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Facile minocycline deployment in gingiva using a dissolvable microneedle patch for the adjunctive treatment of periodontal disease

Open access

Abstract

Minocycline is a commonly used drug for adjunctive therapy in periodontal disease. However, the current mainstream local medications primarily rely on intra‐pocket administration, which, while avoiding the side effects of traditional systemic drugs, presents challenges such as inconvenience, discomfort, and the need for professional assistance, thus affecting patient compliance. Herein, we introduce a minocycline‐loaded dissolvable microneedle (Mino‐DMN) patch that allows for local and efficient delivery of minocycline to gingiva for the treatment of periodontitis. A two‐step casting micro‐molding process involving vacuum drying and freeze drying is employed to concentrate minocycline in the microneedle part and limit its diffusion into the patch backing. The resulting Mino‐DMN patch features an array of minocycline‐enriched gelatin MNs with a porous HA patch backing. The microneedles can penetrate into gingiva with enough mechanical strength and quickly release minocycline into the gingival tissue, ensuring prolonged local residence of the drug and minimizing its loss to saliva. In vivo experiments show Mino‐DMN inhibits pro‐inflammatory factors, promotes anti‐inflammatory factors, and stimulates bone formation, surpassing topical application and comparable to the inconvenient and discomfort administration of Periocline®. This proposed Mino‐DMN offers a simple, efficient, user‐friendly strategy for the adjunctive treatment of periodontal disease.

Overview

CoChat Summary

TL;DR

A minocycline-loaded dissolvable microneedle (Mino-DMN) patch with gelatin tips and a porous hyaluronic acid backing delivers minocycline locally to gingiva and shows antibacterial, anti-inflammatory, and bone-protective effects in a rat periodontitis model. It surpasses topical minocycline and is largely comparable to Periocline® ointment, though alveolar bone loss (ABL) was significantly higher in the Mino-DMN group than in the Periocline® group.

Key findings

  • The two-step casting process concentrated minocycline in the microneedle tips: actual loading was 51 ± 6 μg per patch; a solid backing caused approximately three times greater drug loss than the porous backing, and sucrose-containing HA backing had a modulus approximately three times higher than pure HA backing.
  • Microneedles sustained approximately 0.13 N per tip before fracturing, achieved 100% penetration in rat oral mucosa, and penetrated to approximately 120–200 μm; in vitro, more than 80% of Rhodamine 6G released within 5 min and complete release occurred at 30 min, while in vivo retention lasted up to 150 min versus negligible topical residue at 30 min.
  • Against *Porphyromonas gingivalis*, Mino-DMN produced inhibition zones of 3.32 ± 0.26 cm at 2 days and 3.47 ± 0.31 cm at 7 days; no inhibition zones appeared in blank-DMN or control groups.
  • In periodontitis rats, Mino-DMN reduced gingival index, decreased pro-inflammatory factors (IFN-γ, IL-1β, TNF-α), increased anti-inflammatory factors (TGF-β1, IL-10), improved bone parameters, increased osteogenic gene expression (COL1A1, OCN, RUNX2, BMP-2), and lowered osteoclastogenic gene expression compared with untreated, blank-DMN, and topical minocycline groups; compared with Periocline®, most indicators did not differ significantly, except ABL was significantly higher in the Mino-DMN group.

Methods

  • Fabrication used a PDMS mold with a 10 × 10 array (300 μm backing side length, 800 μm spacing, 1000 μm height) and a two-step casting micro-molding process: a minocycline/gelatin solution was vacuum dried at 37°C to form tips, then a sucrose-blended HA solution was cast as the backing and freeze-dried.
  • Characterization included stereo and fluorescence microscopy, SEM, tensile mechanical testing, ex vivo penetration into rat oral mucosa, in vitro drug release in PBS at 37°C, in vivo fluorescence imaging in SD rats, and Kirby-Bauer antibacterial testing against *P. gingivalis* ATCC33277.
  • Animal study: 42 male SD rats (3 weeks old, 80–100 g) were randomized into 7 groups—Control, PD, UT, Mino-DMN (50 μg minocycline, every other day for 4 doses), Blank-DMN, Perio® (2.5 mg Periocline® ointment, every other day for 4 doses), and Mino-Topical (200 μg minocycline topical application, every other day for 4 doses); periodontitis was induced by ligature plus *P. gingivalis* inoculation, and outcomes were assessed by micro-CT, HE staining, qRT-PCR, and ELISA with two-tailed Student’s t-test or one-way ANOVA.

