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RESEARCH ARTICLE

           Laser-Induced Forward Transfer Printing on

           Microneedles for Transdermal Delivery of Gemcitabine


           Zoi Kanaki , Chrysoula Chandrinou , Ioanna-Maria Orfanou , Christina Kryou , Jill Ziesmer ,
                                                2†
                                                                          1†
                                                                                                           3
                      1†
                                                                                             2
           Georgios A. Sotiriou , Apostolos Klinakis , Constantin Tamvakopoulos *, Ioanna Zergioti *
                                                                                    1
                                3
                                                     1
                                                                                                       2
           1 Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527, Athens, Greece
           2 Department of Physics, School of Mathematical and Physical Sciences, National Technical University of Athens, Heroon
           Polytehneiou 9, 15780, Athens, Greece
           3 Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-171 77, Stockholm, Sweden
           † These authors contributed equally to this work.
           Abstract: Cancer  treatment  with chemotherapeutic  drugs remains  to be challenging  to the physician  due to limitations
           associated with lack of efficacy or high toxicities. Typically, chemotherapeutic drugs are administered intravenously, leading
           to high drug concentrations that drive efficacy but also lead to known side effects. Delivery of drugs through transdermal
           microneedles (MNs)  has  become an  important alternative treatment approach. Such  delivery options  are  well  suited  for
           chemotherapeutic drugs in which sustained levels would be desirable. In the context of developing a novel approach, laser-
           induced forward transfer (LIFT) was applied for bioprinting of gemcitabine (Gem) to coat polymethylmethacrylate MNs.
           Gem, a chemotherapeutic agent used to treat various types of cancer, is a good candidate for MN-assisted transdermal delivery
           to improve the pharmacokinetics of Gem while reducing efficiency limitations. LIFT bioprinting of Gem for coating of MNs
           with different drug amounts and successful transdermal delivery in mice is presented in this study. Our approach produced
           reproducible, accurate, and uniform coatings of the drug on MN arrays, and on in vivo transdermal application of the coated
           MNs in mice, dose-proportional concentrations of Gem in the plasma of mice was achieved. The developed approach may be
           extended to several chemotherapeutics and provide advantages for metronomic drug dosing.
           Keywords: Laser-induced forward transfer bioprinting; Microneedles; Metronomic chemotherapy; Pharmacokinetics;
           Transdermal dosing; Sustained drug release
           *Correspondence to: Ioanna Zergioti, National Technical University of Athens, Athens GR15780, zergioti@central.ntua.gr; Constantin
           Tamvakopoulos, Biomedical Research Foundation Academy of Athens, Athens, GR 11527; ctamvakop@bioacademy.gr
           Received: December 28, 2021; Accepted: February 8, 2022; Published Online: February 8, 2022

           Citation: Kanaki Z, Chandrinou C, Orfanou IM, et al., 2022, Laser Induced Forward Transfer Printing on Microneedles for Transdermal
           Delivery of Gemcitabine. Int J Bioprint, 8(2):554. http://doi.org/10.18063/ijb.v8i2.554


           1. Introduction                                     API-entrapped in soluble MNs [3-6]  (b) API-coated MNs ,
                                                                                                            [7]
                                                               (c) API applied on a patch after the skin has been pierced
           In the past decades, drug delivery through microneedles        [8]
           (MNs) has become an important approach for treatment   by solid MNs , (d) hollow MNs that enable a continuous
           when  compared  to  other  transdermal  methods  such  as   fluid flow of the API, and (e) swelling MNs which swell
           hypodermic  needles,  topical  creams,  and  transdermal   after application and absorption of interstitial fluid, leading
                                                                                                   [9]
           patches.  MNs  have  several  advantages  over  the   to drug diffusion through the swollen MNs . API-coated
           aforementioned methods such as deeper skin penetration,   MNs can be used for delivery of both hydrophilic and
           reduced pain, and increased penetration of high molecular   hydrophobic drugs [5,10,11] . Their ideal use is for low-dose
           weight  drug molecules  through stratum  corneum,  the   administration of potent drugs, which are efficacious at
           skin’s  outermost  layer.  There  are  five  main  ways  for   low circulating amounts. For example, vaccines applied
           active  pharmaceutical  ingredient  (API) delivery [1,2] :  (a)   with MNs induce similar or better immune responses when

           © 2022 Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License, permitting distribution and
           reproduction in any medium, provided the original work is properly cited.
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