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. 2022 Jan 4;52(3):273–292. doi: 10.1007/s40005-021-00558-4

Table 3.

Features and findings of research on microneedle system for nucleic acid drug delivery

Type of MN Combined delivery system Applications Target nucleic acid Features and findings References
Solid Non (naked)

Gene expression,

Cancer vaccine

HBsAg pDNA

Luciferase pDNA

Adjuvant (Flt3L, Fms-like tyrosine kinase 3 ligand) was added

Immune response: MN + adjuvant + pDNA > IM + adjuvant pDNA ~ MN + pDNA

Protective efficacy against tumor cell challenge was observed in mice

Zhou et al. (2010)
Solid Non (naked) Gene knockdown GAPDH siRNA

5' cholesterol modification was introduced into siRNA to enhance cellular uptake

Evaluation of in vivo biodistribution of Cy5-labelled siRNA was included

(Major distribution in MN-applied tissues compared to major organs)

Deng et al. (2016)
Solid hollow

Non (Naked),

Electroporation,

Cationic polymer/lipid

Immunization study Ovalbumin pDNA Permeability of DNA have been compared between EP, SC, solid MN, EP + solid MN, and hollow MN (33-gauge hypodermic needle). Characterization and optimization of complexes using commercial transfection reagents (Lipofectamine, Superfect) and cationic polymer (PEI). Hollow MN showed a much higher immune response than SC injection. The complex elicited a stronger immune response than the naked, with the strongest response in PEI complex Pamornpathomkul et al. (2017)
Solid

Non (naked),

Cationic polymer/lipid

Gene expression

Luciferase pDNA

EGFP pDNA

Longer MN and longer duration time showed stronger expression than shorter one. And naked DNA showed better expression than complexed one

DNA → MN showed 87-times higher expression than MN → DNA

Yan et al. (2014)
Solid

Cationic polymer

(PEI)

Gene expression,

Immunization study

Luciferase pDNA

Hepatitis B HBsAg pDNA

IM (naked) vs. MN (naked) vs. IM (complex) vs. MN (complex)

PEI-pDNA loaded MN showed a 4.7-fold higher immune response than IM injection and a 2.6-fold higher immune response than naked DNA loaded MN

Yin et al. (2013)
Solid

Cationic polymer-

cell penetrating

peptide

Gene expression

Luciferase pDNA

EGFP pDNA

Mannosylated PEI-CPP-pDNA complexes targeting mannose receptor positive dendritic cells. The complex exhibited 150-fold higher expression than naked pDNA in vitro expression study Hu et al. (2014)
Solid

Cationic liposome

(DOTAP)

Gene knockdown GAPDH siRNA

Utilization of sponge Haliclona sp. Spicules as solid MN. Liposome-siRNA complex

%Knockdown: MN + complex > SC + complex > MN + siRNA

Liang et al. (2020)
Solid

Lipid nanoparticle

(DOTAP)

Gene expression

EGFP pDNA

β-galactosidase pDNA

In vitro transfection efficiency and in vitro permeation study were involved

DOTAP based lipid nanoparticle were tested with different charge condition (positive, neutral, negative). Positive charged nanoparticle only showed expression

Chabri et al. (2004) and Coulman et al. (2005)
Solid Electroporation

Gene expression,

Fluorescently labelled RNA transfection

RFP pDNA,

Cy5 labelled siRNA

Gold coated solid MN used for electroporation. Transfection efficiency and tissue damage were evaluated at various voltages (range 0—50 V) for the combination of MN and electroporation. MN alleviated the EP conditions, allowing it to decrease to 35 V with maximum transfection efficiency. MN combined with electroporation enhanced transfection of nucleic acids. Roller type MN was utilized to enhance transfection efficiency. Longer MN showed better expression Wei et al. (2014) and Huang et al. (2018)
Coated Non (naked)

Gene expression,

Immunization study

Luciferase pDNA,

Gag encoding pDNA

(HIV model antigen SIV-gag)

