Miniaturized all-in-one microneedle device for point of care light therapy
Source abstract
Abstract
Abstract Light therapies have been applied to millions of patients for treating many kinds of diseases, especially superficial ones. Currently, mainstream light therapies utilize the combined effects of photosensitizers and light to either remove disordered tissue or promote the growth of healthy tissue. Adverse effects of light therapy, including metabolic burden caused by circulatory photosensitizer and skin damage induced by high irradiance light, are yet to be addressed. This study provides a Miniaturized all-in-one Light therapy Device (MiLD). All components required for light therapy, including dual-function microneedles, LED array, control circuit, and battery are integrated together to form a miniaturized portable device with 2 cm in length, 1.7 cm in width, 1.2 cm in height, and 3.6 g in weight. The all-in-one design and patch-to-cure operation of MiLD enables the successful demonstration of point-of-care light therapy. Satisfactory therapeutic effects have been verified in mice on both types of light therapy. Meanwhile, transdermally co-delivering both photosensitizer and light in situ fully avoids photosensitizer accumulation in blood and remarkably reduces the irradiance of light, therefore significantly alleviating metabolic burden and light-induced skin damage. Overall, the MiLD lays the technical foundation of point-of-care light therapy with its miniaturized all-in-one design, simple patch-to-cure operation, satisfactory therapeutic effects, and minimum adverse effects.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Optical Coherence Tomography Applications · Advancements in Transdermal Drug Delivery · Laser Applications in Dentistry and Medicine
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
References (39)
Show source-provided references
1. Finsen, N. R. Phototherapy: 1. The chemical rays of light and smallpox, 2. Light as a stimulant, 3. The treatment of lupus vulgarisby concentrated chemical rays (Arnold, 1901).
2. Vieyra-Garcia, P. A. & Wolf, P. A deep dive into UV-based phototherapy: mechanisms of action and emerging molecular targets in inflammation and cancer. Pharmacol. Ther. 222, 107784 (2021).10.1016/j.pharmthera.2020.107784 ↗
3. Armstrong, A. W. & Read, C. Pathophysiology, clinical presentation, and treatment of psoriasis: a review. JAMA 323, 1945–1960 (2020).10.1001/jama.2020.4006 ↗
4. Migayron, L., Boniface, K. & Seneschal, J. Vitiligo, from physiopathology to emerging treatments: a review. Dermatol. Ther. 10, 1185–1198 (2020).10.1007/s13555-020-00447-y ↗
5. Musters, A. H. et al. Phototherapy for atopic eczema. Cochrane Database Syst. Rev. 10, Cd013870 (2021).
6. Yun, S. H. & Kwok, S. J. J. Light in diagnosis, therapy and surgery. Nat. Biomed. Eng. 1, 0008 (2017).10.1038/s41551-016-0008 ↗
7. Zhao, X., Li, X., Zhang, P., Du, J. & Wang, Y. Tip-loaded fast-dissolving microneedle patches for photodynamic therapy of subcutaneous tumor. J. Control. Release 286, 201–209 (2018).10.1016/j.jconrel.2018.07.038 ↗
8. Nicolo, M., Desideri, L. F., Vagge, A. & Traverso, C. E. Current pharmacological treatment options for central serous chorioretinopathy: a review. Pharmaceuticals 13, 264 (2020).10.3390/ph13100264 ↗
9. Braathen, L. R. et al. Short incubation with methyl aminolevulinate for photodynamic therapy of actinic keratoses. J. Eur. Acad. Dermatol. Venereol. 23, 550–555 (2009).10.1111/j.1468-3083.2008.03029.x ↗
10. Huang, Y., Yang, J., Sun, L., Zhang, L. & Bi, M. Efficacy of influential factors in hemoporfin-mediated photodynamic therapy for facial port-wine stains. J. Dermatol. 48, 1700–1708 (2021).10.1111/1346-8138.16094 ↗
11. Sheleg, S. V. et al. Photodynamic therapy with chlorin e(6) for skin metastases of melanoma. Photodermatol. Photo 20, 21–26 (2004).10.1111/j.1600-0781.2004.00078.x ↗
12. Feng, Y. et al. Assembly of upconversion nanophotosensitizer in vivo to achieve scatheless real-time imaging and selective photodynamic therapy. Biomaterials 201, 33–41 (2019).10.1016/j.biomaterials.2019.02.015 ↗
13. Chen, D. et al. Photothermal-pH-hypoxia responsive multifunctional nanoplatform for cancer photo-chemo therapy with negligible skin phototoxicity. Biomaterials 221, 119422 (2019).10.1016/j.biomaterials.2019.119422 ↗
14. Li, X. et al. A tumor-pH-responsive supramolecular photosensitizer for activatable photodynamic therapy with minimal in vivo skin phototoxicity. Theranostics 7, 2746–2756 (2017).10.7150/thno.18861 ↗
15. Glickman, R. D. Ultraviolet phototoxicity to the retina. Eye. Contact Lens. 37, 196–205 (2011).10.1097/ICL.0b013e31821e45a9 ↗
16. Dougherty, T. J., Cooper, M. T. & Mang, T. S. Cutaneous phototoxic occurrences in patients receiving Photofrin. Lasers Surg. Med. 10, 485–488 (1990).10.1002/lsm.1900100514 ↗
17. Henderson, B. W. et al. Photofrin photodynamic therapy can significantly deplete or preserve oxygenation in human basal cell carcinomas during treatment, depending on fluence rate. Cancer Res. 60, 525–529 (2000).
