Open Access Article
Yutong Zeng
a,
Mengrui Mabc,
Yongfeng Chenc,
Huichao Xiea,
Pingtian Ding
*ac and
Keda Zhang
*a
aCollege of Pharmacy, Shenzhen Technology University, Shenzhen 518118, China. E-mail: dingpingtian@sztu.edu.cn; zhangkeda@sztu.edu.cn
bQilu Pharmaceutical Co., Ltd, Jinan 250100, China
cSchool of Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, China
First published on 5th November 2024
Tranexamic acid (TA) is widely used clinically as a skin whitening agent for treating melasma and hyperpigmentation. However, oral administration of TA is often associated with adverse effects. Topical application could mitigate these issues, but the hydrophilic nature of TA limits its topical use. To overcome this limitation, we explored the design of TA alkyl ester prodrugs to enhance skin absorption. Our study specifically focused on the butyl and octyl ester derivatives of TA. The results demonstrated that TA4 and TA8 significantly improved skin penetration and deposition, by approximately 2–3 times compared to unmodified TA. Furthermore, these derivatives were rapidly hydrolyzed to release the parent drug within less than 2 h in both skin homogenates and blood. Safety assessments indicated no significant skin irritation in mice and revealed low cytotoxicity in HaCaT cells when exposed to the TA ester derivatives. We also developed a hydrogel formulation incorporating the TA derivatives, using hydroxyethyl cellulose, propylene glycol, Tween 80, and chlorobutanol. This formulation exhibited good skin absorption, stability, and user experience, making it a promising candidate for topical application. To sum up, the alkyl esterification prodrug design provides a promising approach for enhancing the skin delivery of TA.
TA can be taken orally to achieve systemic skin-whitening effects.6 However, this method requires a medical prescription and supervision due to potential systemic side effects such as gastrointestinal disturbances and thromboembolic events. The long-term safety of oral TA remains a concern, necessitating careful patient monitoring.7,8 Alternatively, dermatologists may inject TA directly into hyperpigmented areas.9 While this method allows for targeted delivery, it must be performed by trained professionals. The procedure carries risks of bruising, infection, and discomfort due to skin puncture. In addition, TA is commonly applied as creams, serums, or lotions directly to the skin.10 This route is favoured for its ease of use and reduced risk of systemic side effects. However, TA's highly hydrophilic nature, with its amino (–NH2) and carboxylic acid (–COOH) groups, limits its ability to penetrate deeply into the skin where melanocytes reside.11
Previous studies have demonstrated that prodrug modifications targeting the amino or carboxyl groups of tranexamic acid (TA) can modify its zwitterionic properties, increase its lipophilicity, and consequently improve its bioavailability. For instance, Svahn et al. performed a series of prodrug modifications by esterifying the carboxyl group with acyloxymethyl groups to enhance oral absorption.12 Karaman et al. designed and synthesized maleamic acid amide derivatives to improve bioavailability, particularly oral absorption, while enabling sustained in vivo release of the parent drug, TA.13 However, due to the differences between the skin barrier and gastrointestinal mucosa, as well as the distinct pharmacokinetic profiles associated with topical versus oral administration, the suitability of these prodrugs for topical skin delivery remains uncertain. An earlier patent introduced alkyl esters of TA as oil-soluble derivatives, which were empirically believed to be more readily absorbed through the skin, thereby enhancing the efficacy of topical treatments.14 Its clinical data confirmed that topical application of TA alkyl esters resulted in a depigmenting effect. However, another clinical study reported that both TA and its ethyl ester exhibited similar depigmenting effects when applied topically. This outcome contradicted initial expectations that the ethyl ester, being more readily absorbed, would demonstrate superior therapeutic effects. These observations underscore the necessity for further investigation into the pharmacokinetics and in vitro stability of TA alkyl esters in topical applications.
In this study, we emphasized the molecular design of TA alkyl esters, with a focus on their in vitro stability, skin absorption, metabolism, and safety profile. Additionally, a gel formulation incorporating these TA derivatives was developed to facilitate topical application. This study aimed to provide a scientific basis for the use of TA alkyl esters in enhancing skin delivery of TA and improving the treatment of melasma.
log Kp = −0.5328 + 0.137E − 0.604S − 0.338A − 2.428B − 1.797V − 1.4285J+ + 2.471J−
| (1) |
Kp can be calculated using eqn (1).
