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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mol. Biosci.</journal-id>
<journal-title>Frontiers in Molecular Biosciences</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mol. Biosci.</abbrev-journal-title>
<issn pub-type="epub">2296-889X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">677547</article-id>
<article-id pub-id-type="doi">10.3389/fmolb.2021.677547</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Molecular Biosciences</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Microfluidic Synthesis of Indomethacin-Loaded PLGA Microparticles Optimized by Machine Learning</article-title>
<alt-title alt-title-type="left-running-head">Damiati and Damiati</alt-title>
<alt-title alt-title-type="right-running-head">Experimental and Computational Microfluidic Synthesis of PLGA-MPs</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Damiati</surname>
<given-names>Safa A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1346776/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Damiati</surname>
<given-names>Samar</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/963987/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>Department of Pharmaceutics, Faculty of Pharmacy, King Abdulaziz University, <addr-line>Jeddah</addr-line>, <country>Saudi Arabia</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Department of Biochemistry, Faculty of Science, King Abdulaziz University, <addr-line>Jeddah</addr-line>, <country>Saudi Arabia</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>Division of Nanobiotechnology, Department of Protein Science, Science for Life Laboratory, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, <addr-line>Stockholm</addr-line>, <country>Sweden</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/184989/overview">Mahendra Pratap Kashyap</ext-link>, University of Alabama at Birmingham, United&#x20;States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1304672/overview">Abeda Jamadar</ext-link>, University of Kansas Medical Center, United&#x20;States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/965181/overview">Concetta Di Natale</ext-link>, University of Naples Federico II, Italy</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Samar Damiati, <email>samar.damiati@scilifelab.se</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Molecular Diagnostics and Therapeutics, a section of the journal Frontiers in Molecular Biosciences</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>8</volume>
<elocation-id>677547</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>03</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>06</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Damiati and Damiati.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Damiati and Damiati</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Several attempts have been made to encapsulate indomethacin (IND), to control its sustained release and reduce its side effects. To develop a successful formulation, drug release from a polymeric matrix and subsequent biodegradation need to be achieved. In this study, we focus on combining microfluidic and artificial intelligence (AI) technologies, alongside using biomaterials, to generate drug-loaded polymeric microparticles (MPs). Our strategy is based on using Poly (D,L-lactide-co-glycolide) (PLGA) as a biodegradable polymer for the generation of a controlled drug delivery vehicle, with IND as an example of a poorly soluble drug, a 3D flow focusing microfluidic chip as a simple device synthesis particle, and machine learning using artificial neural networks (ANNs) as an in&#x20;silico tool to generate and predict size-tunable PLGA MPs. The influence of different polymer concentrations and the flow rates of dispersed and continuous phases on PLGA droplet size prediction in a microfluidic platform were assessed. Subsequently, the developed ANN model was utilized as a quick guide to generate PLGA MPs at a desired size. After conditions optimization, IND-loaded PLGA MPs were produced, and showed larger droplet sizes than blank MPs. Further, the proposed microfluidic system is capable of producing monodisperse particles with a well-controllable shape and size. IND-loaded-PLGA MPs exhibited acceptable drug loading and encapsulation efficiency (7.79 and 62.35%, respectively) and showed sustained release, reaching approximately 80% within 9&#xa0;days. Hence, combining modern technologies of machine learning and microfluidics with biomaterials can be applied to many pharmaceutical applications, as a quick, low cost, and reproducible strategy.</p>
</abstract>
<kwd-group>
<kwd>microfluidics</kwd>
<kwd>machine learning</kwd>
<kwd>polymeric particles</kwd>
<kwd>PLGA</kwd>
<kwd>pharmaceutics</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Indomethacin (IND) is a non-steroidal anti-inflammatory drug (NSAID), used as an analgesic and anti-pyretic. IND is a poorly water soluble drug (&#x223c;3&#xa0;&#x3bc;g/ml), is light sensitive, crystalline, poorly water soluble, and has a moderate half-life of 4&#x2013;5&#xa0;h (<xref ref-type="bibr" rid="B21">Song et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B30">Ziltener et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B18">NCBI 2021</xref>). Besides its ability to relieve inflammation and pain, clinical evidence has reported on the role of IND alone or combined with chemotherapy in preventing cancers, such as stomach, colorectal and prostate cancer (<xref ref-type="bibr" rid="B10">Hull et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B3">Chiou et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B13">Liu et&#x20;al., 2019</xref>). However, the limited utilization of IND is attributed to its ability to cause gastrointestinal ulceration and haemorrhage (<xref ref-type="bibr" rid="B11">Kang et&#x20;al., 2008</xref>). Hence, attempts have been made to generate controlled release carriers of IND to reduce its adverse effects, improve its solubility, and increase its bioavailability. Encapsulation of IND within a polymeric matrix would allow its slow release in a controlled manner into the gastrointestinal tract, and decrease the doses required because of the sustained release of the loaded drug (<xref ref-type="bibr" rid="B27">Vilos and Velasquez 2012</xref>; <xref ref-type="bibr" rid="B20">Shams et&#x20;al., 2017</xref>).</p>
