Title: Biocompatible near-infrared quantum dots delivered to the skin by microneedle patches record vaccination

Journal Article · · Science Translational Medicine
ORCiD logo [1]; ORCiD logo [2]; ORCiD logo [1]; ORCiD logo [1];  [3]; ORCiD logo [1]; ORCiD logo [4]; ORCiD logo [5];  [1]; ORCiD logo [1]; ORCiD logo [1];  [1]; ORCiD logo [1];  [6]; ORCiD logo [5]; ORCiD logo [5]; ORCiD logo [5];  [1]; ORCiD logo [1]; ORCiD logo [1] more »;  [7];  [5]; ORCiD logo [1];  [8]; ORCiD logo [4]; ORCiD logo [1]; ORCiD logo [1] « less
  1. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
  2. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA., Key Laboratory of Colloid, Interface and Chemical Thermodynamics, Institute of Chemistry, Chinese Academy of Sciences, Bei Yi Jie 2, Zhong Guan Cun, Beijing 100190, China.
  3. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA., Department of Mechanical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
  4. Department of Chemistry, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
  5. Global Good, Intellectual Ventures Laboratory, 14360 SE Eastgate Way, Bellevue, WA 98007, USA.
  6. Independent consultant, 119 Kendall Rd, Lexington, MA 02421, USA (https://people.csail.mit.edu/drdaniel/).
  7. Institute for Disease Modeling, 3150 139th Ave. SE, Bellevue, WA 98005, USA.
  8. Key Laboratory of Colloid, Interface and Chemical Thermodynamics, Institute of Chemistry, Chinese Academy of Sciences, Bei Yi Jie 2, Zhong Guan Cun, Beijing 100190, China.

Accurate medical recordkeeping is a major challenge in many low-resource settings where well-maintained centralized databases do not exist, contributing to 1.5 million vaccine-preventable deaths annually. Here, we present an approach to encode medical history on a patient using the spatial distribution of biocompatible, near-infrared quantum dots (NIR QDs) in the dermis. QDs are invisible to the naked eye yet detectable when exposed to NIR light. QDs with a copper indium selenide core and aluminum-doped zinc sulfide shell were tuned to emit in the NIR spectrum by controlling stoichiometry and shelling time. The formulation showing the greatest resistance to photobleaching after simulated sunlight exposure (5-year equivalence) through pigmented human skin was encapsulated in microparticles for use in vivo. In parallel, microneedle geometry was optimized in silico and validated ex vivo using porcine and synthetic human skin. QD-containing microparticles were then embedded in dissolvable microneedles and administered to rats with or without a vaccine. Longitudinal in vivo imaging using a smartphone adapted to detect NIR light demonstrated that microneedle-delivered QD patterns remained bright and could be accurately identified using a machine learning algorithm 9 months after application. In addition, codelivery with inactivated poliovirus vaccine produced neutralizing antibody titers above the threshold considered protective. These findings suggest that intradermal QDs can be used to reliably encode information and can be delivered with a vaccine, which may be particularly valuable in the developing world and open up new avenues for decentralized data storage and biosensing.

Sponsoring Organization:
USDOE
Grant/Contract Number:
SC0001088
OSTI ID:
1579790
Journal Information:
Science Translational Medicine, Journal Name: Science Translational Medicine Journal Issue: 523 Vol. 11; ISSN 1946-6234
Publisher:
American Association for the Advancement of Science (AAAS)Copyright Statement
Country of Publication:
United States
Language:
English

References (60)

