3.1. Fabrication of the Microneedles
Since the 1970s, PLA has been approved by the US Food and Drug Administration (FDA) for food and pharmaceutical applications with renewability, biocompatibility, and process capability as prime benefits [
11]. It is known that PLA degrades inside the body by hydrolysis of the ester-bond back bone and enzymatic process, and its degradation in the human body and later excretion was also verified [
19]. In particular, fabrication using PLA enables design of complex and sophisticated items such as tissue scaffolds. Recently PLA has also been used for the fabrication of microneedles based mainly on thermoforming [
20]. However, the micro molding of PLA based on thermoforming shows some disadvantages such as requiring the heating system to maintain a temperature above 160
C, limited resolution, and perturbation of the quality and molding efficiency depending on the operation conditions. It also produces excess polymer waste due to the nature of the process.
First, we developed the fabrication process for PLA microneedle using solvent casting under low temperature which can be further compatible with the fabrication of the burst drug-releasing microneedle. A schematic diagram of the fabrication process is shown in
Figure 1a. As described there, the PDMS was used as a negative mold for the PLA microneedles. Our fabrication method is based on micro molding which has been widely used for fabrication of microneedles in the last few decades [
21]. Previous research showed that some organic solvents cause deformation or shrinkage of the PDMS, so an appropriate solvent should be considered for applications in which PDMS is utilized (such as microfluidics, chemical reactors, and solvent-casting-based scaffolds [
22]. In addition, whether the solvent is bio-friendly and bioavailable without causing any harm to human was also considered for our study, even if excess solvent remains after drying. Based on these criteria, we chose three solvents, acetone, dimethylformamide (DMF), and, dimethyl sulfoxide (DMSO). Previous pioneering research, which examined the compatibility of various organic solvents with PDMS, also verified that the three solvents mentioned above do not show significant shrink or deformation of PDMS when they were applied on it [
22].
We fabricated microneedles 300
m high by varying the kinds of solvents, the molecular weight of PLA, and the weight percentage of PLA in the solvent (10–20%). According to a previous report, polymer microneedles having higher molecular weight exhibit greater mechanical strength, as one might expect [
23].
We observed that, with a higher concentration, the higher molecular weight of PLA resulted in higher viscosity. Excessively viscous polymer solution makes it difficult to fill the micron sized-PDMS molds, which leads to failure of the micro molding.
Figure 1b shows our observations when the microneedle structure is fabricated under various conditions, and
Figure 1c showed the mechanical strength of some leading candidates. As mentioned in the method part, the mechanical strength of the microneedle array was measured at 200
m of strain. It was observed that microneedle arrays were not successfully fabricated when using acetone as dissolving solvent. This was due to excessive bubbles generated during the drying process. In the case of dimethylformamide, low viscosity and low surface tension of the PDMS surface were observed. These hindered the sophisticated micro molding of the microneedle array by causing overflow of the PLA solution from the mold by external vibration or shock. Based on these observations, a solution of Resomer 207S in DMSO (15 wt%) was selected for further experimentation. In the scanning electron microscopy (SEM) image analysis, the successful fabrication of PLA microneedle of 250~500
m height was observed (
Figure 1d). DMSO is regarded as a non-toxic and biocompatible solvent at low concentrations, and has been used in drug formulations for that reason [
24]. In contrast, dimethylformamide (DMF) is a potent liver toxin that may cause serious health issues including abdominal pain, weakness, dizziness, and alcohol intolerance [
25]. We expect that this form of microneedle fabrication based on DMSO-casting will be applicable to the sophisticated and versatile design of microneedles, including for the arrow head or undercut versions, in the future [
26].
In addition, we observed how much DMSO solvent remains during the drying process (
Figure 1e). After 330 min, ~98% of the DMSO was evaporated. This observation excludes the possibility of harmful effect from residual DMSO in the PLA microneedles. Considering that only a small portion of the microneedle tips of a microneedle array penetrates the skin, it can be seen that the amount of residual DMSO (which could potentially infiltrate the punctured skin) is negligible.
