BIODEGRADABLE MICRONEEDLE PATCH FOR TRANSDERMAL GENE DELIVERY
20230256219 · 2023-08-17
Assignee
Inventors
Cpc classification
A61K31/713
HUMAN NECESSITIES
A61K47/6949
HUMAN NECESSITIES
A61K9/70
HUMAN NECESSITIES
A61K31/7105
HUMAN NECESSITIES
A61K9/0021
HUMAN NECESSITIES
A61K31/711
HUMAN NECESSITIES
International classification
A61M37/00
HUMAN NECESSITIES
A61K9/00
HUMAN NECESSITIES
Abstract
A biodegradable microneedle (MN) patch is disclosed for transdermal gene delivery. The MN patch, in one embodiment, is a gelatin methacryloyl (GelMA)-based MN platform for the local and controlled transdermal delivery of plasmid DNA (pDNA) (or other nucleic acid with high transfection efficiency both in vitro and in vivo. Intracellular delivery of the nucleic acid cargo is enabled by poly(β-amino ester) (PBAE). After being embedded in the GelMA MNs, sustained release of DNA-encapsulated PBAE nanoparticles (NPs) is achieved and the release profiles can be controlled by adjusting the degree of crosslinking of the GelMA. These results highlight the advantages and potential of using PBAE/DNA NPs embedded GelMA MN patches (MN/PBAE/DNA) for successful transdermal delivery of pDNA for tissue regeneration, cancer therapy, and other applications. The patch may also be used on other tissue types.
Claims
1. A patch for nucleic acid delivery into living tissue comprising: a base or substrate having a plurality of microneedles extending away from the surface of the base, wherein the base and the plurality of microneedles are formed from crosslinked gelatin methacryloyl (GelMA) and the plurality of microneedles contain poly(β-amino ester) (PBAE)/nucleic acid nanoparticles therein.
2. The patch of claim 1, wherein upon application of the patch on living tissue, the plurality of microneedles release PBAE/nucleic acid nanoparticles into the living tissue.
3. The patch of claim 1, wherein nanoparticles comprise a ratio of PBAE to nucleic acid of between about 60/1 and about 80/1 on a weight basis.
4. The patch of claim 1, wherein the plurality of microneedles are biodegradable after insertion into the living tissue.
5. The patch of claim 1, wherein a rate of release of PBAE/nucleic nanoparticles from the plurality of microneedles is sustained over a period of hours after insertion of the patch into the living tissue.
6. The patch of claim 5, wherein PBAE/nucleic nanoparticles are released over a period of 100 hours or more.
7. The patch of claim 1, wherein the plurality of microneedles all have substantially the same lengths.
8-9. (canceled)
10. The patch of claim 1, wherein the nucleic acid comprises plasmid DNA (pDNA).
11. The patch of claim 1, wherein the nucleic acid comprises one or more of DNA, RNA, mRNA, siRNA, and miRNA.
12. The patch of claim 1, wherein the plurality of microneedles have a length of less than about 1.5 mm.
13. The patch of claim 1, wherein the plurality of microneedles have a length within the range of about 10 .Math.m to about 1,500 .Math.m.
14. The patch of claim 1, wherein the microneedles have diameter or width at a point of contact with the base that is less than about 500 .Math.m.
15. The patch of claim 1, further comprising a backing material having an adhesive disposed thereon.
16. The patch of claim 1, wherein the plurality of microneedles have a shape or configuration of: a pyramid, cone, cylindrical, tapered tip, canonical, square base, or pentagonal-base canonical tip.
17. The patch of claim 1, wherein the PBAE/nucleic acid nanoparticles are well dispersed and not aggregated in the plurality of microneedles.
18. A patch for nucleic acid delivery into living tissue comprising: a base or substrate having a plurality of microneedles extending away from the surface of the base, wherein the base and the plurality of microneedles are formed from crosslinked gelatin methacryloyl (GelMA) and the plurality of microneedles contain therein gene delivery nanoformulation(s) and nucleic acid.
19. The patch of claim 18, wherein the gene delivery nanoformulation(s) comprises nanoparticles, the nanoparticles forming a polyplex between a nucleic acid carrier and a nucleic acid.
20. The patch of claim 19, wherein the polyplex is formed by a nucleic acid and one of: poly(β-amino ester) (PBAE), poly(ethyleneimine), and poly(lysine).