Multilayer coated MN enabling rapid release of pDNA in pH-responsive manner. PolyI:C was used for adjuvant. 140-fold higher level of expression with MN compared to ID injection (reporter gene). The dried formulation maintained the bioactivity of pDNA for 28 days at room temperature. tenfold higher antibody titers with MN compared to other treatments (ID, IM, IM + EP) Demuth et al. (2013)
Coated Non (naked) Cancer vaccine

Hepatitis C virus

3/4A pDNA

MN had an immune response similar to that of the gene gun at similar doses. MN (3.2 μg) showed protective efficacy in tumor cell challenge and equivalent immune response to a 30-fold higher dose of IM (100 μg) Gill et al. (2010)
Coated Non (naked)

Gene expression,

Immunization study

Luciferase pDNA

Influenza HA pDNA

Coated MN showed protective efficacy on viral challenge and improved immune response compared to the same dose of IM. Immunization study using clodronate-liposomes suggest that dendritic and macrophages may not provide a major contribution to protective efficacy of MN Song et al. (2012) and Kim et al. (2013)
Coated Non (naked) Immunization study

Nucleosomal histones of

Leishmania spp

pDNA

Comparison of immune responses by administration route of pDNA cocktails of plasmids encoding four different antigens. Immune response: SC < ID < MN Moreno et al. (2017)
Coated Non (naked)

Gene expression,

Immunization study

EGFP pDNA

Ovalbumin pDNA

MN showed a tenfold higher immune response compared to IM injection. Gene expression and immune response: IM < MN Zhang et al. (2018)
Coated

Cationic polymer

(PEI)

Cancer vaccine p53 pDNA PEI-pDNA complex coated on polycaprolactone MN by layer-by-layer assembly. pH-responsive pDNA release promoted in the acidic environment (pH 5.5). pH responsive MNs showed better tumor suppression than non-multilayered MNs or IV injections Li et al. (2019b)
Coated

Cationic liposome

(DOTAP)

Gene knockdown CXCL1 gene siRNA The nano-patch was coated with DOTAP-PEG-cholesterol-siRNA complex and methylcellulose for viscosity improving agent. Fluvax (one of the vaccines) was added to induce CXCL1 expression. The integrity of nucleic acid was maintained in the dry state Haigh et al. (2014)
Coated

Nanoparticle

(PEI-deoxycholate)

Gene expression,

Immunization study

Alzheimer beta-

amyloid pDNA

Multilayer MN enhanced rapid release at physiological pH. Mannosylated PEI-deoxycholic acid-pDNA complexes were treated with SC or MN. MN showed a higher immune response compared to the SC group. Trehalose was used as a stabilizing agent Kim et al. (2014) and Duong et al. (2018a)
Coated Nanoparticle (PEI-deoxycholic acid)

Cancer vaccine

(melanoma)

Ovalbumin pDNA Rapid release at physiological pH was induced with a multilayer MN (pH-responsive layer). Poly I:C was co-administered as an adjuvant Duong et al. (2018b)
Dissolving Non (naked)

Gene expression,

Cancer vaccine

Luciferase mRNA

Ovalbumin mRNA

Naked mRNA was loaded into PVP-based dissolving MN. The concentrated PVP solution lowered the in vivo transfection efficiency of mRNA in PVP solution

Longer MNs showed higher mRNA expression in vivo

Koh et al. (2018)
Dissolving Nanoparticle (PLGA-based)

Gene expression,

Immunization study

GFP pDNA

Ebolavirus protein pDNA

The PLGA-Poly(L-lysine)-poly(γ-glutamate)-DNA complex was loaded onto PVA-based dissolving MN. Sucrose stabilized pDNA structure of MN at room temperature

Immune response: MN + NP + pDNA > IM + NP + pDNA > IM + pDNA > MN + pDNA

Yang et al. (2017)
Dissolving

Cationic polymer

(PEI)

Cancer vaccine

(melanoma)

