Journal of Biomedical Engineering Research 43: 271-279 (2022) http://dx.doi.org/10.9718/JBER.2022.43.4.271 학 술 논 문 Skin-Mimicking Phantom for Measurment of Cosmetic Transdermal Absorption and Temperature Changes by Sonophoresis Gahee Kimǂ, Hwijin Jangǂ, Seonmin Choi, Sanghyo Park, Woo Cheol Kim and Jaehong Key* Department of Biomedical Engineering, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, South Korea (Manuscript received 8 August 2022 ; revised 19 August 2022 ; accepted 23 August 2022) Abstract: Functional cosmetics containing various ingredients that improve skin health are currently being developed. In addition, technologies that help increase the absorption rate of such cosmetics have recently gained significant attention. Sonophoresis is a method to increase the transdermal absorption of cosmetics using ultrasound. A skinmimicking phantom was fabricated using polydimethylsiloxane, Strat-MTM membrane, and thermochromic pigments. Gel-type cosmetics used in skin mask packs and epidermal-growth-factor-based nano-cosmetics were tested for their absorption rates at ultrasound frequencies of 1, 3, and 10 MHz in the single frequency mode, and 1/3 and 3/10 MHz in the dual frequency mode. The gel-type cosmetics and epidermal-grow-factor-based nano-cosmetics showed the highest absorption rate at 3/10MHz dual frequency. The size of the cosmetic particles decreased by 5-9 %. Furthermore, the temperature rise caused by ultrasound could be visually recognized by the thermochromic pigment in the phantom turning white. We presented a skin-mimicking phantom. The device can be customized according to the size of the ultrasound probe and has the advantage of quantitatively evaluating the transdermal permeability of cosmetics at a low cost. The development of the skin-mimicking phantom will be useful for determining the suitable conditions required to increase the absorption rate of cosmetics using ultrasound. Keywords: Nano-cosmetic, Sonophoresis, Skin absorption, Skin-mimicking phantom I. Introduction continued to grow at a compound annual growth rate (CAGR) of 6.4% from 2015 to 2020 and reached approximately In recent years, the cosmetics market has shown a $8.1 billion in 2019 [1]. Functional cosmetics, which substantial growth worldwide, and it has great poten- include active ingredients that provide benefits such tial. In particular, the functional cosmetics market is as wrinkle improvement, anti-aging, skin whitening, and growing rapidly. In fact, the size of the European market, skin protection, are being developed and commercia- the largest cosmetics market, was 96.37 billion euros lized. Furthermore, technologies that help increase the in 2018, an increase of 3.2% compared to the previous absorption rate of the active ingredients into the skin year and is expected to reach 110.19 billion euros in have recently gained significant interest [2]. 2022. Moreover, the second largest market in the U.S. The skin has low permeability, and only a few components in limited quantities are absorbed by it. In par- *Corresponding Author : Jaehong Key Department of Biomedical Engineering, Yonsei University, 1 Yonseidae-gil, Wonju, Gangwon-do, 220-710, Korea Tel: +82-33-760-2587 E-mail: jkey@yonsei.ac.kr ǂ Contributed equally to this work. This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (grant no. 2022RIS-005, and 2022R1F1A1069516). ticular, a hydrophilic molecule or a large molecular-weight compound is hardly absorbed [3]. Although ionized drugs and some water-soluble drugs are absorbed faster through the skin appendages than through keratin, these appendages occupy only 0.1% of the skin surface area [4]. This low permeability of the skin is predominantly caused by its outermost layer, namely, the stratum corneum, 271 Skin-Mimicking Phantom for Measurment of Cosmetic Transdermal Absorption and Temperature Changes by Sonophoresis - Gahee Kim et al. which is composed of keratin cells, which are protein absorption of cosmetics under the effect of ultrasound cells with hard crystal structure. These cells are sur- and has the advantage of being easily customizable rounded by a lipid bilayer; hence, cosmetics must pass even when the ultrasound probe size is 5–25 mm or through this lipid bilayer to be absorbed into the human more. Therefore, this study proposes a cost-effective body through the stratum corneum [3,5,6]. The skin is device that can assist in repeated quantitative mea- an effective biological barrier, which blocks the absorption surements of the transdermal absorption rate of various of cosmetics. Therefore, formulation and physical approaches cosmetics and in the evaluation of the temperature are used to effectively penetrate these barriers. The changes in the skin. physical