A Shot at a New Drug-Delivery System
by David Pescovitz
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Boris
Stoeber (right) gently presses the MEMS chiclet on Dorian
Liepmann's hand, all it takes to deliver a life-saving dose
of antibiotics. Stoeber fabricated the 10 mm x 10 mm MEMS
syringe prototype in the Berkeley Microfabrication Lab,
a project funded by the Defense Research Projects Agency,
and Becton, Dickinson and Company.
Peg Skorpinski photo
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Tomorrow's rural populations may be saved from deadly diseases like malaria, typhoid, and whooping cough with a dose of freeze-dried medicine painlessly pushed directly into the skin by a friend or family member.
UC Berkeley bioengineering professor Dorian Liepmann and post-doctoral
researcher Boris Stoeber have developed a microelectro-mechanical
system (MEMS) syringe, the size of a fingernail. MEMS are fabricated
cheaply and in bulk using processes similar to those used in manufacturing
integrated circuits. Called a chiclet for its resemblance
to a square of gum, the MEMS syringe delivers the freeze-dried drug
stored inside through up to 100 microneedles. Fortunately, the targeted
site in the skin is out of reach of sensitive nerve endings, making
the drug delivery completely painless.
According to the World Health Organization, malaria kills more than
one million people yearly while seventeen million are hit with typhoid.
These and other diseases are tough to contain in developing
nations where clean water and medical help are
scarce (see related article).
"By finding an alternative way to deliver drugs, we can open the door to more effective treatment of life-threatening illness," says Liepmann, who is also a professor in the Department of Mechanical Engineering.
This neon-lit, transparent microfluidic device, seen here on an inverted stage microscope, allows Stoeber to visualize the route particles travel as they enter a small channel, much like the microneedle channels in the chiclet-sized syringe.
Peg Skorpinski photo
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The MEMS syringe is designed to be shipped pre-loaded with a lyophilized,
or freeze-dried, drug stored in its silicone rubber reservoir. Keeping
the drug in its lyophilized state, Liepmann explains, ensures a
long shelf life and negates the need for sterile water or electrically powered
refrigerators to cool antibiotics like penicillin that are temperature
sensitive once reconstituted.
The "shot" is delivered simply by pressing the device against the
skin for a few seconds. The dry drug is pushed through the microneedles
and into the skin where the body's own interstitial fluids assist
in rapidly absorbing the drug directly into the bloodstream.
"The MEMS syringe will be attractive to developed countries too," Stoeber says. "It could make drugs available that have been avoided because taking them orally causes liver and kidney damage. Drugs delivered through the MEMS syringe would bypass the liver, directly entering the bloodstream."
Early stage tests
on chicken breast tissues have been successful, and preliminary
clinical trials are scheduled for spring at the University of California,
San Francisco Medical Center. Someday, the technology could also
be used in emergency rooms or in space for astronauts to administer
emergency treatments. The fast-and-easy drug delivery system would
also be a godsend during a bioterrorist attack when a large number
of victims are in need of immediate treatment.
"We've proved the principle," Liepmann says. "Now we have to move
on to clinical trials with specific drugs the final validation
of the drug delivery concept."
Melinda Levine contributed to this story.
Dorian Liepmann's Home Page
"Revolutionizing
drug delivery with a tiny syringe" by Melinda Levine (from
Forefront, Spring 2003)
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Updated 5/1/03.
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