Direct decoration of commercial cotton fabrics by binary nickel-cobalt metal-organic frameworks for flexible glucose sensing in next-generation wearable sensors

Wearable textile sensors for continuous glucose monitoring

Diabetes and cardiovascular disease are interlinked chronic conditions that necessitate continuous and precise monitoring of physiological and environmental parameters to prevent complications. Non-invasive monitoring technologies have garnered significant interest due to their potential to alleviate the current burden of diabetes and cardiovascular disease management. However, these technologies face limitations in accuracy and reliability due to interferences from physiological and environmental factors. This review investigates electronic textiles (e-textiles) that integrate biomedical sensors into wearable fabrics that can enable a multimodal platform for non-invasive continuous glucose monitoring (CGM). Current advancements in e-textiles show the potential of four key methods for glucose monitoring: optical, biochemical, biomechanical, and thermal sensing techniques. Biochemical sensing through sweat-based glucose detection has demonstrated potential for accurate and non-invasive monitoring but still faces numerous challenges. While optical, biomechanical and thermal sensing are less explored in e-textiles, they offer additional physiological and environmental insights that can improve the precision of glucose readings by providing cross-validation of data. This review proposes that integrating multiple sensing modalities into a single multimodal e-textile wearable can address the accuracy and reliability challenges by providing cross-validation of data. The development of such multimodal e-textiles has the potential to revolutionise diabetes and cardiovascular disease management by providing continuous, accurate, and holistic monitoring in real-time, which could significantly improve patient outcomes and quality of life. Further research and development are crucial to fully realise the potential of these integrated systems in clinical and everyday settings.

Engineering hybrid CuS/Co3S4 nanocages by ion reutilization for highly sensitive glucose sensing platforms

Constructing hybrid hollow nano-electrocatalysts with various transition metal sulfides (TMSs) is highly desirable for sensitive enzyme-free glucose monitoring, but limited research has been conducted due to the constraints of current demanding synthesis technologies. In this study, we integrated CuS and Co3S4 as hybrid nanocages (h-NCs) by advanced synthetic strategies, including coordinated etching and precipitation (CEP) and template ion reutilization. The resulting CuS/Co3S4 h-NCs induced good synergistic effect in electrocatalytic activities, glucose adsorption, and electrical conductivity, as validated by the density functional theory (DFT) calculations. When employed as glucose sensing platforms, electrodes incorporating CuS/Co3S4 h-NCs demonstrated high-performance sensing characteristics, with excellent sensitivities up to 2731.8 μA mM-1 cm2, wide linear range of 0.001-5.6 mM, low detection limit (90 nM), and ideal stability. Moreover, CuS/Co3S4 h-NCs were promising to analyze glucose in human serum with good recoveries ranging from 92.4 % to 96.7 %. These findings underscore the benefits of integrating different TMSs to create hybrid hollow nanomaterials, which optimize glucose sensing platforms and expand the design of high-performance electrocatalysts.

Ga@MXene-based flexible wearable biosensor for glucose monitoring in sweat

Most wearable biosensors struggle to balance flexibility and conductivity in their sensing interfaces. In this study, we propose a wearable sensor featuring a highly stretchable, three-dimensional conductive network structure based on liquid metal. The sensor interface utilizes a patterned Ga@MXene hydrogel system, where gallium (Ga) grafted onto MXene provides enhanced electrical conductivity and malleability. MXene provides excellent conductivity and a three-dimensional layered structure. Additionally, the chitosan (CS) hydrogel, with its superior water absorption and stretchability, allows the electrode to retain sweat and closely stick to the skin. The sensor demonstrates a low limit of detection (0.77 μM), high sensitivity (1.122 μA⋅μM⁻1⋅cm⁻2), and a broad detection range (10-1,000 μM), meeting the requirements for a wide range of applications. Notably, the sensor can also induce perspiration in the wearer. The three-dimensional porous structure of the Ga@MXene/CS biosensor ensures excellent conductivity and flexibility, making it suitable for a variety of applications.

A step towards non-invasive diagnosis of diabetes mellitus using in situ synthesized MOF-MXene hybrid material with extended gate field-effect transistor integration

The increasing demand for non-invasive and non-enzymatic glucose sensors is driven by the objective of eliminating the need for blood pricks from the body and enabling enzyme-free detection of glucose for diagnosing diabetes mellitus. To address this need, we synthesized Ni MOF-MXene (NiBDC-MXene) hybrid material through a one-pot synthesis method, which acts as a catalyst to detect salivary glucose using an extended gate field effect transistor (EGFET) method. The resulting sensor exhibits good selectivity towards glucose over common interfering molecules such as sucrose, fructose, maltose, uric acid, and ascorbic acid under physiological conditions in saliva. The fabricated electrode demonstrated high sensitivity of 531.78 μA mM-1 cm-2 with a detection range of 10 μM to 1100 μM, a sensor response time of less than 5 s, and a limit of detection (LOD) of 0.29 μM. The real saliva sample measurements under postabsorptive and postprandial conditions highlight the electrode's effectiveness in detecting salivary glucose. In addition to EGFET measurements, scanning Kelvin probe (SKP) measurements were performed to understand the mechanism of charge transfer between the glucose and NiBDC-MXene/CP electrode. Overall, the EGFET results demonstrate the capability of the sensor to detect salivary glucose in hypoglycemia, normal, and hyperglycemia ranges.