21. The patch of claim 19, wherein the gene delivery nanoformulation(s) comprise one or more of: lipoplex, liposomes, peptides, and dendrimers.
22. A method of using the patch of claim 1 comprising placing the patch on live tissue of mammal such that the plurality of microneedles penetrates into the tissue.
23. The method of claim 22, wherein the tissue is selected from the group consisting of skin tissue, mucosal tissue, heart tissue, blood vessels, ocular tissue, gastrointestinal tissue, buccal tissue, muscle tissue, and vaginal tissue.
24. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0014]
[0015]
[0016]
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
[0029]
[0030] In one particular embodiment, the microneedles 14, as their name implies, have a needle-like shape. For example, the microneedles 14 may include a sharpened tip 16 (seen in
[0031] Still referring to
[0032] The base or substrate 12 and the microneedles 14 may be somewhat rigid in the dry state. Because of this, in one alternative embodiment which is illustrated in
[0033] In one embodiment, with reference to
[0034] As explained herein, the base or substrate 12 and the microneedles 14 are preferably made from crosslinked GelMA. GelMA is a derivative of gelatin with modified methacrylamide or methacrylate groups. GelMA may be crosslinked by ultra-violet (UV) or visible light in the presence of a photoinitiator. It is a highly biocompatible material that is commonly used to support cell growth in tissue engineering. The existence of peptide moieties like arginine-glycine-aspartic acid (RGD) for cell attachment as well as for protease degradation makes GelMA a close mimic of the natural extracellular matrix (ECM). In addition, GelMA is a versatile material that can be easily functionalized with various bio-functionalities, such as by encapsulating different molecules including therapeutic agents, growth factors, and cytokines.
[0035] The microneedles 14 may have a number of different shapes and configurations including, for example, a pyramid, cone, cylindrical, tapered tip, canonical, square base, pentagonal-base canonical tip, and the like. The plurality of microneedles 14 swell upon breaching or penetrating the biological barrier and absorbing fluid from the surrounding tissue 100. The microneedles 14 may swell from about 100% to about 300% (wt. basis). The microneedles 14 swell and, in one embodiment, form a flexible hydrogel. The microneedles 14 provide a path for the PBAE/DNA NPs 26 to pass through the biological barrier (i.e., tissue 100). In some embodiments, the microneedles 14 are also biodegradable and dissolve over time.
[0036] The patch 10 is manufactured or fabricated by providing a mold (e.g., micro-mold) containing a plurality of needle shaped cavities therein. For example, the mold may be formed from a polymer such as polydimethylsiloxane (PDMS). Commercially available microneedle molds such as those made by Blueacre Technology Ltd. (Dundalk, Co Louth, Ireland) may be used. The GelMa is formed using established protocols such as those disclosed in Yue, K., et al., Structural analysis of photocrosslinkable methacryloyl-modified protein derivatives. Biomaterials, 2017. 139: p. 163-171, and Yue et al., Synthesis, properties, and biomedical applications of gelatin methacryloyl (GelMA) hydrogels, Biomaterials, 2015; p. 254-271, which are incorporated herein by reference. Details regarding the formation of GelMa is described in detail herein.
[0037] To use the patch 10, the patch 10 is applied to tissue 100 such as skin tissue. The microneedles 14 penetrate the skin tissue 100 and deliver the PBAE NPs 26 and nucleic acid (e.g., DNA/gene(s)) in a transdermal fashion. The biodegradability of PBAE facilitates efficient gene delivery while avoiding the induction of an inflammatory response or cytotoxicity associated with synthetic polymers. Of course, in other embodiments, a different specific gene delivery nanoformulation is loaded in the microneedles 14 and delivered to the tissue 100. This may include other types of NPs 26 such as, for example, poly(ethyleneimine) and poly(lysine) based NPs 26. Other gene delivery nanoformulations may also be used besides polyplexes. These include, by way of example, lipoplex, liposomes, peptides, dendrimers, and the like. These nanoformulations are contained in the microneedles 14 and/or base or substrate 12 of the patch 10 and released into the tissue 100. While skin tissue 100 is illustrated it should be appreciated that the patch 10 may be applied to other organs and/or tissue types. For example, exemplary tissue 100 includes mucosal tissue, heart tissue, blood vessels, ocular tissue, gastrointestinal tissue, buccal tissue, muscle tissue, and vaginal tissue as examples.