![]() | ||
| Fig. 1 Synthesis route of ester derivatives of TA. R represents an alkyl group (e.g., a butyl or octyl group). | ||
TA4: 1H-NMR (600 MHz, CDCl3) δ 8.35 (s, 3H), 4.06 (t, J = 6.6 Hz, 2H), 2.95–2.74 (m, 2H), 2.24 (tt, J = 12.2, 3.5 Hz, 1H), 2.05 (d, J = 11.1 Hz, 2H), 1.98 (d, J = 11.1 Hz, 2H), 1.86–1.70 (m, 1H), 1.60 (dt, J = 14.5, 6.7 Hz, 2H), 1.48 (qd, J = 13.2, 3.2 Hz, 2H), 1.42–1.31 (m, 2H), 1.14–1.00 (m, 2H), 0.93 (t, J = 7.4 Hz, 3H). 13C-NMR (151 MHz, MeOD) δ 175.80, 63.83, 44.64, 42.6, 35.34, 30.34, 28.7, 27.84, 18.68, 12.52. LC-MS (ESI+) m/z 214.1 [M + H]+.
TA8: 1H-NMR (600 MHz, D2O) δ 3.98 (t, J = 6.8 Hz, 2H), 2.81 (d, J = 7.1 Hz, 2H), 2.23 (tt, J = 12.2, 3.4 Hz, 1H), 1.91 (d, J = 11.2 Hz, 2H), 1.84 (d, J = 11.2 Hz, 2H), 1.67–1.59 (m, 1H), 1.58–1.48 (m, 2H), 1.36 (qt, J = 22.3, 11.2 Hz, 2H), 1.30–1.10 (m, 10H), 0.99 (qd, J = 13.0, 3.2 Hz, 2H), 0.80 (t, J = 6.9 Hz, 3H). 13C-NMR (151 MHz, MeOD) δ 175.79, 64.11, 44.64, 42.60, 35.24, 31.45, 28.83, 28.70, 28.70, 28.23, 27.85, 25.52, 22.20, 12.93. LC-MS (ESI+) m/z 270.2 [M + H]+.
The stability of TA derivatives in rat skin homogenates was studied using SD rats. Rats were anesthetized with an intraperitoneal injection of urethane (1.5 g kg−1). After hair removal by depilatory cream, skin samples were harvested and rinsed with 4 °C saline to remove blood. The skin was homogenized on ice with a ratio of 1 g skin to 4 mL saline, using an IKA® T18 Ultra-Turrax homogenizer (Staufen, Germany). The homogenate was centrifuged at 3000 rpm for 10 min, and the supernatant was stored at −20 °C until use. for the stability assessment, 100 μL of a 100 μg per mL TA derivative solution was mixed with 900 μL of the skin homogenate supernatant. The mixture was incubated at 37 °C, with 40 μL samples taken at 0, 20, 50, 80, 120, and 150 min. An equal volume of blank skin homogenate supernatant was added after each sampling. The collected samples were treated with cold methanol at a ratio of 1
:
4 (v/v) for protein precipitation and centrifuged at 13
000 rpm for 5 min. The supernatant was then prepared for analysis by mixing with 10 μL of diphenhydramine as an internal standard and 140 μL of 5 mM ammonium acetate containing 0.1% formic acid. The processed samples were analyzed for drug concentration using liquid chromatography-tandem mass spectrometry (LC-MS/MS), as detailed in the ESI.†
The stability of TA derivatives in plasma was assessed by collecting blood from the orbital sinus of SD rats. The blood was centrifuged at 3000 rpm for 10 min to separate the plasma. 50 μL of a 100 μg per mL TA derivative solution was mixed with 950 μL of blank plasma. The samples were incubated in a 37 °C thermostatic water bath shaker, and 40 μL aliquots were taken at 0, 5, 10, 15, 20, and 25 min. An equal volume of blank plasma was added after each sampling. Protein precipitation was carried out by adding cold methanol. The samples were centrifuged, and the supernatant was collected for LC-MS/MS analysis to determine the drug concentration.
