Transdermal Patch Simulation Using the Lattice Boltzmann Method with Active Diffusion in the Cell and Lipid Pathways Angell Cheea, Calvin Chenga, Steven Zhua, and Jiaolong Jianga a Materials and Science Engineering Department, Stony Brook University, Room 314 Old Engineering, Stony Brook, New York 11794, United States Abstract The transdermal patch is continuing to grow in popularity as a drug delivery system that shows promising results. Since transdermal patch testing on humans is expensive, time consuming, and limited due to ethical constraints, a simulation of this system would provide a relatively cheaper option. An existing model simulates this system but only accounts for drug diffusion in the skin lipid layer. Our model expanded on this simulation to also involve the drug diffusion through the skin cell layer. Through this simulation, it was found that the cell layer introduces a much more rapid drug diffusion through the stratum corneum (SC). A sensitivity test was done on the lipid diffusion coefficient, cell diffusion coefficient, and partition coefficient to see their effect on the overall properties of the transdermal diffusion. From these tests, the cell layer was concluded to be the most important factor in transdermal diffusion. The cell diffusion coefficient affected the drug diffusion the most while the lipid diffusion coefficient and the partition coefficient showed negligible changes. Keywords: Transdermal Patch, Lattice Boltzmann, Stratum Corneum, Drug Delivery, Brick and Mortar 1. Introduction Computer modeling of transport processes provided a relatively inexpensive means to observe how interactions of molecules on the atomic level affect a system as a whole. It encompassed computation and theoretical knowledge in order to create a model that can simulate real life situations. Numerical methods have been developed to model various situations and help in processing the simulation [1]. In the paper, we used a lattice Boltzmann model to study the diffusion of drugs from a drug patch through the human skin. Getting data from experimentation can be expensive and are prone to human error. This, combined with human experimentation can make it very difficult for scientists to test for efficient transdermal patches [2]. By creating a model, scientists will be able to modify different parameters to find the key parameters affecting the drug flux or peak times in the patch. By running the parameters through numerous simulations, the accuracy of the human trials conducted can be greatly improved. The simulation will involve the diffusion of drugs from a transdermal patch to the outermost layer of the human skin, the stratum corneum (SC). The stratum corneum is the first barrier any foreign substance will encounter when trying to enter the human body. It has proved to be very efficient in keeping these substances out [3]. In fact, this barrier is often considered the rate-limiting step of the drug diffusion. 50 Figure 1. Brick and mortar representation of the stratum corneum layer In order to create this model, we first needed to create a structure that mimicked the stratum corneum. The brick and mortar model was is usually employed to model this skin layer because of the resemblance [4]. When observed under the microscope, the stratum corneum has many layers of skin cells stack atop of each other, staggered in various ways [5][6]. The brick and mortar model created a similar structure, where the bricks represented the skin cell while the mortar represented the lipid layer in between the skin cells. To model the movement of the drug within each layer, we used the lattice Boltzmann method. The Lattice Boltzmann Method (LBM) was developed relatively recently as a mesoscopic method that could bring together some properties from both macroscopic and mesoscopic modeling techniques [7,8,9,10]. This method was often used to solve incompressible, time dependent Navier Stokes equations. The advantage was that it can simulate complex systems such as multiphase flows and chemical reactions between different fluids and their surroundings. Instead of focusing on the microscopic behavior of the molecules, the LBM acted on the averaged microscopic motion. Using the lattice Boltzmann method and the brick and mortar model, a simulation can be created to predict the drug flow. Previous works have already created a simulation using both lattice Boltzmann and the brick and mortar model [11,12]. The model created by Sun Ning only accounted for the diffusion of the drug through the lipid layer. Drug flow through the cell layer was not computed by the simulation. Therefore, this model was not completely accurate since it does not represent the whole system. In our simulation, the drug will be allowed to flow through both lipid and cell layer, while also including the diffusion in between those layers. The data collected from our simulation will be compared to the data from the simulation that only includes the lipid layer. The overall drug flow into the stratum corneum should increase when the drug is allowed to diffuse through the cell and lipid layer as opposed to when the drug is only allowed to diffuse through the lipid layer. 