Limitations

  • Stated by the paper: potential biases in animal experiments may explain the ABL disparity with Periocline®, and the relatively mild periodontal lesions in rats may have made tooth mobility differences less obvious.
  • Evident from the text: the study is limited to a rat model with no human clinical data; sample sizes are small for several assays (e.g., n = 3 for micro-CT, ELISA, and qRT-PCR; n = 6 for clinical measures); treatment follow-up was 4 weeks; and minocycline was used as a model drug, with no long-term safety, scalability, or patient self-administration outcomes reported.

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Integrity signals

Registry

Crossref · 10.1002/btm2.10730

Cites

48 of 48 references verified0 citation errors · 0 not checkable

Statistics

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Figures

FIGURE 1 Fabrication and characterization of the Mino‐DMN patch. (a) Schematic of the procedure to fabricate minocycline‐loaded MNs with porous HA patch backing. (b) Stereo bright‐field image of minocycline‐loaded DMN patches with porous HA patch backing. Scale bar, 5 mm. (c) Bright‐field image and (d) fluorescence image of the side view of Rhodamine 6G loaded DMN patch with porous HA patch backing by invert microscopy. Scale bar, 1 mm. (e–g) Scanning electron micrograph images of minocycline‐loaded DMN patch with porous HA patch backing; In f and g, the DMN patch was vertically cut open to expose its patch backing pores. Scale bar, 500 μm, 500 μm and 200 μm for e–g respectively.
FIGURE 1 Fabrication and characterization of the Mino‐DMN patch. (a) Schematic of the procedure to fabricate minocycline‐loaded MNs with porous HA patch backing. (b) Stereo bright‐field image of minocycline‐loaded DMN patches with porous HA patch backing. Scale bar, 5 mm. (c) Bright‐field image and (d) fluorescence image of the side view of Rhodamine 6G loaded DMN patch with porous HA patch backing by invert microscopy. Scale bar, 1 mm. (e–g) Scanning electron micrograph images of minocycline‐loaded DMN patch with porous HA patch backing; In f and g, the DMN patch was vertically cut open to expose its patch backing pores. Scale bar, 500 μm, 500 μm and 200 μm for e–g respectively.CC BY · PubMed Central
FIGURE 2 Ex vivo tissue penetration capability of the Mino‐DMN patch. Representative (a) bright‐field, (b) fluorescence, and (c) merge microscopy top view images of SD rat oral mucosa post application of a Rhodamine 6G loaded MN patch ex vivo. Scale bar, 2 mm. Representative (d) bright‐field, (e) fluorescence, and (f) merge microscopy images of frozen sections of SD rat oral mucosa post application of the MN patch loaded with Rhodamine 6G. Scale bar, 500 μm.
FIGURE 2 Ex vivo tissue penetration capability of the Mino‐DMN patch. Representative (a) bright‐field, (b) fluorescence, and (c) merge microscopy top view images of SD rat oral mucosa post application of a Rhodamine 6G loaded MN patch ex vivo. Scale bar, 2 mm. Representative (d) bright‐field, (e) fluorescence, and (f) merge microscopy images of frozen sections of SD rat oral mucosa post application of the MN patch loaded with Rhodamine 6G. Scale bar, 500 μm.CC BY · PubMed Central
FIGURE 3 In vitro and in vivo drug release from DMN. (a) In vitro burst release of sodium fluorescein from MN patches in PBS (37°C). Data are presented as mean ± SD. (n = 8). (b) Topical application of fluorescein and fluorescein DMN quantified the fluorescence intensity in the gingiva. Data were normalized to the fluorescence intensity at 0 min and presented as mean values. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference. (c) Topical application of fluorescein and the fluorescein‐loaded DMN patch for in vivo fluorescence imaging of the gingiva.
FIGURE 3 In vitro and in vivo drug release from DMN. (a) In vitro burst release of sodium fluorescein from MN patches in PBS (37°C). Data are presented as mean ± SD. (n = 8). (b) Topical application of fluorescein and fluorescein DMN quantified the fluorescence intensity in the gingiva. Data were normalized to the fluorescence intensity at 0 min and presented as mean values. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference. (c) Topical application of fluorescein and the fluorescein‐loaded DMN patch for in vivo fluorescence imaging of the gingiva.CC BY · PubMed Central
FIGURE 4 The antimicrobial experiment results indicate that the release of minocycline from Mino‐DMN exhibits antimicrobial effects. (a) After drug inoculation for 2 days. (b) The diameter of the inhibition zone in each group was measured 2 days after drug inoculation. (c) After drug inoculation for 7 days. (d) The diameter of the inhibition zone in each group was measured 7 days after drug inoculation. All data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference. Scale bar, 1 cm.
FIGURE 4 The antimicrobial experiment results indicate that the release of minocycline from Mino‐DMN exhibits antimicrobial effects. (a) After drug inoculation for 2 days. (b) The diameter of the inhibition zone in each group was measured 2 days after drug inoculation. (c) After drug inoculation for 7 days. (d) The diameter of the inhibition zone in each group was measured 7 days after drug inoculation. All data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference. Scale bar, 1 cm.CC BY · PubMed Central
FIGURE 5 Establishment of periodontitis model in rats. (a) Periodontitis modeling performed on the left upper first molar of rats in the PD group. (b) The changes in body weight of rats in both the Control and PD groups after modeling (n = 6). (c) The changes in GI of both the Control and PD groups of rats after modeling (n = 6). (d) The changes in MD of both the Control and PD groups of rats after modeling (n = 6). (e) The micro‐CT scans and reconstructions of alveolar bone in the Control and PD groups (scale bar, 2 mm), coupled with (f) pathological sections and H&E staining (scale bar, 1 mm and 100 μm), revealed a more pronounced periodontal inflammation in the PD group compared to the Control group. After capturing micro‐CT images, reconstruction and measurements were performed to assess the changes in (g) BV/TV, (h) BS/BV, (i) BMD, (j) Tb.Th, (k) Tb.Sp and (l) ABL after modeling in both the Control and PD groups(n = 3). All data are presented as mean ± SD. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.