To evaluate the deposition of TA and its derivatives within the skin, the treated skin samples were collected following the permeation experiments. The excised skin tissues were finely minced and placed into EP tubes containing an appropriate volume of saline. These samples were homogenized and subsequently transferred into 10 mL volumetric flasks. The volume was adjusted to 10 mL using physiological saline. The homogenate was then subjected to centrifugation at 13
000 rpm for 10 min. The supernatant was collected and underwent protein precipitation. Finally, the processed supernatant was analyzed for drug concentration using LC-MS/MS.
000 cells per well. The cells were incubated with varying concentrations of TA8 for 12 hours. A drug-free medium served as the control. After incubation, the cells were washed twice with PBS and stained with CCK-8 reagent (10% in serum-free medium) for 1 h. The absorbance of each well was measured using a microplate reader to quantify cell viability.
Po/w values of TA derivatives with varying chain lengths (see Table 1). Generally, compounds with a moderate log
Po/w (ranging from 0 to 5) and a molecular weight (MW) below 500 Da are more likely to permeate the stratum corneum and reach the viable epidermis and dermis.21 Based on these criteria, the C1–C9 ester derivatives of TA were identified as suitable candidates. However, these derivatives contain primary amine groups with pKa values greater than 10.0, leading to their almost complete ionization (>99.9%) at the pH range of the skin and topical formulations (pH 4.0–7.0). Given that ionization can significantly impact the ability of a compound to penetrate the skin, we calculated the log
Kp values for the cations from protonated TA derivatives using the LFER equation,15 as shown in Table 1. The results demonstrated that the log
Kp of the ionized TA derivatives increased with the length of the carbon chain, ranging from −6.46 for the C1 derivative to −4.47 for the C9 derivative. According to our previous study,22 a log
Kp value exceeding −7.0 is an empirical threshold indicating the potential of a compound for effective skin penetration. Therefore, these nine TA derivatives are predicted to possess favorable skin permeation properties when applied topically.
| Structure | R group | Compound | MW | pKaa | Log Po/w |
Ei | Si | Ai | Bi | Vi | J+ | J− | log Kpc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| a Calculated using the GALAS algorithm in ACD/Percepta.b Not applicable for zwitterions; the value cannot be obtained due to the zwitterionic property.c Kp in cm s−1; the values are specific to ionized compounds. | |||||||||||||
![]() |
–H | TA | 157.21 | 10.66 | 0.26 | N/Ab | N/Ab | N/Ab | N/Ab | N/Ab | N/Ab | N/Ab | N/Ab |
| –CH3 | TA1 | 171.24 | 10.38 | 0.86 | 0.34 | 2.99 | 2.21 | 0.00 | 1.4615 | 0.8395 | 0.00 | –6.46 | |
| –CH2CH3 | TA2 | 185.26 | 10.38 | 1.74 | 0.34 | 3.02 | 2.21 | 0.00 | 1.6015 | 0.8507 | 0.00 | –6.24 | |
| –(CH2)2CH3 | TA3 | 199.29 | 10.38 | 2.3 | 0.33 | 3.01 | 2.21 | 0.00 | 1.7415 | 0.8407 | 0.00 | –5.97 | |
| –(CH2)3CH3 | TA4 | 213.32 | 10.38 | 2.56 | 0.33 | 3.01 | 2.23 | 0.00 | 1.8915 | 0.8328 | 0.00 | –5.69 | |
| –(CH2)4CH3 | TA5 | 227.34 | 10.38 | 2.85 | 0.33 | 3.04 | 2.23 | 0.00 | 2.0315 | 0.8441 | 0.00 | –5.47 | |
| –(CH2)5CH3 | TA6 | 241.37 | 10.38 | 3.34 | 0.33 | 3.04 | 2.24 | 0.00 | 2.1715 | 0.8361 | 0.00 | –5.21 | |
| –(CH2)6CH3 | TA7 | 255.4 | 10.38 | 4.27 | 0.33 | 3.04 | 2.24 | 0.00 | 2.3115 | 0.8361 | 0.00 | –4.96 | |
| –(CH2)7CH3 | TA8 | 269.42 | 10.38 | 4.75 | 0.33 | 3.06 | 2.26 | 0.00 | 2.4515 | 0.8395 | 0.00 | –4.74 | |
| –(CH2)8CH3 | TA9 | 283.45 | 10.38 | 4.95 | 0.32 | 3.06 | 2.26 | 0.00 | 2.5915 | 0.8294 | 0.00 | –4.47 | |