<p>Drug delivery vehicles based on biodegradable and biocompatible polymers are widely used, and several examples have already been approved by the FDA, such as leuprolide (Lupron Depot) and triptorelin (Trelstar) (<xref ref-type="bibr" rid="B29">Xing et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B23">Sung and Kim 2020</xref>). Poly (D, L-lactide-co-glycolide) (PLGA) is the most versatile polymer used as a matrix material for many biopharmaceutical applications. PLGA particles can be loaded with proteins, siRNA, and many drugs (<xref ref-type="bibr" rid="B28">Xie and Smith 2010</xref>). Furthermore, these particles are effective via various delivery routes, including intramuscular injection, inhalation, and oral (<xref ref-type="bibr" rid="B28">Xie and Smith 2010</xref>; <xref ref-type="bibr" rid="B29">Xing et&#x20;al., 2019</xref>). Particle size and particle size distribution are significant factors influencing particle performance. Particles of a small size and narrow size distribution offer high stability and improve the shelf-life of the final particles. Many techniques are already in use to synthesize drug-loaded particles, but some traditional methods suffer from various limitations, such as production of polydisperse polymeric particles. Microfluidics has offered an effective alternative to traditional methods to fabricate polymeric microparticles. Nowadays, microfluidics is an effective tool to generate microparticles with high monodispersity, precisely tunable structures, and excellent encapsulation efficiency (<xref ref-type="bibr" rid="B7">Damiati et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B8">Dashtimoghadam et&#x20;al., 2020</xref>). Microfluidic chips are either lab-made or commercial products made of glass, polymers, or polydimethylsiloxane (PDMS), and consist of rectangular microchannels in different dimensions that are constructed by lithography (<xref ref-type="bibr" rid="B7">Damiati et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B9">Dewandre et&#x20;al., 2020</xref>). Still, microfluidics is not without its own limitations, such as the need for extensive laboratory optimization. Hence, combining recent technologies of microfluidics and artificial intelligence (AI) offers a promising method of fabrication of monodisperse particles with well-controlled properties. Machine learning is an AI technique whereby computers can adjust their actions (e.g., making predictions). In addition, artificial neural networks (ANNs) are commonly used machine learning techniques used in pharmaceutics because of their powerful ability to model nonlinear relationships (<xref ref-type="bibr" rid="B5">Damiati et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B17">Mendyk et&#x20;al., 2020</xref>). A typical ANN structure consists of input, hidden, and output layers. Through iterative representation of examples, ANN learning occurs (<xref ref-type="bibr" rid="B4">Damiati 2020</xref>). ANN has been utilized for predication of particle sizes generated by microfluidics (<xref ref-type="bibr" rid="B6">Damiati et&#x20;al., 2020</xref>).</p>
<p>Here, we present microfluidic generation of IND-loaded PLGA droplets based on a flow focusing technology in a rapid manner. We developed an in&#x20;silico model using ANNs to predict the size of blank PLGA droplets generated by a 3D flow focusing microfluidic chip. After conditions optimization, the obtained results were employed to generate IND-loaded PLGA droplets. The chosen system was based on generation of droplets of an acceptable small size, sufficient quantity, and narrow size distribution. Finally, generated IND-loaded PLGA microparticles resulting from the droplets drying were characterized for their physicochemical characteristics, drug encapsulation efficiency, drug loading, and drug release profiles.</p>
</sec>
<sec id="s2">
<title>Experimental Section</title>
<sec id="s2-1">
<title>Materials</title>
<p>A hydrophilic 3D flow focusing microfluidic glass chip with 100&#xa0;&#x3bc;m channels (3,200,433) was purchased from Dolomite Microfluidics (United&#x20;Kingdom) and used to create blank or IND-loaded PLGA droplets. Indomethacin, PLGA (lactide:glycolide 50:50), polyvinyl acetate (PVA) (MW 9,000&#x2013;10,000, 80% hydrolyzed), and Dichloromethane (DCM) were supplied by Sigma Aldrich (United&#x20;Kingdom). To monitor droplets generation, a digital microscope (Dolomite, United&#x20;Kingdom) was used. Fluids were injected and controlled into the microfluidic device by a flow control system (Fluigent, France).</p>
</sec>
<sec id="s2-2">
<title>PLGA Droplet/Microparticle Preparation</title>
<p>Blank and IND-loaded PLGA MPs were manufactured with a 3D flow focusing microfluidic device. Initially, to generate blank PLGA droplets, different PLGA solutions were prepared at different concentrations (1, 2, 5% w/w). For each solution, an appropriate amount of PLGA was dissolved in DCM with continuous mechanical stirring to completely dissolve the polymer. To prepare droplets, 1% w/v PVA was used as an aqueous continuous phase and injected separately into two microfluidic inlets, whereas PLGA in DCM was the dispersed phase and injected into the central inlet. To evaluate the impact of different microfluidic production parameters, continuous and dispersed phases were injected at different flow rates. After optimizing the droplet generation conditions, IND-loaded PLGA droplets were prepared similarly to the blank ones, except the dispersed phase was DCM containing 2% PLGA and 0.5% IND. The generated droplets were collected in PVA aqueous solution to prevent droplet coalescence. Evaporation of DCM and generation of MPs were done using a rotary evaporator under reduced pressure at RT. Solidified blank or IND-loaded PLGA MPs were collected by centrifugation at 1,500&#xa0;rpm for 5&#xa0;min, and rinsed with deionized water to remove excess&#x20;PVA.</p>
</sec>
<sec id="s2-3">
<title>In Silico Prediction of PLGA Droplet Size</title>
<p>The multilayer perceptron (MLP) ANN was employed using Statistica, version 13.3 software (<xref ref-type="bibr" rid="B24">TIBCO Sofware Inc, 2017</xref>). The ANN model was trained using the experimental data for the generation of blank PLGA droplets. A neural network consisting of an input, hidden, and output layer, with 3-6-1 neurons, respectively, was found to be adequate for predicting PLGA droplet size. The parameters chosen as inputs for the ANN were simple, including PLGA concentration and the flow rates of both PLGA and aqueous phases. The output layer consisted of the measured PLGA droplet sizes. All input features are continuous and were normalized to the range 0&#x2013;1. Learning parameters were varied to optimize training performance and prediction accuracy. Tanh and Identity were used as the hidden and the output activation functions, respectively. The total dataset consisted of 23 cases, which has been further divided into &#x223c;60, 20, and 20% for the training, test, and validation sets (<xref ref-type="table" rid="T1">Table&#x20;1</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>ANN training, test, and validation datasets.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Case no</th>
