Microbubbles
(MBs) are widely used as contrast enhancement agents
for ultrasound imaging and have the potential to enhance therapeutic
delivery to diseases such as cancer. Yet, they are only stable in
solution for a few hours to days after production, which limits their
potential application. Freeze-drying provides long-term storage, ease
of transport, and consistency in structure and composition, thereby
facilitating their use in clinical settings. Therapeutic microbubbles
(thMBs) consisting of MBs with attached therapeutic payload potentially
face even greater issues for production, stability, and well-defined
drug delivery. The ability to freeze-dry thMBs represents an important
step for their translation to the clinic. Here, we show that it is
possible to freeze-dry and reconstitute thMBs that consist of lipid-coated
MBs with an attached liposomal payload. The thMBs were produced microfluidically,
and the liposomes contained either calcein, as a model drug, or gemcitabine.
The results show that drug-loaded thMBs can be freeze-dried and stored
for at least 6 months. Upon reconstitution, they maintain their structural
integrity and drug loading. Furthermore, we show that their in vivo echogenicity is maintained post-freeze-drying. Depending
on the gas used in the original bubbles, we also demonstrate that
the approach provides a method to exchange the gas core to allow the
formulation of thMBs with different gases for combination therapies
or improved drug efficacy. Importantly, this work provides an important
route for the facile off-site production of thMBs that can be reformulated
at the point of care.