AccScience Publishing / IJB / Online First / DOI: 10.36922/IJB026370402
Cite this article
20
Download
395
Views
Related Info Links
More by Authors Links
Journal Browser
Volume | Year
Issue
Search
News and Announcements
View All
REVIEW ARTICLE

3D-printed microneedles in biomedical applications: Versatile approaches and clinical potential

Ziqing Su1,2† ,  Sheng Cheng1,2† ,  Weiwei Chen1 ,  Menghui Liu1 ,  Peng Gao1 ,  Liang Xu3* ,  Xingliang Dai1,4*
Show Less
1 Department of Neurosurgery, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui , China
2 Department of Clinical Medicine, the First Clinical College of Anhui Medical University, Hefei, Anhui , China
3 Department of Neurosurgery, the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu , China
4 Department of Research & Development, East China Institute of Digital Medical Engineering, Shangrao, Jiangxi , China
†These authors contributed equally to this work.
Received: 15 August 2026 | Revised: 16 September 2026 | Accepted: 18 September 2026 | Published online: 19 September 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Microneedles (MNs) are micron-scale structures that can painlessly penetrate the skin barrier to facilitate drug delivery, biomarker sampling, and biosensing. Although conventional molding techniques allow large-scale production, they have inherent limitations in rapidly and precisely customizing geometric structures—parameters that critically determine MN biomedical functionality and performance. As a next-generation manufacturing paradigm, three-dimensional (3D) printing offers novel opportunities for the development of personalized and intelligent MNs, leveraging its high precision, design flexibility, and integrated fabrication capabilities. This article reviews different types of MNs and their geometric characteristics, systematically summarizes the applications, advantages, and limitations of mainstream 3D printing technologies in MN fabrication, and focuses on recent research advances in 3D-printed MNs for drug delivery, biomarker extraction, and biosensor construction. Furthermore, it provides an in-depth overview of the application potential of 3D-printed MNs in treating various diseases. The article also discusses the emerging integration of 4D printing and artificial intelligence within this domain. Finally, we summarize and propose directions for future research.

Keywords
Three-dimensional printing
Microneedles
Personalized medicine
Biomedical applications
Funding
This work was partially supported by the National Natural Science Foundation of China (82473256); the Anhui Provincial Natural Science Foundation (2508085Y050); Ganpo Promising Talents Supporting Plan: Talent Development Project of Leading Academic and Technological Researchers in Key Disciplines (20243BCE51060); the Jiangxi Provincial Natural Science Foundation (20242BAB25521); Anhui Provincial Training Program for Young and Middle-aged University Teachers (JWFX2025005); the Anhui Province Higher Education Scientific Research Project (2023AH053299); the Health Research Program of Anhui (AHWJ2024Aa30066); the Basic and Clinical Cooperative Research and Promotion Program of Anhui Medical University (2022xkjT024, 2023xkjT033); the Postgraduate Scientific Research and Practice Innovation Project of Anhui Medical University (YJS20240087); Suzhou Municipal Science and Technology Development Project (SKY2023169); and the Undergraduate Innovation and Entrepreneurship Training Program (S202510366027).
Conflict of interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
References
  1. Ngo TD, Kashani A, Imbalzano G, Nguyen KTQ, Hui D. Additive manufacturing (3D printing): A review of materials, methods, applications and challenges. Compos Part B Eng. 2018;143:172-196. doi: 10.1016/j.compositesb.2018.02.012
  2. Weller C, Kleer R, Piller FT. Economic implications of 3D printing: Market structure models in light of additive manufacturing revisited. Int J Prod Econ. 2015;164:43-56. doi: 10.1016/j.ijpe.2015.02.020
  3. Pucci JU, Christophe BR, Sisti JA, Connolly ES Jr. Three-dimensional printing: technologies, applications, and limitations in neurosurgery. Biotechnol Adv. 2017;35(5):521-529. doi: 10.1016/j.biotechadv.2017.05.007
  4. Auel T, Mentrup AFC, Oldfield LR, Seidlitz A. 3D printing of pharmaceutical dosage forms: Recent advances and applications. Adv Drug Deliv Rev. 2025;217:115504. doi: 10.1016/j.addr.2024.115504
  5. Sachs E, Cima M, Williams P, Brancazio D, Cornie J. Three Dimensional Printing: Rapid Tooling and Prototypes Directly from a CAD Model. J Eng Ind. 1992;114(4):481-488. doi: 10.1115/1.2900701
  6. Cruz RLJ, Ross MT, Nightingale R, et al. An automated parametric ear model to improve frugal 3D scanning methods for the advanced manufacturing of high-quality prosthetic ears. Comput Biol Med. 2023;162:107033. doi: 10.1016/j.compbiomed.2023.107033
  7. Ripley B, Levin D, Kelil T, et al. 3D printing from MRI Data: Harnessing strengths and minimizing weaknesses. J Magn Reson Imaging. 2017;45(3):635-645. doi: 10.1002/jmri.25526
  8. Hatamikia S, Gulyas I, Birkfellner W, et al. Realistic 3D printed CT imaging tumor phantoms for validation of image processing algorithms. Phys Med. 2023;105:102512. doi: 10.1016/j.ejmp.2022.102512
  9. Yan Q, Dong H, Su J, et al. A Review of 3D Printing Technology for Medical Applications. Engineering. 2018;4(5):729-742. doi: 10.1016/j.eng.2018.07.021
  10. Wang L, Ye C, Xue X, et al. 3D-Printed Breast Prosthesis that Smartly Senses and Targets Breast Cancer Relapse. Adv Sci. 2024;11(46):e2402345. doi: 10.1002/advs.202402345
  11. Gao S, Yang C, Chen H, He X, Ruan L, Wang Q. Bioinspired origami-based soft prosthetic knees. Nat Commun. 2024;15(1):10855. doi: 10.1038/s41467-024-55201-1
  12. Yang Y, Wang H, Song H, et al. Morphological Evaluation of Mitral Valve Based on Three-dimensional Printing Models: Potential Implication for Mitral Valve Repair. BIO Integr. 2021;2(4):143-151. doi: 10.15212/bioi-2021-0017
  13. Hua W, Zhang C, Raymond L, et al. 3D printing-based full-scale human brain for diverse applications. Brain-X. 2023;1(1):e5. doi: 10.1002/brx2.5
  14. Shaqour B, Natsheh H, Kittana N, et al. Modified Release 3D-Printed Capsules Containing a Ketoprofen Self-Nanoemulsifying System for Personalized Medical Application. ACS Biomater Sci Eng. 2024;10(6):3833-3841. doi: 10.1021/acsbiomaterials.4c00476
  15. Han G, Lee H, Kang JM, et al. 3D-printed NIR-responsive bullets as multifunctional nanodrug platforms for image-guided local chemo-photothermal therapy. Chem Eng J. 2023;477:147083. doi: 10.1016/j.cej.2023.147083
  16. Li H, Qiao Y, Dai X, et al. 3D bioprinting of tumor models and potential applications. Bio-Des Manuf. 2024;7(6):857-888. doi: 10.1007/s42242-024-00317-y
  17. Shi Y, Han X, Zhang Z, Xu J, Liu G. Liver organoids: From 3D printing to biomedical applications. BMEMat. 2024;3(2):e12129. doi: 10.1002/bmm2.12129
  18. Wang J, Goyanes A, Gaisford S, Basit AW. Stereolithographic (SLA) 3D printing of oral modified-release dosage forms. Int J Pharm. 2016;503(1-2):207-212. doi: 10.1016/j.ijpharm.2016.03.016
  19. Alqahtani AA, Ahmed MM, Mohammed AA, Ahmad J. 3D Printed Pharmaceutical Systems for Personalized Treatment in Metabolic Syndrome. Pharmaceutics. 2023;15(4):1152. doi: 10.3390/pharmaceutics15041152