2. Methods/Procedure Palabos is an open source computation fluid dynamics (CFD) solver that has a heavy reliance on the lattice Boltzmann methods. Palabos deals with a large range of topics, some of which are flow through a porous media, and multi-phase flow. By having references to alleviate complex calculations Palabos is the perfect software to help model a transdermal patch diffusion. We created two lattices to help simulate the drug diffusion through the cell and lipid layer. These layers are effectively mirror images of each other. The first lattice is the cell lattice, where the cells, represented by brick-like shapes, are given a basic dynamic for which the drug is allowed to travel through. Most of the lipid pathways in this lattice is set to have no dynamics, meaning the simulation will ignore any particles in this range and not compute them. The lipid layer that immediately surrounding the brick is given a bounce back dynamic. From this setup, drugs in the cell will stay in the cell. If they were to travel to the edge of 51 the cell, they will hit a bounce back layer that will keep it in the cell and away from the lipid layer. interface layer. This interface layer allowed the transport of drugs from the cell lattice to the lipid lattice and vice versa. Using this method, we modeled the transdermal drug diffusion with two lattices that solely computed the diffusion through their respective layer, and an interface processor that modeled the drug diffusion between them. Figure 2. Location of the types of dynamics located in each lattice The lipid lattice is similar except that the lipid is given the basic dynamic and most of the cell layer is given no dynamic. The edge of the brick layer, however, is also treated as a lipid layer and given normal dynamics. The cell layer directly under this edge layer is set to have a bounce back dynamic. From this setup, the drug in the lipid layer will stay in the lipid layer, but is also allowed to transfer into the edge of the brick layer. This edge is utilized as an interface which will be used to model the transport of drugs from lipid to cell layer. From the edge of the brick layer, the drug will not be able to transverse any deeper into the cell since it will be immediately met with the bounce back dynamic that is given to the layer immediately under this edge. The creation of two lattices is optimal because it breaks a complex problem into smaller problems, which are significantly easier to solve. By separating the two lattices with their respective conditions, understanding the formation of the model and managing each of its subparts becomes much easier. The resultant interface layer was created from the two lattices. In both lattices, the edge of the brick layer is given regular dynamics. Because of this, a drug density will exist in both lattices. All the points on the model where the drug density exist for both the cell and lipid lattice was regarded as an Figure 3: Interface Layout. Interface layer is shown in black. A sensitivity test was performed on the new model to determine which factors affected the drug flux the most. Three parameters were tested: diffusion coefficient of drug through the lipid layer, diffusion coefficient of drug through the cell layer, and the partition coefficient of the drug between the lipid and cell layer. In our simulation we used coefficients that simulated the drug fentanyl. A standard control case utilized a lipid and cell coefficient of 1.2 * 10-7 cm2/s [13]. The partition coefficient used for the base case was 0.14. The partition coefficient controls the amount of drug that travels between the lipid and cell layers. The lipid diffusion coefficient and partition coefficient are the same values used in Sunβs Thesis [11]. We used the same diffusion coefficient for the cell and lipid pathway for this sensitivity test. The total drug amount that was measured in the patch and SC is recorded in equivalent lattice units (ELU). This unit 52 represents the total amount of individual lattices units in the simulation that contains the drug. It is difficult to translate this drug amount into physical units. This data was calculated with the following equation: πΈπΏππππ‘πβ = ππππ‘πβ β ππππ‘πβ β π»πππ‘πβ πΈπΏπππΆ = πππΆ β πππΆ β π»ππΆ (1) (2) In the above equations, Ο represents the average drug density in the structure. W and H represents the width and height respectively of the structure. Together, they represent the total area in which the ELU is being evaluated over. 3. Results