024.
PURPOSE: High-intensity focused ultrasound (HIFU)-assisted drug delivery is a non-invasive tool to deliver drugs to targeted areas, currently used mainly for treating cancer and cardiovascular diseases. However, in terms of transdermal drug delivery, HIFU technology is still poorly understood. Accordingly, this study sought to investigate the effectiveness of HIFU on drug penetration into the skin using human skin tissues. METHODS: Gel-type drugs whose ingredient is glutathione were labelled with fluorescein isothiocyanate, in turn the drugs were allowed to penetrate to the human skin tissue in the Franz diffusion cell for 24 hours in control and HIFU treatment groups, and their fluorescence intensity was measured using a multiple microplate reader at one, two, six, and 24 hours after drug application. In addition, tissue slice analysis was performed in each tissue slice at 24 hours post-drug application. The % area, fluorescence intensity per area, and penetration depth of the drug were measured using a fluorescence microscope. RESULTS: The fluorescence intensity increased with time in all groups. Specifically, at 24 hours after drug application, the fluorescence intensity (a.u). of the 10-shot HIFU treatment group was significantly enhanced compared to that of the control group (p < 0.05). The tissue slice analysis demonstrated that the % area of fluorescent drug and the fluorescence intensity per area (a.u.) were all significantly increased in both HIFU treatment groups compared to the control group (p < 0.05, p < 0.001). In addition, the penetration depth (μm) also markedly rose in both HIFU treatment groups compared to the control group (p < 0.01, p < 0.05). CONCLUSION: It was demonstrated for the first time that HIFU significantly facilitated topical drug penetration into the human skin, strongly implying that HIFU can be a useful option for transdermal drug delivery.
目的:高强度聚焦超声(HIFU)辅助给药是一种将药物输送到目标区域的非侵入性工具,目前主要用于治疗癌症和心血管疾病。然而,就经皮给药而言,HIFU技术仍未得到充分了解。因此,本研究旨在使用人体皮肤组织研究HIFU对药物渗透入皮肤的有效性。 方法:将成分是谷胱甘肽的凝胶型药物用异硫氰酸荧光素标记,然后在对照和HIFU治疗组中,让药物在Franz扩散池中渗透到人体皮肤组织中24小时,并在给药后1小时、2小时、6小时和24小时使用多功能微孔板读数仪测量其荧光强度。此外,在给药后24小时对每个组织切片进行组织切片分析。使用荧光显微镜测量药物的面积百分比、每单位面积的荧光强度和渗透深度。 结果:所有组的荧光强度均随时间增加。具体而言,给药后24小时,10次HIFU治疗组的荧光强度(任意单位)与对照组相比显著增强(p<0.05)。组织切片分析表明,与对照组相比,两个HIFU治疗组中荧光药物的面积百分比和每单位面积的荧光强度(任意单位)均显著增加(p<0.05,p<0.001)。此外,与对照组相比,两个HIFU治疗组的渗透深度(μm)也显著增加(p<0.01,p<0.05)。 结论:首次证明HIFU显著促进局部药物渗透入人体皮肤,强烈表明HIFU可成为经皮给药的有用选择。
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