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Kanaki, et al.











           Figure 4. Still frame images extracted from high-speed video of the LIFT printing process for the Gem solution (10 mg/ml). The laser
                           2
           fluence is 390 mJ/cm  and the donor-receiver gap is fixed at 700 μm. On the right, a top view of the printed droplet from an optical
           microscope is shown. The scale bar is 200 μm.

                        A                                          B















           Figure 5. (A) Still frame images of the printed droplet at different fluences extracted from high-speed video. (B) Graph showing the relation
           of the droplet size to the laser fluence.
           on the MNs prior to coating is not controlled rather the   1455, and 3803  ng/mL,  respectively  (Figure  8B).  The
           eventual  drug  loading  is  only  calculated  using  loading   findings from the pharmacokinetic experiments suggested
           efficiency equations after the coating is applied [29,34] . The   that the administration of Gem through MNs can lead to
           LIFT technique is highly efficient as it only utilizes the   prolonged  systemic  exposure.  Furthermore,  increasing
           amount that is needed for each printing, thus reducing   amounts of loaded Gem corresponded well with those
           API and solvent waste.                              found  in  the  bloodstream  of  treated  mice.  Figure  8C
               In a study performed by Bhatnagar et al. , Gem   depicts comparative curves of Gem levels, following the
                                                   [29]
           dissolved in phosphate buffer was coated on Zein MNs   increasing dosing in mice.
           by a dip-coating technique. In this study, the maximum   A comparative study between transdermal delivery
           quantity of drug loaded on the MNs was found at 83 μg,   and  IP  injection  was  performed  to  further  explore  the
           considerably lower than the procedure described herein,   capability of transdermal administration. The IP route was
           where each MN patch could be loaded with up to 750 μg   selected for the comparison since it represents a common
           of Gem.                                             administration scheme for preclinical efficacy studies in
                                                               mice. Figure 9 shows the circulating Gem concentrations
           3.3. Gem quantification in mouse plasma             after transdermal application and IP delivery of 100 μg

           HPLC-MS/MS  methodology  was utilized  to quantify   Gem  in  mice. The  average  amount  of  LIFT-Gem  after
           Gem concentrations in the bloodstream of mice treated   15 min and 60 min were: 479 ± 241 ng/mL and 1087 ±
           with MNs  loaded with 100, 375, and 750  μg  of  Gem.   558 ng/mL respectively, whereas the average amount of
           A representative HPLC-MS/MS chromatogram for Gem    IP-Gem after 15 min and 60 min were: 1528 ± 442 ng/mL
           detection in mouse plasma, 15 min after dosing mice with   and 262 ± 12 ng/mL, respectively. These findings are in
                                                                                           [33]
           MNs (100 μg dose) is depicted in Figure 7.          agreement  with previous reports  in which 33  μg of
               The use of transdermal MN patches with increasing   Gem was injected IP in mice (Cmax 685 ng/mL, Tmax
           quantities  of Gem leads to higher amounts of Gem in   at 30 min, and rapid decrease within 1 h following the
           mouse  plasma  (Figure  8).  Application  of  MNs  with   dose). It is important to note that, while IP injection led to
           100, 375, and 750 μg of Gem in mice led to blood Gem   decreased Gem levels after 1 h, with the MN transdermal
           concentrations  averaging  479, 1353, and 3067  ng/mL,   application, a rise in circulating Gem levels was observed.
           respectively,  at  15  min  following  dosing.  Importantly,   IP administration  of Gem resulted  in more than
           Gem levels were increased significantly 1 h after dosing,   three-fold increase of Gem plasma concentrations 15 min
           leading  to average  blood Gem concentrations  of 1087,   after  administration  in  comparison  to  the  Gem  plasma

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