PLA has been widely used in 3D scaffolds in tissue engineering and implanted devices due to its biocompatibility and biodegradability. We examined how PLA microneedle arrays degrade or are hydrolyzed under near-physiological conditions (
Figure 1f). The degradation of PLA was studied under various conditions. Proteinase K is known to catalyze the degradation of PLA effectively in previous studies was used for evaluation of biodegradability [
27,
28]. Interestingly, the higher the molecular percentage of PLA was in the casting solution, the higher degradation rate the PLA microneedle arrays had. After 23 days of incubation, the microneedle arrays made with 5%, 10%, and 15% casting solution showed the residual weight ratio of 91.39%, 82.72%, and 86.39%, respectively. Previous studies showed that the PLA concentration in a solution with organic solvent for preparing film or scaffolding affects the porosity and pore-size of the cavities in the PLA-based structure [
29,
30]. It was observed that porosity and pore size regulate the hydrolysis and degradation of PLA [
31,
32]. It seems that the differences in biodegradability in relation to the PLA concentration is due to differences in pore size or porosity in the structure. Further research on the structure of PLA scaffolds, especially of porosity during the drying process following solvent-casting seems to be necessary.
3.2. Mechanical Characteristics of the Microneedles
To investigate whether the PLA microneedles fabricated using the solvent-casting method are appropriate for application to human skin, we measured the mechanical strength of the microneedle arrays. The results are shown as force-displacement curves in
Figure 2a–c. A PLA microneedle array 300
m high was tested using a texture analyzer. As shown in
Figure 2a, fracture, or “needle failure” was not observed. Fracture refers to the point of drastic change in the force-displacement curve reflecting the practical morphological change of the structure [
33]. This observation is consistent with previous studies of thermoplastic polymer microneedles. Some inflection points were observed in the graphs, but the curvature at these points (0.08 and 0.21 mm) was not significant. We fabricated hyaluronic acid-based dissolving microneedles based on our previous work, and analyzed their mechanical characteristics [
18]. As opposed to the force-displacement curve of PLA microneedles, needle failure was observed with the dissolving microneedles (
Figure 2b). In previous reports, it was observed that the minimum force required for a single microneedle to penetrate the skin is 0.058 N, which ensures that our PLA microneedles have enough mechanical strength to penetrate human skin [
31].
In the texture analysis of the microneedle array, there was no significant difference between microneedle arrays with heights of 250, 300, or 350
m (
Figure 2c).
In a compression test of a single PLA microneedle subjected to 0.1 N, the tip of the microneedle structure (~5% of total height) was slightly bent, but without significant deformation of the overall structure (
Figure 2d). This observation is similar to the compression test of microneedle array with 5 N (0.06 N/needle) of compression force (
Figure 2e). It is noteworthy that 0.058 N is necessary to penetrate skin, and that a PLA microneedle does not exhibit critical deformation at 0.058 N.
3.3. Applications to Micro-Needling and Other Combined-Platforms
Microneedling, the process of repetitively puncturing the skin with a solid microneedle, has been studied in the past few decades. It has been utilized for the treatment of acne vulgaris, androgenetic alopecia, scars (atrophic acne, hypertrophic scars, or keloids), or melisma [
34,
35]. As indicated by reports on the processes of percutaneous collagen induction and reconstruction of epidermis or dermis mediated by microneedling it has also been used for skin rejuvenation [
35]. This has resulted in various types of personal homecare devices, such as microneedle-rollers or stamps. A recent in-depth investigation on the molecular characterization of microneedling effects revealed that morphological changes in the skin are mediated by a number of processes. These include upregulation of genes associated with tissue remodeling and wound healing, epithelial proliferation and differentiation, immune cell recruitment, changes in heat-shock proteins, and downregulation of pro-inflammatory cytokines and antimicrobial peptides [
36]. Advanced understanding of microneedling is expected to draw widespread attention in diverse fields in the future.
