Skip to main content

Advertisement

Log in

Bleomycin-Coated Microneedles for Treatment of Warts

  • Research Paper
  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose

Bleomycin-coated microneedles were devised for delivery of bleomycin into the sub-epidermal skin layer for the treatment of warts in order to provide patient convenience and reduce patient pain and fear.

Method

Poly-lactic-acid (L-PLA) microneedles were fabricated by a molding process and then the tips were partially coated using a dip-coating method based on a microstructure well. The mechanical strength of the pre-coated polymer microneedles was observed by inserting them in porcine foot and back skin. The holes were stained with trypan blue and the mechanical failure of the microneedles was investigated using a scanning electron microscope (SEM). The initial distribution of a model drug using microneedles was compared with distribution by intralesional injection. The amount of drug leaked below the skin using microneedles was measured and compared with that leaked by intralesional injection. The pharmacokinetic properties of bleomycin-coated microneedles were studied. The bleomycin remaining on the coated microneedles after the in vivo pharmacokinetic study was measured.

Results

Bleomycin was successfully coated on the tips of L-PLA microneedles. More than 80% of the bleomycin dissolved into the skin in vitro within 15 min. L-PLA microneedles possessed sufficient mechanical strength to penetrate skin with a thick stratum corneum. Compared to intralesional injection, tip-coated microneedles were more effective in distributing a drug into the sub-epidermal skin layer. A pharmacokinetic study of bleomycin-coated microneedles showed 50 min of Tmax.

Conclusions

Bleomycin-coated microneedles appeared to be a convenient and painless alternative to conventional intralesional injection of bleomycin. The microneedles delivered bleomycin into the targeted dermal layer regardless of body site. Bleomycin-coated microneedles therefore provide a suitable method for the treatment of warts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14

Similar content being viewed by others

Abbreviations

CMC:

Carboxy-methyl-cellulose

HPV:

Human papillomavirus

LC/MS/MS:

Liquid chromatography-mass spectrometry

L-PLA:

Poly L-lactic acid

PK:

Pharmacokinetic

PLGA:

Poly dl-lacide-co-glycolide

SC:

Subcutaneous

SEM:

Scanning electron microscope

UV:

Ultraviolet

References

  1. Kwok CS, Gibbs S, Bennett C, Holland R, Abbott R. Topical treatments for cutaneous warts. Cochrane Database Syst Rev. 2012;12(9):CD001781.

    Google Scholar 

  2. Sundberg J, Van Ranst M, Montali R, Homer B, Miller W, Rowland P, et al. Feline papillomas and papillomaviruses. Vet Pathol. 2000;37(1):1–10.

    Article  CAS  PubMed  Google Scholar 

  3. Mulhem E, Pinelis S. Treatment of nongenital cutaneous warts. Am Fam Physician. 2011;84(3):288–93.

    PubMed  Google Scholar 

  4. Wortsman X, Sazunic I, Jemec GB. Sonography of plantar warts role in diagnosis and treatment. J Ultras Med. 2009;28(6):787–93.

    Google Scholar 

  5. Grussendorf‐Conen EI, Jacobs S. Efficacy of imiquimod 5% cream in the treatment of recalcitrant warts in children. Pediatr Dermatol. 2002;19(3):263–6.

    Article  PubMed  Google Scholar 

  6. Saitta P, Krishnamurthy K, Brown LH. Bleomycin in dermatology: a review of intralesional applications. Dermatol Surg. 2008;34(10):1299–313.

    CAS  PubMed  Google Scholar 

  7. Adalatkhah H, Khalilollahi H, Amini N, Sadeghi-Bazargani H. Compared therapeutic efficacy between intralesional bleomycin and cryotherapy for common warts: a randomized clinical trial. Dermatol Online J. 2007;13(3):4.

    CAS  PubMed  Google Scholar 

  8. Connolly M, Bazmi K, O'Connell M, Lyons J, Bourke J. Cryotherapy of viral warts: a sustained 10‐s freeze is more effective than the traditional method. Brit J Dermatol. 2001;145(4):554–7.