<th align="center">PLGA conc. (%)</th>
<th align="center">Flow rate PLGA (&#xb5;L/min)</th>
<th align="center">Flow rate PVA aq. Phase (&#xb5;L/min)</th>
<th align="center">Droplet size (&#xb5;m)&#x20;&#xb1; SD<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</th>
<th align="center">Dataset</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">1</td>
<td align="char" char=".">1</td>
<td align="char" char=".">3.70</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">72.21&#x20;&#xb1; 0.8</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">2</td>
<td align="char" char=".">1</td>
<td align="char" char=".">4.90</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">77.68&#x20;&#xb1; 0.8</td>
<td align="left">Validation</td>
</tr>
<tr>
<td align="left">3</td>
<td align="char" char=".">1</td>
<td align="char" char=".">6.10</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">81.79&#x20;&#xb1; 1.3</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">4</td>
<td align="char" char=".">1</td>
<td align="char" char=".">7.40</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">92.21&#x20;&#xb1; 1.1</td>
<td align="left">Test</td>
</tr>
<tr>
<td align="left">5</td>
<td align="char" char=".">1</td>
<td align="char" char=".">8.60</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">97.44&#x20;&#xb1; 1.5</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">6</td>
<td align="char" char=".">1</td>
<td align="char" char=".">11.01</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">101.67&#x20;&#xb1; 0.9</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">7</td>
<td align="char" char=".">1</td>
<td align="char" char=".">12.40</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">103.87&#x20;&#xb1; 0.8</td>
<td align="left">Validation</td>
</tr>
<tr>
<td align="left">8</td>
<td align="char" char=".">1</td>
<td align="char" char=".">13.80</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">108.76&#x20;&#xb1; 1.8</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">9</td>
<td align="char" char=".">1</td>
<td align="char" char=".">4.90</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">13.18&#x20;&#xb1; 0.5</td>
<td align="left">Test</td>
</tr>
<tr>
<td align="left">10</td>
<td align="char" char=".">1</td>
<td align="char" char=".">11.01</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">78.42&#x20;&#xb1; 0.9</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">11</td>
<td align="char" char=".">1</td>
<td align="char" char=".">14.70</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">99.29&#x20;&#xb1; 0.9</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">12</td>
<td align="char" char=".">2</td>
<td align="char" char=".">2.50</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">37.63&#x20;&#xb1; 0.6</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">13</td>
<td align="char" char=".">2</td>
<td align="char" char=".">3.70</td>
<td align="char" char=".">9.20</td>
<td align="char" char="plusmn">38.82&#x20;&#xb1; 0.5</td>
<td align="left">Validation</td>
</tr>
<tr>
<td align="left">14</td>
<td align="char" char=".">2</td>
<td align="char" char=".">4.90</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">12.89&#x20;&#xb1; 0.4</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">15</td>
<td align="char" char=".">2</td>
<td align="char" char=".">7.40</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">56.52&#x20;&#xb1; 0.8</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">16</td>
<td align="char" char=".">2</td>
<td align="char" char=".">11.01</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">87.11&#x20;&#xb1; 0.7</td>
<td align="left">Test</td>
</tr>
<tr>
<td align="left">17</td>
<td align="char" char=".">2</td>
<td align="char" char=".">14.70</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">93.74&#x20;&#xb1; 0.6</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">18</td>
<td align="char" char=".">2</td>
<td align="char" char=".">19.64</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">92.99&#x20;&#xb1; 1.3</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">19</td>
<td align="char" char=".">5</td>
<td align="char" char=".">3.70</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">16.35&#x20;&#xb1; 0.8</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">20</td>
<td align="char" char=".">5</td>
<td align="char" char=".">7.40</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">50.15&#x20;&#xb1; 0.8</td>
<td align="left">Training</td>
</tr>
<tr>
<td align="left">21</td>
<td align="char" char=".">5</td>
<td align="char" char=".">11.01</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">73.59&#x20;&#xb1; 0.7</td>
<td align="left">Test</td>
</tr>
<tr>
<td align="left">22</td>
<td align="char" char=".">5</td>
<td align="char" char=".">14.70</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">81.79&#x20;&#xb1; 1.4</td>
<td align="left">Validation</td>
</tr>
<tr>
<td align="left">23</td>
<td align="char" char=".">5</td>
<td align="char" char=".">19.64</td>
<td align="char" char=".">18.40</td>
<td align="char" char="plusmn">97.14&#x20;&#xb1; 1.3</td>
<td align="left">Train training</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>a</label>
<p>Droplet size averages were measured by using ImageJ.&#x20;For each sample, the mean size was calculated based on the measurements of 15 randomly chosen droplets.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-4">
<title>Characterization</title>
<p>Droplet/particle size distribution and morphology was examined using microscopic image analysis. The average particle size and size distribution were analyzed using ImageJ Software Version1.52a (NIH, US). Distribution is expressed as the polydispersity index (PDI), and was calculated with the following formula:<disp-formula id="equ1">
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<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
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<mml:mi>d</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>t</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>d</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xa0;</mml:mo>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
<p>A low PDI value indicates a narrow size distribution (monodisperse particles), while a high PDI value indicates a wide size distribution (polydisperse particles). The size distribution is reflected narrow for a PDI value &#x3c;&#x20;5%.</p>
</sec>
<sec id="s2-5">
<title>Determination of IND Content in the PLGA MPs</title>