We investigated whether the PLA microneedle structure would remain intact after multiple penetrations into human skin (
Figure 3a). Skin penetration efficiency was measured when a microneedle array with height of 250
m was used to penetrate human skin multiple times. The penetration efficiency was measured by dividing the number of stained punctured holes by the estimated number of holes that could be produced by the microneedles. It was observed that the penetration efficiency exceeds 90% in every application of microneedle until eight insertions of the same needle array (
Figure 3a). There was slight flushing and edema after application of the PLA microneedles. However this condition disappeared within a few hours (data not shown). The severity and degree of symptoms was not different from an individual insertion during serial insertions.
After removing the microneedle array from the skin during each application, the microneedle structure was observed under an optical microscope (
Figure 3b). The same area of the PLA microneedle array was observed each time. The tips of the microneedles (~5% of total height) were bent after the two insertions, but overall, the structure was intact without any fractures or crack as indicated in the previous single needle compression test in
Figure 2a. It was observed that microneedle structure remained intact without any significant deformation after 10 insertions. Although PLA material is biodegradable, any PLA remaining could (rarely) cause a foreign body reaction and severe inflammation [
32]. It can be concluded that our PLA microneedle exhibits appropriate mechanical strength and other characteristics, and does not leave behind any residual solid tips that could cause harmful effects, even after multiple applications of the same device. When considering the practical application of the PLA microneedles in various ways, not only a coating-based platform but also reservoir-mediated platforms were of interest. For this reason, we investigated whether our PLA microneedle could be applied in combination with a sponge (Polyurethane, PU) type reservoir and a sheet mask. We also considered how efficiently these platforms promoted transdermal delivery into porcine skin.
First, we performed the Franz diffusion cell experiment after applying the sponge type reservoir combined with a PLA microneedle patch. Microneedles having heights of 250, 350, and 500
m were used. Details of the experimental procedures are described in the methods
Section 2. As expected, the application of microneedles promoted transdermal delivery of the FITC (as described in
Figure 3c) by formation of micro-holes in the skin. Application of 250
m PLA microneedles combined with PU foam showed a 3.3-fold increase of transdermal delivery of FITC. Compared to a negative control (topical application of FITC solution to the porcine skin), the amount of FITC delivered to the dermis and Franz cell reservoir was dramatically increased. This implies that the micro-pores and channels generated on the skin promote efficient delivery of drug molecules. It is noteworthy that a previous study showed that porcine skin has a stratum corneum (SC) that is 20–26
m thick and an epidermis 30–140
m thick [
30]. The use of 350 and 500
m PLA microneedle arrays both improved the transdermal delivery of FITC (5.6-fold and 6.6-fold, respectively). No significant differences in the delivery efficiency of 350 and 500
m microneedles were observed. This observation implies that microneedles of greater length may not always result in higher transdermal delivery efficiency.
Previous reports have paid attention to the role of vitamin C in the skin. Vitamin C is known to be involved: (1) in collagen formation by acting as a co-factor for the proline and lysine hydroxylases; (2) as a potent antioxidant as a scavenger of free radicals; (3) in the inhibition of melanogenesis; and (4) in the differentiation or proliferation of skin component cells such as keratinocytes and fibroblasts [
37]. Evidence about the variability and roles of vitamin C in intrinsic skin aging and extrinsic skin aging induced by ultraviolet radiation is still emerging [
38]. For that reason, topical application of vitamin C in a cosmetic formulation has been proposed as an effective approach for protecting against intrinsic or UV-induced photoaging, while transdermal delivery of vitamin C has been challenging due to numerous factors. In this work, we tried to deliver vitamin C using a sheet mask soaked in a 25% solution. Previous studies showed that skin occlusion (covering of skin by tape, sheeting, or any impermeable dressing material) can increase transdermal delivery efficiency by increasing stratum corneum hydration, and possibly by altering the intracellular lipid organization [
39]. The results of some research suggest that increase of the skin surface temperature and blood flow by skin occlusion could also affect the transdermal delivery efficiency. Sheet masks, also called “facial masks” or “mask-packs” in other cultural spheres, are widely used examples of one of the important categories in cosmetics and offer a skin occlusion effect.
