Analyze Diet
BMC veterinary research2024; 20(1); 202; doi: 10.1186/s12917-024-04064-1

Potent drug delivery enhancement of betulinic acid and NVX-207 into equine skin in vitro – a comparison between a novel oxygen flow-assisted transdermal application device and microemulsion gels.

Abstract: Gray horses are predisposed to equine malignant melanoma (EMM) with advancing age. Depending on the tumor's location and size, they can cause severe problems (e.g., defaecation, urination, feeding). A feasible therapy for EMM has not yet been established and surgical excision can be difficult depending on the location of the melanoma. Thus, an effective and safe therapy is needed. Naturally occurring betulinic acid (BA), a pentacyclic triterpene and its synthetic derivate, NVX-207 (3-acetyl-betulinic acid-2-amino-3-hydroxy-2-hydroxymethyl-propanoate) are known for their cytotoxic properties against melanomas and other tumors and have already shown good safety and tolerability in vivo. In this study, BA and NVX-207 were tested for their permeation potential into equine skin in vitro in Franz-type diffusion cell (FDC) experiments after incubation of 5 min, 30 min and 24 h, aiming to use these formulations for prospective in vivo studies as a treatment for early melanoma stages. Potent permeation was defined as reaching or exceeding the half maximal inhibitory concentrations (IC) of BA or NVX-207 for equine melanoma cells in equine skin samples. The active ingredients were either dissolved in a microemulsion (ME) or in a microemulsion gel (MEG). All of the formulations were transdermally applied but the oil-in-water microemulsion was administered with a novel oxygen flow-assisted (OFA) applicator (DERMADROP TDA). Results: All tested formulations exceeded the IC values for equine melanoma cells for BA and NVX-207 in equine skin samples, independently of the incubation time NVX-207 applied with the OFA applicator showed a significant time-dependent accumulation and depot-effect in the skin after 30 min and 24 h (P < 0.05). Conclusions: All tested substances showed promising results. Additionally, OFA administration showed a significant accumulation of NVX-207 after 30 min and 24 h of incubation. Further in vivo trials with OFA application are recommended.
Publication Date: 2024-05-16 PubMed ID: 38755639PubMed Central: PMC11097577DOI: 10.1186/s12917-024-04064-1Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Comparative Study

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research focuses on examining the delivery of betulinic acid (BA) and its synthetic derivative, NVX-207, into horse skin as a potential treatment for equine malignant melanoma (EMM), a common tumor in grey horses not yet treatable. The two substances were shown to effectively penetrate equine skin when applied with a novelty tool termed oxygen flow-assisted (OFA) applicator, with NVX-207 showing a time-dependent accumulation effect in skin after 30 minutes and 24 hours of incubation.

Background

  • Malignant melanoma is a common tumor found in grey horses and as they age, the risk of developing EMM increases.
  • EMM can cause severe problems depending on its location and size, affecting horse functions such as feeding, defecation, and urination. Unlike human melanoma, a complete cure for EMM is not available yet.
  • BA and NVX-207 are natural substances with cytotoxic properties against melanoma and other tumors and have already shown good safety and tolerability when used on animals.

Procedure and Experimentation

  • The researchers tested BA and NVX-207’s ability to permeate equine skin in vitro, using Franz-type diffusion cell experiments. They tested permeation at intervals of 5 minutes, 30 minutes, and 24 hours.
  • BA and NVX-207 were either dissolved in a microemulsion (ME) or a microemulsion gel (MEG) for the experiments. Furthermore, the oil-in-water microemulsion was administered transdermally using a novel oxygen flow-assisted (OFA) applicator.

Results

  • All the formulations exceeded the inhibitory concentrations (IC) of BA and NVX-207 for equine melanoma cells in equine skin samples, regardless of the incubation period.
  • NVX-207, when applied with the OFA applicator, showed a significant accumulation in the skin after 30 minutes and 24 hours, indicating a depot-effect (long-lasting effect).

