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James T, Izon-Cooper L, Collins S, Cole H, Marczylo T. The wash-in effect and its significance for mass casualty decontamination. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2022; 25:113-134. [PMID: 35220912 PMCID: PMC8903816 DOI: 10.1080/10937404.2022.2042443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Decontamination of skin by washing may increase dermal absorption, a phenomenon known as the wash-in effect. The wash-in effect is frequently discussed in studies investigating casualty decontamination where potentially life-saving interventions may enhance the dermal penetration of toxic chemicals, leading to an increase in incidence of morbidity and rates of mortality. However, the wash-in effect is seldom investigated within the context of mass casualty decontamination and real-life consequences are therefore poorly understood. This paper reviews the existing literature on the wash-in effect to highlight the proposed mechanisms for enhanced absorption and evaluate the wash-in effect within the context of mass casualty chemical decontamination.
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Affiliation(s)
- Thomas James
- Radiation, Chemical and Environmental Hazards, UK Health Security Agency, Chilton, UK
| | - Lydia Izon-Cooper
- Radiation, Chemical and Environmental Hazards, UK Health Security Agency, Chilton, UK
| | - Samuel Collins
- Radiation, Chemical and Environmental Hazards, UK Health Security Agency, Chilton, UK
- Global Operations, UK Health Security Agency, London, UK
| | - Haydn Cole
- Radiation, Chemical and Environmental Hazards, UK Health Security Agency, Chilton, UK
| | - Tim Marczylo
- Radiation, Chemical and Environmental Hazards, UK Health Security Agency, Chilton, UK
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2
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Champmartin C, Chedik L, Marquet F, Cosnier F. Occupational exposure assessment with solid substances: choosing a vehicle for in vitro percutaneous absorption experiments. Crit Rev Toxicol 2022; 52:294-316. [PMID: 36125048 DOI: 10.1080/10408444.2022.2097052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Percutaneous occupational exposure to industrial toxicants can be assessed in vitro on excised human or animal skins. Numerous factors can significantly influence skin permeation of chemicals and the flux determination. Among them, the vehicle used to solubilize the solid substances is a tricky key step. A "realistic surrogate" that closely matches the exposure scenario is recommended in first intention. When direct transposition of occupational exposure conditions to in vitro experiments is impossible, it is recommended that the vehicle used does not affect the skin barrier (in particular in terms of structural integrity, composition, or enzymatic activity). Indeed, any such effect could alter the percutaneous absorption of substances in a number of ways, as we will see. Potential effects are described for five monophasic vehicles, including the three most frequently used: water, ethanol, acetone; and two that are more rarely used, but are realistic: artificial sebum and artificial sweat. Finally, we discuss a number of criteria to be verified and the associated tests that should be performed when choosing the most appropriate vehicle, keeping in mind that, in the context of occupational exposure, the scientific quality of the percutaneous absorption data provided, and how they are interpreted, may have long-range consequences. From the narrative review presented, we also identify and discuss important factors to consider in future updates of the OECD guidelines for in vitro skin absorption experiments.
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Affiliation(s)
- Catherine Champmartin
- French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), Vandoeuvre-les-Nancy Cedex, France
| | - Lisa Chedik
- French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), Vandoeuvre-les-Nancy Cedex, France
| | - Fabrice Marquet
- French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), Vandoeuvre-les-Nancy Cedex, France
| | - Frédéric Cosnier
- French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), Vandoeuvre-les-Nancy Cedex, France
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3
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Khachatoorian C, Luo W, McWhirter KJ, Pankow JF, Talbot P. E-cigarette fluids and aerosol residues cause oxidative stress and an inflammatory response in human keratinocytes and 3D skin models. Toxicol In Vitro 2021; 77:105234. [PMID: 34416289 DOI: 10.1016/j.tiv.2021.105234] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 08/10/2021] [Accepted: 08/13/2021] [Indexed: 11/24/2022]
Abstract
Our goal was to evaluate the effects of EC refill fluids and EC exhaled aerosol residue (ECEAR) on cultured human keratinocytes and MatTek EpiDerm™, a 3D air liquid interface human skin model. Quantification of flavor chemicals and nicotine in Dewberry Cream and Churrios refill fluids was done using GC-MS. The dominant flavor chemicals were maltol, ethyl maltol, vanillin, ethyl vanillin, benzyl alcohol, and furaneol. Cytotoxicity was determined with the MTT and LDH assays, and inflammatory markers were quantified with ELISAs. Churrios was cytotoxic to keratinocytes in the MTT assay, and both fluids induced ROS production in the medium (ROS-Glo™) and in cells (CellROX). Exposure of EpiDerm™ to relevant concentrations of Dewberry Cream and Churrios for 4 or 24 h caused secretion of inflammatory markers (IL-1α, IL-6, and MMP-9), without altering EpiDerm™ histology. Lab made fluids with propylene glycol (PG) or PG plus a flavor chemical did not produce cytotoxic effects, but increased secretion of IL-1α and MMP-9, which was attributed to PG. ECEAR derived from Dewberry Cream and Churrios did not produce cytotoxicity with Epiderm™, but Churrios ECEAR induced IL-1α secretion. These data support the conclusion that EC chemicals can cause oxidative damage and inflammation to human skin.