As in previous studies regarding the occlusive effect on transdermal delivery, the application of a sheet mask increased the delivery of vitamin C into skin 1.9-fold compared to application of a topical solution (
Figure 3d). A dramatic increase (three-fold) of the vitamin C in the dermis was observed. Interestingly, application of a sheet mask and PLA microneedle (specifically, application of a sheet mask on porcine skin pretreated with a microneedle array) dramatically increased the transdermal delivery of vitamin C. There was a 12.9-fold and 6.8-fold increase of vitamin C delivery compared to that of the negative control (topical solution application) and sheet-mask-alone group, respectively. It is noteworthy that the amount of vitamin C delivered into the epidermis was not significantly different between the three groups, as if the epidermis was saturated. A similar result was also observed in the previous sponge-patch experiment. Previous studies performing Franz diffusion cell experiments indicate that the amounts of drugs (or target molecules) tend to become saturated in skin tissue, and some simulation also studies showed that the drug concentration in the epidermis reached a plateau within about 3 h [
40,
41].
3.4. Burst-Based Drug Release by Sugar-Containing PLA Microneedle Fabricated via Solvent Casting
As mentioned before, a solid microneedle system requires a drug-coating process on either the needle’s structure or the external drug supplying system. Here, we attempted to “load” the drug into the needle’s structure itself, with the intention that it would be released during the application of the needle to the user’s skin. For this purpose, we added to the PLA-DMSO solution and verified whether or not microneedles were fabricated.
We observed that three kinds of sugars were dissolved in the PLA/DMSO (15 wt%) solution within 2 wt%. At >2 wt% of sugar, we observed that sugar began to precipitate. Compared to sucrose and trehalose, glucose exhibited a more rapidly bursting drug release profile (
Figure 4a). When the sugar content in the PLA/DMSO casting solution was low (0.25–0.5%), the release of FITC was limited. When the sugar content in the casting solution exceeded 0.5%, however, it was able to significantly release FITC. Sugar contents of 0.25, 0.5, 1, and 2% resulted in total matrix solid ratios (PLA:sugar) of 1:0.17, 1:0.33, 1:0.67, and 1:1.33, respectively.
As shown in
Figure 4b (enlarged version of
Figure 4a), most of the drug was released within 30 min, which enabled a “burst-drug release”. Interestingly, this rapid kinetics seems to be similar to those that have previously been obtained for dissolving microneedles [
33,
42].
Measuring the mechanical strength of the trehalose-containing PLA microneedle (
Figure 4c) revealed that the strength decreased with increasing sugar content, but not significantly. Moreover, we did not observe any critical deformation or fractures.
Scanning electron microscopy (SEM) analysis revealed that the PLA matrix had a porous structure (
Figure 4d). Based on a previous study into the relationship between porosity and drug release from a polymer matrix [
43], we conclude that the formation of pores on the PLA matrix drove and accelerated drug release. Interestingly, we observed that smaller pores were generated inside these outer pores, which seemed to contribute to long-term sustained release under some specific conditions (
Figure 4e). We did not observe this “pore in the pore” structure at samples prepared with lower sugar contents.
Next, we analyzed and characterized the pores on the surfaces of PLA microneedles (
Figure 4f). The average pore area was 53.35
µm2 and the average Feret’s diameter (maximum) was 8.68 µm2. The two-dimensional porosity (pore area/surface area) was 33.9%.
Although the pore-forming ability of trehalose was similar to that obtained in a previous study [
15], our approach exhibited a significantly different scale of release kinetics. In our research, trehalose achieved rapid drug release within 0.5 h, while in a previous study trehalose released the target drug from its PLGA matrix after 10 d [
15]. The different pore sizes also seemed to affect the overall drug release kinetics (8.68
m [our study] vs. <1
m [ref. [
15]]).