Highly Porous 3D Ni-MOFs as an Efficient and Enzyme-Mimic Electrochemical Sensing Platform for Glucose in Real Samples of Sweat and Saliva in Biomedical Applications

Nickel-based metal-organic frameworks, denoted as three-dimensional nickel trimesic acid frameworks (3D Ni-TMAF), are gaining significant attention for their application in nonenzymatic glucose sensing due to their unique properties. Ni-MOFs possess a high surface area, tunable pore structures, and excellent electrochemical activity, which makes them ideal for facilitating electron transfer and enhancing the catalytic oxidation of glucose. This research describes a new electrochemical enzyme-mimic glucose biosensor in biological solutions that utilizes 3D nanospheres Ni-TMAF created layer-by-layer on a highly porous nickel substrate. The Ni-TMAF based on the nonenzymatic electrochemical glucose oxidation represent the promising approach, leveraging the unique properties of Ni-TMAF to provide efficient, stable, and potentially more cost-effective alternatives to traditional enzyme-mimic sensors. The MOF is synthesized from trimesic acid (TMA) and nickel nitrate hexahydrate through a solvothermal reaction process. The resulting Ni-TMAF utilizes the three-dimensional nanospheres of crystalline porous structure with a large surface area and numerous active sites for catalytic reaction toward glucose. Ni-TMAF are indeed known for their excellent electrocatalytic activity, particularly in the context of glucose oxidation under alkaline conditions. The nickel centers in the Ni-TMAF facilitate efficient electron transfer and redox reactions, leading to the high sensitivity of 203.89 μA μM-1 cm-2 and lower LOD of 0.33 μM and fast response time of <3 s in glucose sensors. Their stability, cost-effectiveness, and high performance make 3D Ni-TMAF a promising material for nonenzymatic electrochemical glucose sensors.

Advancements in electrochemical glucose sensors

The development of electrochemical glucose sensors with high sensitivity, specificity, and stability, enabling real-time continuous monitoring, has posed a significant challenge. However, an opportunity exists to fabricate electrochemical glucose biosensors with optimal performance through innovative device structures and surface modification materials. This paper provides a comprehensive review of recent advances in electrochemical glucose sensors. Novel classes of nanomaterials-including metal nanoparticles, carbon-based nanomaterials, and metal-organic frameworks-with excellent electronic conductivity and high specific surface areas, have increased the availability of reactive sites to improved contact with glucose molecules. Furthermore, in line with the trend in electrochemical glucose sensor development, research progress concerning their utilisation with sweat, tears, saliva, and interstitial fluid is described. To facilitate the commercialisation of these sensors, further enhancements in biocompatibility and stability are required. Finally, the characteristics of the ideal electrochemical glucose sensor are described and the developmental trends in this field are outlines.

A nanosilica-coated thread-based analytical device for nitrate and nitrite detection in food samples

A new microfluidic thread-based analytical device (μTAD) for nitrate and nitrite determination in food samples was developed. The cotton thread substrate was coated with nanosilica to increase its hydrophilicity and stability, and polylactic acid was applied to one end of the nanosilica-coated thread to constrain the fluid flow along the thread in one direction. Quantification of nitrate and nitrite was based on the modified Griess reaction, using sulfanilamide and N-(1-naphthyl) ethylenediamine as chromogenic reagents, and utilizing a distance-based detection technique. Linear responses were observed in a range of 4-25 mg L-1 (R2 = 0.9991) for nitrite and a range of 8-50 mg L-1 (R2 = 0.9989) for nitrate. The limits of detection for nitrite and nitrate were 1.5 and 3.1 mg L-1, respectively. The detection time was 5 min for nitrite analysis, and 7 min for nitrate analysis. The new method demonstrated good precision, accuracy, selectivity, and stability. The performance of the proposed μTAD for nitrite and nitrate determination in real food samples was comparable to that of the conventional UV-Vis spectrophotometric method. The proposed μTAD could serve as a simple, low-cost, and portable method for nitrite and nitrate detection in food samples.

