| Literature DB >> 35957510 |
Zejun Wang1,2, Ruxing Fu1, Xiao Han1, Di Wen1, Yifan Wu1, Song Li1, Zhen Gu1,3,4,5,6.
Abstract
A microdevice that offers glucagon supplements in a safe, non-invasive, and glucose-responsive manner is ideal for avoiding fatal hypoglycemia consequences from insulin overdosage during daily diabetes treatment. However, mold-assisted microfabrication of biomedical materials or devices typically needs high-resolution laser ablation to scale down structural design. In addition, the majority of the polymeric drug delivery materials being used to fabricate devices are dissolvable or deformable in aqueous environments, which restricts washing-based cleaning and purification procedures post shape fixation. This study leverages the design flexibility of 3D printing-assisted mold casting and presents a shrinking microfabrication approach that allows subsequent washing procedures to remove toxic monomer residues during polymerization. The feasibility of this approach is demonstrated by developing a glucose-responsive transdermal glucagon microneedle patch through matrix volume change-mediated release kinetic control. Shown in the type 1 diabetic mouse model, this transdermal patch can reverse the occurrence of hypoglycemia while lowering the risk of monomer residue-induced irritation during treatment. Freeing from the restrain of molding resolution for microstructure design, this shrinking methodology further provides an insight into post-fabrication purifications of biomedical materials.Entities:
Keywords: 3D printing; drug delivery; glucose-responsive; shrinking; washable
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Year: 2022 PMID: 35957510 PMCID: PMC9534970 DOI: 10.1002/advs.202203274
Source DB: PubMed Journal: Adv Sci (Weinh) ISSN: 2198-3844 Impact factor: 17.521
Figure 1Shrinking fabrication of the microneedle patch. A) Schematic illustration of the shrinking fabrication process. B) 3D design drawing and images of the 1.5 cone (top panel) and 1.5 pyramid‐shaped (bottom panel) MN patch before (middle) and after shrinkage (right). Scale bar, 3 mm. C) SEM images of the 1.5 cone (top) and 1.5 pyramid (bottom) shaped MN patch. Scale bar, 500 µm. The D) tip base width and E) needle height change of the different MNs after full shrinkage. Data points are means ± SD (n = 8).
Figure 2Mechanism and in vitro performance of the GRS glucagon delivery system. A) The schematic illustration shows that in hypoglycemic conditions, the expanded cavities in the cationic polyacrylamide matrix promote the release of glucagon. As glucose level elevates, the negatively charged glucose‐boronate complexes neutralize the surrounding repulsion force to induce the shrinkage of the polymer and slow down glucagon diffusion. B) The concentration‐dependent glucose‐binding ability of the washable glucose‐responsive glucagon MN. C) The prolonged prewash of the polymeric matrix increases cell viability. D) Pulsatile glucagon release by alternating glucose concentrations between 50 and 400 mg dL−1 for three consecutive cycles. Accumulated glucagon release from the GRS glucagon MN patch E) before and F) after 1‐h of prewash in varying glucose concentrations at 37 °C, pH 7.4. Data points are means ± SD (n = 3). ****p < 0.0001.
Figure 3Evaluation of the purification and in vivo glucose‐responsive performance of the GRS glucagon MN patch. A) HPLC quantification of leachable monomers before and after 1‐h purification. B) Mechanical performance of the GRS glucagon MN patch. MN insertion (inset photo) was evaluated by staining mouse dorsum skin with trypan blue after being treated with the shrinking MN‐array patch. Scale bar, 3 mm. C) PGLs and D) plasma glucagon concentrations in diabetic mice after being treated with the patch (glucagon dose: 40 mg kg−1) in a hyperglycemic state and a hypoglycemic state (induced by 15‐h overnight fasting and a subcutaneous injection of 75 µg kg−1 insulin), respectively. E) PGLs and F) plasma glucagon concentrations in diabetic mice treated with the patch (glucagon dose: 40 mg kg−1) which was challenged with an i.p. injection of 3 mg kg−1 insulin 1‐h post‐patch administration. Data represents means ± SD (n = 5). Statistical significance was determined by a two‐tailed Student's t‐test. *p < 0.05, **p < 0.01.
Figure 4Safeguard and preservation evaluation of the GRS glucagon MN patch. A) PGLs of diabetic mice treated with the patch (glucagon dose: 40 mg kg−1) versus control mice (no treatment). B) PGLs of diabetic mice in a hypoglycemic state (induced by overnight 15‐h fasting with 75 µg kg−1 insulin injection) with and without patch administration (glucagon dose: 40 mg kg−1). C) PGLs recovery after 3 mg kg−1 insulin injection 1 h (indicated by arrow) post glucagon patch administration (glucagon dose: 40 mg kg−1). D) PGL increasing ability of the glucagon extracted from the MN patch stored at room temperature (for 2 or 4 weeks) on diabetic mice in a hypoglycemic state (induced by subcutaneous injection of 3 mg kg−1 insulin). PGLs of the hypoglycemia mice were monitored before and 4 h after the subcutaneous injection, respectively. Data represents means ± SD (n = 5). Statistical significance was determined by a two‐tailed Student's t‐test. *p < 0.05, **p < 0.01.