approaches include iontophoresis, electroporation and sonophoresis. The formulation approaches II. Materials and Methods include polymer hydrogels, polymer micelles, nanoemulsions, ethosomes, and elastic liposomes [4,7]. In this study, sonophoresis was employed to effectively promote per- PDMS is used to make a skin-mimicking phantom cutaneous absorption. Ultrasound is a sound wave above (shown in Fig. 1). PDMS (Silicone Elastomer Kit, Dow the audible range, i.e., beyond 20 kHz and is known to corning, Midland, USA) and an elastomer were mixed promote the absorption of substances into the skin. in a weight ratio of 10:1 and placed into a mold to Sonophoresis increases the skin temperature and improves obtain a transparent layer of a skin-simulating phan- the skin permeability by instantaneously changing the tom. The 10:1 mixture was further mixed with a ther- lipid bilayer [8,9]. mochromic pigment and arranged as a temperature- However, the absorption of cosmetics cannot be directly evaluated in humans, and animal testing involves 272 1. Fabrication of a skin-mimicking phantom sensing layer to produce a two-layered skin-simulating phantom. serious ethical issues. Furthermore, several laws are being enforced against animal testing across the globe 2. Measurement of temperature variation using skin- [10]. Therefore, the Franz diffusion cell is generally mimicking phantom used to indirectly check the absorption of cosmetics Using thermochromic pigments of 40, 50, 60, and 70 °C, [11,12]. Generally, Franz diffusion cells use glass and temperature changes were measured using 1 MHz have a standard diameter of 5–25 mm. However, when ultrasound according to the conditions listed in Table 1. A ultrasound is directly processed, glass may break at non-sonicated control was compared with the control the resonance point. Moreover, because a Franz diffusion after being subjected to 3 min and 9 min of sonication. cell has a donor in its structure, it is difficult to directly subject the membrane to ultrasound. In addition, fre- 3. Ultrasound quency fluctuations via the glass might influence per- An ultrasound device for dermatology, SONOCARE meability and the use of ultrasound can drastically (Newpong Co., Ltd., Seoul, South Korea), was used to pro- change the temperature of the skin. Therefore, a skin- mote percutaneous absorption. This device produces mimicking phantom capable of observing these chan- ultrasound of 1, 3, and 10 MHz in the single frequency ges in the skin temperature when it is subjected to mode and frequencies of 1/3 and 3/10 MHz in the dual sonophoresis is required. Hence, a skin-simulating frequency mode. The safest temperature that could be phantom was manufactured using polydimethylsiloxane achieved was 45–48°C. Changes in the skin surface (PDMS) and thermochromic pigments. PDMS has been temperature owing to ultrasound exposure were observed widely used over the past 10 years to fabricate phantoms in real-time using the thermochromic pigment, which that mimic the optical, physical, and thermal properties was used in the PDMS production. of biological tissues and to evaluate various performances [13-15]. In addition, PDMS has good molding processability, 4. Strat-MTM membrane durability, and flexibility; thus, the phantom designed Strat-MTM membrane (Merck KGaA, Darmstadt, Ger- in this study can safely measure the degree of skin many) was used as a skin substitute on the skin-mim- Journal of Biomedical Engineering Research 43: 271-279 (2022) Fig. 1. PDMS (Polydimethylsiloxane) skin mimicking tissue phantom. (A)Schematic illustration of the skin mimicking phantom for evaluation of transdermal absorption of cosmetics and measurement of temperature change by ultrasound treatment. (B) The skin-mimicking phantom measured under ultrasound exposure and magnetic stirring. Table 1. Ultrasound conditions for each frequency 273 Single Frequency Output (W/cm2) Dual Frequency 1 MHz 3 MHz 10 MHz 1/3 MHz 3/10 MHz 1.22 1.44 1.46 1.36/0.86 1.52/1.52 icking phantom in the transdermal diffusion test mode (Daewoong, Co., Ltd., Seoul, South Korea), the ultrasound [16-24]. The thickness of the Strat-MTM membrane device was placed directly above the phantom. The was approximately 300 µm and it had a multi-layered space at the bottom of the Strat-MTM membrane was structure with layers that mimicked human skin tissues filled with a 1:1 aqueous solution of deionized water such as the epidermis, dermis, and subcutaneous tis- (D.W) and Ethanol. sue [25,26]. An aqueous solution of D.W and Ethanol (1:1) was injected and discharged using syringes on both sides 5. Measurement of transdermal absorption using a skin- of the phantom, following the in vitro skin absorption mimicking phantom guidelines by the Korean