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Affiliation(s)
- Careen Khachatoorian
- Department of Molecular, Cell & Systems Biology, University of California, Riverside, Riverside, CA, United States
| | - Wentai Luo
- Department of Civil and Environmental Engineering, Portland State University, Portland, OR, United States
| | - Kevin J McWhirter
- Department of Civil and Environmental Engineering, Portland State University, Portland, OR, United States
| | - James F Pankow
- Department of Civil and Environmental Engineering, Portland State University, Portland, OR, United States
| | - Prue Talbot
- Department of Molecular, Cell & Systems Biology, University of California, Riverside, Riverside, CA, United States.
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Hoppel M, Tabosa MAM, Bunge AL, Delgado-Charro MB, Guy RH. Assessment of Drug Delivery Kinetics to Epidermal Targets In Vivo. AAPS JOURNAL 2021; 23:49. [PMID: 33782803 PMCID: PMC8007522 DOI: 10.1208/s12248-021-00571-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 02/10/2021] [Indexed: 11/30/2022]
Abstract
It has proven challenging to quantify ‘drug input’ from a formulation to the viable skin because the epidermal and dermal targets of topically applied drugs are difficult, if not impossible, to access in vivo. Defining the drug input function to the viable skin with a straightforward and practical experimental approach would enable a key component of dermal pharmacokinetics to be characterised. It has been hypothesised that measuring drug uptake into and clearance from the stratum corneum (SC) by tape-stripping allows estimation of a topical drug’s input function into the viable tissue. This study aimed to test this idea by determining the input of nicotine and lidocaine into the viable skin, following the application of commercialised transdermal patches to healthy human volunteers. The known input rates of these delivery systems were used to validate and assess the results from the tape-stripping protocol. The drug input rates from in vivo tape-stripping agreed well with the claimed delivery rates of the patches. The experimental approach was then used to determine the input of lidocaine from a marketed cream, a typical topical product for which the amount of drug absorbed has not been well-characterised. A significantly higher delivery of lidocaine from the cream than from the patch was found. The different input rates between drugs and formulations in vivo were confirmed qualitatively and quantitatively in vitro in conventional diffusion cells using dermatomed abdominal pig skin.
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Affiliation(s)
- M Hoppel
- Department of Pharmacy & Pharmacology, University of Bath, Claverton Down, Bath, BA2 4LZ, UK
| | - M A M Tabosa
- Department of Pharmacy & Pharmacology, University of Bath, Claverton Down, Bath, BA2 4LZ, UK
| | - A L Bunge
- Department of Chemical and Biological Engineering, Colorado School of Mines, Golden, Colorado, 80401, USA
| | - M B Delgado-Charro
- Department of Pharmacy & Pharmacology, University of Bath, Claverton Down, Bath, BA2 4LZ, UK
| | - R H Guy
- Department of Pharmacy & Pharmacology, University of Bath, Claverton Down, Bath, BA2 4LZ, UK.
