Mid-Infrared Laser Ablation of Stratum Corneum Enhances In Vitro Percutaneous Transport of Drugs.

The precise removal of stratum corneum from cadaveric swine skin by a mid-infrared erbium: yttrium scandium gallium garnet laser (λ = 2.79 μm; 250 μsec pulse width) was assessed by electrical resistance measurements and documented by histology. The effects of stratum corneum removal by laser ablation and by adhesive tape-stripping on the in vitro penetration of ³H-hydrocortisone and 125I-γ-interferon were determined. Excised swine skin was irradiated with laser (1 J/cm² 31 mJ/pulse; 1 Hz; 2 mm spot diameter). For skin penetration studies, laser pulses were delivered to discrete 2-mm areas to ablate up to 12.6% of the total 3-cm² stratum corneum diffusional area. Franz in vitro skin penetration chambers were used to measure the cumulative 48-h penetration of ³H-hydrocortisone and 125I-γ-interferon in laser-treated and tape-stripped skin. Electrical resistance measurements and histologic studies demonstrated that 10-14 laser pulses at the above energy density were required to abolish skin resistance and selectively ablate stratum corneum without damage to adjacent dermal structures. Laser ablation of 12.6% of the surface area of stratum corneum produced a 2.8 and 2.1-times increase in permeability constant (kp) for ³H-hydrocortisone and 125I-λ-interferon, respectively. These studies demonstrate that a pulsed mid-infrared laser can reliably and precisely remove the stratum corneum, facilitating penetration of large molecules such as 125I-λ-interferon that cannot penetrate intact skin. This new technique may be useful for basic and clinical investigation of skin barrier properties. [ABSTRACT FROM AUTHOR]