Conclusions and Future Recommendations

  • All substances tested showed promising results in treating EMM, with the novel OFA tool showing a significant accumulation of NVX-207 in the skin after 30 minutes and 24 hours’ incubation.
  • The research recommends further in vivo trials (that is, on live organisms) with OFA application to explore these findings in a real-life setting.

Cite This Article

APA
Zscherpe P, Kalbitz J, Weber LA, Paschke R, Mäder K, von Rechenberg B, Cavalleri JV, Meißner J, Klein K. (2024). Potent drug delivery enhancement of betulinic acid and NVX-207 into equine skin in vitro – a comparison between a novel oxygen flow-assisted transdermal application device and microemulsion gels. BMC Vet Res, 20(1), 202. https://doi.org/10.1186/s12917-024-04064-1

Publication

ISSN: 1746-6148
NlmUniqueID: 101249759
Country: England
Language: English
Volume: 20
Issue: 1
Pages: 202
PII: 202

Researcher Affiliations

Zscherpe, Paula
  • Musculoskeletal Research Unit, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, 8057, Switzerland.
Kalbitz, Jutta
  • Biosolutions Halle GmbH, Weinbergweg 22, Halle (Saale), 06120, Germany.
Weber, Lisa A
  • Clinic for Horses, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, Hannover, 30559, Germany.
Paschke, Reinhard
  • BioCenter, Martin Luther University Halle-Wittenberg, Weinbergweg 22, Halle (Saale), 06120, Germany.
Mäder, Karsten
  • Institute of Pharmacy, Faculty of Biosciences, Martin-Luther-University Halle-Wittenberg, Wolfgang-Langenbeck-Strasse 4, Halle (Saale), 06120, Germany.
von Rechenberg, Brigitte
  • Musculoskeletal Research Unit, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, 8057, Switzerland.
  • Center for Applied Biotechnology and Molecular Medicine, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, 8057, Switzerland.
Cavalleri, Jessika-M V
  • Equine Internal Medicine, Clinical Centre for Equine Health and Research, Clinical Department for Small Animals and Horses, University of Veterinary Medicine Vienna (Vetmeduni), Veterinärplatz 1, Vienna, 1210, Austria. jessika.cavalleri@vetmeduni.ac.at.
Meißner, Jessica
  • Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Bünteweg 17, Hannover, 30559, Germany.
Klein, Karina
  • Musculoskeletal Research Unit, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, 8057, Switzerland.

MeSH Terms

  • Animals
  • Horses
  • Betulinic Acid
  • Pentacyclic Triterpenes
  • Triterpenes / administration & dosage
  • Administration, Cutaneous
  • Emulsions
  • Skin / metabolism
  • Skin / drug effects
  • Drug Delivery Systems / veterinary
  • Gels
  • Melanoma / drug therapy
  • Melanoma / veterinary
  • Oxygen / metabolism
  • Skin Absorption
  • Horse Diseases / drug therapy
  • Propanolamines

