Chapter 4 - Skin Physical Enhancers and Skin Hydration Flashcards
What are the 5 physical penetration enhancers?
(1) Iontophoresis
(2) Ultrasound
(3) Electroporation
(4) Thermal ablation
(5) Microneedles
How does physical penetration enhancers differ from chemical penetration enhancers?
Physical penetration enhancers disrupt the stratum corneum for the delivery of larger molecules
Chemical enhancers are restricted to the gaps in the stratum corneum.
How does iontophoresis work and what size molecules does it allow to pass through?
It involves the application of a small electric current to the skin (< 500 µA/cm2) for charged particles to diffuse across. Applicable for molecules < 7,000 Da via the repulsion of similarly charged ions through the skin
Who started using cathaphoresis (a type of iontophoresis)?
Ruth D. Maurer who began Marinello Beauty salon (1871 - 1945)
How does ultrasound work?
Ultrasound waves generate small bubbles of water on the skin surface. These bubbles burst and the vibration allows penetration. Improve skin permeability up to 24 hours.
What is the limitation of ultrasound?
Some substances like sodium dodecyl sulfate get degraded under ultrasound.
How does electrophoresis work?
Electrophoresis utilizes high voltage (≥ 100 V) for (10 µs to 100 ms) to create transient pores.
What are the precautionary measures when using electrophoresis?
Duration of the application must be very short as it can cause muscle contraction. Although the electric field is located at the stratum corneum, it can affect deeper tissues and cause pain and muscle contractions.
How does thermal ablation work?
Thermal ablation applies localized heat for a short period of time to create microscale pore across the stratum corneum. Heat from radiofrequency, electrical heating elements and lasers
What are the precautionary measures when using thermal ablation?
Max temperature of 100 degrees (ms or shorter). Localization to avoid damage.
How do microneedles work?
micron scale needles that are the hybrid between transdermal patches and efficient hypodermic injections
What are the dissolvable microneedles called?
Hyaluronic acid microneedle
What is the difference in the water content of the viable epidermis and the stratum corneum?
Viable epidermis - 70% water
stratum corneum - 15-30% water
How is the water gradient between the epidermis and stratum corneum good?
The lipids provide an optimal way to replenish water within the skin.
Water escaping the stratum corneum need to traverse through the lamellar lipids thus helps in reducing water loss to the atmosphere
What is TEWL and what does it measure?
TransEpidermal Water Loss (TEWL). It measures the density gradient of water evaporation from the skin indirectly.
What is the use of TEWL?
TEWL is useful for identifying skin diseases. TEWL increase in proporton to the level of damage.
What are the natural moisturizers present in the skin and its locality?
NMF - In the corneocytes of stratum corneum.
HA - In the dermis and stratum spinousum, acting as a humectant
Aquaporin-3 - Proteins that form water channels across cell membranes (Low aquaporin-3 = dry skin)
Glycerol - Endogenous glycerol from sebaceous gland
What are NMFs?
NMF = Natural Moisturizing Factors
They contain a number of other hydrophilic agents (20-30% dry weight of the stratum corneum.
What are examples of NMF?
Examples include:
(1) Amino acids
(2) Sodium pyrrolidone carboxylic acid
(3) Lactate
(4) Urea
(5) Ions
(6) Sugars
(7) Ammonia, uric acid , glucosamine, creatine
(8) Citrate and formate
What are tight junctions?
They consist of proteins (claudins) which form a semipermeable barrier between cell membranes, preventing water from passing through the space between the epidermal cells.
What do moisturizers usually contain?
Water (60-80%), lipids, emulsifiers, preservatives, fragrance, and color
When are oil-in-water emulsion used?
Water dominant phase. Usually used for day-time creams. Feels cool and have a nonglossy appearance, usually with mineral oil and propylene glycol and water.
When are water-in-oil emulsion used?
Oil dominant phase. Usually used for night creams (made of mineral oil, lanolin alcohol, petrolatum and water to give glossy appearance)
What are the most used preservatives in moisturizers?
Parabens
Define what is surfactants and its application.
Surfactants are compounds that lower the surface tension between 2 liquids or a liquid and a solid. They are anionic and cationic and are very aggressive in damaging the skin barrier. A common surfactant is SLS (sodium lauryl sulfate)
How does surfactant affect skin hydration?
Surfactants removes NMF