Experimental
[0038] A transdermal MN patch 10 is disclosed to deliver PBAE/DNA nanoparticles (NPs) 26 embedded within crosslinkable GelMA matrix. GelMA MNs 14 can penetrate the epidermis to reach the targeted cells (
[0039] For the purpose of gene transfection, poly(5-amino-1-pentanol-co-1,4-butanediol diacrylate) was first synthesized as a gene delivery vector according to an established protocol as disclosed in D. G. Anderson et al., Mol Ther, 2005, 11, 426-434 and Y. Liu et al., Mol Pharm, 2018, 15, 4558-4567, which are incorporated by reference herein. The proton nuclear magnetic resonance (.sup.1H-NMR) spectra of the reactants and products are shown in
[0040] To further optimize the PBAE/DNA ratio for gene transfection, NPs 26 with PBAE/DNA ratios of 40:1, 60:1, 80:1, and 100:1 (w/w) were selected based on previous characterization. The gene transfection efficiency was evaluated using NIH 3T3 cells in vitro, and commercialized non-viral vector, Lipofectamine 3000, was used as control following instructions without further optimization. After treating with PBAE/pEGFP NPs at pre-determined PBAE/DNA ratios or Lipofectamine 3000 for 24 h, EGFP expression were quantified by flow cytometry. As shown in
[0041] In the preparation of PBAE/DNA NPs 26, it was found the NPs 26 aggregated when DNA concentrations were above 80 .Math.g/ml (data not shown). To avoid aggregation, prepolymer solutions for MN fabrication were prepared by mixing 1 volume of GelMA (30%) and 1 volume of PBAE/pDNA NP suspension (with 60 .Math.g/ml pDNA), thus the total amount of DNA loaded into each MN/PBAE/DNA was 3 .Math.g. After the prepolymer solution was cast into polydimethylsiloxane (PDMS) MN mold by centrifugation and drying, the fabricated patch 10 with MNs 14 were 600 .Math.m in height, 300 .Math.m in base diameter, and the distances between each MN were about 300 .Math.m (
[0042] As a transdermal drug delivery MN device, the skin penetration properties and in vitro drug release profiles were further characterized. By changing the crosslinking time during the MN fabrication process, it was expected that the MN matrix crosslinking density can be leveraged to achieve tunable mechanical strength and drug release profiles. Therefore, different crosslinking periods (0 s, 5 s, 10 s, and 30 s) were tested. As shown in
[0043] To characterize the release of the PBAE/DNA NPs 26 from the MN/PBAE/DNA, DNA staining agent (PicoGreen®) was used to quantify DNA released from the MN. However, the complexes formed by the binding of DNA with PBAE affected the binding and coloration of PicoGreen® (
[0044] To validate the gene transfection efficiency of the MN/PBAE/DNA patch 10, MNs 14 with predetermined crosslinking times (0 s, 5 s, and 10 s) were incubated with NIH 3T3 cells in vitro. Blank MNs and MNs with free DNA (MN/DNA) were used as control groups. As shown in
[0045] Following the 2D cell transfection experiment, 3D cell transfection was performed to better simulate in vivo transfection. A skin model was prepared by culturing NIH 3T3 cells in GelMA hydrogel. MN/PBAE/DNA with 10 s crosslinking time were inserted into the hydrogel to test the transfection efficacy (
[0046] Next, a C57B1/6 mouse model was used to verify the in vivo gene delivery efficacy of the MN/PBAE/DNA. MN patches were applied to the dorsal skin of the mice on day 0 and the mice were sacrificed on day 3 for histological and immunofluorescence analysis. As shown in
[0047] In summary, a MN patch 10 was developed for minimally invasive delivery of plasmid DNA to meet the increasing need for in situ local gene therapy. MNs 14 can penetrate the dermal layer of tissue 100 to enhance delivery efficiency. By using naturally derived GelMA as the MN matrix and non-viral synthetic polymer PBAE as gene carriers, high efficiency gene delivery was achieved both in vitro and in vivo. The GelMA matrix also serves as a protective scaffold for encapsulated PBAE/DNA NPs 26. The photocrosslinkability of GelMA can be leveraged to control both mechanical strength and DNA release profiles, which can be tuned for a range of applications. In addition, PBAE libraries with multiple polymer structures provides versatility in tailoring to different cell types to achieve targeted transfection, thus avoiding adverse effects in the surrounding tissue. By simply changing the delivered genes, it is expected that this platform can be leveraged for the delivery of transdermal gene therapies to address wound healing, skin cancer, and genetic skin diseases. In the future work, further evaluation of the in vivo distribution of the PBAE/DNA polyplex may be performed, testing the potential of the MN platform for gene delivery to other organs in a minimally invasive approach.