  20. Lyu S, Dong Z, Xu X, et al. Going below and beyond the surface: Microneedle structure, materials, drugs, fabrication, and applications for wound healing and tissue regeneration. Bioact Mater. 2023;27:303-326. doi: 10.1016/j.bioactmat.2023.04.003
  21. Henry S, McAllister DV, Allen MG, Prausnitz MR. Microfabricated microneedles: a novel approach to transdermal drug delivery. J Pharm Sci. 1998;87(8):922-925. doi: 10.1021/js980042+
  22. Larrañeta E, Lutton REM, Woolfson AD, Donnelly RF. Microneedle arrays as transdermal and intradermal drug delivery systems: Materials science, manufacture and commercial development. Mater Sci Eng R Rep. 2016;104:1-32. doi: 10.1016/j.mser.2016.03.001
  23. Prausnitz MR, Langer R. Transdermal drug delivery. Nat Biotechnol. 2008;26(11):1261-1268. doi: 10.1038/nbt.1504
  24. Gill HS, Denson DD, Burris BA, Prausnitz MR. Effect of microneedle design on pain in human volunteers. Clin J Pain. 2008;24(7):585-594. doi: 10.1097/AJP.0b013e31816778f9
  25. Bariya SH, Gohel MC, Mehta TA, Sharma OP. Microneedles: an emerging transdermal drug delivery system. J Pharm Pharmacol. 2012;64(1):11-29. doi: 10.1111/j.2042-7158.2011.01369.x
  26. Permana AD, Paredes AJ, Zanutto FV, et al. Albendazole Nanocrystal-Based Dissolving Microneedles with Improved Pharmacokinetic Performance for Enhanced Treatment of Cystic Echinococcosis. ACS Appl Mater Interfaces. 2021;13(32):38745-38760. doi: 10.1021/acsami.1c11179
  27. Guillot AJ, Martínez-Navarrete M, Zinchuk-Mironova V, Melero A. Microneedle-assisted transdermal delivery of nanoparticles: Recent insights and prospects. Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2023;15(4):e1884. doi: 10.1002/wnan.1884
  28. Wu Z, Qiao Z, Chen S, et al. Interstitial fluid-based wearable biosensors for minimally invasive healthcare and biomedical applications. Commun Mater. 2024;5(1):33. doi: 10.1038/s43246-024-00468-6
  29. Tehrani F, Teymourian H, Wuerstle B, et al. An integrated wearable microneedle array for the continuous monitoring of multiple biomarkers in interstitial fluid. Nat Biomed Eng. 2022;6(11):1214-1224. doi: 10.1038/s41551-022-00887-1
  30. Li Z, Wang Y, Zhang R, et al. Microneedles-Based Theranostic Platform: From the Past to the Future. ACS Nano. 2024;18(35):23876-23893. doi: 10.1021/acsnano.4c04277
  31. Adigweme I, Yisa M, Ooko M, et al. A measles and rubella vaccine microneedle patch in The Gambia: a phase 1/2, double-blind, double-dummy, randomised, active-controlled, age de-escalation trial. Lancet. 2024;403(10439):1879-1892. doi: 10.1016/s0140-6736(24)00532-4
  32. Mulay AR, Hwang J, Kim DH. Microphysiological Blood-Brain Barrier Systems for Disease Modeling and Drug Development. Adv Healthc Mater. 2024;13(21):e2303180. doi: 10.1002/adhm.202303180
  33. Wang Z, Yang Z, Jiang J, et al. Silk Microneedle Patch Capable of On-Demand Multidrug Delivery to the Brain for Glioblastoma Treatment. Adv Mater. 2022;34(1):e2106606. doi: 10.1002/adma.202106606
  34. Liu Y, Liu Y, Shi P, et al. Single-atom nanozyme liposome-integrated microneedles for in situ drug delivery and anti-inflammatory therapy in Parkinson's disease. J Nanobiotechnology. 2024;22(1):643. doi: 10.1186/s12951-024-02924-4
  35. Zhou Y, Huang X, Li J, et al. Small Animal In Situ Drug Delivery Effects via Transdermal Microneedles Array versus Intravenous Injection: A Pilot Observation Based on Photoacoustic Tomography. Pharmaceutics. 2022;14(12):2689. doi: 10.3390/pharmaceutics14122689
  36. Badnikar K, Jayadevi SN, Pahal S, Vemula PK, Nayak MM, Subramanyam DN. Microscale engineering of hollow microneedle tips: design, manufacturing, optimization and validation. Drug Deliv Transl Res. 2021;12(2):350-367. doi: 10.1007/s13346-021-01062-w
  37. Jung JH, Jin SG. Microneedle for transdermal drug delivery: current trends and fabrication. J Pharm Investig. 2021;51(5):503-517. doi: 10.1007/s40005-021-00512-4
  38. Choi IJ, Cha HR, Hwang SJ, Baek SK, Lee JM, Choi SO. Live Vaccinia Virus-Coated Microneedle Array Patches for Smallpox Vaccination and Stockpiling. Pharmaceutics. 2021;13(2):209. doi: 10.3390/pharmaceutics13020209
  39. Chen Z, Wang Z, Jiang L, et al. Fabrication of customized microneedle with high 3D capability and high structural precision. Addit Manuf. 2024;95:104509. doi: 10.1016/j.addma.2024.104509
  40. Yeung C, Chen S, King B, et al. A 3D-printed microfluidic-enabled hollow microneedle architecture for transdermal drug delivery. Biomicrofluidics. 2019;13(6):064125. doi: 10.1063/1.5127778
  41. Aldawood FK, Andar A, Desai S. A Comprehensive Review of Microneedles: Types, Materials, Processes, Characterizations and Applications. Polymers. 2021;13(16):2815. doi: 10.3390/polym13162815
  42. Kalyani P, Khandelwal M. Drug release kinetics from in-situ modulated agar/chitosan-bacterial cellulose patches for differently soluble drugs. Int J Biol Macromol. 2024;283(Pt 3):137602. doi: 10.1016/j.ijbiomac.2024.137602
  43. Liu L, Wang F, Chen X, et al. Designing Multifunctional Microneedles in Biomedical Engineering: Materials, Methods, and Applications. Int J Nanomedicine. 2025;20:8693-8728. doi: 10.2147/ijn.S531898
  44. Zong Q, Zhou R, Zhao Z, et al. Riboflavin-dissolving microneedles for the elimination of photodynamic bacterial biofilms. Int J Pharm. 2025;681:125858. doi: 10.1016/j.ijpharm.2025.125858
  45. Sartawi Z, Blackshields C, Faisal W. Dissolving microneedles: Applications and growing therapeutic potential. J Control Release. 2022;348:186-205. doi: 10.1016/j.jconrel.2022.05.045
  46. Li WZ, Huo MR, Zhou JP, et al. Super-short solid silicon microneedles for transdermal drug delivery applications. Int J Pharm. 2010;389(1-2):122-129. doi: 10.1016/j.ijpharm.2010.01.024
  47. Oh JH, Park HH, Do KY, et al. Influence of the delivery systems using a microneedle array on the permeation of a hydrophilic molecule, calcein. Eur J Pharm Biopharm. 2008;69(3):1040-1045. doi: 10.1016/j.ejpb.2008.02.009
  48. Donnelly RF, Morrow DI, McCrudden MT, et al. Hydrogel-forming and dissolving microneedles for enhanced delivery of photosensitizers and precursors. Photochem Photobiol. 2014;90(3):641-647. doi: 10.1111/php.12209
  49. Gupta J, Gill HS, Andrews SN, Prausnitz MR. Kinetics of skin resealing after insertion of microneedles in human subjects. J Control Release. 2011;154(2):148-155. doi: 10.1016/j.jconrel.2011.05.021
  50. Gill HS, Prausnitz MR. Coated microneedles for transdermal delivery. J Control Release. 2007;117(2):227-237. doi: 10.1016/j.jconrel.2006.10.017
  51. Edens C, Collins ML, Ayers J, Rota PA, Prausnitz MR. Measles vaccination using a microneedle patch. Vaccine. 2013;31(34):3403-3409. doi: 10.1016/j.vaccine.2012.09.062
  52. Ingrole RSJ, Gill HS. Microneedle Coating Methods: A Review with a Perspective. J Pharmacol Exp Ther. 2019;370(3):555-569. doi: 10.1124/jpet.119.258707
  53. Du G, Woythe L, van der Maaden K, et al. Coated and Hollow Microneedle-Mediated Intradermal Immunization in Mice with Diphtheria Toxoid Loaded Mesoporous Silica Nanoparticles. Pharm Res. 2018;35(10):189. doi: 10.1007/s11095-018-2476-4
  54. Demartis S, Rassu G, Anjani QK, et al. Improved pharmacokinetic and lymphatic uptake of Rose Bengal after transfersome intradermal deposition using hollow microneedles. J Control Release. 2024;369:363-375. doi: 10.1016/j.jconrel.2024.03.048