To reduce the synthesis workload, the butyl ester (TA4) and octyl ester (TA8) derivatives of TA were chosen as our study subjects. TA4 and TA8 were synthesized through acyl chloride esterification, and their structures were characterized using HNMR, CNMR, and MS (see Fig. S1 and S2†). DSC analysis revealed the melting points of TA4 and TA8 to be 125.8 °C and 130.1 °C, respectively, as shown in Fig. 2. TA itself did not exhibit a melting endotherm in the range of 25–250 °C, indicating that its melting point exceeds 250 °C, consistent with existing reports.23 The significantly lower melting points of the TA ester derivatives compared to the parent TA are in line with theoretical expectations. Esterification reduces the intermolecular hydrogen bond interaction, leading to a decrease in melting point. Compounds with lower melting points generally have weaker intermolecular forces and tend to behave more ideally in solution, resulting in higher thermodynamic activity and better skin permeability.24 Therefore, the observations regarding the melting points are in agreement with our previous calculations on skin permeability, supporting their potential as effective prodrugs for improving the skin absorption of TA. We investigated the stability of TA ester derivatives (TA4 and TA8) under various pH conditions. In both saline and aqueous solutions with pH values ranging from 5.0 to 7.4, TA4 and TA8 exhibited minimal concentration changes over 72 h (see Fig. 3A). This suggests that these derivatives are resistant to hydrolysis under such conditions. In contrast, in biological samples such as skin homogenates and plasma, the levels of TA4 and TA8 decreased rapidly (Fig. 3B). This decline is likely due to esterase-mediated hydrolysis, which is prominent in these biological environments.25 Generally, esterases exhibit high catalytic efficiency, with hydrolysis rates that can be several orders of magnitude faster than non-enzymatic reactions.26 Thus, it is possible to achieve nearly complete hydrolysis of some esters by esterases within minutes, especially under optimal conditions. Similar observations have been reported in the literature, such as the rapid hydrolysis of various ester prodrugs of ibuprofen and flurbiprofen in human plasma and ester prodrugs of naltrexone in skin homogenates.27,28
To understand the interaction between TA derivatives and human carboxylesterases, we performed molecular docking simulations using AMDock 1.4 software. The simulations modeled the interactions of TA derivatives with hCE1, the major esterase expressed in human skin.19 The results, presented in Fig. 3C, showed that TA4 forms hydrogen bonds with the AGR-4186, SER-6075, and SER-4179 residues of hCES1, while TA8 forms hydrogen bonds with the GLU-6388 and LEU-6355 residues. The lowest binding energies for TA4 and TA8 were −31.25 kJ mol−1 and −31.80 kJ mol−1, respectively. These low binding energies indicate a strong affinity of the TA ester derivatives for the esterase enzyme, corroborating our experimental observations. TA4 and TA8 were almost completely hydrolyzed in skin homogenates within 120 min and achieved similar levels of hydrolysis in plasma within 5 min. Additionally, TA8 underwent hydrolysis at a faster rate than TA4 in skin homogenates, whereas TA4 was hydrolyzed more rapidly than TA8 in plasma. These findings suggest that TA ester derivatives remain stability in topical formulations but are efficiently converted to the parent drug, TA, upon exposure to biological conditions.
The skin penetration and deposition profiles of TA and its derivatives were further examined, as shown in Fig. 4. The steady-state flux (Js) of TA was found to be 8.80 nmol cm−2 h−1. In contrast, the Js values for TA4 and TA8 were 2.15 and 3.12 times higher than that of TA, respectively, corresponding to 18.93 and 27.48 nmol cm−2 h−1 (Fig. 4A). The raw data were presented in Fig. S3–S5 and Table S1.† Additionally, the amount of TA4 and TA8 deposited in the skin was 3.35 and 3.78 times greater than that of TA (Fig. 4B). Both TA4 and TA8 showed varying degrees of hydrolysis, with TA8 exhibiting higher hydrolysis rates, consistent with in vitro findings. It is worth noting that the hydrolysis of TA derivatives during the diffusion through the skin was less pronounced compared to the previous observations in skin homogenates. This discrepancy could be attributed to the use of non-fresh skin (i.e., skin stored at −20 °C) in the permeation experiments, which may have resulted in reduced or lost esterase activity. Overall, alkyl esterification significantly improved the skin absorption of TA, with substantial skin deposition facilitating local pharmacological effects.