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 64 references
  1. Moore JS, Shaw C, Shaw E, Buechner-Maxwell V, Scarratt WK, Crisman M. Melanoma in horses: current perspectives.. Equine Veterinary Education 2013;25(3):144–151.
  2. Druml T, Brem G, Horna M, Ricard A, Grilz-Seger G. DPF3, A Putative Candidate Gene For Melanoma Etiopathogenesis in Gray Horses.. J Equine Vet Sci 2022;108:103797.
    doi: 10.1016/j.jevs.2021.103797pubmed: 34801788google scholar: lookup
  3. Seltenhammer MH, Simhofer H, Scherzer S, Zechner P, Curik I, Sölkner J. Equine melanoma in a population of 296 grey Lipizzaner horses.. Equine Vet J 2003;35(2):153–157.
    doi: 10.2746/042516403776114234pubmed: 12638791google scholar: lookup
  4. Fleury C, Bérard F, Leblond A, Faure C, Ganem N, Thomas L. The Study of Cutaneous Melanomas in Camargue-Type Gray-Skinned Horses (2): Epidemiological Survey.. Pigment Cell Res 2000;13(1):47–51.
  5. McFadyean J. Equine melanomatosis.. Journal of Comparative Pathology and Therapeutics 1933;46:186–204.
  6. Sundberg JP, Burnstein T, Page EH, Kirkham WW, Robinson FR. Neoplasms of Equidae.. J Am Vet Med Assoc 1977;170(2):150–152.
    pubmed: 576219
  7. Fleury C, Bérard F, Balme B, Thomas L. The Study of Cutaneous Melanomas in Camargue-Type Gray-Skinned Horses (1): Clinical-Pathological Characterization.. Pigment Cell Res 2000;13(1):39–46.
  8. Steinmetz A, Gittel C, Böttcher D, Lapko L, Offhaus J. The use of a combined sliding skin graft and a free labial mucocutaneous graft for reconstruction of the equine upper eyelid after full-thickness excision of a melanoma.. Clin Case Rep 2019;7(3):419–425.
    doi: 10.1002/ccr3.1992pmc: PMC6406139pubmed: 30899463google scholar: lookup
  9. Fintl C, Dixon PM. A review of five cases of parotid melanoma in the horse.. Equine Veterinary Education 2001;13(1):17–24.
  10. Dixon J, Smith K, Perkins J, Sherlock C, Mair T, Weller R. COMPUTED TOMOGRAPHIC APPEARANCE OF MELANOMAS IN THE EQUINE HEAD: 13 CASES.. Veterinary Radiology & Ultrasound 2016;57(3):246–252.
    doi: 10.1111/vru.12345pubmed: 26799704google scholar: lookup
  11. Valentine BA. Equine Melanocytic Tumors: A Retrospective Study of 53 Horses (1988 to 1991). J Vet Intern Med 1995;9(5):291–297.
  12. Johnson PJ. Dermatologic Tumors (Excluding Sarcoids). Veterinary Clinics of North America: Equine Practice 1998;14(3):625–658.
    pubmed: 9891728
  13. Rowe EL, Sullins KE. Excision as treatment of dermal melanomatosis in horses: 11 cases (1994–2000). J Am Vet Med Assoc 2004;225(1):94–96.
    doi: 10.2460/javma.2004.225.94pubmed: 15239480google scholar: lookup
  14. MacGillivray KC, Sweeney RW, Piero FD. Metastatic melanoma in horses.. J Vet Intern Med 2002;16(4):452–456.
  15. Metcalfe LVA, O’Brien PJ, Papakonstantinou S, Cahalan SD, McAllister H, Duggan VE. Malignant melanoma in a grey horse: case presentation and review of equine melanoma treatment options.. Ir Vet J 2013;66(1):22.
    doi: 10.1186/2046-0481-66-22pmc: PMC4226278pubmed: 24196087google scholar: lookup
  16. Borges IL, de Sousa LT, Vale RG, Borges PAC, Batista JS, Filgueira KD. Metastatic cutaneous melanoma in equine: anatomopathological aspects.. Revista Brasileira de Higiene e Sanidade Animal 2017;11(1):32–38.