Ministry of Food and Drug A Strat-M TM membrane was placed on the PDMS- based phantom. The membrane was fixed using tape Safety. A magnetic stirrer was used to circulate the aqueous solution inside the well of the phantom. to prevent the penetration of cosmetics through the Furthermore, the membrane and mixed solution were space between the membrane and phantom, as well as ensured to be in direct contact such that the cosmetic the movement of the membrane due to ultrasound. After that passed through the membrane was mixed with the applying 200 µL of gel-type cosmetics from an MK Mask aqueous solution. Ultrasound was applied according pack (Mankil, Co., Ltd., Seoul, South Korea) and epi- to the conditions for each ultrasound frequency, as dermal growth factor (EGF)-based ampoule cosmetics detailed in Table 1. and 1 ml of the aqueous solution Skin-Mimicking Phantom for Measurment of Cosmetic Transdermal Absorption and Temperature Changes by Sonophoresis - Gahee Kim et al. was injected and discharged according to the ultrasound Differences were considered to be statistically significant treatment time (1, 3, 5, 7, and 9 min). The non-sonicated when *p<0.05, **p<0.01, ***p<0.005, and ****p<0.001. group was chosen as the control group and compared with the experimental group. The aqueous solution III. Results discharged for each treatment time was transferred to a 96-well plate, and the change in absorbance was mea- 1. Evaluation of cosmetics sured at a wavelength of 290 nm. The absorbances of The skin-mimicking phantom used in this study was cosmetics were measured using a Synergy HTX multi- manufactured using PDMS according to the size of the mode reader (BioTek Instruments, Inc., Winooski, VT, ultrasound probe. The skin-mimicking phantom had a USA). The percutaneous absorption of cosmetics was diameter of 5.4 cm and a height of 1.3 cm (shown in obtained by inverse calculations according to the stan- Fig. 1). The calibration curves of the EGF ampoule dard curve of each cosmetic. The percentage was obtained cosmetics and mask pack cosmetics determined by lin- through the x value of the equation of the standard ear regression were y = 2.1783x + 0.046 (R2 = 0.9956) curve. and y = 1.1314x + 0.0456 (R2 = 0.9974), respectively. The All experiments were repeated five times to confirm reproducibility. x and y axes represent absorbance values for each concentration of cosmetics (shown in Fig. 2B. and Fig. 3B.). The absorbance value refers to the amount of 6. Statistical analysis cosmetics that have penetrated the membrane by The data were expressed as mean ± standard devi- ultrasounds. The cumulative absorbances of the mask ation and comparisons were performed using one-way pack at control 0.024 and single frequencies of 1, 3, ANOVA tests (SystatSoftware, Inc., Chicago, IL, USA). and 10 MHz were 0.138, 0.067, and 0.124, respectively, 274 Fig. 2. Evaluation of MK mask pack. (A) Absorbance of cosmetic. (B) Standard curve of cosmetic. (C) The cumulative absorbance of cosmetic over time by ultrasound frequency. (D) Cosmetic penetration percentage by ultrasound frequency. Journal of Biomedical Engineering Research 43: 271-279 (2022) 275 Fig. 3. Evaluation of EGF ampoule. (A) Absorbance of cosmetic. (B) Standard curve of cosmetic. (C) The cumulative absorbance of cosmetic over time by ultrasound frequency. (D) Cosmetic penetration percentage by ultrasound frequency. whereas these absorbance values at the dual frequen- whereas at dual frequencies of 1/3 and 3/10 MHz, the cies of 1/3 and 3/10 MHz were 0.070 and 0.212, respec- inverses of the absorbances of the EGF ampoule were tively (shown in Fig. 2C.). The cumulative absorbance 9.05 % and 16.75 %, respectively (as shown in Fig. 3D). of the EGF ampoule at control was 0.068; at single fre- After ultrasound of the mask pack and EGF Ampoule, quencies of 1, 3, and 10 MHz, these values were 0.212, it was confirmed through Scanning electron microscope 0.237, and 0.190, respectively; whereas, at the dual (SEM) that there were cosmetics in the D.W+Ethanol frequencies of 1/3 and 3/10 MHz, the absorbances were aqueous solution (Fig. 5). Fig. 2D. and Fig. 3D. show a 0.243 and 0.410, respectively (as shown in Fig. 3C.). comparison of the results, including the statistical sig- Inverse calculations were performed to convert the nificance of the cosmetic penetration effect with varying absorbance values into percentages (%). In the case of frequencies. In the case of the MK mask pack, there is the MK mask pack, the inverse of the absorbance at a significant difference at all frequencies when com- control was 0 %; at single frequencies of 1, 3, and 10 MHz, pared to the control (p<0.001). In the case of EGF Ampoule, these values were 8.17 %, 1.94 %, and 6.94 %, respec- there