STAT3 siRNA PEI-siRNA complex loaded into dissolving MN (matrix composition: dextran40: PVP17: HA = 4:1:1). Naked siRNA showed lower transfection than complex siRNA (in vitro). Dose dependence was confirmed with four dose levels (33, 66, 132, and 264 μg) Pan et al. (2018)
Dissolving Peptide nanoparticle

Gene expression,

Cancer vaccine

Luciferase pDNA

HPV-16 E6 and E7 pDNA

RALA (one of cell penetrating peptide)-pDNA complex loaded into PVA-based dissolving MN. Lyophilization was used to increase the loading capacity, and trehalose was used as a stabilizer for the process. 57 µg of pDNA was loaded into the array. pDNA loaded in MN was stable for 28 days at room temperature. Complex-MN group showed higher immune response than complex-IM Cole et al. (2018)
Dissolving Electroporation

Gene expression,

Cancer vaccine (melanoma)

Luciferase pDNA

2CMVmIL-12 pDNA (IL-12 subunits)

Maltose-based dissolved MNs mounted on metal electrodes array. EP enhanced the expression of IL-12. pDNA delivery via dissolving MN combined with electroporation inhibited tumor growth and extended survival Lee et al. (2011)
Dissolving Photothermal therapy Cancer vaccine (melanoma) p53 pDNA Photothermal dye (named IR 820) and pDNA were loaded into hyaluronic acid-based dissolving MN. Near-infrared rays increase the temperature of the tissues where IR820 is distributed and have anticancer effects. Combination with photothermal therapy (PTT) effectively inhibited the growth of subcutaneous tumors Xu et al. (2020)
Hollow Cationic lipid (Lipofectamine) Gene knockdown β-galactosidase pDNA EGFP pDNA A commercial hollow MN device (MicronJet) was used, enabling reproducible amounts of siRNA. Transfection studies using ex vivo human skin Dul et al. (2017)
Hollow Cationic lipid (Lipofectamine) Gene expression Luciferase mRNA A commercial hollow MN device (MicronJet) was used. Transfection studies using ex vivo porcine skin. There were no significant differences in luciferase expression between naked mRNA and liposome complexed mRNA Golombek et al. (2018)
Hollow Cationic niosome Gene expression, Immunization study

EGFP pDNA

Ovalbumin pDNA

Cationic niosome-pDNA complex (composition: span20/cholesterol/cationic lipids = 2.5/2.5/0.5 in molar ratio) was delivered in vivo by hollow MNs. MN injection of niosome complexes showed a higher immune response than SC injection

In vivo immune response: Niosome complex > Lipofectamine complex > Naked pDNA

Pamornpathomkul et al. (2018)

MN microneedle, HBsAg hepatitis B surface antigen, GAPDH glyceraldehyde-3-phosphate dehydrogenase, EP electroporation, SC subcutaneous, PEI polyethyleneimine, EGFP enhanced green fluorescent protein, IM intramuscular, CPP cell penetrating peptide, DOTAP 2, 3-dioleoyloxy-propyl-trimethylammoniumchlorid, RFP red fluorescent protein

MN microneedle, HIV human immunodeficiency virus, SIV simian immunodeficiency virus, ID intradermal, IM intramuscular, EP electroporation, HA hemagglutinin, SC subcutaneous, EGFP enhanced green fluorescent protein, PEI polyethyleneimine, IV intravenous, DOTAP 2, 3-dioleoyloxy-propyl-trimethylammoniumchlorid, CXCL1, C-X-C motif chemokine ligand 1, PEG polyethylene glycol

MN microneedle, PVP polyvinylpyrrolidone, PLGA poly(lactide-co-glycolide), PVA polyvinyl alcohol, GFP green fluorescent protein, NP nanoparticle, IM intramuscular, PEI polyethyleneimine, STAT3 signal transducer and activity of transcription 3, HA hyaluronic acid, HPV human papillomavirus, EP, CMV, cytomegalovirus, IL interleukin, EP electroporation, EGFP enhanced green fluorescent protein, SC subcutaneous