  17. Patterson-Kane JC, Sanchez LC, Uhl EW, Edens LM. Disseminated metastatic intramedullary melanoma in an aged grey horse.. J Comp Pathol 2001;125(2–3):204–207.
    doi: 10.1053/jcpa.2001.0481pubmed: 11578137google scholar: lookup
  18. Rosengren Pielberg G, Golovko A, Sundström E, Curik I, Lennartsson J, Seltenhammer MH. A cis-acting regulatory mutation causes premature hair graying and susceptibility to melanoma in the horse.. Nat Genet 2008;40(8):1004–1009.
    doi: 10.1038/ng.185pubmed: 18641652google scholar: lookup
  19. Sundström E, Komisarczuk AZ, Jiang L, Golovko A, Navratilova P, Rinkwitz S. Identification of a melanocyte-specific, microphthalmia-associated transcription factor-dependent regulatory element in the intronic duplication causing hair greying and melanoma in horses.. Pigment Cell Melanoma Res 2012;25(1):28–36.
  20. Groom LM, Sullins KE. Surgical excision of large melanocytic tumours in grey horses: 38 cases (2001–2013). Equine Veterinary Education 2018;30(8):438–443.
    doi: 10.1111/eve.12767google scholar: lookup
  21. Hewes CA, Sullins KE. Use of cisplatin-containing biodegradable beads for treatment of cutaneous neoplasia in equidae: 59 cases (2000–2004). J Am Vet Med Assoc 2006;229(10):1617–1622.
    doi: 10.2460/javma.229.10.1617pubmed: 17107319google scholar: lookup
  22. Théon AP, Wilson WD, Magdesian KG, Pusterla N, Snyder JR, Galuppo LD. Long-term outcome associated with intratumoral chemotherapy with cisplatin for cutaneous tumors in equidae: 573 cases (1995–2004). J Am Vet Med Assoc 2007;230(10):1506–1513.
    doi: 10.2460/javma.230.10.1506pubmed: 17504043google scholar: lookup
  23. Liebscher G, Vanchangiri K, Mueller T, Feige K, Cavalleri JM, Paschke R. In vitro anticancer activity of Betulinic acid and derivatives thereof on equine melanoma cell lines from grey horses and in vivo safety assessment of the compound NVX-207 in two horses.. Chem Biol Interact 2016;246:20–29.
    doi: 10.1016/j.cbi.2016.01.002pubmed: 26772157google scholar: lookup
  24. Heinzerling LM, Feige K, Rieder S, Akens MK, Dummer R, Stranzinger G. Tumor regression induced by intratumoral injection of DNA coding for human interleukin 12 into melanoma metastases in gray horses.. J Mol Med 2001;78(12):692–702.
    doi: 10.1007/s001090000165pubmed: 11434722google scholar: lookup
  25. Müller J-MV, Feige K, Wunderlin P, Hödl A, Meli ML, Seltenhammer M. Double-blind Placebo-controlled Study With Interleukin-18 and Interleukin-12-encoding Plasmid DNA Shows Antitumor Effect in Metastatic Melanoma in Gray Horses.. J Immunother 2011;34(1):58–64.
    doi: 10.1097/CJI.0b013e3181fe1997pubmed: 21150713google scholar: lookup
  26. Mählmann K, Feige K, Juhls C, Endmann A, Schuberth HJ, Oswald D. Local and systemic effect of transfection-reagent formulated DNA vectors on equine melanoma.. BMC Vet Res 2015;11:132.
    doi: 10.1186/s12917-015-0422-9pmc: PMC4464139pubmed: 26063232google scholar: lookup
  27. Costa JF, Barbosa-Filho JM, Maia GL, Guimarães ET, Meira CS, Ribeiro-dos-Santos R. Potent anti-inflammatory activity of betulinic acid treatment in a model of lethal endotoxemia.. Int Immunopharmacol 2014;23(2):469–474.
    doi: 10.1016/j.intimp.2014.09.021pubmed: 25281393google scholar: lookup
  28. Kashiwada Y, Hashimoto F, Cosentino LM, Chen CH, Garrett PE, Lee KH. Betulinic acid and dihydrobetulinic acid derivatives as potent anti-HIV agents.. J Med Chem 1996;39(5):1016–1017.