Materials and Methods
Materials
[0048] 5-amino-1-pentanol, 1,4-butanediol diacrylate, dimethyl sulfoxide (DMSO), DMSO-d.sub.6, agarose, gelatin from porcine skin, methacrylic anhydride, photoinitiator (Irgacure 2959), heparin sodium, and reagents for HE staining were purchased from Sigma-Aldrich (MO, USA). TAE buffer, loading dye, and DNA ladder were purchased from Bio-rad Laboratories (CA, USA). Cell culture media and reagents were purchased from Gibco Laboratories (NY, USA). NIH 3T3 cells were purchased from ATCC (VA, USA). Cell Counting Kit-8 (CCK-8) was purchased from Dojindo Molecular Technologies (Japan). Lipofectamine 3000, HEPES buffer, PicoGreen® dsDNA Assay Kit, collagenase (type II), DAPI, Live/Dead Kit and AlexaFluor 488 conjugated GFP antibody were purchased from ThermoFisher Scientific (NJ, USA). Antigen retrieval solution was purchased from Invitrogen (CA, USA).
PBAE Synthesis
[0049] Poly(5-amino-1-pentanol-co-1,4-butanediol diacrylate) was synthesized according to protocols outlined in D.G. Anderson et al. and Y. Liu et al. (cited herein). Briefly, 5-amino-1-pentanol and 1,4-butanediol diacrylate (1.2:1 amine/diacrylate stoichiometric ratio) were weighed in a sample vial with a Teflon-lined screw cap and stirred at 1000 rpm at 90° C. for 24 hours, solvent-free. Afterwards, the polymers purified by precipitation with anhydrous diethyl ether. The suspension was vortexed for 20 s and centrifuged for 5 minutes at 1000 rpm at 4° C. The supernatant was removed following centrifugation, and the precipitate was washed again with ether. The polymer was maintained under vacuum with desiccant for 5 days to remove all remaining ether. The purified polymer was then dissolved in anhydrous DMSO to a concentration of 100 mg/mL and stored with desiccant at -20° C.
.SUP.1.H-NMR
[0050] .sup.1H-NMR spectra of the polymer were obtained using dimethyl suloxide-d.sub.6 as the solvent. All measurements were performed from Brucker AV400 broad band FT NMR spectrometer with 64 scans at room temperature.
DLS and TEM
[0051] The size and zeta potential of the PBAE/DNA NPs 26 were measured by DLS. Briefly, 2000 ng pEGFP was dissolved in 50 .Math.L of 25 mM sodium acetate buffer (pH 5.0). Then, PBAE was dissolved in 50 .Math.L of 25 mM sodium acetate buffer (pH 5.0) at different concentrations and added into the pEGFP solution to yield a mixture with different weight ratios of PBAE/DNA (1/1, 5/1, 10/1, 20/1, 40/1, 60/1, 80/1, 100/1). Complexes were formed after vortexing all mixtures for 15 s and subsequent incubation for 20 minutes. After that, 900 .Math.L of 20 mM HEPES buffer was added into the PBAE/DNA mixtures. The size and zeta potential of the resultant PBAE/DNA NPs 26 were determined by DLS and the zeta potential analyzer (Zetasizer Nano-ZS, Malvern Instruments, Ltd., United Kingdom). The morphologies of the PBAE/DNA complexes were observed using a transmission electron microscope (TEM, Tecnai G2 20S-Twin, USA).
Gel Electrophoresis
[0052] Gel electrophoresis was preformed to confirm the complexation between PBAE and DNA. PBAE/DNA complexes with 100 ng pEGFP and variable doses of PBAE with a predetermined ratio of PBAE/DNA were added into premade 8% agarose gel and run at 100 V for 40 min. Before loading, loading dye was added to each sample according to the manufacturer’s instructions. Following electrophoresis, the gel was visualized under UV using an imaging system (Bio-rad).
