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International Journal of Bioprinting                          Unique characteristics of 3D-printed microneedles




            using TPP technology is shown in Figure 6A.  In regions   fabricated a microneedle tip with grooves, as shown in
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            with larger outer diameters, the base of the microneedles   Figure 6D. These grooves facilitate effective piercing of the
            widens, a design incorporated to reduce fluid resistance.   skin and guide the flow of the drug to desired locations.
            Additionally, the lumen near the needle tip deviates from
            the central axis and is bent to one side. These distinctive   4.3. Intricate functional 3D structures
            features collectively improve the detection quality while   Nature  provides  many  inspirations  for  biomimetic
            preserving the mechanical properties of the microneedle.   microneedle designs. For example, the backward barbed
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            Ren et al.  manufactured microneedles with varying   structure observed in the stinger of certain insects can
            aspect ratios and hollow structures using 3D printing,   be  copied  to  enhance  the  adhesion  and  mechanical
            and these microneedles were subsequently used to deliver   properties of microneedles while reducing the insertion
            drugs to mice with psoriasis. The experimental results   force. 127,128  Traditional manufacturing methods, such as
            showed an equivalent therapeutic efficacy with only 0.1   lithography  and  etching,  and  3D  laser  lithography  can
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            times the oral dosage. Notably, traditional manufacturing   create serrated microneedles.  However, these methods
            methods encounter significant challenges when it comes to   entail complicated processes, specialized equipment, and
            producing arrays of microneedles with varying parameters,   full clean room environments.
            highlighting a clear advantage of 3D printing in this regard.   Although 3D printing excels in creating complex
            In addition, conventional hollow microneedles solely rely   structures,  accomplishing  unsupported  microneedles
            on  the  osmotic  pressure  to  deliver  drugs,  with  a  single   with backward barbs still presents a challenge. Four-
            delivery  mechanism  and  low  efficiency. 122,123   Conversely,   dimensional (4D) printing refers to a type of additive
            3D printing enables the integration of hollow microneedles   manufacturing technology that produces parts capable
            with other microstructures for additional functionality.   of morphing in shape, color, or even scent upon
            Yeung et al.  embedded hollow microneedles inside a   environmental stimulation.  This innovative approach
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            3D spiral microfluidic structure to control the drug flow   proposed by Han et al.  enhances traditional 3D printing,
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            rate at the inlet (Figure 6B). Combining microneedles   making it possible to create complex structures without
            with microfluidics opens new avenues for designing more   relying on support structures (Figure 7). The microneedles
            flexible and versatile transdermal drug delivery techniques.   were 3D-printed with parallel barbs, and the crosslinking
            Evidently, 3D printing provides simplified and intelligent   density gradient generated during printing was exploited
            solutions that are tailored to different disease requirements   to transform the parallel barbs into backward-facing barbs
            and human anatomical structures.                   upon stimulation. Experimental  results verified that these
            4.2. Diverse tip profile                           backward barbs significantly enhanced the tissue adhesion
            The hollow structure discussed above refers to the internal   to microneedles, achieving an impressive increase in
            structure of microneedles, whereas the tip profile primarily   adhesion of up to 18 folds compared to the traditional
            refers to the external shape of the microneedles. The   needles. This approach effectively overcomes the problem
            microneedles  tip  profile  is  usually  conical  or  pyramid-  of microneedle detachment after insertion due to poor
            shaped to facilitate skin piercing. With 3D printing,   skin adhesion. The resulting highly stable microneedle has
            additional features may be added to the tip profile to suit   promising  applications  in  long-term  human  monitoring
            unique biomedical applications. In recent years, with the   and controlled drug release.
            rise in outbreaks such the one caused by coronavirus disease   4.4. Challenges
            2019 (COVID-19), the need for rapid and comprehensive
            vaccination coverage in the general population has become   4.4.1. Limited material selection
            a public health priority. Li et al.  drew inspiration from   Although 3D printing enables impressive creativity and has
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            the natural structure of mushrooms and used 3D printing   straightforward operations, it has limitations in material
            to reshape the traditional tip contour, forming a narrow   selection, as compared to traditional manufacturing
            transition with the substrate (Figure 6C). This biomimetic   technologies. Some commonly used metals offer excellent
            microneedle can easily degrade and release water-soluble   biocompatibility and are widely used in the manufacturing
            vaccines into the skin, greatly reducing the risk of infection   of microneedles. 21,131,132  Commercially available CE-marked
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            arising from the retention of microneedle tips in the   microneedle roller predominantly uses titanium.  Certain
            skin. In addition, 3D printing has also enabled irregular   carbon microneedles and ceramic microneedles created via
            physiological lesions to be effectively microtargeted using   micromechanical processes or micromolding also exhibit
            microneedles with custom geometries,  revolutionizing   excellent biocompatibility. 134,135  Traditional manufacturing
            the  geometric  adaptability  of  microtargeting  irregular   methods are compatible with a wide range of materials
            physiological lesions. Xu et al.  successfully designed and   and can easily produce microneedle arrays with high
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            Volume 10 Issue 4 (2024)                        72                                doi: 10.36922/ijb.1896
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