    doi: 10.1021/jm950922qpubmed: 8676334google scholar: lookup
  29. Enwerem NM, Okogun JI, Wambebe CO, Okorie DA, Akah PA. Anthelmintic activity of the stem bark extracts of Berlina grandiflora and one of its active principles. Betulinic acid. Phytomedicine 2001;8(2):112–114.
    doi: 10.1078/0944-7113-00023pubmed: 11315752google scholar: lookup
  30. Karna E, Szoka L, Palka JA. Betulinic acid inhibits the expression of hypoxia-inducible factor 1α and vascular endothelial growth factor in human endometrial adenocarcinoma cells.. Mol Cell Biochem 2010;340(1):15–20.
    doi: 10.1007/s11010-010-0395-8pubmed: 20174965google scholar: lookup
  31. Csuk R. Betulinic acid and its derivatives: a patent review (2008–2013). Expert Opin Ther Pat 2014;24(8):913–923.
    doi: 10.1517/13543776.2014.927441pubmed: 24909232google scholar: lookup
  32. Ali-Seyed M, Jantan I, Vijayaraghavan K, Bukhari SNA. Betulinic Acid: Recent Advances in Chemical Modifications, Effective Delivery, and Molecular Mechanisms of a Promising Anticancer Therapy.. Chem Biol Drug Des 2016;87(4):517–536.
    doi: 10.1111/cbdd.12682pubmed: 26535952google scholar: lookup
  33. Weber LA, Funtan A, Paschke R, Delarocque J, Kalbitz J, Meißner J. In vitro assessment of triterpenoids NVX-207 and betulinyl-bis-sulfamate as a topical treatment for equine skin cancer.. PLoS ONE 2020;15(11):e0241448.
  34. Selzer E, Pimentel E, Wacheck V, Schlegel W, Pehamberger H, Jansen B. Effects of Betulinic Acid Alone and in Combination with Irradiation in Human Melanoma Cells.. J Investig Dermatol 2000;114(5):935–940.
  35. Willmann M, Wacheck V, Buckley J, Nagy K, Thalhammer J, Paschke R. Characterization of NVX-207, a novel betulinic acid-derived anti-cancer compound.. Eur J Clin Invest 2009;39(5):384–394.
  36. Patlolla JM, Rao CV. Triterpenoids for cancer prevention and treatment: current status and future prospects.. Curr Pharm Biotechnol 2012;13(1):147–155.
    doi: 10.2174/138920112798868719pubmed: 21466427google scholar: lookup
  37. Cichewicz RH, Kouzi SA. Chemistry, biological activity, and chemotherapeutic potential of betulinic acid for the prevention and treatment of cancer and HIV infection.. Med Res Rev 2004;24(1):90–114.
    doi: 10.1002/med.10053pubmed: 14595673google scholar: lookup
  38. Weber LA, Meißner J, Delarocque J, Kalbitz J, Feige K, Kietzmann M. Betulinic acid shows anticancer activity against equine melanoma cells and permeates isolated equine skin in vitro.. BMC Vet Res 2020;16(1):44.
    doi: 10.1186/s12917-020-2262-5pmc: PMC7003431pubmed: 32024502google scholar: lookup
  39. Pisha E, Chai H, Lee I-S, Chagwedera TE, Farnsworth NR, Cordell GA. Discovery of betulinic acid as a selective inhibitor of human melanoma that functions by induction of apoptosis.. Nat Med 1995;1(10):1046–1051.
    doi: 10.1038/nm1095-1046pubmed: 7489361google scholar: lookup
  40. Kessler JH, Mullauer FB, de Roo GM, Medema JP. Broad in vitro efficacy of plant-derived betulinic acid against cell lines derived from the most prevalent human cancer types.. Cancer Lett 2007;251(1):132–145.
    doi: 10.1016/j.canlet.2006.11.003pubmed: 17169485google scholar: lookup