<p>The IND loading was determined by dissolving 10&#xa0;mg IND-loaded PLGA MPs in DMSO, and then diluting with PBS (pH 7.4). The drug content of the MPs was quantified by measuring the UV absorbance at 320&#xa0;nm, and then the results were compared to a standard curve of known concentrations of IND (<xref ref-type="sec" rid="s8">Supplementary Figure S1</xref>). Drug loading (DL%) and encapsulation efficiency (EE%) were calculated using the following formulas:<disp-formula id="equ2">
<mml:math id="m2">
<mml:mrow>
<mml:mi>D</mml:mi>
<mml:mi>L</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mo>%</mml:mo>
<mml:mo>&#x3d;</mml:mo>
<mml:mo>&#xa0;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>mass&#xa0;of&#xa0;drug&#xa0;in&#xa0;MPs</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>s</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>M</mml:mi>
<mml:mi>P</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xa0;</mml:mo>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ3">
<mml:math id="m3">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mi>E</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mo>%</mml:mo>
<mml:mo>&#x3d;</mml:mo>
<mml:mo>&#xa0;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>mass&#xa0;of&#xa0;drug&#xa0;in&#xa0;MPs</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>s</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>d</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xa0;</mml:mo>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
</sec>
<sec id="s2-6">
<title>
<italic>In Vitro</italic> Drug Release Study</title>
<p>UV spectroscopy was used to monitor the stability of the produced MPs, in terms of IND release. The release behavior of 10&#xa0;mg IND-loaded PLGA MPs was determined by dialysis against 10&#xa0;ml PBS (pH 7.4) at 37&#xb0;C, with continuous agitation. At predetermined time intervals, 100&#xa0;&#x3bc;L of PBS was withdrawn and replaced with the same amount of fresh PBS to maintain the dissolution medium at a constant volume. The amount of released IND was determined by UV spectrophotometry.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<sec id="s3-1">
<title>Optimization of the Process Parameters for the Generation of Blank PLGA Droplets in the Microfluidic Chip</title>
<p>Generation of monodisperse particles is a challenging task that arises the impact of particle sizes on the drug release kinetics. Thus, microfluidic devices are attracting more attention due to their ability to control the physical properties of generated particles, including size, dispersity, and shape. In the current study, highly uniform PLGA droplets, either blank or loaded with IND, were synthesized using a 3D flowfocusing microfluidic chip. <xref ref-type="fig" rid="F1">Figure&#x20;1</xref> shows the process of generation and solidification of PLGA droplets with or without IND, monitored by optical microscopy at different time intervals. Initially, prior to drug loading, engineering of blank PLGA droplets was investigated both experimentally and computationally to assess the effect of PLGA concentration and microfluidic flow rates of the continuous and disperse phases on generation of monodisperse droplets with a low PDI&#x20;value.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>
<bold>(A)</bold> Illustration of the experimental procedure of monodisperse PLGA droplet generation at the orifice of the flow-focusing region of the microfluidic chip. <bold>(B)</bold> Optical microscopic images showing, from left to right: (i) PLGA droplets before, (ii,iii) during, (iv) and after DMC evaporation, resulting in generation of PLGA MPs.</p>
</caption>
<graphic xlink:href="fmolb-08-677547-g001.tif"/>
</fig>
<sec id="s3-1-1">
<title>PLGA Concentration</title>
<p>The generated PLGA droplets with polymer 50:50 and a 3D flow focusing chip showed a reduction in particle size with increasing PLGA concentration, which may be attributed to changing the viscosity of the solution (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>). At 1% PLGA, the generated droplet sizes ranged from 13 to 108&#x20;&#xb5;m, depending on input flow rates. Increasing PLGA concentrations to 2&#x2013;5% led to a size reduction of approximately 13&#x2013;93 and 16&#x2013;97&#x20;&#xb5;m, respectively. However, a high concentration of PLGA solution has high viscosity and high interfacial tension, which makes breaking of the flow of the dispersed phase to generate droplets harder (<xref ref-type="bibr" rid="B12">Kim et&#x20;al., 2013</xref>). Further, <xref ref-type="bibr" rid="B19">Roces et&#x20;al. (2020)</xref> showed that generation of nanoparticles using PLGA 50:50 has the smallest particle sizes among other PLGA ratios (75:25 and 85:15).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>The experimental optimization of PLGA droplet size generated by the 3D flow focusing microfluidic chip. (<bold>A)</bold> Size dependence of droplets at different PLGA concentrations (1, 2, and 5% w/v). (<bold>B)</bold> Size dependence of droplets at different relative flow rates of the disperse phase (Q<sub>D</sub>) for the PLGA solution and continuous phase (Q<sub>C</sub>) for 1% v/v PVA. Droplet size was measured by ImageJ.</p>
</caption>
<graphic xlink:href="fmolb-08-677547-g002.tif"/>
</fig>
</sec>
<sec id="s3-1-2">
<title>Flow Rates of Disperse and Continuous Phases</title>
<p>Generation of PLGA droplets was tuned by changing the flow rates of the disperse and continuous phases at different PLGA concentrations. The relationship between the size of PLGA droplets and ratio between the two phases is shown in <xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>. Above or under the tested ranges, almost no droplets were produced and either single phase or co-laminar flow was observed. Among all generated droplets, the mean of the smallest PLGA droplets was 12.89&#x20;&#xb1; 0.4&#xa0;&#xb5;m, with a standard deviation of 0.4, generated by using 2% PLGA at flow rates &#x223c;5 and &#x223c;20&#xa0;&#xb5;L/min for the disperse phase and for the continuous phase, respectively. In contrast, the largest particles (108.76&#x20;&#xb1; 1.8&#xa0;&#xb5;m) were generated using 1% PLGA concentration at flow rates &#x223c;14 and &#x223c;9&#xa0;&#xb5;L/min for the disperse phase and for the continuous phase, respectively. However, a high flow rate of the continuous phase led to limitations in the quantity of the generated particles.</p>
</sec>
</sec>
<sec id="s3-2">
<title>In Silico ANN Model for Prediction of Blank PLGA Droplet Size</title>