  55. Gade S, Glover K, Mishra D, et al. Hollow microneedles for ocular drug delivery. J Control Release. 2024;371:43-66. doi: 10.1016/j.jconrel.2024.05.013
  56. Cárcamo-Martínez Á, Mallon B, Domínguez-Robles J, Vora LK, Anjani QK, Donnelly RF. Hollow microneedles: A perspective in biomedical applications. Int J Pharm. 2021;599:120455. doi: 10.1016/j.ijpharm.2021.120455
  57. Li CG, Lee CY, Lee K, Jung H. An optimized hollow microneedle for minimally invasive blood extraction. Biomed Microdevices. 2013;15(1):17-25. doi: 10.1007/s10544-012-9683-2
  58. Miller PR, Taylor RM, Tran BQ, et al. Extraction and biomolecular analysis of dermal interstitial fluid collected with hollow microneedles. Commun Biol. 2018;1(1):173. doi: 10.1038/s42003-018-0170-z
  59. Martanto W, Moore JS, Couse T, Prausnitz MR. Mechanism of fluid infusion during microneedle insertion and retraction. J Control Release. 2006;112(3):357-361. doi: 10.1016/j.jconrel.2006.02.017
  60. Zhi Chen B, Ting He Y, Qiang Zhao Z, et al. Strategies to develop polymeric microneedles for controlled drug release. Adv Drug Deliv Rev. 2023;203:115109. doi: 10.1016/j.addr.2023.115109
  61. Bao L, Park J, Bonfante G, Kim B. Recent advances in porous microneedles: materials, fabrication, and transdermal applications. Drug Deliv Transl Res. 2022;12(2):395-414. doi: 10.1007/s13346-021-01045-x
  62. Fakeih E, Aguirre-Pablo AA, Thoroddsen ST, Salama KN. Fabrication and Characterization of Porous Microneedles for Enhanced Fluid Injection and Suction: A Two-Photon Polymerization Approach. Adv Eng Mater. 2023;25(16):2300161. doi: 10.1002/adem.202300161
  63. Gao G, Zhang L, Li Z, Ma S, Ma F. Porous Microneedles for Therapy and Diagnosis: Fabrication and Challenges. ACS Biomater Sci Eng. 2023;9(1):85-105. doi: 10.1021/acsbiomaterials.2c01123
  64. Eltayib EM. Fabrication of porous polymeric microneedles: a concise overview. RSC Adv. 2025;15(23):18697-18714. doi: 10.1039/d5ra03274a
  65. Yang B, Dong Y, Shen Y, et al. Bilayer dissolving microneedle array containing 5-fluorouracil and triamcinolone with biphasic release profile for hypertrophic scar therapy. Bioact Mater. 2021;6(8):2400-2411. doi: 10.1016/j.bioactmat.2021.01.014
  66. Dong Y, Tao J, Wang B, et al. Partitioned Microneedle Patch Based on NO Release and HSP Inhibition for mPTT/GT Combination Treatment of Melanoma. ACS Appl Mater Interfaces. 2024;16(37):49104-49113. doi: 10.1021/acsami.4c10141
  67. He MC, Chen BZ, Ashfaq M, Guo XD. Assessment of mechanical stability of rapidly separating microneedles for transdermal drug delivery. Drug Deliv Transl Res. 2018;8(5):1034-1042. doi: 10.1007/s13346-018-0547-z
  68. Chen X, Wang L, Yu H, et al. Preparation, properties and challenges of the microneedles-based insulin delivery system. J Control Release. 2018;288:173-188. doi: 10.1016/j.jconrel.2018.08.042
  69. Zheng B, Li Q, Fang L, et al. Microorganism microneedle micro-engine depth drug delivery. Nat Commun. 2024;15(1):8947. doi: 10.1038/s41467-024-53280-8
  70. Li H, Meng F, Hu C, et al. Gradient Solvent Replacement-Mediated Formation of High-Strength Hydrogel-Forming Microneedle for Long-Term Drug Delivery. Adv Sci. 2025;12(30):e2500833. doi: 10.1002/advs.202500833
  71. Huang R, Hua J, Ru M, et al. Superb Silk Hydrogels with High Adaptability, Bioactivity, and Versatility Enabled by Photo-Cross-Linking. ACS Nano. 2024;18(23):15312-15325. doi: 10.1021/acsnano.4c05017
  72. Shriky B, Babenko M, Whiteside BR. Dissolving and Swelling Hydrogel-Based Microneedles: An Overview of Their Materials, Fabrication, Characterization Methods, and Challenges. Gels. 2023;9(10):806. doi: 10.3390/gels9100806
  73. Hou X, Li J, Hong Y, et al. Advances and Prospects for Hydrogel-Forming Microneedles in Transdermal Drug Delivery. Biomedicines. 2023;11(8):2119. doi: 10.3390/biomedicines11082119
  74. Ausri IR, Sadeghzadeh S, Biswas S, et al. Multifunctional Dopamine-Based Hydrogel Microneedle Electrode for Continuous Ketone Sensing. Adv Mater. 2024;36(32):e2402009. doi: 10.1002/adma.202402009
  75. Römgens AM, Bader DL, Bouwstra JA, Baaijens FPT, Oomens CWJ. Monitoring the penetration process of single microneedles with varying tip diameters. J Mech Behav Biomed Mater. 2014;40:397-405. doi: 10.1016/j.jmbbm.2014.09.015
  76. Hood RL, Kosoglu MA, Parker M, Rylander CG. Effects of Microneedle Design Parameters on Hydraulic Resistance. J Med Device. 2011;5(3):31012-31016. doi: 10.1115/1.4004833
  77. Davis SP, Landis BJ, Adams ZH, Allen MG, Prausnitz MR. Insertion of microneedles into skin: measurement and prediction of insertion force and needle fracture force. J Biomech. 2004;37(8):1155-1163. doi: 10.1016/j.jbiomech.2003.12.010
  78. Al-Qallaf B, Das DB. Optimizing microneedle arrays for transdermal drug delivery: extension to non-square distribution of microneedles. J Drug Target. 2009;17(2):108-122. doi: 10.1080/10611860802472370
  79. Krieger KJ, Bertollo N, Dangol M, Sheridan JT, Lowery MM, O'Cearbhaill ED. Simple and customizable method for fabrication of high-aspect ratio microneedle molds using low-cost 3D printing. Microsyst Nanoeng. 2019;5(1):42. doi: 10.1038/s41378-019-0088-8
  80. Cárcamo-Martínez Á, Anjani QK, Permana AD, Cordeiro AS, Larrañeta E, Donnelly RF. Coated polymeric needles for rapid and deep intradermal delivery. Int J Pharm X. 2020;2:100048. doi: 10.1016/j.ijpx.2020.100048
  81. Donnelly RF, Garland MJ, Morrow DI, et al. Optical coherence tomography is a valuable tool in the study of the effects of microneedle geometry on skin penetration characteristics and in-skin dissolution. J Control Release. 2010;147(3):333-341. doi: 10.1016/j.jconrel.2010.08.008
  82. Bal SM, Caussin J, Pavel S, Bouwstra JA. In vivo assessment of safety of microneedle arrays in human skin. Eur J Pharm Sci. 2008;35(3):193-202. doi: 10.1016/j.ejps.2008.06.016
  83. Haq MI, Smith E, John DN, et al. Clinical administration of microneedles: skin puncture, pain and sensation. Biomed Microdevices. 2009;11(1):35-47. doi: 10.1007/s10544-008-9208-1
  84. Lee JW, Park JH, Prausnitz MR. Dissolving microneedles for transdermal drug delivery. Biomaterials. 2008;29(13):2113-2124. doi: 10.1016/j.biomaterials.2007.12.048
  85. Jahan S, Jain A, Fregonese S, Hu C, Bacca M, Panat R. Bed-of-Nails effect: Unraveling the insertion behavior of aerosol jet 3D printed microneedle array in soft tissue. Extreme Mech Lett. 2025;77:102301. doi: 10.1016/j.eml.2025.102301
  86. Loizidou EZ, Inoue NT, Ashton-Barnett J, Barrow DA, Allender CJ. Evaluation of geometrical effects of microneedles on skin penetration by CT scan and finite element analysis. Eur J Pharm Biopharm. 2016;107:1-6. doi: 10.1016/j.ejpb.2016.06.023
  87. El-Sayed N, Vaut L, Schneider M. Customized fast-separable microneedles prepared with the aid of 3D printing for nanoparticle delivery. Eur J Pharm Biopharm. 2020;154:166-174. doi: 10.1016/j.ejpb.2020.07.005
  88. Chu LY, Prausnitz MR. Separable arrowhead microneedles. J Control Release. 2011;149(3):242-249. doi: 10.1016/j.jconrel.2010.10.033
  89. Liu Y, He C, Qiao T, et al. Coral-Inspired Hollow Microneedle Patch with Smart Sensor Therapy for Wound Infection. Adv Funct Mater. 2024;34(24):2314071. doi: 10.1002/adfm.202314071
  90. Jiang H, Zhang J, Chen L, et al. Bee-stings-inspired intelligently-sensitive electroactive microneedle with serrated structure for advanced electrical-stimulation-intervened chronic wound-management. Int J Extrem Manuf. 2025;7(6):065501. doi: 10.1088/2631-7990/adeb0f
