Abstract

Most influenza vaccines are administered via intramuscular injection which has several disadvantages that might jeopardize the compliance of vaccinees. Intradermal administration of dissolving-microneedle-arrays (dMNAs) could serve as minimal invasive alternative to needle injections. However, during the production process of dMNAs antigens are subjected to several stresses, which may reduce their potency. Moreover, the needles need to have sufficient mechanical strength to penetrate the skin and subsequently dissolve effectively to release the incorporated antigen. Here, we investigated whether blends of trehalose and pullulan are suitable for the production of stable dMNA fulfilling these criteria. Our results demonstrate that production of trehalose/pullulan-based dMNAs rendered microneedles that were sharp and stiff enough to pierce into ex vivo human skin and subsequently dissolve within 15 min. The mechanical properties of the dMNAs were maintained well even after four weeks of storage at temperatures up to 37°C. In addition, immunization of mice with influenza antigens via both freshly prepared dMNAs and dMNAs after storage (four weeks at 4°C or 37°C) resulted in antibody titers of similar magnitude as found in intramuscularly injected mice and partially protected mice from influenza virus infection. Altogether, our results demonstrate the potential of trehalose/pullulan-based dMNAs as alternative dosage form for influenza vaccination.

Highlights

  • Influenza is a serious respiratory disease causing seasonal epidemics and occasional pandemics.[1,2] Vaccination is the most effective measure to prevent or control the spread of influenza.[3]

  • We investigated whether trehalose/pullulan blends are suitable for the production of stable dMNAs capable of penetrating the skin and inducing immune responses

  • Our data demonstrate that dMNAs prepared from a trehalose/pullulan weight ratio of 50:50 were sharp and stiff enough to penetrate the skin and showed a fast dissolution rate in the skin

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Summary

Introduction

Influenza is a serious respiratory disease causing seasonal epidemics and occasional pandemics.[1,2] Vaccination is the most effective measure to prevent or control the spread of influenza.[3]. Disadvantages have been associated with parenteral vaccine administration such as pain, risks for needle stick injuries, or poor compliance for individuals with needle phobia. In addition to these needlerelated issues, currently used liquid influenza vaccine formulations have a limited shelf life and require refrigerated storage and transport, the so-called cold-chain. As the antigen is incorporated in the microneedles in the dry state, it is less prone to degradation which may make strict maintenance of the cold-chain superfluous. The use of microneedles averts pain and discomfort during administration and provides the potential for self-administration.[10]

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