<p>Machine learning is a popular AI technique. ANNs, in particular, are commonly used machine learning technique used in pharmaceutical applications because of its powerful ability to model nonlinear relationships (<xref ref-type="bibr" rid="B4">Damiati, 2020</xref>). In our study, experimental data from the generation of blank PLGA droplet sizes were used as the target output to train an ANN, with input data furnished by the corresponding PLGA concentration, and PLGA and PVA flow rates (<xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>). The developed ANN offered highly accurate predictions of PLGA droplet sizes with residuals randomly scattered in the range &#xb1;5&#xa0;&#xb5;m (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>). The correlation of the observed and predicted droplet size data of the whole dataset was high (<italic>r</italic>
<sup>2</sup> &#x3d; 0.990). The correlations of the predicted and observed droplet size of the training, test and validation datasets were 0.992, 0.997, and 0.990, respectively. The sensitivity analysis results of the trained ANN model provided key information on the relative importance of the input parameters in defining droplet sizes. By this means, it turned out that the order of importance of the input parameters was: PLGA flow rate &#x3e; aqueous phase flow rate &#x3e; PLGA concentration. Hence, the obtained data from the in&#x20;silico and experimental protocol for PLGA MPs synthesis can be used further to generate drug-loaded particles at a desired size by easy, quick, and economical&#x20;means.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>
<bold>(A)</bold> Correlation between observed and predicted PLGA droplet diameter generated using a 3D flow focusing droplet chip. <bold>(B)</bold> Plots of residuals for regression of predicted vs. observed PLGA droplet sizes using the ANN&#x20;model.</p>
</caption>
<graphic xlink:href="fmolb-08-677547-g003.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Loading of IND as a Model Drug Into PLGA MPs</title>
<p>Synthesis of IND-loaded PLGA droplets were fabricated utilizing the same 3D flow-focusing system described above for blank droplets. On the basis of the obtained results from prediction and experimental generation of the blank PLGA droplets, we chose a concentration of 2% (w/v) PLGA and flow rates of 3.7 and 9.2&#xa0;&#xb5;L/min for the disperse and continuous phases, respectively, as optimal conditions to generate size-tunable IND-loaded droplets. The chosen conditions were able to generate blank PLGA droplets at the size of 38.82&#x20;&#xb1; 0.5&#xa0;&#xb5;m, and IND-loaded PLGA droplets at size of 45.35&#x20;&#xb1; 0.4&#xa0;&#xb5;m (<xref ref-type="fig" rid="F4">Figure&#x20;4</xref>). However, generation of IND-loaded PLGA droplets was not affected by adding IND to the disperse phase, but significantly increased droplet size by around 16.82%. Upon DMC evaporation, the droplets were solidified and shrunk by 30 and 45% for the initial blank and loaded PLGA diameters, respectively. Slow evaporation of the organic solvent from droplets resulted in complete annealing of the polymer which improves particle stability and leads to slower degradation rates (<xref ref-type="bibr" rid="B1">Allison 2008</xref>). Converting droplets to particles led to a significant increase in the PDI values, but still all formulations were monodisperse with low PDI values (&#x3c;5%). A narrow size distribution confirms generation of a homogeneous droplet/particle size population.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Physicochemical characteristics (size (bars) and PDI (diamonds)) and microscopic images of blank and IND-loaded PLGA MPs generated by the 3D microfluidic chip. The results are represented by the mean&#x20;&#xb1; SD of three independent measurements.</p>
</caption>
<graphic xlink:href="fmolb-08-677547-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Drug Loading (DL %) and Encapsulation Efficiency (EE %)</title>
<p>DL and EE are two parameters considered crucial parameters to assess the properties of drug-loaded MPs and drug cumulative release profiles. Generated IND-loaded MPs with an average size of 45.35&#xa0;&#xb5;m showed an IND loading content of 7.79%, while the EE% was 62.35%. A possible explanation for these results is that IND-loaded PLGA droplets have a relatively small size, which means a high surface:volume ratio. Before solidification and formation of IND-loaded PLGA MPs, loos of the drug occurs at the droplet surface, and leaking to the external aqueous phase leads to a low DL%. Once the polymer droplets solidify, IND is entrapped in the PLGA matrix and this stops drug loss. Similar results were obtained by <xref ref-type="bibr" rid="B2">Chen et&#x20;al. (2017)</xref> for Gefitinib-loaded PLGA microspheres with different size-fractions. In general, high EE reflects the affinity between IND and PLGA, and the hydrophobic nature of IND which increases its encapsulation into polymer particles (<xref ref-type="bibr" rid="B25">Tomoda et&#x20;al., 2012</xref>). However, an improved DL% can be achieved by increasing the initial drug loading, but this may increase particle size, whereas increasing EE% can be achieved by lowering the polymer concentration within the formulation (<xref ref-type="bibr" rid="B19">Roces et&#x20;al., 2020</xref>). Furthermore, when the solubility parameters of the drug and polymer are close, it increases compatibility between them and cause loading of more of the drug. Here, the solubility parameters of PLGA and IND are 28 and 24&#xa0;MPa, respectively, which enhances drug loading into the PLGA MPs (<xref ref-type="bibr" rid="B14">Liu et&#x20;al., 2005</xref>).</p>
</sec>
<sec id="s3-5">
<title>
<italic>In Vitro</italic> IND Release Study</title>
<p>The release behavior of IND from PLGA MPs was evaluated in an experimental environment of PBS at pH 7.4 and at 37&#xb0;C. The time dependence of the percentage of cumulative drug release from the IND-loaded PLGA MPs is shown in <xref ref-type="fig" rid="F5">Figure&#x20;5</xref>. The drug release pattern followed biphasic drug release kinetics. The initial burst phase was up to 36% within 6&#xa0;h, followed by accumulative release of &#x3e;80% after 9&#xa0;days. The delayed release may be attributed to slow diffusion of IND entrapped within the core of PLGA MPs into the dissolution medium.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Kinetic release profile of <italic>in&#x20;vitro</italic> cumulative indomethacin from PLGA MPs over nine days in the experimental environment (PBS pH 7.4, 37&#xb0;C) using a dialysis system. The released IND was monitored by the UV-Vis spectroscopic method (<italic>n</italic>&#x20;&#x3d; 3).</p>
</caption>
<graphic xlink:href="fmolb-08-677547-g005.tif"/>
</fig>
