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Kim TY, De R, Choi I, Kim H, Hahn SK. Multifunctional nanomaterials for smart wearable diabetic healthcare devices. Biomaterials 2024; 310:122630. [PMID: 38815456 DOI: 10.1016/j.biomaterials.2024.122630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 05/19/2024] [Indexed: 06/01/2024]
Abstract
Wearable diabetic healthcare devices have attracted great attention for real-time continuous glucose monitoring (CGM) using biofluids such as tears, sweat, saliva, and interstitial fluid via noninvasive ways. In response to the escalating global demand for CGM, these devices enable proactive management and intervention of diabetic patients with incorporated drug delivery systems (DDSs). In this context, multifunctional nanomaterials can trigger the development of innovative sensing and management platforms to facilitate real-time selective glucose monitoring with remarkable sensitivity, on-demand drug delivery, and wireless power and data transmission. The seamless integration into wearable devices ensures patient's compliance. This comprehensive review evaluates the multifaceted roles of these materials in wearable diabetic healthcare devices, comparing their glucose sensing capabilities with conventionally available glucometers and CGM devices, and finally outlines the merits, limitations, and prospects of these devices. This review would serve as a valuable resource, elucidating the intricate functions of nanomaterials for the successful development of advanced wearable devices in diabetes management.
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Affiliation(s)
- Tae Yeon Kim
- Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), 77 Cheongam-ro, Nam-gu, Pohang, Gyeongbuk, 37673, South Korea
| | - Ranjit De
- Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), 77 Cheongam-ro, Nam-gu, Pohang, Gyeongbuk, 37673, South Korea
| | - Inhoo Choi
- Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), 77 Cheongam-ro, Nam-gu, Pohang, Gyeongbuk, 37673, South Korea
| | - Hyemin Kim
- Department of Cosmetics Engineering, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul, 05029, South Korea.
| | - Sei Kwang Hahn
- Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), 77 Cheongam-ro, Nam-gu, Pohang, Gyeongbuk, 37673, South Korea.
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Shams Es-haghi S, Weiss RA. Fabrication of Tough Double-Network Hydrogels from Highly Cross-Linked Brittle Neutral Networks Using Alkaline Hydrolysis. Gels 2023; 10:29. [PMID: 38247751 PMCID: PMC10815074 DOI: 10.3390/gels10010029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 12/21/2023] [Accepted: 12/25/2023] [Indexed: 01/23/2024] Open
Abstract
This paper describes a simple method to synthesize tough hydrogels from a highly cross-linked neutral network. It was found that applying alkaline hydrolysis to a highly cross-linked hydrogel synthesized from acrylamide (AAm) can increase its swelling ratio dramatically. Double-network (DN) hydrogels synthesized from polymerization of loosely cross-linked AAm networks inside a highly cross-linked AAm gel were not tough. However, repeating the same recipes with a second polymerization step to synthesize a DN hydrogel from a hydrolyzed highly cross-linked AAm gel resulted in tough hydrogels. Those gels exhibited finite tensile behavior similar to that of conventional DN hydrogels. Moreover, craze-like patterns were observed during tensile loading of a DN hydrogel synthesized from a hydrolyzed highly cross-linked first network and a loosely cross-linked second network. The patterns remained in the gel even after strain hardening at high stretch ratios. The craze-like pattern formation was suppressed by increasing the concentration of cross-linking monomer in the second polymerization step. Crack propagation in DN hydrogels synthesized using hydrolysis was also studied by applying a tensile load on notched specimens.
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Affiliation(s)
- S. Shams Es-haghi
- Advanced Structures and Composites Center, The University of Maine, 35 Flagstaff Road, Orono, ME 04469-5793, USA
- Department of Chemical and Biomedical Engineering, The University of Maine, 5737 Jenness Hall, Orono, ME 04469-5737, USA
- Department of Mechanical Engineering, The University of Maine, 75 Long Road, Orono, ME 04469-5744, USA
| | - R. A. Weiss
- Department of Chemical and Biomolecular Engineering, University of Connecticut, 25 King Hill Rd Unit 3136, Storrs, CT 06268-1702, USA
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Ioniță M, Vlăsceanu GM, Toader AG, Manole M. Advances in Therapeutic Contact Lenses for the Management of Different Ocular Conditions. J Pers Med 2023; 13:1571. [PMID: 38003886 PMCID: PMC10672201 DOI: 10.3390/jpm13111571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/21/2023] [Accepted: 10/23/2023] [Indexed: 11/26/2023] Open
Abstract
In the advent of an increasingly aging population and due to the popularity of electronic devices, ocular conditions have become more prevalent. In the world of medicine, accomplishing eye medication administration has always been a difficult task. Despite the fact that there are many commercial eye drops, most of them have important limitations, due to quick clearance mechanisms and ocular barrers. One solution with tremendous potential is the contact lens used as a medication delivery vehicle to bypass this constraint. Therapeutic contact lenses for ocular medication delivery have attracted a lot of attention because they have the potential to improve ocular bioavailability and patient compliance, both with minimal side effects. However, it is essential not to compromise essential features such as water content, optical transparency, and modulus to attain positive in vitro and in vivo outcomes with respect to a sustained drug delivery profile from impregnated contact lenses. Aside from difficulties like drug stability and burst release, the changing of lens physico-chemical features caused by therapeutic or non-therapeutic components can limit the commercialization potential of pharmaceutical-loaded lenses. Research has progressed towards bioinspired techniques and smart materials, to improve the efficacy of drug-eluting contact lenses. The bioinspired method uses polymeric materials, and a specialized molecule-recognition technique called molecular imprinting or a stimuli-responsive system to improve biocompatibility and support the drug delivery efficacy of drug-eluting contact lenses. This review encompasses strategies of material design, lens manufacturing and drug impregnation under the current auspices of ophthalmic therapies and projects an outlook onto future opportunities in the field of eye condition management by means of an active principle-eluting contact lens.