Gene Transfection With PBAE/pDNA NPs In Vitro
[0053] Murine embryonic fibroblasts (NIH 3T3) were used to test pEGFP transfection efficacy with PBAE/DNA NPs 26. Cells were seeded in 96 well plates at a density of 5000 cells per well. After incubation for 24 h, the medium was changed to 100 .Math.L Opti-mem with PBAE/DNA NPs 26 with 100 ng pEGFP and variables amounts of PBAE (PBAE/DNA: 0/1, 40/1, 60/1, 80/1 and 100/1). After a 4 h incubation, the medium was changed to 100 .Math.L complete medium. Following an additional 24 h incubation, cells were stained with DAPI and EthD-1 and counted using fluorescence microscope and flow cytometry to assay viability. The commercialized non-viral gene vector, Lipofectamine 3000, was used according to the manufacturer’s protocol to generate the control group.
Cytotoxicity Assay
[0054] To assay the cytotoxicity of PBAE/DNA NPs 26, the cell viability of transfected cells was measured using the CCK-8 assay. Briefly, cells were transfected with PBAE/pEGFP NPs 26 with different ratio of PBAE/DNA as previously described. Lipofectamine 3000 was used according to the manufacturer’s protocol as a control group. At pre-determined time points, the medium was removed, and complete medium supplemented with 10% CCK-8 reagent (v/v) was added. After a 2 h incubation, the absorbance of the medium was measured at 450 nm using a microplate reader (Varioskan Flash Multimode Reader, Thermo Scientific). Cell viability was reported as a relative percentage compared to untreated samples.
Preparation of GelMA
[0055] GelMA was prepared according to a previously published protocol disclosed in J. W. Nichol et al., Biomaterials, 2010, 31, 5536-5544, which is incorporated herein by reference. Briefly, 10 g of type A gelatin from porcine skin was dissolved in 100 ml DPBS at 50° C. 0.25 ml methacrylic anhydride (MA) (0.25 volume%) was gradually stirred into the gelatin solution at a rate of 0.5 mL/min at 50° C. for 1 h. To stop the reaction, 500 ml of warm (40° C.) DPBS was added. Then, the unreacted salts and MA were removed by dialysis in 40° C. distilled water using 12-14 kDa cutoff dialysis tubing while stirring for one week. The resulting GelMA was lyophilized for one week and stored at -80° C. for further use.
Preparation of MN/PBAE/DNA Patches
[0056] To fabricate the PBAE/pEGFP NP-loaded patches 10 with MNs 14, premade PBAE/pEGFP complexes with a PBAE/DNA ratio of 80/1 and photoinitiator (Irgacure 2959) were added into a GelMA solution to yield a final concentration of 15% GelMA with 30 .Math.g/ml pEGFP and 0.5% photoinitiator. Then, 100 .Math.L of solution was added into each MN mold. After centrifugation (3000 rpm for 5 min at 37° C.), the solution was exposed to 350 mW/cm.sup.2 UV light for defined exposure durations (0, 5, 10, and 30 s). After dried in the dark, the MN-containing patch 10 was removed from the mold and kept at -20° C. until further use. In this procedure, the reagents and devices used were sterilized and DNase free to protect the pDNA from degradation.
Sem
[0057] MNs 14 were coated with gold using a sputter coater (Pelco, SC-7) and the surface morphology was characterized using a field emission scanning electron microscope (ZEISS Supra 40VP SEM).
Mechanical Properties of the MN/PBAE/DNA Patch
[0058] The mechanical strength of the MN/PBAE/DNA patch 10 with different UV exposure times was measured under dynamic force using a low-force mechanical testing system (5943 MicroTester, Instron, USA). During testing, the applied force and the corresponding deformation were recorded. In the test, MNs 14 were pressed against a stainless-steel plate at a speed of 0.5 mm/min with a maximum loading force of 50.0 N. To demonstrate that the MNs 14 could penetrate mouse skin, MNs 14 were pushed into the cadaver skin tissue 100 with 20 N of force for 30 seconds. Then, the penetrated skin was stained for 10 min using 0.5% trypan blue solution. After washing three times, trypan blue-stained samples were imaged which confirmed penetration.
pDNA Release Properties
[0059] At the optimal ratio of heparin/PBAE, the amount of DNA in solution after dissociation should be approximate to the amount in solution before being complexed with PBAE. Heparin sulfate solutions with predetermined weight ratios between heparin and PBAE were added to the PBAE/DNA complexes and incubated for 15 min. Then, PicoGreen® was used (according to the manufacturer’s protocol) to quantify the amount of dissociated DNA. In order to detect the release of NPs 26 from the MNs 14, the MN/PBAE/DNA were soaked in DPBS with or without collagenase (2U/ml). At predetermined time points, a 50 .Math.L suspension of each sample was incubated with heparin to dissociate the DNA, and PicoGreen® was added to quantify the concentration of DNA released from the MNs 14.