is a significant difference compared with the control tively; whereas at dual frequencies of 1/3 and 3/10 (1MHz, 1/3MHz, and 3/10MHz: p<0.001;3 MHz: p<0.005; MHz, the inverses of the absorbances were 2.23 % and 10 MHz: p<0.01). As a result, the penetration rate changed 14.75 %, respectively (as shown in Fig. 2D.). The inverse according to each frequency. Interestingly, the highest of the absorbance of the EGF ampoule at control was cosmetic penetration was confirmed at a dual frequency of 0.48 %; at single frequencies of 1, 3, and 10 MHz, these 3/10 MHz for both the MK mask and the EGF ampoule. values were 7.65 %, 8.78 %, and 6.61 %, respectively; Skin-Mimicking Phantom for Measurment of Cosmetic Transdermal Absorption and Temperature Changes by Sonophoresis - Gahee Kim et al. 2. Variation in size and zeta potential of the EGF ampoule cosmetic using ultrasound Nanoemulsion is a method of synthesizing nanoparticles that generally have a size of 20–500 nm. Nanoparticles that are fabricated as a nanoemulsion penetrate the skin much faster than macroemulsion [27,28]. This experiment examined whether the average particle size of the EGF ampoule cosmetics, which was 227 nm, was changed by the ultrasound. Here, the EGF ampoule cosmetics were exposed to ultrasound for different durations. The results were confirmed by dynamic light scattering (DLS). The particle sizes of the cosmetics at single frequencies of 1, 3, and 10 MHz decreased by 5.89 %, 6.93 %, and 6.73 %, respectively, whereas at the cross frequencies of 1/3 and 3/10 MHz they decreased by 7.46 % and 9.2 %, respectively. Thus, the cosmetic particle size decreased as the sonication time increased at both the single and dual frequencies. In particular, the largest change in particle size was observed at a dual frequency. This result supported the explanation for increased penetration rate when using a dual frequency 276 (shown in Fig. 4). In the case of mask pack cosmetic, it was hard to accurately measure the size with DLS due to problem in gel formulation and its viscosity. The exact size was confirmed through SEM. The zeta potential of the EGF ampoule was -40.53 mV before sonication; after 3 min ultrasound at frequencies of 1, 3, and 10 MHz, these values were -47.2, -46.56, and -41.06 mV, respectively. Further, the zeta potentials after ultrasound at the dual frequencies of 1/3 and 3/ 10 MHz were -47.73 and -47.43 mV, respectively. Moreover, after 9 min ultrasound at frequencies of 1, 3, and 10 MHz, the zeta potentials were -48.23, -51.6, and −54.6 mV, respectively. Further, after ultrasound at the dual frequencies of 1/3 and 3/10 MHz, these values were -47.73 and -48 mV, respectively. Thus, after ultrasound, the zeta potential decreased to a higher negative value in all frequency conditions, which can be explained by the decrease in the particle size and increase in the surface area of the particle, consequently inducing a more negative shift in the charge (Fig. 4). 3. Skin-mimicking phantoms, including various thermochromic pigments Thermochromic pigments that change color accord- Fig. 4. Variation in size and zeta potential of the epidermal growth factor (EGF) ampoule cosmetic using ultrasound sonication. (A) Single frequency of 1,3,10 MHz. (B) Dual frequency of 1/3MHz, 3/10MHz. Journal of Biomedical Engineering Research 43: 271-279 (2022) range frequencies is known to increase the temperature up to 65°C [29], and the experiments were conducted at 40, 50, 60, and 70°C. The color changes of the phantom as a function of temperature were observed up to 60°C (as shown in Fig. 6). IV. Discussion and Conclusion The stratum corneum of the skin acts as a major barrier that limits the penetration of substances into Fig. 5. SEM image of MK-mask pack and EGF ampoule cosmetics present in D.W+Ethanol aqueous solution through StratMTM membrane after ultrasound (Scale bar: 1 µm). the skin. The sonophoresis method can increase the skin permeability of cosmetics non-invasively using ultrasound [30,31]. Therefore, the absorption rate of cosmetics was quantitatively evaluated using single ing to the temperature change were used in this phantom and dual frequencies. It was confirmed that, compared to model. The thermochromic pigments exists in the the untreated control group, there was a statistically temperature change layer of the two layers of the PDMS significant increase in the experimental group treated phantom, and becomes transparent at a certain with sonication. Both the mask pack and the EGF temperature or higher. In this experiment, thermochromic ampoule showed a significant difference at 3/10 MHz. pigment that change a 40, 50, 60, 70°C or higher were In the case of a single frequency, the mask pack cos- prepared, respectively, and the