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Laser printing of Gemcitabine on microneedles
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           Figure  6.  HPLC-MS/MS  quantification  of  Gem  on  the  MNs  following  LIFT  printing.  (A)  Table  presenting  the  three  different  Gem
           concentrations used, the number of repeats of LIFT printing, and the calculated amount of Gem found on the microneedle substrate.
           (B) Graph showing the LIFT printed calculated dosage related to the nominal amount of Gem.





























           Figure 7. Representative LC-MS/MS chromatograms for Gem detected in mouse plasma, 15min after dosing mice with MNs (100 μg dose).
           Upper panel: For the detection of Gem, the 264.1/112.0 MRM transition was used (retention time 1.6 min). Lower panel: for the detection
           of Warfarin used as an internal standard, the 309.1/162.9 MRM transition was used (retention time 5.2 min).

           concentrations  after  MN  application.  However,  within   4. Discussion
           60 min after IP administration, the Gem concentrations
           were  significantly  reduced,  while  MN  transdermal   Current drug manufacturing  techniques  are performed
           application led to a rise of circulating Gem. This indicates   in specialized  factories which follow best practice
           that the MN administration of Gem may have reduced   protocols  for  mass  drug  production.  Digital  printing
           side  effects  and  improved  long-term  pharmacokinetic   techniques  can  be  used  in  medical  facilities  (i.e.,
           profile.                                            hospitals, medical centers) to maximize the advantage of
               Thus, a sustained release profile might be possible   drug personalization. LIFT method requires a specialized
           with  smaller  Gem  dosages  loaded  onto  MNs.  Indeed,   equipment that includes laser, optics, translation stages,
           further  experimentation  is  needed  to  investigate  this   and a robot-based pipetting module (under development)
           possibility.  Importantly,  the  average  levels  of  Gem   for the automated  loading  of the pharmaceutical
           levels in the mouse plasma were found at 1.8 μM and   compound  onto  the  donor  substrate.  The  cost  of  LIFT
           4.1  μM (479 and 1087  ng/mL) for the  15 and 60  min   method depends on the automation level and throughput
           respectively, even when MNs loaded with a lower dose   when it comes to the mass production. It offers advantages
           (100 μg) were used. These concentrations are well above   such as the ability to use any potency and viscosity drug
           the IC50 of Gem reported for several cancer cell lines   formulations,  adaptable  resolution  (10 – 500  μm) for
           (range 20 – 1000 nM [30-33] ), suggesting that the efficacy   coating  any  kind  of  thin-film  substrates  including  MN
           can be achieved in clinically relevant cancer models with   patches- as well as individual MNs- and minimal drug
           the LIFT-coated MNs.                                formulation waste.

           142                         International Journal of Bioprinting (2022)–Volume 8, Issue 3
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