    Article  CAS  Google Scholar 

  9. Clifton MM, Johnson SM, Roberson PK, Kincannon J, Horn TD. Immunotherapy for recalcitrant warts in children using intralesional mumps or Candida antigens. Pediatr Dermatol. 2003;20(3):268–71.

    Article  PubMed  Google Scholar 

  10. Muir T, Kirsten M, Fourie P, Dippenaar N, Ionescu G. Intralesional bleomycin injection (IBI) treatment for haemangiomas and congenital vascular malformations. Pediatr Surg Int. 2004;19(12):766–73.

    Article  CAS  PubMed  Google Scholar 

  11. Bunney M, Nolan M, Buxton P, Going S, Prescott R. The treatment of resistant warts with intralesional bleomycin: a controlled clinical trial. Brit J Dermatol. 1984;111(2):197–207.

    Article  CAS  Google Scholar 

  12. Amer M, Diab N, Ramadan A, Galal A, Salem A. Therapeutic evaluation for intralesional injection of bleomycin sulfate in 143 resistant warts. J Am Acad Dermatol. 1988;18(6):1313–6.

    Article  CAS  PubMed  Google Scholar 

  13. Moeller A, Ask K, Warburton D, Gauldie J, Kolb M. The bleomycin animal model: a useful tool to investigate treatment options for idiopathic pulmonary fibrosis? Int J Biochem Cell B. 2008;40(3):362–82.

    Article  CAS  Google Scholar 

  14. Yamamoto T. Bleomycin and the skin. Br J Dermatol. 2006;155(5):869–75.

    Article  CAS  PubMed  Google Scholar 

  15. Gothelf A, Mir LM, Gehl J. Electrochemotherapy: results of cancer treatment using enhanced delivery of bleomycin by electroporation. Cancer Treat Rev. 2003;29(5):371–87.

    Article  CAS  PubMed  Google Scholar 

  16. Mosher MB, Deconti RC, Bertino JR. Bleomycin therapy in advanced Hodgkin's disease and epidermoid cancers. Cancer. 1972;30(1):56–60.

    Article  CAS  PubMed  Google Scholar 

  17. Lee H-S, Park J-H. 3-Dimensional coating polymer microneedles for economical and efficient transdermal drug delivery. Polym-Korea. 2014;38(3):391–6.

    Article  CAS  Google Scholar 

  18. Soni P, Khandelwal K, Aara N, Ghiya BC, Mehta RD, Bumb RA. Efficacy of intralesional bleomycin in palmo-plantar and periungual warts. J Cutan Aesthet Surg. 2011;4(3):188.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Rabinovitch DL, Peliowski A, Furlan AD. Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain. Spine J. 2009;9(6):509–17.

    Article  PubMed  Google Scholar 

  20. Meyers C, Frattini MG, Hudson JB, Laimins LA. Biosynthesis of human papillomavirus from a continuous cell line upon epithelial differentiation. Science. 1992;257(5072):971–3.

    Article  CAS  PubMed  Google Scholar 

  21. Park J-H, Allen MG, Prausnitz MR. Biodegradable polymer microneedles: fabrication, mechanics and transdermal drug delivery. J Control Release. 2005;104(1):51–66.

    Article  CAS  PubMed  Google Scholar 

  22. Ma Y, Boese SE, Luo Z, Nitin N, Gill HS. Drug coated microneedles for minimally-invasive treatment of oral carcinomas: development and in vitro evaluation. Biomed Microdevices. 2015;17(2):1–14.

    Article  Google Scholar 

  23. Zhang Y, Brown K, Siebenaler K, Determan A, Dohmeier D, Hansen K. Development of lidocaine-coated microneedle product for rapid, safe, and prolonged local analgesic action. Pharm Res. 2012;29(1):170–7.