Effect of Needle Size on Pain Perception in Patients Treated With Botulinum Toxin Type A Injections: A Randomized Clinical Trial journal November 2015
Biocompatible Semiconductor Quantum Dots as Cancer Imaging Agents journal February 2018
Influence of Array Interspacing on the Force Required for Successful Microneedle Skin Penetration: Theoretical and Practical Approaches journal April 2013
Core/Shell Semiconductor Nanocrystals journal January 2009
Determinants of low measles vaccination coverage in children living in an endemic area journal November 2018
The Nuts and Bolts of Low-level Laser (Light) Therapy journal November 2011
ImageNet Large Scale Visual Recognition Challenge journal April 2015
Improved immunogenicity of individual influenza vaccine components delivered with a novel dissolving microneedle patch stable at room temperature journal April 2015
Global, regional, and national causes of child mortality in 2008: a systematic analysis journal June 2010
The safety, immunogenicity, and acceptability of inactivated influenza vaccine delivered by microneedle patch (TIV-MNP 2015): a randomised, partly blinded, placebo-controlled, phase 1 trial journal August 2017
Biodegradation and biocompatibility of PLA and PLGA microspheres journal October 1997
A protracted mumps outbreak in Western Australia despite high vaccine coverage: a population-based surveillance study journal February 2019
Mumps in a highly vaccinated Marshallese community in Arkansas, USA: an outbreak report journal February 2019
Magnetically engineered Cd-free quantum dots as dual-modality probes for fluorescence/magnetic resonance imaging of tumors journal February 2014
A prototype of a novel cell phone application for tracking the vaccination coverage of children in rural communities journal November 2015
Structural characterisation and transdermal delivery studies on sugar microneedles: Experimental and finite element modelling analyses journal January 2015
A low-invasive and effective transcutaneous immunization system using a novel dissolving microneedle array for soluble and particulate antigens journal July 2012
Thermostabilization of inactivated polio vaccine in PLGA-based microspheres for pulsatile release journal July 2016
Validity of vaccination cards and parental recall to estimate vaccination coverage: A systematic review of the literature journal March 2013
Exploring new packaging and delivery options for the immunization supply chain journal April 2017
A cluster randomized trial to determine the effectiveness of a novel, digital pendant and voice reminder platform on increasing infant immunization adherence in rural Udaipur, India journal October 2018
Aqueous Based Semiconductor Nanocrystals journal September 2016
Cross-Linked Fluorescent Supramolecular Nanoparticles as Finite Tattoo Pigments with Controllable Intradermal Retention Times journal December 2016
Synthetic Charge-Invertible Polymer for Rapid and Complete Implantation of Layer-by-Layer Microneedle Drug Films for Enhanced Transdermal Vaccination journal September 2018
Efficient Synthesis of Highly Luminescent Copper Indium Sulfide-Based Core/Shell Nanocrystals with Surprisingly Long-Lived Emission journal February 2011
Alkylthiol-Enabled Se Powder Dissolution in Oleylamine at Room Temperature for the Phosphine-Free Synthesis of Copper-Based Quaternary Selenide Nanocrystals journal April 2012
Ternary I−III−VI Quantum Dots Luminescent in the Red to Near-Infrared journal July 2008
General Method for the Synthesis of Ultrastable Core/Shell Quantum Dots by Aluminum Doping journal September 2015
Colloidal CuInSe 2 Nanocrystals in the Quantum Confinement Regime: Synthesis, Optical Properties, and Electroluminescence journal June 2011
High-fidelity replication of thermoplastic microneedles with open microfluidic channels journal October 2017
A small-molecule dye for NIR-II imaging journal November 2015
NIH Image to ImageJ: 25 years of image analysis journal June 2012
Second window for in vivo imaging journal November 2009
Allometric scaling of skin thickness, elasticity, viscoelasticity to mass for micro-medical device translation: from mice, rats, rabbits, pigs to humans journal November 2017
Pain following controlled cutaneous insertion of needles with different diameters journal January 2006
Unveiling skin macrophage dynamics explains both tattoo persistence and strenuous removal journal March 2018
Medical recordkeeping, essential but overlooked aspect of quality of care in resource-limited settings journal July 2012
Missed Opportunities for Immunizations: A Review of the Evidence journal January 1996
Effect of Microneedle Design on Pain in Human Volunteers journal January 2008
A Patient Care Program for Adjusting the Autoinjector Needle Depth According to Subcutaneous Tissue Thickness in Patients With Multiple Sclerosis Receiving Subcutaneous Injections of Glatiramer Acetate journal January 2015
Transfer learning for image classification with sparse prototype representations conference June 2008
Deep Residual Learning for Image Recognition conference June 2016
Theoretical analysis and simulation of SU-8 microneedles for effective skin penetration and drug delivery conference November 2015
Supervised Self-taught Learning: Actively transferring knowledge from unlabeled data conference June 2009
Review of short-wave infrared spectroscopy and imaging methods for biological tissue characterization journal March 2015
Mechanisms of low level light therapy conference February 2006
Pen needle design influences ease of insertion, pain, and skin trauma in subjects with type 2 diabetes journal December 2016
Giving Infants an Identity: Fingerprint Sensing and Recognition
  • Jain, Anil K.; Arora, Sunpreet S.; Best-Rowden, Lacey
  • Proceedings of the Eighth International Conference on Information and Communication Technologies and Development - ICTD '16 https://doi.org/10.1145/2909609.2909612
conference January 2016
ImageNet classification with deep convolutional neural networks journal May 2017
Engineering Microneedle Patches for Vaccination and Drug Delivery to Skin journal June 2017
Does Needle Size Matter? journal September 2007
An assessment of child immunization coverage and its determinants in Sinana District, Southeast Ethiopia journal April 2015
Limitations in the Use of Dielectric Interference Filters in Wide Angle Optical Receivers journal January 1971
Can vaccination coverage be improved by reducing missed opportunities for vaccination? Findings from assessments in Chad and Malawi using the new WHO methodology journal January 2019
Maternal recall error of child vaccination status in a developing nation. journal January 1992
Commercial Smartphone-Based Devices and Smart Applications for Personalized Healthcare Monitoring and Management journal August 2014
A Comprehensive Map of FDA-Approved Pharmaceutical Products journal December 2018
Routine vaccination coverage in low- and middle-income countries: further arguments for accelerating support to child vaccination services journal April 2013
Optimising laser tattoo removal journal January 2015
Toxicological Evaluations of Rare Earths and Their Health Impacts to Workers: A Literature Review journal March 2013