  91. Gan N, Li X, Wei M, Li Z, Zhou S, Gao B. Tongue Prick Bionic Angularly Adjustable Microneedles for Enhanced Scarless Wound Healing. Adv Funct Mater. 2025;35(22):2422602. doi: 10.1002/adfm.202422602
  92. Yasin H, Al-Tabakha MMA, Chan SY. Fabrication of Polypill Pharmaceutical Dosage Forms Using Fused Deposition Modeling 3D Printing: A Systematic Review. Pharmaceutics. 2024;16(10):1285. doi: 10.3390/pharmaceutics16101285
  93. Tappa K, Jammalamadaka U. Novel Biomaterials Used in Medical 3D Printing Techniques. J Funct Biomater. 2018;9(1):17. doi: 10.3390/jfb9010017
  94. Luzuriaga MA, Berry DR, Reagan JC, Smaldone RA, Gassensmith JJ. Biodegradable 3D printed polymer microneedles for transdermal drug delivery. Lab Chip. 2018;18(8):1223-1230. doi: 10.1039/c8lc00098k
  95. Parulski C, Jennotte O, Lechanteur A, Evrard B. Challenges of fused deposition modeling 3D printing in pharmaceutical applications: Where are we now? Adv Drug Deliv Rev. 2021;175:113810. doi: 10.1016/j.addr.2021.05.020
  96. Luo X, Cheng H, Wu X. Nanomaterials Reinforced Polymer Filament for Fused Deposition Modeling: A State-of-the-Art Review. Polymers. 2023;15(14):2980. doi: 10.3390/polym15142980
  97. Chohan JS, Singh R, Boparai KS, Penna R, Fraternali F. Dimensional accuracy analysis of coupled fused deposition modeling and vapour smoothing operations for biomedical applications. Compos Part B Eng. 2017;117:138-149. doi: 10.1016/j.compositesb.2017.02.045
  98. Loh JM, Lim YJL, Tay JT, Cheng HM, Tey HL, Liang K. Design and fabrication of customizable microneedles enabled by 3D printing for biomedical applications. Bioact Mater. 2024;32:222-241. doi: 10.1016/j.bioactmat.2023.09.022
  99. Tang J, Wang J, Huang K, et al. Cardiac cell-integrated microneedle patch for treating myocardial infarction. Sci Adv. 2018;4(11):eaat9365. doi: 10.1126/sciadv.aat9365
  100. Khan NH, Mir M, Qian L, et al. Skin cancer biology and barriers to treatment: Recent applications of polymeric micro/nanostructures. J Adv Res. 2022;36:223-247. doi: 10.1016/j.jare.2021.06.014
  101. Detamornrat U, McAlister E, Hutton ARJ, Larrañeta E, Donnelly RF. The Role of 3D Printing Technology in Microengineering of Microneedles. Small. 2022;18(18):e2106392. doi: 10.1002/smll.202106392
  102. Ahmed Y, Mahmoud AAK, Ludasi K, Sovány T. Advances in Loading Techniques and Quality by Design for Fused Deposition Modeling in Pharmaceutical Production: A Systematic Review. Pharmaceuticals. 2024;17(11):1496. doi: 10.3390/ph17111496
  103. Iqbal H, Fernandes Q, Idoudi S, Basineni R, Billa N. Status of Polymer Fused Deposition Modeling (FDM)-Based Three-Dimensional Printing (3DP) in the Pharmaceutical Industry. Polymers. 2024;16(3):386. doi: 10.3390/polym16030386
  104. Khosraviboroujeni A, Mirdamadian SZ, Minaiyan M, Taheri A. Preparation and characterization of 3D printed PLA microneedle arrays for prolonged transdermal drug delivery of estradiol valerate. Drug Deliv Transl Res. 2022;12(5):1195-1208. doi: 10.1007/s13346-021-01006-4
  105. Goole J, Amighi K. 3D printing in pharmaceutics: A new tool for designing customized drug delivery systems. Int J Pharm. 2016;499(1):376-394. doi: 10.1016/j.ijpharm.2015.12.071
  106. Allen EA, O'Mahony C, Cronin M, O'Mahony T, Moore AC, Crean AM. Dissolvable microneedle fabrication using piezoelectric dispensing technology. Int J Pharm. 2016;500(1):1-10. doi: 10.1016/j.ijpharm.2015.12.052
  107. Zub K, Hoeppener S, Schubert US. Inkjet Printing and 3D Printing Strategies for Biosensing, Analytical, and Diagnostic Applications. Adv Mater. 2022;34(31):e2105015. doi: 10.1002/adma.202105015
  108. Ross S, Scoutaris N, Lamprou D, Mallinson D, Douroumis D. Inkjet printing of insulin microneedles for transdermal delivery. Drug Deliv Transl Res. 2015;5(4):451-461. doi: 10.1007/s13346-015-0251-1
  109. Economidou SN, Pissinato Pere CP, Okereke M, Douroumis D. Optimisation of Design and Manufacturing Parameters of 3D Printed Solid Microneedles for Improved Strength, Sharpness, and Drug Delivery. Micromachines. 2021;12(2):117. doi: 10.3390/mi12020117
  110. Liu H, Nail A, Meng D, et al. Recent progress in the 3D printing of microneedle patches for biomedical applications. Int J Pharm. 2025;668:124995. doi: 10.1016/j.ijpharm.2024.124995
  111. Lakkala P, Munnangi SR, Bandari S, Repka M. Additive manufacturing technologies with emphasis on stereolithography 3D printing in pharmaceutical and medical applications: A review. Int J Pharm X. 2023;5:100159. doi: 10.1016/j.ijpx.2023.100159
  112. Quan H, Zhang T, Xu H, Luo S, Nie J, Zhu X. Photo-curing 3D printing technique and its challenges. Bioact Mater. 2020;5(1):110-115. doi: 10.1016/j.bioactmat.2019.12.003
  113. Kundu A, Ausaf T, Rajaraman S. 3D Printing, Ink Casting and Micromachined Lamination (3D PICLμM): A Makerspace Approach to the Fabrication of Biological Microdevices. Micromachines. 2018;9(2):85. doi: 10.3390/mi9020085
  114. Choo S, Jin S, Jung J. Fabricating High-Resolution and High-Dimensional Microneedle Mold through the Resolution Improvement of Stereolithography 3D Printing. Pharmaceutics. 2022;14(4):766. doi: 10.3390/pharmaceutics14040766
  115. Manapat JZ, Chen Q, Ye P, Advincula RC. 3D Printing of Polymer Nanocomposites via Stereolithography. Macromol Mater Eng. 2017;302(9):1600553. doi: 10.1002/mame.201600553
  116. Fitaihi R, Abukhamees S, Chung SH, Craig DQM. Optimization of stereolithography 3D printing of microneedle micro-molds for ocular drug delivery. Int J Pharm. 2024;658:124195. doi: 10.1016/j.ijpharm.2024.124195
  117. Husna A, Ashrafi S, Tomal ANMA, Tuli NT, Bin Rashid A. Recent advancements in stereolithography (SLA) and their optimization of process parameters for sustainable manufacturing. Hybrid Adv. 2024;7:100307. doi: 10.1016/j.hybadv.2024.100307
  118. Nagarajan B, Hu Z, Song X, Zhai W, Wei J. Development of Micro Selective Laser Melting: The State of the Art and Future Perspectives. Engineering. 2019;5(4):702-720. doi: 10.1016/j.eng.2019.07.002
  119. Nandhakumar R, Venkatesan K. A process parameters review on selective laser melting-based additive manufacturing of single and multi-material: Microstructure, physical properties, tribological, and surface roughness. Mater Today Commun. 2023;35:105538. doi: 10.1016/j.mtcomm.2023.105538
  120. Gieseke M, Senz V, Vehse M, et al. Additive Manufacturing of Drug Delivery Systems. Biomed Tech (Berl). 2012;57(SI-1-Track-S):398-401. doi: 10.1515/bmt-2012-4109
  121. Yap CY, Chua CK, Dong ZL, et al. Review of selective laser melting: Materials and applications. Appl Phys Rev. 2015;2(4):041101. doi: 10.1063/1.4935926
  122. Fina F, Goyanes A, Gaisford S, Basit AW. Selective laser sintering (SLS) 3D printing of medicines. Int J Pharm. 2017;529(1-2):285-293. doi: 10.1016/j.ijpharm.2017.06.082
  123. Awad A, Fina F, Goyanes A, Gaisford S, Basit AW. 3D printing: Principles and pharmaceutical applications of selective laser sintering. Int J Pharm. 2020;586:119594. doi: 10.1016/j.ijpharm.2020.119594
  124. Goodridge RD, Tuck CJ, Hague RJM. Laser sintering of polyamides and other polymers. Prog Mater Sci. 2012;57(2):229-267. doi: 10.1016/j.pmatsci.2011.04.001
  125. Trenfield SJ, Januskaite P, Goyanes A, et al. Prediction of Solid-State Form of SLS 3D Printed Medicines Using NIR and Raman Spectroscopy. Pharmaceutics. 2022;14(3):589. doi: 10.3390/pharmaceutics14030589