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Effect of aqueous dilution on the absorption of the nerve agent VX through skin in vitro. Toxicol In Vitro 2018; 53:121-125. [DOI: 10.1016/j.tiv.2018.08.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Revised: 07/26/2018] [Accepted: 08/08/2018] [Indexed: 11/18/2022]
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Frasch HF, Barbero AM. In vitro human epidermal permeation of nicotine from electronic cigarette refill liquids and implications for dermal exposure assessment. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2017; 27:618-624. [PMID: 27924817 PMCID: PMC6322548 DOI: 10.1038/jes.2016.68] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 10/21/2016] [Accepted: 10/25/2016] [Indexed: 05/19/2023]
Abstract
Nicotine plus flavorings in a propylene glycol (PG) vehicle are the components of electronic cigarette liquids (e-liquids), which are vaporized and inhaled by the user. Dermal exposure to nicotine and e-liquids may occur among workers in mixing and filling of e-cigarettes in the manufacturing process. Inadvertent skin contact among consumers is also a concern. In vitro nicotine permeation studies using heat-separated human epidermis were performed with surrogate and two commercial e-liquids, neat and aqueous nicotine donor formulations. Steady-state fluxes (Jss), and lag times (tlag) were measured for each formulation. In addition, transient (4 h) exposure and finite dose (1-10 μl/cm2) experiments were undertaken using one commercial e-liquid. Average Jss (μg/cm2/h) from formulations were: nicotine in PG (24 mg/ml): 3.97; commercial e-liquid containing menthol (25 mg/ml nicotine): 10.2; commercial e-liquid containing limonene (25 mg/ml nicotine): 23.7; neat nicotine: 175. E-liquid lag times ranged from 5 to 10 h. Absorbed fraction of nicotine from finite doses was ≈0.3 at 48 h. The data were applied to transient exposure and finite dose dermal exposure assessment models and to a simple pharmacokinetic model. Three illustrative exposure scenarios demonstrate use of the data to predict systemic uptake and plasma concentrations from dermal exposure. The data demonstrate the potential for significant nicotine absorption through skin contact with e-cigarette refill solutions and the neat nicotine used to mix them.
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Affiliation(s)
- H Frederick Frasch
- Health Effects Laboratory, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA
| | - Ana M Barbero
- Health Effects Laboratory, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA
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Maina G, Castagnoli C, Ghione G, Passini V, Adami G, Larese Filon F, Crosera M. Skin contamination as pathway for nicotine intoxication in vapers. Toxicol In Vitro 2017; 41:102-105. [PMID: 28263891 DOI: 10.1016/j.tiv.2017.02.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Revised: 02/17/2017] [Accepted: 02/27/2017] [Indexed: 11/16/2022]
Abstract
Growing warnings on health effects related to electronic cigarettes have met inconclusive findings at present. This study analyzed the in vitro percutaneous absorption of nicotine resulting by skin contamination with two e-liquids (refill 1 and 2) containing nicotine at 1.8%. Donor chambers of 6 Franz cells for each refill liquid were filled with 1mL of nicotine e-liquid for 24h; at selected intervals, 1.5mL of the receptor solutions were collected for nicotine concentration analysis by mean gas chromatography-mass spectrometry (LOD: 0.01μg/mL). The experiment was repeated removing the nicotine donor solution after 10min from the application and rinsing the skin surface three times with 3.0mL of milliQ water. A total of 12 cells with 24h exposure and 12 cells washed were studied. The mean concentration of nicotine in the receiving phase at the end of the experiment was 54.9±29.5 and 30.2±18.4μg/cm2 for refill 1 and 2 respectively and significantly lower in washed cells (4.7±2.4 and 3.5±1.3μg/cm2). The skin absorption of nicotine can lead to minor health illness in vapers, while caution must be paid to dermal contamination by e liquids in children. The skin cleaning significantly reduced the transdermal absorption kinetic and intradermal deposition of nicotine.