For the ester derivatives of TA, we developed a hydrogel formulation containing HEC, propylene glycol, Tween 80, and chlorobutanol. Using 2% TA8 as the active ingredient, we optimized the ratio of each excipient in the formulation. The viscosity of the HEC-based gel matrix increases with HEC concentration but decreases with increasing shear rate, exhibiting shear-thinning behaviour characteristic of non-Newtonian pseudoplastic fluids (see Fig. 5A). During application, high shear stress reduces the viscosity of the gel, facilitating its spreading. Once application is complete, the viscosity increases under low shear stress, aiding in the gel's adhesion to the skin surface. Upon comparison, a 1.5% concentration of HEC was determined to provide the optimal viscosity for the gel system, and thus was selected as the optimal concentration. Propylene glycol acts as a humectant and disrupts the stratum corneum to promote drug absorption, typically used at 5–15%.29 The water loss rates of gels containing 0–15% propylene glycol were evaluated, see Fig. S6.† When the humectant concentration reached 10%, further increases did not significantly affect the water loss rate. We further investigated the effects of 7.5–12.5% propylene glycol on the skin absorption of TA8. The permeation of TA8 increased with propylene glycol concentration up to 10%, beyond which no significant difference was observed (Fig. 5B). Given the potential skin irritation associated with high concentrations of propylene glycol,30 the optimal concentration was set at 10%. Tween 80 was incorporated to improve the spreadability of the gel. However, as a surfactant, its inclusion could potentially affect the skin absorption of TA8.31 We investigated the effect of Tween 80 concentrations ranging from 0.5% to 1.5% on the skin permeation of TA8. Tween 80 showed minimal impact on the skin permeation of TA8 (Fig. 5C). Therefore, the appearance and spreadability of gel were used as evaluation criteria, settling on a Tween 80 concentration of 1%. Chlorobutanol serves as a neutral preservative, typically used in concentrations of 0.25% to 0.5%. Considering safety, we opted for a chlorobutanol concentration of 0.25%. Based on these comprehensive evaluations, the optimal formulation for the TA8 gel is detailed in Table 2. Additionally, the long-term stability of the TA8 gel was assessed. The results indicated that over a period of 6 months, the content of TA8 in the gel varied by less than 2%, and the pH remained relatively stable (Fig. 5D). This demonstrates that the designed TA8 hydrogel formulation possesses good stability.
| Ingredients | Concentration (w/w) |
|---|---|
| TA8 | 2% |
| HEC | 1.50% |
| Propylene glycol | 10% |
| Tween 80 | 1% |
| Chlorobutanol | 0.25% |
| Deionized water | q.s. to make 100 g |
Safety is a critical consideration in the development of prodrugs. We assessed the skin toxicity of TA8 using HaCaT cells, a human keratinocyte cell line. TA8 exhibited no significant cytotoxicity at concentrations below 75 μM (Fig. 6A), indicating a high safety margin. To further evaluate its safety profile, both acute and long-term skin irritation assessments were conducted using the Draize test on KM mice through single and multiple dosing. Both tests yielded irritation scores of zero, indicating no observable irritation. Histological analysis of the KM mice treated with TA8 gel revealed that the epidermal layer structure remained intact, with normal squamous epithelial cell morphology (Fig. 6B). The dermis exhibited a rich presence of collagen fibers, and the appendages, including hair follicles and sebaceous glands, were preserved and unaffected. Moreover, there was no evidence of inflammatory cell infiltration or any pathological changes. These results suggest that the gel formulation possesses good biocompatibility and that the TA8 component does not induce significant skin irritation, highlighting its potential as a safe prodrug for topical applications.
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d4ra06266c |
| This journal is © The Royal Society of Chemistry 2024 |