<p>The composition of a polymer governs the hydrophilicity and rate of degradation of a polymeric carrier system. Increasing the glycolic acid percentage in the oligomers accelerates the weight loss of a polymer. Compared to PLGA 75:25, PLGA 50:50 has a faster degradation that may be attributed to higher hydrophilicity and preferential degradation of the glycolic acid proportion. Moreover, PLGA 50:50 is more amorphous in nature (<xref ref-type="bibr" rid="B16">Makadia and Siegel, 2011</xref>; <xref ref-type="bibr" rid="B26">Tsai et&#x20;al., 2013</xref>). All these factors may contribute to faster drug release from PLGA 50:50 particles. However, the loading amount of a drug is significantly influenced by the cumulative release profile. After a large initial burst, a high loading amount leads to a slow and pseudo-linear release. When more drug is distributed near the surface area of the MPs, a higher initial release and faster release rate are achieved. In contrast, a low drug-loading amount follows a gradual increase in release as a function of time (<xref ref-type="bibr" rid="B15">Liu et&#x20;al., 2006</xref>). However, controlling the drug release rate from biodegradable polymers occurs via numerous mechanisms. In the case of the matrix structure, drug release depends on desorption of the surface-adsorbed drug, diffusion of the drug through a polymeric matrix, polymer matrix erosion, and a combination of erosion and diffusion processes (<xref ref-type="bibr" rid="B22">Soppimath et&#x20;al., 2001</xref>).</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>This study proposes a successful strategy to generate monodisperse drug-loaded MPs using modern technologies. Microfluidic technology provides manipulation and precise control of PLGA MPs, while machine learning predicts their size, which is a key factor for particle stability. The obtained results showed that microfluidic and AI control parameters, including polymer concentrations and flow rates of dispersed and aqueous phases, can be adopted for generation of well-defined polymeric particles. Our proposed strategy is efficient, rapid, and can be used as a guide to generate polymeric MPs at a desired size, which can be further used to encapsulate drugs with poor aqueous solubility and high toxicity. The produced IND-loaded PLGA MPs exhibited uniformed sizes and morphology, narrow particle size distribution, good encapsulation efficiency, and sustained release behavior. Such a platform could be useful for drug encapsulation into polymeric particles, thus providing a promising drug delivery system for clinical applications. Hence, merging advanced technologies such as microfluidics and machine learning can significantly support developing and modifying new therapeutic agents while reducing the technical difficulties that may act as obstacles in pharmaceutical research. It offers a quick, low cost, and reproducible strategy. However, further <italic>in vivo</italic> investigations are needed in future.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s8">Supplementary Material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>SAD and SD conceived and designed the experiments. SAD developed the machine learning (ANN) model. SD performed the experimental works. SAD and SD wrote the manuscript.</p>
</sec>
<sec sec-type="COI-statement" id="s7">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s8" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s9">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmolb.2021.677547/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmolb.2021.677547/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image1.PNG" id="SM1" mimetype="application/PNG" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Allison</surname>
<given-names>S. D.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>Analysis of Initial Burst in PLGA Microparticles</article-title>. <source>Expert Opin. Drug Deliv.</source> <volume>5</volume>, <fpage>615</fpage>&#x2013;<lpage>628</lpage>. <pub-id pub-id-type="doi">10.1517/17425247.5.6.615</pub-id> </citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Palazzo</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Hennink</surname>
<given-names>W. E.</given-names>
</name>
<name>
<surname>Kok</surname>
<given-names>R. J.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Effect of Particle Size on Drug Loading and Release Kinetics of Gefitinib-Loaded PLGA Microspheres</article-title>. <source>Mol. Pharmaceutics</source>. <volume>14</volume> (<issue>2</issue>), <fpage>459</fpage>&#x2013;<lpage>467</lpage>. <pub-id pub-id-type="doi">10.1021/acs.molpharmaceut.6b00896</pub-id> </citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chiou</surname>
<given-names>S.-K.</given-names>
</name>
<name>
<surname>Hoa</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Hodges</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ge</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Jadus</surname>
<given-names>M. R.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Indomethacin Promotes Apoptosis in Gastric Cancer Cells through Concomitant Degradation of Survivin and Aurora B Kinase Proteins</article-title>. <source>Apoptosis</source>. <volume>19</volume> (<issue>9</issue>), <fpage>1378</fpage>&#x2013;<lpage>1388</lpage>. <pub-id pub-id-type="doi">10.1007/s10495-014-1002-3</pub-id> </citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Damiati</surname>
<given-names>S. A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Digital Pharmaceutical Sciences</article-title>. <source>AAPS PharmSciTech</source>. <volume>21</volume>, <fpage>206</fpage>. <pub-id pub-id-type="doi">10.1208/s12249-020-01747-4</pub-id> </citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Damiati</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Martini</surname>
<given-names>L. G.</given-names>
</name>
<name>
<surname>Smith</surname>
<given-names>N. W.</given-names>
</name>
<name>
<surname>Lawrence</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Barlow</surname>
<given-names>D. J.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Application of Machine Learning in Prediction of Hydrotrope-Enhanced Solubilisation of Indomethacin</article-title>. <source>Int. J.&#x20;Pharmaceutics</source>. <volume>530</volume> (<issue>1&#x2013;2</issue>), <fpage>99</fpage>&#x2013;<lpage>106</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijpharm.2017.07.048</pub-id> </citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Damiati</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Rossi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Joensson</surname>
<given-names>H. N.</given-names>
</name>
<name>
<surname>Damiati</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Artificial Intelligence Application for Rapid Fabrication of Size-Tunable PLGA Microparticles in Microfluidics</article-title>. <source>Sci. Rep.</source> <volume>10</volume>, <fpage>19517</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-020-76477-5</pub-id> </citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Damiati</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Kompella</surname>