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Affiliation(s)
- Mariana Ioniță
- Faculty of Medical Engineering, University Politehnica of Bucharest, 011061 Bucharest, Romania;
- Advanced Polymer Materials Group, University Politehnica of Bucharest, 011061 Bucharest, Romania
- ebio-Hub Research Centre, University Politehnica of Bucharest-Campus, 061344 Bucharest, Romania
| | - George Mihail Vlăsceanu
- Faculty of Medical Engineering, University Politehnica of Bucharest, 011061 Bucharest, Romania;
- Advanced Polymer Materials Group, University Politehnica of Bucharest, 011061 Bucharest, Romania
| | - Alin Georgian Toader
- Faculty of Medical Engineering, University Politehnica of Bucharest, 011061 Bucharest, Romania;
| | - Marius Manole
- Department of Prosthetics and Dental Materials, Faculty of Dentistry, University of Medicine and Pharmacy "Iuliu Hatieganu", 400012 Cluj-Napoca, Romania
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Ji J, Tao Y, Pang Y. Editorial: Ocular drug delivery - Challenges, opportunities, and developments. Adv Drug Deliv Rev 2023; 202:115113. [PMID: 37827337 DOI: 10.1016/j.addr.2023.115113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Affiliation(s)
- Jian Ji
- MOE Key Laboratory of Macromolecule Synthesis and Functionalization of Ministry of Education, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, PR China.
| | - Yong Tao
- Department of Ophthalmology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, PR China.
| | - Yan Pang
- Department of Ophthalmology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, PR China.
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Kazanskiy NL, Khonina SN, Butt MA. Smart Contact Lenses-A Step towards Non-Invasive Continuous Eye Health Monitoring. BIOSENSORS 2023; 13:933. [PMID: 37887126 PMCID: PMC10605521 DOI: 10.3390/bios13100933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/10/2023] [Accepted: 10/17/2023] [Indexed: 10/28/2023]
Abstract
According to the age-old adage, while eyes are often considered the gateway to the soul, they might also provide insights into a more pragmatic aspect of our health: blood sugar levels. This potential breakthrough could be realized through the development of smart contact lenses (SCLs). Although contact lenses were first developed for eyesight correction, new uses have recently become available. In the near future, it might be possible to monitor a variety of ocular and systemic disorders using contact lens sensors. Within the realm of glaucoma, SCLs present a novel prospect, offering a potentially superior avenue compared to traditional management techniques. These lenses introduce the possibility of non-invasive and continuous monitoring of intraocular pressure (IOP) while also enabling the personalized administration of medication as and when needed. This convergence holds great promise for advancing glaucoma care. In this review, recent developments in SCLs, including their potential applications, such as IOP and glucose monitoring, are briefly discussed.
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Affiliation(s)
- Nikolay L. Kazanskiy
- Samara National Research University, 443086 Samara, Russia
- IPSI RAS-Branch of the FSRC “Crystallography and Photonics” RAS, 443001 Samara, Russia
| | - Svetlana N. Khonina
- Samara National Research University, 443086 Samara, Russia
- IPSI RAS-Branch of the FSRC “Crystallography and Photonics” RAS, 443001 Samara, Russia
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Kaur S, Sohnen P, Swamynathan S, Du Y, Espana EM, Swamynathan SK. Molecular nature of ocular surface barrier function, diseases that affect it, and its relevance for ocular drug delivery. Ocul Surf 2023; 30:3-13. [PMID: 37543173 PMCID: PMC10837323 DOI: 10.1016/j.jtos.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/07/2023]
Abstract
The structural and functional integrity of the ocular surface, a continuous epithelial structure comprised of the cornea, the conjunctiva, and the ductal surface of the lacrimal as well as meibomian glands, is crucial for proper vision. The ocular surface barrier function (OSBF), sum of the different types of protective mechanisms that exist at the ocular surface, is essential to protect the rest of the eye from vision-threatening physical, chemical, and biological insults. OSBF helps maintain the immune privileged nature of the cornea and the aqueous humor by preventing entry of infectious agents, allergens, and noxious chemicals. Disruption of OSBF exposes the dense nerve endings of the cornea to these stimuli, resulting in discomfort and pain. This review summarizes the status of our knowledge related to the molecular nature of OSBF, describes the effect of different ocular surface disorders on OSBF, and examines the relevance of this knowledge for ocular drug delivery.
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Affiliation(s)
- Satinder Kaur
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA
| | - Peri Sohnen
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA
| | - Sudha Swamynathan
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA
| | - Yiqin Du
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA
| | - Edgar M Espana
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA
| | - Shivalingappa K Swamynathan
- Department of Ophthalmology, Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Room 2114, Tampa, FL 33612. USA.
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