  41. Mullauer FB, van Bloois L, Daalhuisen JB, Ten Brink MS, Storm G, Medema JP. Betulinic acid delivered in liposomes reduces growth of human lung and colon cancers in mice without causing systemic toxicity.. Anticancer Drugs 2011;22(3):223–233.
    doi: 10.1097/CAD.0b013e3283421035pubmed: 21263311google scholar: lookup
  42. Zuco V, Supino R, Righetti SC, Cleris L, Marchesi E, Gambacorti-Passerini C. Selective cytotoxicity of betulinic acid on tumor cell lines, but not on normal cells.. Cancer Lett 2002;175(1):17–25.
    doi: 10.1016/S0304-3835(01)00718-2pubmed: 11734332google scholar: lookup
  43. Mertens-Talcott SU, Noratto GD, Li X, Angel-Morales G, Bertoldi MC, Safe S. Betulinic acid decreases ER-negative breast cancer cell growth in vitro and in vivo: role of Sp transcription factors and microRNA-27a:ZBTB10.. Mol Carcinog 2013;52(8):591–602.
    doi: 10.1002/mc.21893pmc: PMC3418350pubmed: 22407812google scholar: lookup
  44. Reiner T, Parrondo R, de Las PA, Palenzuela D, Perez-Stable C. Betulinic acid selectively increases protein degradation and enhances prostate cancer-specific apoptosis: possible role for inhibition of deubiquitinase activity.. PLoS ONE 2013;8(2):e56234.
  45. Chintharlapalli S, Papineni S, Ramaiah SK, Safe S. Betulinic acid inhibits prostate cancer growth through inhibition of specificity protein transcription factors.. Cancer Res 2007;67(6):2816–2823.
    doi: 10.1158/0008-5472.CAN-06-3735pubmed: 17363604google scholar: lookup
  46. Rzeski W, Stepulak A, Szymański M, Sifringer M, Kaczor J, Wejksza K. Betulinic acid decreases expression of bcl-2 and cyclin D1, inhibits proliferation, migration and induces apoptosis in cancer cells.. Naunyn Schmiedebergs Arch Pharmacol 2006;374(1):11–20.
    doi: 10.1007/s00210-006-0090-1pubmed: 16964520google scholar: lookup
  47. Zhao J, Li R, Pawlak A, Henklewska M, Sysak A, Wen L. Antitumor Activity of Betulinic Acid and Betulin in Canine Cancer Cell Lines.. In Vivo 2018;32(5):1081–1088.
    doi: 10.21873/invivo.11349pmc: PMC6199609pubmed: 30150429google scholar: lookup
  48. Wang W, Wang Y, Liu M, Zhang Y, Yang T, Li D. Betulinic acid induces apoptosis and suppresses metastasis in hepatocellular carcinoma cell lines in vitro and in vivo.. J Cell Mol Med 2019;23(1):586–595.
    doi: 10.1111/jcmm.13964pmc: PMC6307792pubmed: 30417527google scholar: lookup
  49. Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J. Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses.. Animals (Basel) 2021;11(11):3250.
    doi: 10.3390/ani11113250pmc: PMC8614291pubmed: 34827981google scholar: lookup
  50. Fulda S, Friesen C, Los M, Scaffidi C, Mier W, Benedict M. Betulinic acid triggers CD95 (APO-1/Fas)- and p53-independent apoptosis via activation of caspases in neuroectodermal tumors.. Cancer Res 1997;57(21):4956–4964.
    pubmed: 9354463
  51. Tiwari R, Puthli A, Balakrishnan S, Sapra BK, Mishra KP. Betulinic acid-induced cytotoxicity in human breast tumor cell lines MCF-7 and T47D and its modification by tocopherol.. Cancer Invest 2014;32(8):402–408.
    doi: 10.3109/07357907.2014.933234pubmed: 25019212google scholar: lookup
  52. Kommera H, Kaluđerović GN, Dittrich S, Kalbitz J, Dräger B, Mueller T. Carbamate derivatives of betulinic acid and betulin with selective cytotoxic activity.. Bioorg Med Chem Lett 2010;20(11):3409–3412.
    doi: 10.1016/j.bmcl.2010.04.004pubmed: 20451375google scholar: lookup