Fabrication of a graphene@Ni foam-supported silver nanoplates-PANI 3D architecture electrode for enzyme-free glucose sensing

Reliable and cost-effective glucose sensors are in rising demand among diabetes patients. The combination of metals and conducting polymers creates a robust electrocatalyst for glucose oxidation, offering enzyme-free, high stability, and sensitivity with outstanding electrochemical results. Herein, graphene is grown on nickel foam by chemical vapor deposition to make a graphene@nickel foam scaffold (G@NF), on which silver nanoplates-polyaniline (Ag-PANI) 3D architecture is developed by sonication-assisted co-electrodeposition. The resulting binder-free 3D Ag-PANI/G@NF electrode was highly porous, as characterized by x-ray photoelectron spectroscopy, Field emission scanning electron microscope, x-ray diffractometer, FTIR, and Raman spectroscopy. The binder-free 3D Ag-PANI/G@NF electrode exhibits remarkable electrochemical efficiency with a superior electrochemical active surface area. The amperometric analysis provides excellent anti-interference performance, a low limit of deduction (0.1 nM), robust sensitivity (1.7 × 1013µA mM-1cm-2), and a good response time. Moreover, the Ag-PANI/G@NF enzyme-free sensor is utilized to observe glucose levels in human blood serums and exhibits excellent potential to become a reliable clinical glucose sensor.

Shifting paradigm in electrochemical biosensing matrices comprising metal organic frameworks and their composites in disease diagnosis

Metal Organic Frameworks (MOFs) are an evolving category of crystalline microporous materials that have grabbed the research interest for quite some time due to their admirable physio-chemical properties and easy fabrication methods. Their enormous surface area can be a working ground for innumerable molecular adhesions and site for potential sensor matrices. They have been explored in the last decade for incorporation in electrochemical sensor matrices as diagnostic solutions for a plethora of diseases. This review emphasizes on some of the recent advancements in the area of MOF-based electrochemical biosensors with focus on various important diseases and their significance in upgrading the sensor performance. It summarizes MOF-based biosensors for monitoring biomarkers relevant to diabetes, viral and bacterial sepsis infections, neurological disorders, cardiovascular diseases, and cancer in a wide range of real matrices. The discussion has been supplemented with extensive tables elaborating recent trends in the field of MOF-composite probe fabrication strategies with their respective sensing parameters. The article sums up the future scope of these materials in the field of biosensors and enlightens the reader with recent trends for future research scope. This article is categorized under: Diagnostic Tools > Biosensing Diagnostic Tools > Diagnostic Nanodevices.

Recent Advances in Wearable Healthcare Devices: From Material to Application

In recent years, the proliferation of wearable healthcare devices has marked a revolutionary shift in the personal health monitoring and management paradigm. These devices, ranging from fitness trackers to advanced biosensors, have not only made healthcare more accessible, but have also transformed the way individuals engage with their health data. By continuously monitoring health signs, from physical-based to biochemical-based such as heart rate and blood glucose levels, wearable technology offers insights into human health, enabling a proactive rather than a reactive approach to healthcare. This shift towards personalized health monitoring empowers individuals with the knowledge and tools to make informed decisions about their lifestyle and medical care, potentially leading to the earlier detection of health issues and more tailored treatment plans. This review presents the fabrication methods of flexible wearable healthcare devices and their applications in medical care. The potential challenges and future prospectives are also discussed.

Seamless integration of a nickel-based metal-organic framework with three-dimensional substrates for nonenzymatic glucose sensing

The effective integration of nanomaterials with underlying current collectors is a key factor affecting the performance of nonenzymatic glucose sensors, where an inappropriate integration structure often leads to poor electron transport and instability. In this work, a seamless integrated electrode was constructed by the in situ immobilizing of a nickel-based metal-organic framework (Ni-MOF) on a three-dimensional (3D) conductive nickel foam (NF) for highly sensitive and durable glucose sensing. Facilitated by a rapid microwave-assisted reaction, a robust interfacial interaction between the Ni-MOF and the substrate was established through in situ conversion from nickel oxide (NiO). The fabricated Ni-MOF/NF electrode exhibits an excellent limit of detection (LOD) of 2.65 μM and an impressive sensitivity (14.31 mA cm-2 mM-1) within the linear range (4-576 μM), which is significantly boosted compared with that of an electrode prepared by a typical drop-casting method (3.56 mA cm-2 mM-1 in 4-1836 μM). Characterization and electrochemical tests reveal that this integrated structure on the one hand contributes to fast electron transport and thus has enhanced sensitivity and on the other hand leads to exceptional durability with its structural integrity maintained under bending, shaking, and ultrasonication. Moreover, this seamless integration method was also employed to immobilize the Ni-MOF converted from the pre-chemically deposited NiO layer on another type of substrate, 3D carbon paper (CP), demonstrating the versatility of this facile strategy in creating diverse electrochemical electrodes for applications beyond glucose sensing.