colors for each temperature metics showed a high absorption rate at 1 MHz, whereas were set to blue to 40°C, red at 50°C, black at 60°C, the EGF ampoule cosmetics did not show a statistical and yellow at 70°C. The thermal effect of ultrasound difference between 1 and 3 MHz. The results were was investigated using color change with respect to expected to be significantly affected by low frequen- the ultrasound treatment time. Ultrasound at MHz cies for the mask pack cosmetics. The particle size of the mask pack was not in the nanoscale; therefore, a low frequency provided a better penetration. In contrast, for the EGF ampoule cosmetics, which are based on nanoparticles, the particles were well absorbed in both 1 and 3 MHz frequencies. Nanoparticle-based cosmetics may have had a high absorption rate due to their small sizes regardless of external stimuli. For the dual frequency measurements, both the mask pack and EGF ampoule cosmetics had higher absorption rates at 3/ 10 MHz, and the particle size change in the cosmetics was the largest at the dual frequency mode. The penetration depth was measured as the distance after the sound intensity is reduced to 50 % of that at the skin surface. The penetration depths at 1 and 3 MHz were 3 and 1 cm, respectively[32], whereas, in the case of ultrasound with 10 MHz, the penetration depth was only 0.3 cm. This observation can be expected to have an intensive sonophoresis effect on the stratum corneum. A Fig. 6. Color change after ultrasound on a skin mimicking phantom using various thermochromic pigments. stimulation at 10 MHz has been reported to be mainly effective for the epidermis and dermis, where aging or 277 Skin-Mimicking Phantom for Measurment of Cosmetic Transdermal Absorption and Temperature Changes by Sonophoresis - Gahee Kim et al. pathological changes occur[31]. Therefore, although sound exposure time. Therefore, this skin-mimicking the frequency penetration depth of 10 and 3 MHz was phantom can suggest the ultrasound intensity, frequency lower than that of 1 MHz, the skin stimulation by the range, and exposure time to optimize the skin per- dual frequency of 3/10 MHz may be a more efficient meability of various cosmetics. Since only one ultrasound combination for penetrating cosmetics. Additionally, device is used and cosmetics are limitedly evaluated, increasing sonication resulted in a decrease in par- it is necessary to apply it to various ultrasound devices ticle size, and the particle size distribution was narrowed that are being put into practical use. Accordingly, if a due to the cavitation force [33]. As a result, the sono- database is established by evaluating various ultra- phoresis method using dual frequency could be a non- sound devices and cosmetics through future research, invasive method to reduce the particle size of cosmetics it is expected to be a new tool to evaluate the in vitro and promote their absorption effectively. penetration percentage of cosmetics. Alberti, M., et al. reported a phantom model simulated on a microfluidic chip by simulating the main functions of Declaration of Competing Interest the Franz diffusion cell method, which is a represen- The authors declare no competing financial interest. tative in vitro skin permeation measurement method, to determine the skin drug permeability [34]. In addi- References tion, Lukács, B., et al. reported a microfluidic Skin-ona-chip designed using the Franz diffusion cell method and compared the performance evaluation with the conventional method [35]. In the case of the microfluidic platform, it is difficult to measure the exact amount of 278 permeated substances that occurred by ultrasound waves because the ultrasound device probe in practical use does not target the exact location on a microfluidic chip. However, the skin mimicking phantom presented in this study can be manufactured in a simple process without multilayer or micropattern, and can be customized according to the size of the ultrasound probe. So it is possible to evaluate the penetration percentage of cosmetics by targeting the precise location of the ultrasound. Strat-MTM membrane contain a combination of lipids in similar proportions found in the stratum corneum of the skin, mimicking the epidermal layer. However, since it does not have living cells, there is still a limit to perfectly mimicking real skin. Therefore, we plan to conduct further studies on the difference between Strat-MTM membrane and skin for animal skin. This study presented a skin-mimicking phantom, which can be customized according to the size of the ultrasound probe and has the advantage of quantitatively evaluating the transdermal permeability of cosmetics at a low cost. 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