When comparing other similar studies for the rapid-release or delivery of drug cargo by rapid dissolution of a specific matrix, our drug-release system shows significantly more rapid kinetics (e.g., antibody delivery mediated by burst dilution of magnesium particles (~15 min for 50% of drug release) [
44], including a PLGA/PLA matrix rapidly separated by bubble (~5 s for application, ~15 days for 50% of drug release from matrix) [
16], exosome-loaded microneedles (~4 days for 50% of matrix dissolution) [
13], and a programmed burst-drug release based on PLGA shell (30 min for application, ~10 days for burst drug release from matrix) [
14]. To investigate how the target drug was released from the microneedle matrix during actual application to porcine skin, we loaded the model drugs, FITC, and retinol into 500
m-high PLA microneedles. Briefly, we inserted the drug-loaded microneedles into porcine skin for 0.5 and 4 h, respectively, and then quantitatively analyzed the amount of each drug.
Regarding the transdermal delivery of FITC, we observed that FITC was rapidly released from the microneedle and delivered into the skin within 1 h of application. The total amounts of FITC delivered for the negative control (NC) and after 0.5 and 4 h were 853.87, 1906.20, and 2641.36 ng, respectively (NC refers to the needless-PLA/trehalose/FITC matrix). The delivery of FITC for the NC group appears to have occurred through residual moisture on the skin surface dissolving the trehalose and enabling the FITC to effuse out.
One of the distinguishing features was the molecular distribution between applications after 0.5 vs. 4 h. We observed decreased amount of FITC in the epidermis over time, suggesting that FITC diffused from the epidermis to the dermis and the reservoir as time passed. There was no significant difference in the total amount of FITC delivered between 0.5 and 4 h after application, implying that our PLA/sugar microneedle does not require more than 0.5 h of application time.
Retinol, which is a lipophilic vitamin A derivative, has been widely used as a cosmetic ingredient to improve the appearance of skin by reducing fine lines and wrinkles. However, its poor water solubility and restricted transdermal delivery mean that specialized formulations are required. During the fabrication of our PLA microneedles, based on the DMSO-solvent casting process, we found that retinol was readily soluble in the DMSO-PLA-trehalose solution. We applied retinol-loaded PLA microneedles to porcine skin and characterized the transdermal delivery in the same manner as FITC. In total, we found that 413.7 and 506 ng of retinol were delivered 1 and 4 h after application, respectively. The needleless array (NC) delivered 102.4 ng of retinol in total. Due to its lipophilicity, we observed that less retinol was effused from the needle-lees array driven by residual moisture on the skin surface, in contrast to the delivery of FITC. Likewise, the amount of retinol in the dermis and reservoir increased with increasing application time, while its concentration in the epidermis did not change. In the delivery of retinol, the epidermis therefore seems to be a “rate-limiting step”, supporting the prior conclusion that the epidermis and dermis are only critical barriers for hydrophobic species [
45].
Taking everything into account, our sugar-containing PLA microneedles exhibited the characteristics of both soluble and solid microneedles, including: (1) high mechanical strength of solid microneedles. As shown in
Figure 2b (hyaluronic acid-based soluble microneedle) and
Figure 4c, the prepared sugar-containing microneedles exhibited a similar mechanical strength to that of a PLA solid microneedle, with an approximately 45-fold higher stiffness than a soluble microneedle (slope = ∆F/∆displacement); (2) rapid drug release kinetics similar to soluble microneedles. Considering that soluble microneedles can have a wide range of dissolving times depending on the material (2 min–8 h) [
46], our system requires a relatively short drug release time. Previous studies have highlighted that most soluble microneedles suffer from critical issues regarding physicochemical instability. Temperature and humidity can both significantly affect the mechanical characteristics of soluble microneedles during not only fabrications but also packaging and storage. Humidity is the most critical governing factor for mechanical stability due to the hygroscopic properties of said needles; low humidity results in the microneedle structure becoming more fragile, while high humidity results in a reduced mechanical strength due to them becoming “soggy”. For this reason, the extensive application of such microneedles in hot and humid countries still remains a hurdle, with high-stability packaging being investigated as a possible solution [
47]. Our bursting drug-releasing PLA microneedles can overcome these practical issues regarding storage, packaging, and shipping, thereby increasing the applicability of microneedle platforms.