<given-names>U.</given-names>
</name>
<name>
<surname>Damiati</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Kodzius</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Microfluidic Devices for Drug Delivery Systems and Drug Screening</article-title>. <source>Genes</source>. <volume>9</volume>, <fpage>103</fpage>. <pub-id pub-id-type="doi">10.3390/genes9020103</pub-id> </citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dashtimoghadam</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Fahimipour</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Tongas</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Tayebi</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Microfluidic Fabrication of Microcarriers with Sequential Delivery of VEGF and BMP-2 for Bone Regeneration</article-title>. <source>Sci. Rep.</source> <volume>10</volume>, <fpage>11764</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-020-68221-w</pub-id> </citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dewandre</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Rivero-Rodriguez</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Vitry</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Sobac</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Scheid</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Microfluidic Droplet Generation Based on Non-embedded Co-flow-focusing Using 3D Printed Nozzle</article-title>. <source>Sci. Rep.</source> <volume>10</volume>, <fpage>21616</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-020-77836-y</pub-id> </citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hull</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Gardner</surname>
<given-names>S. H.</given-names>
</name>
<name>
<surname>Hawcroft</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Activity of the Non-steroidal Anti-inflammatory Drug Indomethacin against Colorectal Cancer</article-title>. <source>Cancer Treat. Rev.</source> <volume>29</volume>, <fpage>309</fpage>&#x2013;<lpage>320</lpage>. <pub-id pub-id-type="doi">10.1016/s0305-7372(03)00014-8</pub-id> </citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Yin</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Yao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2008</year>). <article-title>Preparation, Characterization and <italic>In Vitro</italic> Cytotoxicity of Indomethacin-Loaded PLLA/PLGA Microparticles Using Supercritical CO2 Technique</article-title>. <source>Eur. J.&#x20;Pharm Biopharm</source> <volume>70</volume> (<issue>1</issue>), <fpage>85</fpage>&#x2013;<lpage>97</lpage>. <pub-id pub-id-type="doi">10.1016/j.ejpb.2008.03.011</pub-id> </citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>H.-G.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>K.-M.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y. H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>S. H.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>G. M.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Preparation of Monodisperse ENX-Loaded PLGA Microspheres Using a Microfluidic Flow-Focusing Device</article-title>. <source>J.&#x20;Biobased Mat Bioenergy</source>. <volume>7</volume> (<issue>1</issue>), <fpage>108</fpage>&#x2013;<lpage>114</lpage>. <pub-id pub-id-type="doi">10.1166/jbmb.2013.1263</pub-id> </citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>J.&#x20;C.</given-names>
</name>
<name>
<surname>Armstrong</surname>
<given-names>C. M.</given-names>
</name>
<name>
<surname>Lou</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Qiu</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>AKR1C3 Promotes AR-V7 Protein Stabilization and Confers Resistance to AR-Targeted Therapies in Advanced Prostate Cancer</article-title>. <source>Mol. Cancer Ther.</source> <volume>18</volume> (<issue>10</issue>), <fpage>1875</fpage>&#x2013;<lpage>1886</lpage>. <pub-id pub-id-type="doi">10.1158/1535-7163.mct-18-1322</pub-id> </citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Finn</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Yates</surname>
<given-names>M. Z.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Encapsulation and Sustained Release of a Model Drug, Indomethacin, Using CO2-Based Microencapsulation</article-title>. <source>Langmuir</source>. <volume>21</volume>, <fpage>379</fpage>&#x2013;<lpage>385</lpage>. <pub-id pub-id-type="doi">10.1021/la047934b</pub-id> </citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>S.-S.</given-names>
</name>
<name>
<surname>Wan</surname>
<given-names>Y.-H.</given-names>
</name>
<name>
<surname>Ma</surname>
<given-names>G.-H.</given-names>
</name>
<name>
<surname>Su</surname>
<given-names>Z.-G.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Preparation of Insulin-Loaded PLA/PLGA Microcapsules by a Novel Membrane Emulsification Method and its Release <italic>In Vitro</italic>
</article-title>. <source>Colloids Surf. B: Biointerfaces</source>. <volume>51</volume> (<issue>1</issue>), <fpage>30</fpage>&#x2013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1016/j.colsurfb.2006.05.014</pub-id> </citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Makadia</surname>
<given-names>H. K.</given-names>
</name>
<name>
<surname>Siegel</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Poly Lactic-Co-Glycolic Acid (PLGA) as Biodegradable Controlled Drug Delivery Carrier</article-title>. <source>Polymers</source>. <volume>3</volume> (<issue>3</issue>), <fpage>1377</fpage>&#x2013;<lpage>1397</lpage>. <pub-id pub-id-type="doi">10.3390/polym3031377</pub-id> </citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mendyk</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Pac&#x142;awski</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Szafraniec-Szcz&#x119;sny</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Antosik</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Jamroz</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Paluch</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Data-Driven Modeling of the Bicalutamide Dissolution from Powder Systems</article-title>. <source>AAPS PharmSciTech</source>. <volume>21</volume>, <fpage>111</fpage>. <pub-id pub-id-type="doi">10.1208/s12249-020-01660-w</pub-id> </citation>
</ref>
<ref id="B18">
<citation citation-type="book">
<collab>National Center for Biotechnology Information</collab> (<year>2021</year>). <source>PubChem Compound Summary for CID 3715, Indomethacin</source>. <comment>
<ext-link ext-link-type="uri" xlink:href="https://pubchem.ncbi.nlm.nih.gov/compound/Indomethacin">https://pubchem.ncbi.nlm.nih.gov/compound/Indomethacin</ext-link> (Accessed Feb. 18, 2021)</comment>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roces</surname>