Figure 4a, 4b and 4c showed the effect fentanyl diffusing through the model at different cell diffusion coefficients. The cell diffusion coefficient variation did not change the diffusion through the patch but had a difference in the amount of drug diffused through the SC layer. At a higher cell diffusion coefficient, the drug traveled through the system much quicker. Because of this, the SC contained a much lower overall concentration of the drug. The cumulative flux of the patch did not correlate very well with the cell diffusion coefficient. A max peak was observed at a two times base case, but the other cases showed no changes. More cases needed to be simulated regarding cell diffusion coefficient on the overall flux before a conclusion can be determined. In Figure 5a, 5b, and 5c, the lipid diffusion coefficient was another parameter tested in the simulation. Figure 4a. Drug distribution in the patch with different cell coefficients Figure 4b. Drug distribution in the SC with different cell coefficients Figure 4c. Flux for different cell coefficients 53 Figure 5a. Drug distribution in the patch with different lipid coefficients variation in the cell coefficient. This may be because the SC is mostly made up of cell layer, so a change in the lesser lipid layer would have an overall lesser effect. The cumulative overall flux of the drug decreased as the lipid diffusion coefficient increased. It did follow the same overall pattern of spiking and a resultant gradual decrease, but the peak of this spike seems to be controlled by the lipid coefficient. The highest peak occurred when the coefficient was the smallest and decreased as the coefficient is increased. Figure 6a, 6b, and 6c showed the effects of varying the partition coefficient. Figure 5b. Drug distribution in the SC with different lipid coefficients Figure 6a. Drug distribution in the patch with different partition coefficients Figure 5c. Flux for different lipid coefficients Similar to the cell coefficient test, the patch concentration was largely unaffected by lipid coefficients variations. An increasing lipid coefficient decreased the total drug amount in the SC, which was the exact same trend observed in the cell coefficient test. The variation of the lipid coefficient however did not have as great of an effect on the total drug in the SC as did the Figure 6b. Drug distribution in the SC with different partition coefficients 54 Figure 6c. coefficients Flux for different partition A higher partition coefficient should allow the drugs to more easily move between the lipid and cell layers. This will then free more room in the SC for the drug to diffuse into from the patch. Unlike the previous two tests, varying the partition coefficient seemed to have more of an effect on the drug amount in the patch. Similar to the lipid coefficient test, the overall drug amount in the SC showed little change when the partition coefficient was varied. This was an interesting result since the drug amount in the patch showed some variation. A lower partition coefficient caused the drug to diffuse out the patch more slowly. Also, a lower partition coefficient caused the drug amount to peak at a lower value than the other base conditions. This was apparent since a lower partition coefficient did not allow as much drug to diffuse to and from the lipid and cell and vise-versa. Cumulative overall flux and partition coefficient seemed to have a positive correlation. Similar to the analysis of cumulative overall flux and lipid partition coefficient, the overall flux followed the same general pattern with a sharp peak and a gradual decline. Unlike the negative correlation observed in 5c however, an increase in partition coefficient resulted in an increase in the peak of the cumulative overall flux. 4. Discussion The human SC is primarily made up of cells, which is also true in our model. The βbricksβ make up a large portion of our structure. The lipid layer only existed in the small surroundings between each cell. Because of this, the cell layer dynamics will probably cause the most drastic changes in the results. Variation of the lipid coefficient in figure 5a and 5b shows that the lipid coefficient have minimal effects on the total drug amount in SC and the patch. As seen in figure 6a and 6b, the partition coefficient also has minimal changes in the outcome. Since the partition coefficient controlled the movement of drugs between lipid and cell layer, it should have more effect on the total drug amount than the lipid coefficient, but less effect than the cell coefficient. Figure 4b showed that the cell coefficient did indeed affect the total drug amount in SC by much more than the lipid coefficient and the partition coefficient. As a result, the amount of drug present on the SC was largely dependent on the diffusion of drugs through the cell layers in