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Affiliation(s)
- Giovanni Maina
- Department of Clinical and Biological Sciences, University of Torino, Via Zuretti 29, 10126 Torino, Italy.
| | - Carlotta Castagnoli
- City of Health and Science Hospital, Corso Bramante 88/90, 10126 Torino, Italy
| | - Giordana Ghione
- City of Health and Science Hospital, Corso Bramante 88/90, 10126 Torino, Italy
| | - Valter Passini
- City of Health and Science Hospital, Corso Bramante 88/90, 10126 Torino, Italy
| | - Gianpiero Adami
- Department of Chemical and Pharmaceutical Sciences, University of Trieste, Via Giorgieri 1, 34127 Trieste, Italy
| | - Francesca Larese Filon
- Department of Medical Science, University of Trieste, Via della Pietà 29, 34129 Trieste, Italy
| | - Matteo Crosera
- Department of Chemical and Pharmaceutical Sciences, University of Trieste, Via Giorgieri 1, 34127 Trieste, Italy
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Yousef S, Mohammed Y, Namjoshi S, Grice J, Sakran W, Roberts M. Mechanistic Evaluation of Hydration Effects on the Human Epidermal Permeation of Salicylate Esters. AAPS JOURNAL 2016; 19:180-190. [PMID: 27634383 DOI: 10.1208/s12248-016-9984-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
Abstract
We sought to understand when and how hydration enhances the percutaneous absorption of salicylate esters. Human epidermal membrane fluxes and stratum corneum solubilities of neat and diluted solutions of three esters were determined under hydrated and dehydrated conditions. Hydration doubled the human epidermal flux seen for methyl and ethyl salicylate under dehydrated conditions and increased the flux of neat glycol salicylate 10-fold. Mechanistic analyses showed that this hydration-induced enhancement arises mainly from an increase in the stratum corneum diffusivity of the three esters. Further, we showed that unlike methyl and ethyl salicylate, glycol salicylate is hygroscopic and the ∼10-fold hydration-induced flux enhancement seen with neat glycol salicylate may be due to its ability to hydrate the stratum corneum to a greater extent. The hydration-induced enhancements in in vitro epidermal flux seen here for glycol and ethyl salicylate were similar to those reported for their percutaneous absorption rates in a comparable in vivo study, whilst somewhat higher enhancement was seen for methyl salicylate in vivo. This may be explained by a physiologically induced self enhancement of neat methyl salicylate absorption in vivo which is not applicable in vitro.
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Affiliation(s)
- Shereen Yousef
- Therapeutics Research Centre, School of Medicine, University of Queensland, Translational Research Institute, Brisbane, Australia.,School of Pharmacy, Helwan University, Helwan, Egypt
| | - Yousuf Mohammed
- Therapeutics Research Centre, School of Medicine, University of Queensland, Translational Research Institute, Brisbane, Australia
| | - Sarika Namjoshi
- Therapeutics Research Centre, School of Medicine, University of Queensland, Translational Research Institute, Brisbane, Australia
| | - Jeffrey Grice
- Therapeutics Research Centre, School of Medicine, University of Queensland, Translational Research Institute, Brisbane, Australia
| | - Wedad Sakran
- School of Pharmacy, Helwan University, Helwan, Egypt
| | - Michael Roberts
- Therapeutics Research Centre, School of Medicine, University of Queensland, Translational Research Institute, Brisbane, Australia. .,School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia. .,Therapeutics Research Centre, The University of Queensland School of Medicine-Translational Research Institute, 37 Kent St, Woolloongabba, Brisbane, QLD, 4102, Australia.
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Chen T, Lian G, Kattou P. In Silico Modelling of Transdermal and Systemic Kinetics of Topically Applied Solutes: Model Development and Initial Validation for Transdermal Nicotine. Pharm Res 2016; 33:1602-14. [DOI: 10.1007/s11095-016-1900-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Accepted: 03/02/2016] [Indexed: 11/24/2022]
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10
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Maina G, Castagnoli C, Passini V, Crosera M, Adami G, Mauro M, Filon FL. Transdermal nicotine absorption handling e-cigarette refill liquids. Regul Toxicol Pharmacol 2016; 74:31-3. [DOI: 10.1016/j.yrtph.2015.11.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Revised: 11/09/2015] [Accepted: 11/20/2015] [Indexed: 11/24/2022]
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Mundstock A, Lee G. Saturation solubility of nicotine, scopolamine and paracetamol in model stratum corneum lipid matrices. Int J Pharm 2014; 473:232-8. [DOI: 10.1016/j.ijpharm.2014.06.057] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2014] [Revised: 06/27/2014] [Accepted: 06/28/2014] [Indexed: 12/01/2022]
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