  126. Sun C, Fang N, Wu DM, Zhang X. Projection micro-stereolithography using digital micro-mirror dynamic mask. Sens Actuators A Phys. 2005;121(1):113-120. doi: 10.1016/j.sna.2004.12.011
  127. Chang XZ, Liu JS, Lü JQ. Digital Light Processing 3D Printing Technology in Biomedical Engineering: A Review. Macromol Biosci. 2025;25(8):e2500101. doi: 10.1002/mabi.202500101
  128. Fahad FI, Ahn M, Kim BS. State-of-the-art research progress and emerging strategies in digital light processing bioprinting for skin regeneration. Int J Bioprint. 2026;12(4):026220217. doi: 10.36922/ijb026220217
  129. Justyna K, Patrycja Ś, Krzysztof M, Rafał W. Dissolving microneedles fabricated from 3D-printed master molds for application in veterinary medicine. Sci Rep. 2025;15(1):14102. doi: 10.1038/s41598-025-98984-z
  130. Shin D, Hyun J. Silk fibroin microneedles fabricated by digital light processing 3D printing. J Ind Eng Chem. 2021;95:126-133. doi: 10.1016/j.jiec.2020.12.011
  131. Mason KS, Kim JW, Recker EA, et al. Multicolor Digital Light Processing 3D Printing Enables Dissolvable Supports for Freestanding and Non-Assembly Structures. ACS Cent Sci. 2025;11(6):975-982. doi: 10.1021/acscentsci.5c00289
  132. Kowsari K, Zhang B, Panjwani S, et al. Photopolymer formulation to minimize feature size, surface roughness, and stair-stepping in digital light processing-based three-dimensional printing. Addit Manuf. 2018;24:627-638. doi: 10.1016/j.addma.2018.10.037
  133. Janusziewicz R, Tumbleston JR, Quintanilla AL, Mecham SJ, DeSimone JM. Layerless fabrication with continuous liquid interface production. Proc Natl Acad Sci USA. 2016;113(42):11703-11708. doi: 10.1073/pnas.1605271113
  134. Tumbleston JR, Shirvanyants D, Ermoshkin N, et al. Additive manufacturing. Continuous liquid interface production of 3D objects. Science. 2015;347(6228):1349-1352. doi: 10.1126/science.aaa2397
  135. Lee BJ, Hsiao K, Lipkowitz G, Samuelsen T, Tate L, DeSimone JM. Characterization of a 30 µm pixel size CLIP-based 3D printer and its enhancement through dynamic printing optimization. Addit Manuf. 2022;55:102800. doi: 10.1016/j.addma.2022.102800
  136. Hsiao K, Lee BJ, Samuelsen T, et al. Single-digit-micrometer-resolution continuous liquid interface production. Sci Adv. 2022;8(46):eabq2846. doi: 10.1126/sciadv.abq2846
  137. Rajesh NU, Coates I, Driskill MM, et al. 3D-Printed Microarray Patches for Transdermal Applications. JACS Au. 2022;2(11):2426-2445. doi: 10.1021/jacsau.2c00432
  138. Shaw PA, Forsyth E, Haseeb F, Yang S, Bradley M, Klausen M. Two-Photon Absorption: An Open Door to the NIR-II Biological Window? Front Chem. 2022;10:921354. doi: 10.3389/fchem.2022.921354
  139. Raimondi MT, Eaton SM, Nava MM, Laganà M, Cerullo G, Osellame R. Two-Photon Laser Polymerization: From Fundamentals to Biomedical Application in Tissue Engineering and Regenerative Medicine. J Appl Biomater Funct Mater. 2012;10(1):56-66. doi: 10.5301/jabfm.2012.9278
  140. Faraji Rad Z, Prewett PD, Davies GJ. High-resolution two-photon polymerization: the most versatile technique for the fabrication of microneedle arrays. Microsyst Nanoeng. 2021;7(1):71. doi: 10.1038/s41378-021-00298-3
  141. Limberg DK, Kang JH, Hayward RC. Triplet–Triplet Annihilation Photopolymerization for High-Resolution 3D Printing. J Am Chem Soc. 2022;144(12):5226-5232. doi: 10.1021/jacs.1c11022
  142. Szeto B, Aksit A, Valentini C, et al. Novel 3D-printed hollow microneedles facilitate safe, reliable, and informative sampling of perilymph from guinea pigs. Hear Res. 2021;400:108141. doi: 10.1016/j.heares.2020.108141
  143. Jing X, Fu H, Yu B, Sun M, Wang L. Two-photon polymerization for 3D biomedical scaffolds: Overview and updates. Front Bioeng Biotechnol. 2022;10:994355. doi: 10.3389/fbioe.2022.994355
  144. Pearre BW, Michas C, Tsang JM, Gardner TJ, Otchy TM. Fast micron-scale 3D printing with a resonant-scanning two-photon microscope. Addit Manuf. 2019;30:100887. doi: 10.1016/j.addma.2019.100887
  145. Lee SW, Lee SS. Shrinkage ratio of PDMS and its alignment method for the wafer level process. Microsyst Technol. 2008;14(2):205-208. doi: 10.1007/s00542-007-0417-y
  146. Faraji Rad Z, Nordon RE, Anthony CJ, et al. High-fidelity replication of thermoplastic microneedles with open microfluidic channels. Microsyst Nanoeng. 2017;3(1):17034. doi: 10.1038/micronano.2017.34
  147. Saadi M, Maguire A, Pottackal NT, et al. Direct Ink Writing: A 3D Printing Technology for Diverse Materials. Adv Mater. 2022;34(28):e2108855. doi: 10.1002/adma.202108855
  148. Dang YH, Dauzat E, Istiak A, et al. Conversion of an FDM printer to direct ink write 3D bioprinter utilizing an efficient and cost-effective extrusion system. Ann 3D Print Med. 2025;19:100212. doi: 10.1016/j.stlm.2025.100212
  149. Liu X, Li R, Yuan X, et al. Fast Customization of Microneedle Arrays by Static Optical Projection Lithography. ACS Appl Mater Interfaces. 2021;13(50):60522-60530. doi: 10.1021/acsami.1c21489
  150. Bernal PN, Delrot P, Loterie D, et al. Volumetric Bioprinting of Complex Living-Tissue Constructs within Seconds. Adv Mater. 2019;31(42):1904209. doi: 10.1002/adma.201904209
  151. Whyte DJ, Doeven EH, Sutti A, Kouzani AZ, Adams SD. Volumetric additive manufacturing: A new frontier in layer-less 3D printing. Addit Manuf. 2024;84:104094. doi: 10.1016/j.addma.2024.104094
  152. Kelly BE, Bhattacharya I, Heidari H, Shusteff M, Spadaccini CM, Taylor HK. Volumetric additive manufacturing via tomographic reconstruction. Science. 2019;363(6431):1075-1079. doi: 10.1126/science.aau7114
  153. Orth A, Sampson KL, Zhang Y, et al. On-the-fly 3D metrology of volumetric additive manufacturing. Addit Manuf. 2022;56:102869. doi: 10.1016/j.addma.2022.102869
  154. Bagheri A, Zakerzadeh MR, Sadigh MJ, Salehabadi R. Volumetric additive manufacturing of complex geometries around complex inserts. Sci Rep. 2026;16(1):6522. doi: 10.1038/s41598-026-35258-2
  155. Tisato S, Vera G, Song Q, Nekoonam N, Helmer D. Additive manufacturing of multi-material and hollow structures by Embedded Extrusion-Volumetric Printing. Nat Commun. 2025;16(1):6730. doi: 10.1038/s41467-025-62057-6
  156. Rizzo R, Petelinšek N, Bonato A, Zenobi-Wong M. From Free-Radical to Radical-Free: A Paradigm Shift in Light-Mediated Biofabrication. Adv Sci. 2023;10(8):2205302. doi: 10.1002/advs.202205302
  157. Fairbanks BD, Schwartz MP, Bowman CN, Anseth KS. Photoinitiated polymerization of PEG-diacrylate with lithium phenyl-2,4,6-trimethylbenzoylphosphinate: polymerization rate and cytocompatibility. Biomaterials. 2009;30(35):6702-6707. doi: 10.1016/j.biomaterials.2009.08.055
  158. Sun G, He X, Feng M, Xu X, Chen J, Wang Y. Flavin mononucleotide in visible light photoinitiating systems for multiple-photocrosslinking and photoencapsulation strategies. Acta Biomater. 2023;172:272-279. doi: 10.1016/j.actbio.2023.09.051
  159. Rizzo R, Barber DM, Wilt JK, Ainscough AJ, Lewis JA. Photoinitiator-free light-mediated crosslinking of dynamic polymer and pristine protein networks. Biomater Sci. 2025;13(1):210-222. doi: 10.1039/D4BM00849A
  160. Agarwal KM, Shubham P, Bhatia D, Sharma P, Vaid H, Vajpeyi R. Analyzing the Impact of Print Parameters on Dimensional Variation of ABS specimens printed using Fused Deposition Modelling (FDM). Sens Int. 2022;3:100149. doi: 10.1016/j.sintl.2021.100149