18. Han, S. et al. Upconversion nanoparticles/hyaluronate-rose bengal conjugate complex for noninvasive photochemical tissue bonding. Acs. Nano. 11, 9979–9988 (2017).10.1021/acsnano.7b04153 ↗
19. Wang, X., Xiong, J., Hu, X. & Li, Q. Implementation and uniformity calibration of LED array for photodynamic therapy. J. Innov. Opt. Heal. Sci. 15, 224000 (2022).
20. Keller, A., Hartmann, J., Enk, A. & Gholam, P. Pulse rate and blood pressure changes during low-irradiance PDT compared with conventional PDT in the treatment of facial actinic keratoses: a retrospective study. Photodermatol. Photoimmunol. Photomed. 38, 435–441 (2022).10.1111/phpp.12764 ↗
21. Clydesdale, G. J., Dandie, G. W. & Muller, H. K. Ultraviolet light induced injury: immunological and inflammatory effects. Immunol. Cell. Biol. 79, 547–568 (2001).10.1046/j.1440-1711.2001.01047.x ↗
22. Petersen, B., Wiegell, S. R. & Wulf, H. C. Light protection of the skin after photodynamic therapy reduces inflammation: an unblinded randomized controlled study. Br. J. Dermatol. 171, 175–178 (2014).10.1111/bjd.12882 ↗
23. O’Mahoney, P. et al. A novel light source with tuneable uniformity of light distribution for artificial daylight photodynamic therapy. Photodiagnos. Photodyn. Ther. 23, 144–150 (2018).10.1016/j.pdpdt.2018.06.013 ↗
24. Kim, M. M. & Darafsheh, A. Light sources and dosimetry techniques for photodynamic therapy. Photochem. Photobiol. 96, 280–294 (2020).10.1111/php.13219 ↗
25. Yu, N. et al. Dermabrasion combined with photodynamic therapy: a new option for the treatment of non-melanoma skin cancer. Lasers Med. Sci. 37, 1255–1263 (2022).10.1007/s10103-021-03381-3 ↗
26. Ferrara, F. et al. Combined CO2 laser and photodynamic therapy enhances the efficacy of treatment of basal cell carcinomas. J. Dtsch. Dermatol. Ges. 17, 1251–1256 (2019).
27. Portugal, I., Jain, S., Severino, P. & Priefer, R. Micro- and nano-based transdermal delivery systems of photosensitizing drugs for the treatment of cutaneous malignancies. Pharmaceuticals 14, 772 (2021).10.3390/ph14080772 ↗
28. Risaliti, L. et al. Topical formulations of delta-aminolevulinic acid for the treatment of actinic keratosis: Characterization and efficacy evaluation. Eur. J. Pharm. Sci. 115, 345–351 (2018).10.1016/j.ejps.2018.01.045 ↗
29. Pivetta, T. P. et al. Liposomes encapsulating methylene blue and acridine orange: an approach for phototherapy of skin cancer. Colloids Surf. B. Biointerfaces 220, 112901 (2022).10.1016/j.colsurfb.2022.112901 ↗
30. Lemos, C. N., de Souza, J. G., Simão, P. S. & Lopez, R. F. Iontophoresis improved growth reduction of invasive squamous cell carcinoma in topical photodynamic therapy. PLoS. One 11, e0145922 (2016).10.1371/journal.pone.0145922 ↗
31. Liu, F., Cheng, Z. & Yi, H. NIR light-activatable dissolving microneedle system for melanoma ablation enabled by a combination of ROS-responsive chemotherapy and phototherapy. J. Nanobiotechnol. 21, 61 (2023).10.1186/s12951-023-01815-4 ↗
32. Choi, S. H., Kim, T. H. & Song, K. H. Efficacy of iontophoresis-assisted ablative fractional laser photodynamic therapy with short incubation time for the treatment of actinic keratosis: 12-month follow-up results of a prospective, randomised, comparative trial. Photodiagnos. Photodyn. Ther. 18, 105–110 (2017).10.1016/j.pdpdt.2017.01.184 ↗
33. Petukhova, T. A., Hassoun, L. A., Foolad, N., Barath, M. & Sivamani, R. K. Effect of expedited microneedle-assisted photodynamic therapy for field treatment of actinic keratoses: a randomized clinical trial. Jama. Dermatol. 153, 637–643 (2017).10.1001/jamadermatol.2017.0849 ↗
34. Fadel, M., Samy, N., Nasr, M. & Alyoussef, A. A. Topical colloidal indocyanine green-mediated photodynamic therapy for treatment of basal cell carcinoma. Pharm. Dev. Technol. 22, 545–550 (2017).10.3109/10837450.2016.1146294 ↗
35. Nizamoglu, S. et al. Bioabsorbable polymer optical waveguides for deep-tissue photomedicine. Nat. Commun. 7, 10374 (2016).10.1038/ncomms10374 ↗
36. Zhang, H. et al. Biocompatible light guide-assisted wearable devices for enhanced UV light delivery in deep skin. Adv. Funct. Mater. 31, 2100576 (2021).10.1002/adfm.202100576 ↗
37. Zhao, H. et al. Dual-function microneedle array for efficient photodynamic therapy with transdermal co-delivered light and photosensitizers. Lab Chip 22, 4521–4530 (2022).10.1039/D2LC00505K ↗
38. Zhang, L. C., Yang, J., Huang, Y. B. & Bi, M. Y. Efficacy of hemoporfin photodynamic therapy for pulsed dye laser-resistant facial port-wine stains in 107 children: a retrospective study. Indian. J. Dermatol. Venereol. Leprol. 88, 275 (2022).10.25259/IJDVL_976_20 ↗
39. Ark, M., Cosman, P. H., Boughton, P. & Dunstan, C. R. Review: photochemical tissue bonding (PTB) methods for sutureless tissue adhesion. Int. J. Adhes. Adhes. 71, 87–98 (2016).10.1016/j.ijadhadh.2016.08.006 ↗