the SC. The flux of the drugs however, seems to follow a different trend. According to the figure 5c, the lipid diffusion coefficient had the most effect on the flux. The highest lipid diffusion coefficient resulted in the lowest peak flux while the lowest coefficient resulted in the highest peak. With a high lipid diffusion coefficient, the drug is able to pass through the lipid layer in much faster. This gives the drug less time to diffuse into the cell layer. The diffusion of the drug through the cell layer is predicted to be the main pathway for which the drug diffuses. Because of this, a high lipid diffusion coefficient can actually be detrimental to the flux because it decreases the amount of drug that can enter this main diffusion pathway, the cell layer. The partition coefficient in figure 6c showed negligible changes in flux for the range that we tested. The cell diffusion coefficient data in figure 4c remains inconclusive. There was 55 no general pattern that can be observed. The base case, 0.5x base case, and 4x base case all have the same peak height, but the the 2x base case observed a sudden 50% jump in peak height. This could be an optimal point where the lipid diffusion coefficient and cell diffusion coefficient may experience some resonance effect resulting in more flux. Further testing will need to be done with these parameters. Ning Sunβs model of transdermal drug diffusion only accounted for the diffusion of drug through the lipid layer. His results showed that the cumulative flux increases sharply, then steadily drops off. Our results in figure 4c, 5c, and 6c all showed a similar trend observed in Sunβs results [2]. Our results were similar in the sense that we also have a large initial spike in flux. Adding a cell layer however, seems to have given our results a less steep increase when compared to Sunβs results. The overall flux after this peak also decreased more rapidly than Sunβs results. Sunβs results showed the overall flux to have a steady linear decrease after the spike while our results in figure 4c, 5c, and 6c all showed a decrease that's more comparative to an exponential decay. The cumulative overall flux was observed to have a positive correlation with partition coefficient and a negative correlation with lipid diffusion coefficient. The lipid diffusion coefficient and cumulative overall fluxβs negative correlation made sense when looking at the data in 5b. The highest flux peak correlated with the highest drug concentration in the SC. Higher drug concentration in the SC will lead to a higher flux since there was a greater drug concentration that would want to diffuse out of the SC. This pattern should ideally also be observed in the sensitivity test for cell coefficient, but that data is inconclusive as is. Similarly, the partition coefficient and cumulative overall fluxβs positive correlation agreed with the data in figure 6b. The highest cumulative overall flux was the four times base case, which is also where the SC observed the highest peak in drug concentration. All these cases followed the same peak height order for concentration in SC and cumulative overall flux. A higher partition coefficient will allow more drugs to pass from layer to layer. A higher transfer in between these layers will allow the drug to spend less time in the SC and therefore exit the SC in greater numbers. This will speed up the rate of drug transfer which can explain the positive correlation observed between the cumulative overall flux and the partition coefficient. 5. Conclusion By adding the cell layer into the transdermal patch simulation, the resultant drug in SC, patch, and accumulative flux changed drastically. Diffusion of drugs through the lipid layer only seemed to lead to a steady and slow flushing of the drug from the SC. The addition of the cell layer increased this rate dramatically. Ultimately, the addition of the cell layer in the transdermal patch sped up the diffusion of drugs through the system and lead to a steeper decreases in overall cumulative flux. Our various sensitivity tests have concluded that the cell layer did indeed play the largest role in the diffusion of the drugs. Variation in the partition coefficient and the lipid coefficient showed negligible changes when compared to variations in the cell coefficient. The diffusion of drugs from a transdermal patch and through the stratum corneum was ultimately most dependent on the cell diffusion coefficient and least dependent on the lipid coefficient and partition coefficient. Acknowledgements This research was supported Stony Brook University. We would like to thank Dr. Dilip Gersappe for providing us mentorship throughout the project. We 56 would also like to thank our graduate advisor, Jialong Jiang, for guiding us through the simulation process. 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