FIGURE 5 Establishment of periodontitis model in rats. (a) Periodontitis modeling performed on the left upper first molar of rats in the PD group. (b) The changes in body weight of rats in both the Control and PD groups after modeling (n = 6). (c) The changes in GI of both the Control and PD groups of rats after modeling (n = 6). (d) The changes in MD of both the Control and PD groups of rats after modeling (n = 6). (e) The micro‐CT scans and reconstructions of alveolar bone in the Control and PD groups (scale bar, 2 mm), coupled with (f) pathological sections and H&E staining (scale bar, 1 mm and 100 μm), revealed a more pronounced periodontal inflammation in the PD group compared to the Control group. After capturing micro‐CT images, reconstruction and measurements were performed to assess the changes in (g) BV/TV, (h) BS/BV, (i) BMD, (j) Tb.Th, (k) Tb.Sp and (l) ABL after modeling in both the Control and PD groups(n = 3). All data are presented as mean ± SD. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.CC BY · PubMed Central
FIGURE 6 The Clinical Manifestations of Mino‐DMN and Other Drugs in In Vivo Experiments. (a) The MN patches are applied to local periodontal tissues. (b) The schematic diagram of the in vivo experimental procedure. (c) The changes in body weight of each group of rats within 1 month after administration. (d) The changes in GI values of the upper left first molars in each group of rats after administration. The GI scoring criteria are as follows: 0 = Normal Gingiva; 1 = Slight change in color and texture of the gums, slight swelling, but no bleeding on probing; 2 = Redness, swelling, and glazing of the gums, bleeding on probing; 3 = Marked redness and swelling, ulceration, tendency for spontaneous bleeding or profuse bleeding on probing. (e) The changes in MD values of the upper left first molars in each group of rats after administration. The MD scoring criteria are as follows: 0 = Physiological mobility within the normal range; 1 = Mobility is present only in the buccolingual (cheek to tongue) direction; 2 = Mobility is present in both the buccolingual and mesiodistal (toward the adjacent teeth) directions; 3 = Mobility is present in both the buccolingual and mesiodistal directions, and there is also vertical displacement. Data are presented as mean ± SD. (n = 6). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.
FIGURE 6 The Clinical Manifestations of Mino‐DMN and Other Drugs in In Vivo Experiments. (a) The MN patches are applied to local periodontal tissues. (b) The schematic diagram of the in vivo experimental procedure. (c) The changes in body weight of each group of rats within 1 month after administration. (d) The changes in GI values of the upper left first molars in each group of rats after administration. The GI scoring criteria are as follows: 0 = Normal Gingiva; 1 = Slight change in color and texture of the gums, slight swelling, but no bleeding on probing; 2 = Redness, swelling, and glazing of the gums, bleeding on probing; 3 = Marked redness and swelling, ulceration, tendency for spontaneous bleeding or profuse bleeding on probing. (e) The changes in MD values of the upper left first molars in each group of rats after administration. The MD scoring criteria are as follows: 0 = Physiological mobility within the normal range; 1 = Mobility is present only in the buccolingual (cheek to tongue) direction; 2 = Mobility is present in both the buccolingual and mesiodistal (toward the adjacent teeth) directions; 3 = Mobility is present in both the buccolingual and mesiodistal directions, and there is also vertical displacement. Data are presented as mean ± SD. (n = 6). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.CC BY · PubMed Central
FIGURE 7 The imaging measurements and pathological manifestations of Mino‐DMN and other drugs in in vivo experiments. After the first time of administration for 4 weeks, micro‐CT scanning and reconstruction were performed on the left upper jawbone of rats. (a) BV/TV, (b) BS/BV, (c) BMD, (d) Tb.Th, (e) ABL, and (f) Tb.Sp were measured and compared for analysis. (g) The left upper jawbones of rats in each group underwent micro‐CT scanning and three‐dimensional reconstruction. Scale bar, 2 mm. (h) Local periodontal inflammation was observed through pathological sections stained with HE. Scale bar, 500 μm and 100 μm. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.
FIGURE 7 The imaging measurements and pathological manifestations of Mino‐DMN and other drugs in in vivo experiments. After the first time of administration for 4 weeks, micro‐CT scanning and reconstruction were performed on the left upper jawbone of rats. (a) BV/TV, (b) BS/BV, (c) BMD, (d) Tb.Th, (e) ABL, and (f) Tb.Sp were measured and compared for analysis. (g) The left upper jawbones of rats in each group underwent micro‐CT scanning and three‐dimensional reconstruction. Scale bar, 2 mm. (h) Local periodontal inflammation was observed through pathological sections stained with HE. Scale bar, 500 μm and 100 μm. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.CC BY · PubMed Central
FIGURE 8 In Vivo Experiments Validate the Anti‐inflammatory Effects and Osteogenic Promotion of Mino‐DMN. The expression of (a) IFN‐ γ, (b) IL‐1β, (c) TNF‐α, (d) TGF‐β1, and (e) IL‐10 in periodontal tissues of rats in each group was evaluated using the ELISA method. The expression levels of (f) MMP‐8, (g) Cathepsin K, (h) NFATc1, (i) BMP‐2, (j) RUNX2, (k) COL1A1, and (l) OCN in the alveolar bone of rats in each group were analyzed using q‐PCR method. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.
FIGURE 8 In Vivo Experiments Validate the Anti‐inflammatory Effects and Osteogenic Promotion of Mino‐DMN. The expression of (a) IFN‐ γ, (b) IL‐1β, (c) TNF‐α, (d) TGF‐β1, and (e) IL‐10 in periodontal tissues of rats in each group was evaluated using the ELISA method. The expression levels of (f) MMP‐8, (g) Cathepsin K, (h) NFATc1, (i) BMP‐2, (j) RUNX2, (k) COL1A1, and (l) OCN in the alveolar bone of rats in each group were analyzed using q‐PCR method. Data are presented as mean ± SD. (n = 3). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001, ns = no significant difference.CC BY · PubMed Central

