Design and characterisation of a dissolving microneedle patch for intradermal vaccination with heat-inactivated bacteria: A proof of concept study

Graphical abstract Figure. No Caption available. Abstract This work describes the formulation and evaluation of dissolving microneedle patches (MNs) for intradermal delivery of heat‐inactivated bacteria. Pseudomonas aeruginosa, strain PA01, was used as a model bacterium. Utilising a simple, cost effective fabrication process, P. aeruginosa was heat‐inactivated and formulated into dissolving MNs, fabricated from aqueous blends of 20% w/w poly(methylvinylether/maleic acid). The resultant MNs were of sufficient mechanical strength to consistently penetrate a validated skin model Parafilm M®, inserting to a depth of between 254 and 381 &mgr;m. MNs were successfully inserted into murine skin and partially dissolved. Analysis of MN dissolution kinetics in murine ears via optical coherence tomography showed almost complete MN dissolution 5 min post‐insertion. Mice were vaccinated using these optimised MNs by application of one MN to the dorsal surface of each ear (5 min). Mice were subsequently challenged intranasally (24 h) with a live culture of P. aeruginosa (2 × 106 colony forming units). Bacterial load in the lungs of mice vaccinated with P. aeruginosa MNs was significantly (p = 0.0059) lower than those of their unvaccinated counterparts. This proof of concept work demonstrates the potential of dissolving MNs for intradermal vaccination with heat‐inactivated bacteria. MNs may be a cost effective, potentially viable delivery system, which could easily be implemented in developing countries, allowing a rapid and simplified approach to vaccinating against a specific pathogen.

[1]  Ryan F. Donnelly,et al.  A proposed model membrane and test method for microneedle insertion studies , 2014, International journal of pharmaceutics.

[2]  D. Irvine,et al.  Releasable layer-by-layer assembly of stabilized lipid nanocapsules on microneedles for enhanced transcutaneous vaccine delivery. , 2012, ACS nano.

[3]  M. Prausnitz,et al.  Skin Barrier and Transdermal Drug Delivery , 2012 .

[4]  Ryan F. Donnelly,et al.  Successful application of large microneedle patches by human volunteers , 2017, International journal of pharmaceutics.

[5]  M. Prausnitz,et al.  Long-term stability of influenza vaccine in a dissolving microneedle patch , 2017, Drug Delivery and Translational Research.

[6]  Maelíosa T. C. McCrudden,et al.  Transdermal delivery of gentamicin using dissolving microneedle arrays for potential treatment of neonatal sepsis , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[7]  Tianwei Yu,et al.  The safety, immunogenicity, and acceptability of inactivated influenza vaccine delivered by microneedle patch (TIV-MNP 2015): a randomised, partly blinded, placebo-controlled, phase 1 trial , 2017, The Lancet.

[8]  Angela K. Shen,et al.  The future of routine immunization in the developing world: challenges and opportunities , 2014, Global Health: Science and Practice.

[9]  J. Katz,et al.  Survey of the prevalence of immunization non-compliance due to needle fears in children and adults. , 2012, Vaccine.

[10]  Ryan F. Donnelly,et al.  Design and physicochemical characterisation of novel dissolving polymeric microneedle arrays for transdermal delivery of high dose, low molecular weight drugs , 2014, Journal of controlled release : official journal of the Controlled Release Society.

[11]  R. Walker Considerations for development of whole cell bacterial vaccines to prevent diarrheal diseases in children in developing countries. , 2005, Vaccine.

[12]  Mark R. Prausnitz,et al.  Intradermal Vaccination with Influenza Virus-Like Particles by Using Microneedles Induces Protection Superior to That with Intramuscular Immunization , 2010, Journal of Virology.

[13]  A. Cripps,et al.  Mucosal and systemic immunizations with killed Pseudomonas aeruginosa protect against acute respiratory infection in rats , 1994, Infection and immunity.

[14]  Mark R Prausnitz,et al.  Tolerability, usability and acceptability of dissolving microneedle patch administration in human subjects. , 2017, Biomaterials.

[15]  Yuquan Wei,et al.  X-ray Irradiated Vaccine Confers protection against Pneumonia caused by Pseudomonas Aeruginosa , 2016, Scientific Reports.

[16]  Ryan F. Donnelly,et al.  Hydrogel-Forming Microneedle Arrays Can Be Effectively Inserted in Skin by Self-Application: A Pilot Study Centred on Pharmacist Intervention and a Patient Information Leaflet , 2014, Pharmaceutical Research.

[17]  E. Gakidou,et al.  Assessing vaccine cold chain storage quality: a cross-sectional study of health facilities in three African countries , 2013, The Lancet.

[18]  Ryan F. Donnelly,et al.  Skin Dendritic Cell Targeting via Microneedle Arrays Laden with Antigen-Encapsulated Poly-d,l-lactide-co-Glycolide Nanoparticles Induces Efficient Antitumor and Antiviral Immune Responses , 2013, ACS nano.

[19]  P. Ljungman Vaccination of immunocompromised patients. , 2012, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.

[20]  F. Lv,et al.  Protective Efficacy of the Trivalent Pseudomonas aeruginosa Vaccine Candidate PcrV-OprI-Hcp1 in Murine Pneumonia and Burn Models , 2017, Scientific Reports.

[21]  P. Oyston,et al.  The current challenges for vaccine development. , 2012, Journal of medical microbiology.

[22]  Maelíosa T. C. McCrudden,et al.  Dissolving microneedle delivery of nanoparticle-encapsulated antigen elicits efficient cross-priming and Th1 immune responses by murine Langerhans cells. , 2015, The Journal of investigative dermatology.

[23]  J. Bouwstra,et al.  Microneedle arrays for the transcutaneous immunization of diphtheria and influenza in BALB/c mice. , 2009, Journal of controlled release : official journal of the Controlled Release Society.

[24]  P. Elias Skin barrier function , 2008, Current allergy and asthma reports.

[25]  Ryan F. Donnelly,et al.  Microneedle characterisation: the need for universal acceptance criteria and GMP specifications when moving towards commercialisation , 2015, Drug Delivery and Translational Research.

[26]  Mark R Prausnitz,et al.  Microneedle patches for vaccination in developing countries. , 2016, Journal of controlled release : official journal of the Controlled Release Society.

[27]  Yohei Mukai,et al.  Transcutaneous immunization using a dissolving microneedle array protects against tetanus, diphtheria, malaria, and influenza. , 2012, Journal of controlled release : official journal of the Controlled Release Society.

[28]  Maelíosa T. C. McCrudden,et al.  Laser‐engineered dissolving microneedle arrays for protein delivery: potential for enhanced intradermal vaccination , 2015, The Journal of pharmacy and pharmacology.

[29]  J. Oliwa,et al.  Vaccines to prevent pneumonia in children - a developing country perspective. , 2017, Paediatric respiratory reviews.

[30]  C. Hughes,et al.  Design of a Dissolving Microneedle Platform for Transdermal Delivery of a Fixed-Dose Combination of Cardiovascular Drugs. , 2015, Journal of pharmaceutical sciences.

[31]  K. Jansen,et al.  The role of vaccines in preventing bacterial antimicrobial resistance , 2018, Nature Medicine.