Gene Transfection With the MN/PBAE/DNA in 2D Cell Models
[0060] NIH 3T3 cells were seeded in 12 wells plates at a density of 1×10.sup.5 cells per well. After incubation for 24 h, the medium was changed to medium with 2U/ml collagenase. Transwell inserts were placed in the well plate and sterilized MN/PBAE/DNA applied to the upper membrane of the Transwell. After 3 days of incubation, the cells were stained with DAPI and EthD-1 and counted using a fluorescence microscope and flow cytometry.
Gene Transfection With MN/PBAE/DNA in 3D Cell Model
[0061] NIH 3T3 cells were 3D-cultured in a GelMA hydrogel matrix. Briefly, 200 .Math.L of 10% GelMA solution with 2×10.sup.6 cells were added into a PDMS mold and crosslinked under UV light for 10 seconds. After one day of incubation, the previously prepared patch 10 of MN/PBAE/DNA (10 s crosslinking) was applied to the upper surface of the hydrogels. After further incubation for three days, the hydrogels (with cells) were imaged using a Leica Confocal SP8-STED/FLIM/FCS following staining with DAPI and EthD-1.
In Vivo Transdermal Gene Transfection Model
[0062] All animal experiments were approved by the UCLA Animal Research Committee (UCLA ARC #2018-003-01E). Eighteen 7-week-old, C57BL/6J male mice (average weight: 20 grams) were purchased from Jackson Laboratory (Sacramento, CA, USA). All animals were treated in compliance with the National Research Council criteria as outlined in the “Guide for the Care of Laboratory Animals” prepared by the Institute of Laboratory Animal Resources and published by the National Institute of Health. At the day of application (Day 0), the patch 10 with MNs 14 were applied to the dorsum of the mice topically under inhalational anesthesia (1.5% isoflurane in 100% O.sub.2). Blank MNs (n=6), MN/DNA (n=6) and MN/PBAE/DNA (3 .Math.g pEGFP and 240 .Math.g PBAE, n=6) were insert into the dorsum skin. On day 3, the mice were euthanized using CO.sub.2 for further evaluation.
Histological Analysis and Immunofluorescence Staining
[0063] Skin specimens including the patch 10 application site and surrounding skin were fixed in 10% neutral buffered formalin (Leica Biosystems, IL, USA). Then, skin samples were further processed for histological analysis and embedded in paraffin. Routine hematoxylin and eosin (HE) staining was conducted on 4 .Math.m tissue sections. A Nikon inverted microscope was used to image the histology samples and AmScope image analysis software (AmScope, Irvine, CA, USA) was used for analysis. For immunostaining, the tissue sections were deparaffinized, antigen retrieved (heat-induced), permeabilized in PBST (0.3% Triton in PBS), and incubated with goat serum for 30 min. Then, the sections were incubated overnight at 4° C. with AlexaFluor 488 conjugated GFP antibody. The slides were rinsed with PBST and counterstained with DAPI for 5 min. The fluorescent images were imaged via Nikon Eclipse Ti-S Inverted Phase Contrast Fluorescent Microscope. The transfection rates of cells in interest region were analyzed using ImageJ (NIH).
Statistics
[0064] All data are expressed as the mean ± standard deviation (SD). Statistical analyses were performed with Graph Pad Software (San Diego, CA, USA). The differences among the groups were analyzed by one-way ANOVA. Statistical significance was set at p<0.05.
[0065] While embodiments of the present invention have been shown and described, various modifications may be made without departing from the scope of the present invention. For example, any type of nucleic acid can be delivered using the patch. This includes RNA and DNA. In addition, while DNA encoding green fluorescent protein (GFP) was used for demonstration purposes, other genes may be delivered in a similar manner. The invention, therefore, should not be limited, except to the following claims, and their equivalents.