  53. Kommera H, Kaluđerović GN, Kalbitz J, Paschke R. Lupane Triterpenoids—Betulin and Betulinic acid derivatives induce apoptosis in tumor cells.. Invest New Drugs 2011;29(2):266–272.
    doi: 10.1007/s10637-009-9358-xpubmed: 19957199google scholar: lookup
  54. Weber LA, Puff C, Kalbitz J, Kietzmann M, Feige K, Bosse K. Concentration profiles and safety of topically applied betulinic acid and NVX-207 in eight healthy horses-A randomized, blinded, placebo-controlled, crossover pilot study.. J Vet Pharmacol Ther 2021;44(1):47–57.
    doi: 10.1111/jvp.12903pubmed: 32845519google scholar: lookup
  55. Lee H, Song C, Baik S, Kim D, Hyeon T, Kim D-H. Device-assisted transdermal drug delivery.. Adv Drug Deliv Rev 2018;127:35–45.
    doi: 10.1016/j.addr.2017.08.009pubmed: 28867296google scholar: lookup
  56. Lebas E, Chapelier C, Quatresooz P, Seidel L, Nikkels AF. Exploratory Assessment of Oxygen Flow-Assisted Cutaneous Administration of Methotrexate for Superficial Basal Cell Carcinoma, Mycosis Fungoides, and Extramammary Paget Disease.. J Investig Dermatol 2020;140(3):583–592.
    doi: 10.1016/j.jid.2019.08.443pubmed: 31513804google scholar: lookup
  57. Elksnat A-L, Zscherpe P, Klein K, Cavalleri JM, Meißner J. Effect of an Oxygen-Based Mechanical Drug Delivery System on Percutaneous Permeation of Various Substances In Vitro.. Pharmaceutics 2022;14(12):2722.
  58. Sidler M, Fouché N, Meth I, Hahn F, von Rechenberg B, Kronen P. Transcutaneous Treatment with Vetdrop Sustains the Adjacent Cartilage in a Microfracturing Joint Defect Model in Sheep.. The open orthopaedics journal 2013;7:57–66.
    doi: 10.2174/1874325001307010057pmc: PMC3606951pubmed: 23539664google scholar: lookup
  59. Sidler M, Fouché N, Meth I, von Hahn F, von Rechenberg B, Kronen PW. Preliminary study on carprofen concentration measurements after transcutaneous treatment with Vetdrop® in a microfracture joint defect model in sheep.. BMC Vet Res 2014;10(1):268.
    doi: 10.1186/s12917-014-0268-6pmc: PMC4263071pubmed: 25488522google scholar: lookup
  60. Jouret G, Gonne E, Quatresooz P, Reginster MA, Collins P, Lebas E. Cutaneous Breast Cancer Metastases Successfully Treated Using an Oxygen Flow Assisted Topical Administration of Methotrexate (OFAMTX). Dermatol Ther (Heidelb) 2020;10(4):855–861.
    doi: 10.1007/s13555-020-00393-9pmc: PMC7367989pubmed: 32415574google scholar: lookup
  61. Mills PC, Cross SE. Regional differences in the in vitro penetration of hydrocortisone through equine skin.. J Vet Pharmacol Ther 2006;29(1):25–30.
  62. Ahlstrom LA, Cross SE, Mills PC. The effects of freezing skin on transdermal drug penetration kinetics.. J Vet Pharmacol Ther 2007;30(5):456–463.
  63. Bizley SC, Dudhia J, Smith RKW, Williams AC. Transdermal drug delivery in horses: An in vitro comparison of skin structure and permeation of two model drugs at various anatomical sites.. Vet Dermatol 2023;34(3):235–245.
    doi: 10.1111/vde.13162pubmed: 37185892google scholar: lookup
  64. Stahl J, Niedorf F, Kietzmann M. Characterisation of epidermal lipid composition and skin morphology of animal skin ex vivo.. Eur J Pharm Biopharm 2009;72(2):310–316.
    doi: 10.1016/j.ejpb.2008.09.013pubmed: 18940254google scholar: lookup

Citations

This article has been cited 0 times.