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Understanding the rate, extent, and drivers of the distribution of active pharmaceutical ingredients within soft biological tissues following their topical or systemic application is crucial to elucidate the mechanisms underlying tissue-specific drug uptake, metabolism, and clearance, (i.e., a deeper understanding of drug pharmacokinetics). Here, we present a novel correlative imaging method integrating nonlinear optical spectroscopies and mass spectroscopy imaging for label-free visualisation of the tissue structure and the distribution of topical drugs within the same tissue sample1.
Raman spectroscopy (RS) has emerged as a valuable tool for mapping drug distribution within cells and tissues with high spatial resolution and molecular specificity2. RS relies on the inelastic scattering of light3 by a sample of interest permitting a detailed chemical characterisation via the characteristic vibrational modes of molecules therein, without the need for external labels. However, the long acquisition times to produce high-resolution images can potentially compromise the integrity of sensitive biological samples. Additionally, when probing deeper tissue layers, scattering and absorption of light by the tissue can attenuate the Raman signal, further limiting its sensitivity. Stimulated Raman Scattering (SRS) microscopy represents a significant advancement over conventional RS, leveraging pulsed laser excitation and detection of the stimulated Raman signal4. SRS microscopy allows 2-D and 3-D rapid image acquisition with high spatial resolution and - when performed in tandem with second harmonic generation (SHG) and two photon excited fluorescence (TPEF) microscopies - can provide a comprehensive image of connective tissues, collagen, and elastin1,5,6,7,8,9. SHG microscopy is a nonlinear optical technique that relies on the interaction of light with non-centrosymmetric structures in a sample, generating a signal at half the wavelength of the incident light. It is particularly useful for imaging ordered structures like collagen in biological tissues. TPEF is another nonlinear microscopy technique where two lower-energy photons simultaneously excite a fluorophore, causing it to emit fluorescence. TPEF allows deep tissue imaging with reduced photodamage, as the excitation light is in the near-infrared range, which penetrates deeper into biological samples.
Mass spectrometry imaging (MSI) is a powerful analytical technique that combines the capabilities of mass spectrometry with spatial information, allowing label-free identification of a wide range of molecules10,11,12. Time-of-flight secondary ion mass spectrometry (ToF-SIMS) operates by bombarding the sample surface with high-energy primary ions, causing the ejection of secondary ions from the surface. These secondary ions are then accelerated toward a time-of-flight analyser, where their mass-to-charge ratios are determined. This analysis allows for the identification of molecular fragments and isotopic variations with high sensitivity and resolution. Valuable applications of ToF-SIMS have been demonstrated in biological and pharmaceutical research for the study of chemicals and biomolecules in cells13, tissues14,15, and organs15.
Both SRS and ToF-SIMS have been used independently to study the distribution of drugs in different skin models. However, it is most valuable to use these techniques in combination to benefit from their complementarity. In this study, we describe a workflow to combine the optical microscopies (SRS, TPEF and SHG) with ToF-SIMS to obtain images of the skin morphology with sub-micron spatial resolution (provided by the optical methods) overlayed with the drug signal detected with superior sensitivity (provided by the ToF-SIMS). The approach has been used to address the challenging example of visualising the distribution of diclofenac in excised skin tissues treated with a commercial topical formulation (Voltaren gel). The criteria for success included high chemical sensitivity to detect diclofenac at its therapeutic concentration, and sufficient spatial resolution to resolve the skin structure. Although diclofenac content in different skin layers can be quantified after topical treatment through laborious and technically demanding methods such as tape stripping followed by quantification16, or via open flow microperfusion17, these approaches cannot elucidate excipient-dependent diclofenac partitioning, penetration, retention, and depth distribution in the individual skin layers, which are essential factors aiding the product development phase.
Prior to the measurement methodology described below, Voltaren Forte gel (containing 2.32 % diclofenac diethylammonium) or a corresponding placebo gel (supplied by Haleon CH SARL) was applied on the skin surface for different periods (4, 12, 16, or 24 h). After removal of any residual formulation, SRS and ToF-SIMS measurements on the same skin samples were performed; full details of the methodology are described in the original manuscript1.