<given-names>C. B.</given-names>
</name>
<name>
<surname>Christensen</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Perrie</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Translating the Fabrication of Protein-Loaded Poly(lactic-Co-Glycolic Acid) Nanoparticles from Bench to Scale-independent Production Using Microfluidics</article-title>. <source>Drug Deliv. Transl. Res<italic>.</italic>
</source> <volume>10</volume>, <fpage>582</fpage>&#x2013;<lpage>593</lpage>. <pub-id pub-id-type="doi">10.1007/s13346-019-00699-y</pub-id> </citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shams</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Parhizkar</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Illangakoon</surname>
<given-names>U. E.</given-names>
</name>
<name>
<surname>Orlu</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Edirisinghe</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Core/shell Microencapsulation of Indomethacin/paracetamol by Co-axial Electrohydrodynamic Atomization</article-title>. <source>Mater. Des.</source> <volume>136</volume>, <fpage>204</fpage>&#x2013;<lpage>213</lpage>. <pub-id pub-id-type="doi">10.1016/j.matdes.2017.09.052</pub-id> </citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname>
<given-names>K. H.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>C.-H.</given-names>
</name>
<name>
<surname>Lim</surname>
<given-names>J.&#x20;S.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>Y.-W.</given-names>
</name>
</person-group> (<year>2002</year>). <article-title>Preparation of L-PLA Submicron Particles by a Continuous Supercritical Antisolvent Precipitation Process</article-title>. <source>Korean J.&#x20;Chem. Eng.</source> <volume>19</volume>, <fpage>139</fpage>&#x2013;<lpage>145</lpage>. <pub-id pub-id-type="doi">10.1007/bf02706887</pub-id> </citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soppimath</surname>
<given-names>K. S.</given-names>
</name>
<name>
<surname>Aminabhavi</surname>
<given-names>T. M.</given-names>
</name>
<name>
<surname>Kulkarni</surname>
<given-names>A. R.</given-names>
</name>
<name>
<surname>Rudzinski</surname>
<given-names>W. E.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Biodegradable Polymeric Nanoparticles as Drug Delivery Devices</article-title>. <source>J.&#x20;Control Release</source>. <volume>70</volume>, <fpage>1</fpage>&#x2013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1016/s0168-3659(00)00339-4</pub-id> </citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sung</surname>
<given-names>Y. K.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>S. W.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Recent Advances in Polymeric Drug Delivery Systems</article-title>. <source>Biomater. Res.</source> <volume>24</volume>, <fpage>12</fpage>. <pub-id pub-id-type="doi">10.1186/s40824-020-00190-7</pub-id> </citation>
</ref>
<ref id="B24">
<citation citation-type="book">
<collab>TIBCO Sofware Inc</collab> (<year>2017</year>). <source>Statistica (Data Analysis Sofware System)</source>. <comment>version 13.</comment>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tomoda</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Terashima</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Suzuki</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Inagi</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Terada</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Makino</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Enhanced Transdermal Delivery of Indomethacin Using Combination of PLGA Nanoparticles and Iontophoresis <italic>In Vivo</italic>
</article-title>. <source>Colloids Surf. B: Biointerfaces</source>. <volume>92</volume>, <fpage>50</fpage>&#x2013;<lpage>54</lpage>. <pub-id pub-id-type="doi">10.1016/j.colsurfb.2011.11.016</pub-id> </citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tsai</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Wientjes</surname>
<given-names>M. G.</given-names>
</name>
<name>
<surname>Au</surname>
<given-names>J.&#x20;L.-S.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Paclitaxel-loaded Polymeric Microparticles: Quantitative Relationships between <italic>In Vitro</italic> Drug Release Rate and <italic>In Vivo</italic> Pharmacodynamics</article-title>. <source>J.&#x20;Control Release</source>. <volume>172</volume> (<issue>3</issue>), <fpage>737</fpage>&#x2013;<lpage>744</lpage>. <pub-id pub-id-type="doi">10.1016/j.jconrel.2013.09.011</pub-id> </citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vilos</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Velasquez</surname>
<given-names>L. A.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Therapeutic Strategies Based on Polymeric Microparticles</article-title>. <source>J.&#x20;Biomed. Biotechnol.</source> <volume>2012</volume>, <fpage>672760</fpage>. <pub-id pub-id-type="doi">10.1155/2012/672760</pub-id> </citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xie</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Smith</surname>
<given-names>J.&#x20;W.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Fabrication of PLGA Nanoparticles with a Fluidic Nanoprecipitation System</article-title>. <source>J.&#x20;Nanobiotechnology</source>. <volume>8</volume>, <fpage>18</fpage>. <pub-id pub-id-type="doi">10.1186/1477-3155-8-18</pub-id> </citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xing</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>T.-J.</given-names>
</name>
<name>
<surname>Fan</surname>
<given-names>Y.-T.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>Y.-j.</given-names>
</name>
<name>
<surname>Pang</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Cho</surname>
<given-names>K.-H.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Efficient Mucosal Immunization by Mucoadhesive and pH-Sensitive Polymeric Vaccine Delivery System</article-title>. <source>Macromol. Res.</source> <volume>27</volume>, <fpage>215</fpage>&#x2013;<lpage>226</lpage>. <pub-id pub-id-type="doi">10.1007/s13233-019-7042-3</pub-id> </citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ziltener</surname>
<given-names>J.-L.</given-names>
</name>
<name>
<surname>Leal</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Fournier</surname>
<given-names>P.-E.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Non-steroidal Anti-inflammatory Drugs for Athletes: an Update</article-title>. <source>Ann. Phys. Rehabil. Med.</source> <volume>53</volume>, <fpage>278</fpage>&#x2013;<lpage>288</lpage>. <pub-id pub-id-type="doi">10.1016/j.rehab.2010.03.001</pub-id> </citation>
</ref>
</ref-list>
</back>
</article>