  161. Ebrahimi M, Shaikh H, Rezvani Sichani H, et al. Additive manufacturing for Dentistry: A comprehensive review of techniques and applications. Prog Mater Sci. 2026;157:101613. doi: 10.1016/j.pmatsci.2025.101613
  162. Phillips L, Valavanis A, Burnett AD, Kay R, Harris R, Saleh E. Process and material constraints of additive manufacturing for fabrication of terahertz quasi-optical components. Appl Mater Today. 2025;42:102619. doi: 10.1016/j.apmt.2025.102619
  163. Meng Z, Han K, Huang X, et al. Micro/Nanoscale 3D Bioprinting: A Transformative Way to Modulate Cell/Tissue Growth and Function. Adv Mater. 2026;38(29):e15400. doi: 10.1002/adma.202515400
  164. Deng H, Wang Y, Cheng X, et al. Forming quality and mechanical properties of selective laser melted Ti6Al4V alloy with ultra-high scanning speed. Opt Laser Technol. 2025;186:112650. doi: 10.1016/j.optlastec.2025.112650
  165. Tan D, Li Y, Qi F, et al. Reduction in feature size of two-photon polymerization using SCR500. Appl Phys Lett. 2007;90(7):071106. doi: 10.1063/1.2535504
  166. Bahnick AJ, Dziewior CS, Li Y, et al. Controlled Transdermal Delivery of Dexamethasone for Pain Management via Photochemically 3D-Printed Bioresorbable Microneedle Arrays. Adv Healthc Mater. 2024;13(31):e2402113. doi: 10.1002/adhm.202402113
  167. Uddin MJ, Economidou SN, Guiraud L, Kazi M, Alanazi FK, Douroumis D. Monoclonal Antibody Delivery Using 3D Printed Biobased Hollow μNe3dle Arrays for the Treatment of Osteoporosis. Mol Pharm. 2024;21(9):4465-4475. doi: 10.1021/acs.molpharmaceut.4c00379
  168. Rajesh NU, Luna Hwang J, Xu Y, et al. 3D-Printed Latticed Microneedle Array Patches for Tunable and Versatile Intradermal Delivery. Adv Mater. 2024;36(44):e2404606. doi: 10.1002/adma.202404606
  169. Mo X, Meng K, Li Z, et al. An Integrated Microcurrent Delivery System Facilitates Human Parathyroid Hormone Delivery for Enhancing Osteoanabolic Effect. Small Methods. 2025;9(3):e2401144. doi: 10.1002/smtd.202401144
  170. Chen Z, Ye K, Wu H, Peng L, Chen Z. Thumb-sized 3D-Printed cymbal microneedle array (CyMA) for enhanced transdermal drug delivery. Eur J Pharm Biopharm. 2025;207:114629. doi: 10.1016/j.ejpb.2025.114629
  171. Zhou X, Liu H, Yu Z, et al. Direct 3D printing of triple-responsive nanocomposite hydrogel microneedles for controllable drug delivery. J Colloid Interface Sci. 2024;670:1-11. doi: 10.1016/j.jcis.2024.05.045
  172. Li B, Wu T, Liu B, et al. Digital light processing-printed personalized gelatin Methacryloyl/silk fibroin Methacryloyl hydrogel microneedles loaded with platelet-rich proteins for accelerated wound healing. Int J Biol Macromol. 2025;316(Pt 1):144693. doi: 10.1016/j.ijbiomac.2025.144693
  173. Zhao Y, Wu S, Cai Y, et al. Integration of finite element simulations with 3D printing technology for personalized Chitin/PLA microneedle-based drug delivery systems in thoracic keloid treatment. Int J Biol Macromol. 2025;315(Pt 2):144487. doi: 10.1016/j.ijbiomac.2025.144487
  174. Yang C, Zhao W, Zhang L, et al. Intradermal Delivery of Cell Vaccine via Ice Microneedles for Cancer Treatment. Adv Healthc Mater. 2025;14(1):e2400678. doi: 10.1002/adhm.202400678
  175. Aukland K, Nicolaysen G. Interstitial fluid volume: local regulatory mechanisms. Physiol Rev. 1981;61(3):556-643. doi: 10.1152/physrev.1981.61.3.556
  176. Liu WT, Cao YP, Zhou XH, Han D. Interstitial Fluid Behavior and Diseases. Adv Sci. 2022;9(6):e2100617. doi: 10.1002/advs.202100617
  177. Tovar-Garza A, Hinojosa JA, Hynan LS, Pandya AG. Noncultured epidermal suspension grafting using suction blisters as donor tissue for vitiligo. J Am Acad Dermatol. 2019;80(4):1152-1154. doi: 10.1016/j.jaad.2018.10.041
  178. Yuede CM, Cirrito JR, Johns S, Knie R. Targeting Substance P Pathway as an Emerging Novel Therapeutic Mechanism for Modulating Amyloid Beta in APP/PS1 Mouse Model. Alzheimers Dement. 2022;18(S10):e062335. doi: 10.1002/alz.062335
  179. Sieg A, Guy RH, Delgado-Charro MB. Electroosmosis in transdermal iontophoresis: implications for noninvasive and calibration-free glucose monitoring. Biophys J. 2004;87(5):3344-3350. doi: 10.1529/biophysj.104.044792
  180. Bodenlenz M, Tiffner KI, Raml R, et al. Open Flow Microperfusion as a Dermal Pharmacokinetic Approach to Evaluate Topical Bioequivalence. Clin Pharmacokinet. 2017;56(1):91-98. doi: 10.1007/s40262-016-0442-z
  181. Jiang X, Wilkirson EC, Bailey AO, Russell WK, Lillehoj PB. Microneedle-based sampling of dermal interstitial fluid using a vacuum-assisted skin patch. Cell Rep Phys Sci. 2024;5(6):101975. doi: 10.1016/j.xcrp.2024.101975
  182. Xie Y, He J, He W, et al. Enhanced Interstitial Fluid Extraction and Rapid Analysis via Vacuum Tube‐Integrated Microneedle Array Device. Adv Sci. 2024;11(21):e2308716. doi: 10.1002/advs.202308716
  183. Li G, Yu Y, Meng Z, Ai D, Li M, Wang Y. Bio-inspired microneedles with hierarchical microchannels for rapid interstitial fluid collection and analysis. Lab Chip. 2025;25(12):3016-3026. doi: 10.1039/d5lc00145e
  184. Zhang L, Song Q, Yang P, Liu Z. HAMA/GelMA-based hydrogel microneedle patch via DLP 3D bioprinting for high-efficiency ISF extraction. Int J Pharm. 2025;680:125800. doi: 10.1016/j.ijpharm.2025.125800
  185. Kavaldzhiev M, Perez JE, Ivanov Y, Bertoncini A, Liberale C, Kosel J. Biocompatible 3D printed magnetic micro needles. Biomed Phys Eng Express. 2017;3(2):025005. doi: 10.1088/2057-1976/aa5ccb
  186. Liang K, Leong C, Loh JM, et al. A 3D-printed transepidermal microprojection array for human skin microbiome sampling. Proc Natl Acad Sci USA. 2022;119(30):e2203556119. doi: 10.1073/pnas.2203556119
  187. Zhong G, Liu Q, Wang Q, Qiu H, Li H, Xu T. Fully integrated microneedle biosensor array for wearable multiplexed fitness biomarkers monitoring. Biosens Bioelectron. 2024;265:116697. doi: 10.1016/j.bios.2024.116697
  188. Wu Y, Tehrani F, Teymourian H, et al. Microneedle Aptamer-Based Sensors for Continuous, Real-Time Therapeutic Drug Monitoring. Anal Chem. 2022;94(23):8335-8345. doi: 10.1021/acs.analchem.2c00829
  189. Reynoso M, Chang AY, Wu Y, et al. 3D-printed, aptamer-based microneedle sensor arrays using magnetic placement on live rats for pharmacokinetic measurements in interstitial fluid. Biosens Bioelectron. 2024;244:115802. doi: 10.1016/j.bios.2023.115802
  190. Kadian S, Sahoo SS, Shukla S, Narayan RJ. Development of 3D-printed conducting microneedle-based electrochemical point-of-care device for transdermal sensing of chlorpromazine. J Mater Chem B. 2025;13(6):2114-2123. doi: 10.1039/d4tb01808g
  191. Ong KL, Stafford LK, McLaughlin SA, et al. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2023;402(10397):203-234. doi: 10.1016/S0140-6736(23)01301-6
  192. Longo RR, Joshi R. The Devil Is in the Details: Use, Limitations, and Implementation of Continuous Glucose Monitoring in the Inpatient Setting. Diabetes Spectr. 2022;35(4):405-419. doi: 10.2337/dsi22-0009
  193. Yang J, Gong X, Zheng Y, et al. Microneedle-based integrated pharmacokinetic and pharmacodynamic evaluation platform for personalized medicine. Nat Commun. 2025;16(1):6260. doi: 10.1038/s41467-025-61549-9
  194. Razzaghi M, Ninan JA, Azimzadeh M, et al. Remote-Controlled Sensing and Drug Delivery via 3D-Printed Hollow Microneedles. Adv Healthc Mater. 2024;13(23):e2400881. doi: 10.1002/adhm.202400881