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Metadata

Authors
Li, H., Wen, X., Gong, X., Wu, Y., Zhao, P., Zhang, Y., Sha, Z., Chang, H., & Chen, X.
Affiliations
  • Zhejiang University Medical College Affiliated Stomatological Hospital (CN)
  • Hangzhou Institute of Medicine, Chinese Academy of Sciences (CN)
Corresponding author
  • Chang, Hao
  • Chen, Xuepeng
Venue
Bioengineering & Translational Medicine
Publisher
Wiley
Published
2024-10-20
Volume
10
Issue
2
Pages
e10730-e10730
ISSN
2380-6761 (ISSN-L)
OpenAlex
W4403615471
Cited by
17
References
49
Citations by year
2026: 10 · 2025: 7
FWCI
2.69
Type
journal article
Language
en
Open access
Locations
  • Bioengineering & Translational Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (81400511, 82020108011, 82202329)
  • Natural Science Foundation of Zhejiang Province (LY18H140001)
Topics
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
Keywords
minocycline, periodontitis, local drug delivery, freeze-drying, vacuum drying, bone formation, anti-inflammatory activity, medication adherence

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Li, H., Wen, X., Gong, X., Wu, Y., Zhao, P., Zhang, Y., Sha, Z., Chang, H., & Chen, X. (2025). Facile minocycline deployment in gingiva using a dissolvable microneedle patch for the adjunctive treatment of periodontal disease. Bioengineering & Translational Medicine. https://doi.org/10.1002/btm2.10730

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