    Article  PubMed  Google Scholar 

  24. Kim Y-C, Park J-H, Prausnitz MR. Microneedles for drug and vaccine delivery. Adv Drug Deliver Rev. 2012;64(14):1547–68.

    Article  CAS  Google Scholar 

  25. Koo G-H, Jang J. Surface modification of poly (lactic acid) by UV/Ozone irradiation. Fiber Polym. 2008;9(6):674–8.

    Article  CAS  Google Scholar 

  26. Jacobi U, Kaiser M, Toll R, Mangelsdorf S, Audring H, Otberg N, et al. Porcine ear skin: an in vitro model for human skin. Skin Res Technol. 2007;13(1):19–24.

    Article  PubMed  Google Scholar 

  27. Ya-Xian Z, Suetake T, Tagami H. Number of cell layers of the stratum corneum in normal skin–relationship to the anatomical location on the body, age, sex and physical parameters. Arch Dermatol Res. 1999;291(10):555–9.

    Article  CAS  PubMed  Google Scholar 

  28. Park J-H, Yoon Y-K, Choi S-O, Prausnitz MR, Allen MG. Tapered conical polymer microneedles fabricated using an integrated lens technique for transdermal drug delivery. IEEE T Bio-Med Eng. 2007;54(5):903–13.

    Article  Google Scholar 

  29. Tinsley J, Fisher C, Searle P. Abnormalities of epidermal differentiation associated with expression of the human papillomavirus type 1 early region in transgenic mice. J Gen Virol. 1992;73(5):1251–60.

    Article  CAS  PubMed  Google Scholar 

  30. Kaushik S, Hord AH, Denson DD, McAllister DV, Smitra S, Allen MG, et al. Lack of pain associated with microfabricated microneedles. Anesth Aanalg. 2001;92(2):502–4.

    Article  CAS  Google Scholar 

  31. Park J-H, Allen MG, Prausnitz MR. Polymer microneedles for controlled-release drug delivery. Pharm Res. 2006;23(5):1008–19.

    Article  CAS  PubMed  Google Scholar 

  32. Baek C, Han M, Min J, Prausnitz MR, Park J-H, Park JH. Local transdermal delivery of phenylephrine to the anal sphincter muscle using microneedles. J Control Release. 2011;154(2):138–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Jun H, Han M-R, Kang N-G, Park J-H, Park JH. Use of hollow microneedles for targeted delivery of phenylephrine to treat fecal incontinence. J Control Release. 2015;207(10):1–6.

    Article  CAS  PubMed  Google Scholar 

  34. Daddona PE, Matriano JA, Mandema J, Maa Y-F. Parathyroid hormone (1-34)-coated microneedle patch system: clinical pharmacokinetics and pharmacodynamics for treatment of osteoporosis. Pharm Res. 2011;28(1):159–65.

    Article  CAS  PubMed  Google Scholar 

  35. Kusamori K, Katsumi H, Sakai R, Hayashi R, Hirai Y, Tanaka Y, et al. Development of a drug-coated microneedle array and its application for transdermal delivery of interferon alpha. Biofabrication. 2016;8(1):015006.

    Article  PubMed  Google Scholar 

  36. Ameri M, Kadkhodayan M, Nguyen J, Bravo JA, Su R, Chan K, et al. Human growth hormone delivery with a microneedle transdermal system: preclinical formulation, stability, delivery and PK of therapeutically relevant doses. Pharmaceutics. 2014;6(2):220–34.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

ACKNOWLEDGMENTS AND DISCLOSURES

This research was supported by the Gachon University Gil Medical Center (Grant number: 2013-47) a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Joo Young Roh or Jung-Hwan Park.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, H.S., Ryu, H.R., Roh, J.Y. et al. Bleomycin-Coated Microneedles for Treatment of Warts. Pharm Res 34, 101–112 (2017). https://doi.org/10.1007/s11095-016-2042-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11095-016-2042-x

KEY WORDS

Navigation