  195. Wei Q, Rojas D, Wang Q, et al. Wearable 3D-Printed Microneedle Sensor for Intradermal Temperature Monitoring. ACS Sens. 2025;10(6):4027-4037. doi: 10.1021/acssensors.4c03681
  196. Zhang S, Jia W, Xu T, et al. High-sensitivity wearable sensor based on micro-needle structure design assisted by 3D printing. Chem Eng J. 2025;520:165966. doi: 10.1016/j.cej.2025.165966
  197. Barry Keenan D, Mastrototaro JJ, Weinzimer SA, Steil GM. Interstitial fluid glucose time-lag correction for real-time continuous glucose monitoring. Biomed Signal Process Control. 2013;8(1):81-89. doi: 10.1016/j.bspc.2012.05.007
  198. Wang Q, Molinero-Fernandez Á, Wei Q, et al. Intradermal Lactate Monitoring Based on a Microneedle Sensor Patch for Enhanced In Vivo Accuracy. ACS Sens. 2024;9(6):3115-3125. doi: 10.1021/acssensors.4c00337
  199. Wu Z, Xia F, Lin R. Global burden of cancer and associated risk factors in 204 countries and territories, 1980-2021: a systematic analysis for the GBD 2021. J Hematol Oncol. 2024;17(1):119. doi: 10.1186/s13045-024-01640-8
  200. Fan X, Zhang B, He Y, et al. Burden of Disease Due to Cancer - China, 2000-2019. China CDC Wkly. 2022;4(15):306-311. doi: 10.46234/ccdcw2022.036
  201. Joo SH, Kim J, Hong J, Fakhraei Lahiji S, Kim YH. Dissolvable Self-Locking Microneedle Patches Integrated with Immunomodulators for Cancer Immunotherapy. Adv Mater. 2023;35(10):e2209966. doi: 10.1002/adma.202209966
  202. Das R, Langou S, Le TT, Prasad P, Lin F, Nguyen TD. Electrical Stimulation for Immune Modulation in Cancer Treatments. Front Bioeng Biotechnol. 2021;9:795300. doi: 10.3389/fbioe.2021.795300
  203. Pan Y, Zhang Y, Shi X, et al. Electrical stimulation induces anti-tumor immunomodulation via a flexible microneedle-array-integrated interdigital electrode. Sci Bull. 2023;68(22):2779-2792. doi: 10.1016/j.scib.2023.10.004
  204. Xu R, Guo H, Chen X, et al. Smart hydrothermally responsive microneedle for topical tumor treatment. J Control Release. 2023;358:566-578. doi: 10.1016/j.jconrel.2023.05.008
  205. Yang C, Zhou A, Lin Y, et al. Stretchable and Microneedle-Integrated Electronic Patches with Actively Controlled Chemothermal Therapy for Cancer Treatment. Adv Funct Mater. 2025;35(39):2505261. doi: 10.1002/adfm.202505261
  206. Chen Y, Zhang X, Liu Z, et al. Obstruction of the formation of granulation tissue leads to delayed wound healing after scald burn injury in mice. Burns Trauma. 2021;9:tkab004. doi: 10.1093/burnst/tkab004
  207. Hu C, Liu B, Huang X, et al. Sea Cucumber-Inspired Microneedle Nerve Guidance Conduit for Synergistically Inhibiting Muscle Atrophy and Promoting Nerve Regeneration. ACS Nano. 2024;18(22):14427-14440. doi: 10.1021/acsnano.4c00794
  208. Li R, Yuan X, Zhang L, et al. 3D printing of microneedle arrays for hair regeneration in a controllable region. Mol Biomed. 2023;4(1):1. doi: 10.1186/s43556-022-00102-2
  209. Moon CH, Ko HG, Lee H, et al. Mesenchymal Stem Cell-Inspired Microneedle Platform for NIR-responsive Immunomodulation and Accelerated Chronic Wound Healing. Adv Mater. 2026;38(11):e14081. doi: 10.1002/adma.202514081
  210. Armstrong DG, Tan TW, Boulton AJM, Bus SA. Diabetic Foot Ulcers: A Review. JAMA. 2023;330(1):62-75. doi: 10.1001/jama.2023.10578
  211. Liu H, Nail A, Meng D, et al. 3D printed eutectogel dissolving microneedles patch loaded with chitosan-based nanoparticles for diabetic wound management. Int J Biol Macromol. 2025;307(Pt 2):142018. doi: 10.1016/j.ijbiomac.2025.142018
  212. Huang L, Yang S, Yu X, et al. Association of different cell types and inflammation in early acne vulgaris. Front Immunol. 2024;15:1275269. doi: 10.3389/fimmu.2024.1275269
  213. Park J, Kim J, Fakhraei Lahiji S, Kim YH. Dual-Phase Antibacterial and Anti-inflammatory Self-Locking Microarray Patches for the Effective Treatment of Acne Vulgaris. ACS Appl Mater Interfaces. 2025;17(32):45438-45447. doi: 10.1021/acsami.5c07718
  214. Akimbekov NS, Digel I, Yerezhepov AY, Shardarbek RS, Wu X, Zha J. Nutritional factors influencing microbiota-mediated colonization resistance of the oral cavity: A literature review. Front Nutr. 2022;9:1029324. doi: 10.3389/fnut.2022.1029324
  215. Qin J, Hu C, Ran X, et al. Bionic Microneedle Patch Inspired by Drosophila Tarsal Paws Boosts Healing in Bacterial Infectious Stomatitis. Adv Sci. 2025;12(35):e00432. doi: 10.1002/advs.202500432
  216. Genco RJ. Using antimicrobial agents to manage periodontal diseases. J Am Dent Assoc. 1991;122(9):30-38. doi: 10.14219/jada.archive.1991.0277
  217. Bascones-Martínez A, Figuero-Ruiz E. Periodontal diseases as bacterial infection. Med Oral Patol Oral Cir Bucal. 2004;17(3):e169-e174. doi: 10.4321/s1699-65852005000300002
  218. Imber JC, Kasaj A. Treatment of Gingival Recession: When and How? Int Dent J. 2021;71(3):178-187. doi: 10.1111/idj.12617
  219. He Y, He D, Ren S, Fan L, Wang L, Sun J. 3D-printed microneedles loaded with madecassoside for periodontal soft tissue regeneration. Int J Pharm. 2025;676:125569. doi: 10.1016/j.ijpharm.2025.125569
  220. Gazzaniga A, Foppoli A, Cerea M, et al. Towards 4D printing in pharmaceutics. Int J Pharm X. 2023;5:100171. doi: 10.1016/j.ijpx.2023.100171
  221. Yarali E, Mirzaali MJ, Ghalayaniesfahani A, Accardo A, Diaz-Payno PJ, Zadpoor AA. 4D Printing for Biomedical Applications. Adv Mater. 2024;36(31):e2402301. doi: 10.1002/adma.202402301
  222. Han D, Morde RS, Mariani S, et al. 4D Printing of a Bioinspired Microneedle Array with Backward-Facing Barbs for Enhanced Tissue Adhesion. Adv Funct Mater. 2020;30(11):1909197. doi: 10.1002/adfm.201909197
  223. Che QT, Seo JW, Charoensri K, Nguyen MH, Park HJ, Bae H. 4D-printed microneedles from dual-sensitive chitosan for non-transdermal drug delivery. Int J Biol Macromol. 2024;261(Pt 2):129638. doi: 10.1016/j.ijbiomac.2024.129638
  224. Wang H, Fu T, Du Y, et al. Scientific discovery in the age of artificial intelligence. Nature. 2023;620(7972):47-60. doi: 10.1038/s41586-023-06221-2
  225. Greener JG, Kandathil SM, Moffat L, Jones DT. A guide to machine learning for biologists. Nat Rev Mol Cell Biol. 2022;23(1):40-55. doi: 10.1038/s41580-021-00407-0
  226. Choi RY, Coyner AS, Kalpathy-Cramer J, Chiang MF, Campbell JP. Introduction to Machine Learning, Neural Networks, and Deep Learning. Transl Vis Sci Technol. 2020;9(2):14. doi: 10.1167/tvst.9.2.14
  227. Alzubaidi L, Zhang J, Humaidi AJ, et al. Review of deep learning: concepts, CNN architectures, challenges, applications, future directions. J Big Data. 2021;8(1):53. doi: 10.1186/s40537-021-00444-8
  228. Zhang Z, Zhou X, Fang Y, Xiong Z, Zhang T. AI-driven 3D bioprinting for regenerative medicine: From bench to bedside. Bioact Mater. 2025;45:201-230. doi: 10.1016/j.bioactmat.2024.11.021
  229. Bagde A, Dev S, Madhavi KSL, et al. Biphasic burst and sustained transdermal delivery in vivo using an AI-optimized 3D-printed MN patch. Int J Pharm. 2023;636:122647. doi: 10.1016/j.ijpharm.2023.122647
  230. Kadian S, Sahoo SS, Kumari P, Shukla S, Narayan RJ. Minimally invasive detection of buprenorphine using a carbon-coated 3D-printed microneedle array. Mikrochim Acta. 2024;191(11):672. doi: 10.1007/s00604-024-06754-x
  231. Xie Y, Li K, Liu J, et al. A smart lab on a wearable microneedle patch with convolutional neural network-enhanced colorimetry for early warning of syndrome of inappropriate antidiuretic hormone secretion. Aggregate. 2025;6(2):e671. doi: 10.1002/agt2.671
  232. Lee H, Kim MJ, Kim D, et al. AI–Guided 4D Printing of Carnivorous Plants–Inspired Microneedles for Accelerated Wound Healing. Adv Mater. 2026;38(39):e23665. doi: 10.1002/adma.202523665
  233. Martin KD, Zimmermann J. Artificial intelligence and its implications for data privacy. Curr Opin Psychol. 2024;58:101829. doi: 10.1016/j.copsyc.2024.101829
  234. Nensa F, Demircioglu A, Rischpler C. Artificial Intelligence in Nuclear Medicine. J Nucl Med. 2019;60(Suppl 2):29S-37S. doi: 10.2967/jnumed.118.220590
  235. Mello MM, Guha N. Understanding Liability Risk from Using Health Care Artificial Intelligence Tools. N Engl J Med. 2024;390(3):271-278. doi: 10.1056/NEJMhle2308901
  236. Omuro A, DeAngelis LM. Glioblastoma and other malignant gliomas: a clinical review. JAMA. 2013;310(17):1842-1850. doi: 10.1001/jama.2013.280319
  237. Tise S, Ashlyn C, Casey C, Audrey A, Yevgeniya I, Juli JU. Role of epithelial-mesenchymal transition factor SNAI1 and its targets in ovarian cancer aggressiveness. J Cancer Metastasis Treat. 2023;9:25. doi: 10.20517/2394-4722.2023.34
  238. Yunan N, Kurt AS, Anne C. Mechanisms of immunotherapy resistance in small cell lung cancer. Cancer Drug Resist. 2024;7:55. doi: 10.20517/cdr.2024.154
  239. Zhang Y, Fang Z, Liu Z, et al. Implantable Microneedle-Mediated Eradication of Postoperative Tumor Foci Mitigates Glioblastoma Relapse. Adv Mater. 2024;36(40):e2409857. doi: 10.1002/adma.202409857
  240. Gong Y, Liu Z, Zhou P, Li J, Miao YB. Biomimetic nanocarriers harnessing microbial metabolites usher the path for brain disease therapy. Nano TransMed. 2023;2(4):100020. doi: 10.1016/j.ntm.2023.100020
  241. Elemike EE, Onunkwo IC, Ughumiakpor O, et al. Bio-nanomaterials: Promising anticancer properties and treatment strategies. Nano TransMed. 2025;4:100076. doi: 10.1016/j.ntm.2025.100076
  242. Zhang L, Liu H, Guo L, et al. Improving the transdermal delivery of vitamin C by 3D-printed microneedle particles for alleviating skin photodamage. Int J Bioprint. 2024;10(1):1285. doi: 10.36922/ijb.1285
  243. van der Meer AD, Poot AA, Duits MH, Feijen J, Vermes I. Microfluidic technology in vascular research. J Biomed Biotechnol. 2009;2009(1):823148. doi: 10.1155/2009/823148
  244. Coates IA, Driskill MM, Rajesh NU, et al. Free-Form Microfluidic Microneedle Array Patches. Adv Funct Mater. 2025;35(52):e14879. doi: 10.1002/adfm.202514879
  245. Fu X, Gu J, Ma M, et al. Unique benefits and challenges of 3D-printed microneedles. Int J Bioprint. 2024;10(4):1896. doi: 10.36922/ijb.1896
  246. Alvarez-Lorenzo C, Pérez-Mañanes R, Vallet-Regí M. Clinical maturity of 3D printing and bioprinting technologies: A systematic analysis of clinical trials across medical applications. Int J Bioprint. 2026;12(4):026190175. doi: 10.36922/ijb026190175
  247. Rathore AS, Winkle H. Quality by design for biopharmaceuticals. Nat Biotechnol. 2009;27(1):26-34. doi: 10.1038/nbt0109-26
  248. Chew SWT, Shah AH, Zheng M, et al. A self-adhesive microneedle patch with drug loading capability through swelling effect. Bioeng Transl Med. 2020;5(2):e10157. doi: 10.1002/btm2.10157
  249. Xu X, Awad A, Robles-Martinez P, Gaisford S, Goyanes A, Basit AW. Vat photopolymerization 3D printing for advanced drug delivery and medical device applications. J Control Release. 2021;329:743-757. doi: 10.1016/j.jconrel.2020.10.008
  250. Wang J, Zhang Y, Aghda NH, et al. Emerging 3D printing technologies for drug delivery devices: Current status and future perspective. Adv Drug Deliv Rev. 2021;174:294-316. doi: 10.1016/j.addr.2021.04.019
  251. Tang J, Sang Z, Zhang X, et al. Impacts of residual 3D printing metal powders on immunological response and bone regeneration: an in vivo study. J Mater Sci Mater Med. 2023;34(6):29. doi: 10.1007/s10856-023-06727-1
  252. Harrington RE, Guda T, Lambert B, Martin J. Sterilization and Disinfection of Biomaterials for Medical Devices. In: Biomaterials Science. 4th ed. Amsterdam, Netherlands: Elsevier; 2020:1431-1446. doi: 10.1016/b978-0-12-816137-1.00091-x
  253. Iqbal Z, Moses W, Kim S, Kim EJ, Fissell WH, Roy S. Sterilization effects on ultrathin film polymer coatings for silicon-based implantable medical devices. J Biomed Mater Res B Appl Biomater. 2018;106(6):2327-2336. doi: 10.1002/jbm.b.34039
  254. Phillip E Jr, Murthy NS, Bolikal D, et al. Ethylene oxide's role as a reactive agent during sterilization: effects of polymer composition and device architecture. J Biomed Mater Res B Appl Biomater. 2013;101B(4):532-540. doi: 10.1002/jbm.b.32853
  255. Moore E, Cortese YJ, Colbert DM. A Review of Sterilization Methods and Their Commercial Impacts on Polysaccharide-Based Biomaterials. Macromol. 2025;5(4):45. doi: 10.3390/macromol5040045
  256. Pohan G, Mattiassi S, Yao Y, et al. Effect of Ethylene Oxide Sterilization on Polyvinyl Alcohol Hydrogel Compared with Gamma Radiation. Tissue Eng Part A. 2020;26(19-20):1077-1090. doi: 10.1089/ten.TEA.2020.0002
  257. Yuan H, Liu W, Fu Y, Wu J, Chen S, Wang X. Clinical Applicable Carboxymethyl Chitosan with Gel-Forming and Stabilizing Properties Based on Terminal Sterilization Methods of Electron Beam Irradiation. ACS Omega. 2024;9(16):18599-18607. doi: 10.1021/acsomega.4c01299
  258. McCrudden MTC, Alkilani AZ, Courtenay AJ, et al. Considerations in the sterile manufacture of polymeric microneedle arrays. Drug Deliv Transl Res. 2015;5(1):3-14. doi: 10.1007/s13346-014-0211-1
  259. Şener Raman T, Kuehnert M, Daikos O, et al. A study on the material properties of novel PEGDA/gelatin hybrid hydrogels polymerized by electron beam irradiation. Front Chem. 2022;10:1094981. doi: 10.3389/fchem.2022.1094981
  260. Ozsel H, Ceylan A, Erdoğan OC, Aldemir Dikici B. Effect of Sterilization and Disinfection Methods on the Physicochemical, Mechanical, and Biological Properties of Highly Porous Thermoset Polycaprolactone-Based Scaffolds. ACS Omega. 2026;11(12):19880-19893. doi: 10.1021/acsomega.6c00912
  261. Carballo-Pedrares N, Giménez VMM, Alonso MJ. Clinical translation of injectable hydrogels: from bioactive polymers to long-acting drug delivery systems. Drug Deliv Transl Res. 2026;16(6):1685-1708. doi: 10.1007/s13346-025-02033-1
  262. Yin S, Yu Z, Song N, et al. A long lifetime and highly sensitive wearable microneedle sensor for the continuous real-time monitoring of glucose in interstitial fluid. Biosens Bioelectron. 2024;244:115822. doi: 10.1016/j.bios.2023.115822
  263. Li P, Faulkner A. 3D Bioprinting Regulations: a UK/EU Perspective. Eur J Risk Regul. 2017;8(2):441-447. doi: 10.1017/err.2017.19
  264. Correia A, Agostinho Cordeiro M, Mendes M, Marques Ribeiro M, Mascarenhas-Melo F, Vitorino C. Additive manufacturing of microneedles: a quality by design approach to clinical translation. Int J Pharm. 2026;687:126399. doi: 10.1016/j.ijpharm.2025.126399
  265. Hossain N, Chowdhury MA, Shuvho MBA, Kashem MA, Kchaou M. 3D-Printed Objects for Multipurpose Applications. J Mater Eng Perform. 2021;30(7):4756-4767. doi: 10.1007/s11665-021-05664-w
  266. Yuan X, Wang Z, Che L, et al. Recent developments and challenges of 3D bioprinting technologies. Int J Bioprint. 2024;10(2):1752. doi: 10.36922/ijb.1752
Share
Back to top
International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing