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Djassemi O, Saha T, Nandhakumar P, Khan MI, Fishman H, Earney S, Moonla C, Xu Y, Thai H, Morales-Fermin S, Kim G, Park R, Acot B, Wu O, Wurster C, Chang AY, Cheung C, Silberman J, Ding S, Wang J. A Touch Enabled Hemodynamic and Metabolic Monitor. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2025:e2502138. [PMID: 40244899 DOI: 10.1002/advs.202502138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2025] [Revised: 02/28/2025] [Indexed: 04/19/2025]
Abstract
Accurate health analysis demands real-time tracking of multiple biomarkers and vital signs under dynamic physiological conditions. Current multimodal hybrid platforms provide biochemical and biophysical data but are limited by active sweat collection for biochemical sensing and bulky designs for biophysical sensing. Here a touch-enabled platform is presented that simultaneously monitors vitals and metabolic markers. With a simple tri-finger touch, the platform measures mean arterial pressure and heart rate using photoplethysmography, and glucose, uric acid, and cortisol at rest by leveraging the natural perspiration at the fingertip. Extended studies involving diverse activities reveal strong dynamic interplay among the metabolic and vital profiles, with mean arterial pressure showing the highest sensitivity to cortisol fluctuations. The platform delivers comprehensive health information linking diet, lifestyle, metabolism, and serves as an early metabolic or hormonal stress indicator. Valuable insights gained through the platform position it as a promising tool for personalized health and wellness management.
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Affiliation(s)
- Omeed Djassemi
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
- Shu Chien-Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Tamoghna Saha
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Ponnusamy Nandhakumar
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Muhammad Inam Khan
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Hannah Fishman
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Sara Earney
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Chochanon Moonla
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Yuchen Xu
- Shu Chien-Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Henry Thai
- Department of Mechanical and Aerospace Engineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Sofia Morales-Fermin
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Gyeongho Kim
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Rhea Park
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Beya Acot
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Oscar Wu
- Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, 92092, USA
| | - Cannon Wurster
- Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, 92092, USA
| | - An-Yi Chang
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Christopher Cheung
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Julia Silberman
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Shichao Ding
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
| | - Joseph Wang
- Aiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, 92093, USA
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Zhang Y, Zeng X, Wang C, Liu Y, Jin C, Chen J, Hou J, Huo D, Hou C. An integrated wearable microfluidic biosensor for simultaneous detection of multiple biomarkers in sweat. Talanta 2025; 285:127404. [PMID: 39706036 DOI: 10.1016/j.talanta.2024.127404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2024] [Revised: 12/05/2024] [Accepted: 12/15/2024] [Indexed: 12/23/2024]
Abstract
Simultaneous detection of biomarkers in sweat is crucial for comprehensive health assessment and personalized monitoring. However, the low sweat secretion rate and low metabolite concentrations present challenges for developing non-invasive wearable sensors. This study aims to develop a flexible wearable biosensor for simultaneous detection of low-concentration biomarkers in sweat, enabling comprehensive health assessment. This study synthesized an innovative bimetallic tungstate Ag@Ag2WO4 and evaluated its performance for detecting uric acid (UA, 10-1000 μM), dopamine (DA, 3-500 μM), and tyrosine (Tyr, 5-1000 μM). The detection limits (LODs) for DA, UA, and Tyr sensors were 3.10 μM, 8.47 μM, and 4.17 μM, respectively, with relative standard deviations (RSDs) of 4.76 %, 2.66 %, and 3.51 %, respectively. Additionally, this study designed a hydrophilic microfluidic collection system inspired by bamboo leaf structures to enhance sweat collection efficiency. Validation studies demonstrated that the wearable biosensor effectively detects UA and TA in the sweat of volunteers. We believe this research could contribute to advancing personalized healthcare by improving the convenience and effectiveness of health monitoring technologies.
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Affiliation(s)
- Yong Zhang
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China
| | - Xin Zeng
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China
| | - Cuncun Wang
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China
| | - Yiyi Liu
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China
| | - Changpeng Jin
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China
| | - Jian Chen
- Chongqing University Three Gorges Hospital, Chongqing, 404000, PR China
| | - Jingzhou Hou
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China; Chongqing Engineering and Technology Research Center of Intelligent Rehabilitation and Eldercare, Chongqing City Management College, Chongqing, 401331, PR China.
| | - Danqun Huo
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China; Chongqing Engineering and Technology Research Center of Intelligent Rehabilitation and Eldercare, Chongqing City Management College, Chongqing, 401331, PR China.
| | - Changjun Hou
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing, 400044, PR China; Liquor Making Biology Technology and Application of Key Laboratory of Sichuan Province, College of Bioengineering, Sichuan University of Science and Engineering, 188 University Town, Yibin, 644000, PR China.
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Ju Z, Wang M, Chen Y, Wang Z, Yang M, Meng F, Lv R. An Optoelectronic Sensing Real-Time Glucose Detection Film Using Photonic Crystal Enhanced Rare Earth Fluorescence and Additive Manufacturing. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2025; 21:e2409725. [PMID: 39744761 DOI: 10.1002/smll.202409725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2024] [Revised: 11/29/2024] [Indexed: 02/26/2025]
Abstract
In this research, a novel detection method employing rare-earth upconversion nanoparticle (UCNP) as the core, coated with MnO2 nanosheets is designed, which formed a color and fluorescence dual-responsive UCNP composite material, MnO2-modified NaYF4:Yb,Tm@NaYF4. By enabling both colorimetric and fluorescence methods simultaneously, this composite material allows for the detection of glucose concentration under different conditions, while exhibiting strong resistance to environmental interference, chemical stability, and accuracy. To further enhance the sensitivity of the detection method, a photonic crystals (PCs)-PDMS array where polymethyl methacrylate PCs are deposited onto a substrate composed of PDMS-glass slice with hydrophobic surfaces is developed. This array can serve as a substrate that specifically reflected blue light while allowing other colors of light to pass through, which effectively reduced background signal interference and improved detection sensitivity (1.2 µm) with a wider linear range (20-800 µm). Finally, a portable fluorescence intensity detection device is designed to enhance the portability of the platform. Numerous experimental results demonstrated that this research significantly improved the sensitivity of glucose detection, providing new research directions for the field of fluid biomarker detectio.
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Affiliation(s)
- Ziyue Ju
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Min Wang
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Yitong Chen
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Ziqi Wang
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Mingming Yang
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Fanbo Meng
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
| | - Ruichan Lv
- State Key Laboratory of Electromechanical Integrated Manufacturing of High-performance Electronic Equipment, School of Mechano-Electronic Engineering, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, 710071, China
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Huang L, Zhou Y, Hu X, Yang Z. Emerging Combination of Hydrogel and Electrochemical Biosensors. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2025; 21:e2409711. [PMID: 39679847 DOI: 10.1002/smll.202409711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2024] [Revised: 12/05/2024] [Indexed: 12/17/2024]
Abstract
Electrochemical sensors are among the most promising technologies for biomarker research, with outstanding sensitivity, selectivity, and rapid response capabilities that make them important in medical diagnostics and prognosis. Recently, hydrogels have gained attention in the domain of electrochemical biosensors because of their superior biocompatibility, excellent adhesion, and ability to form conformal contact with diverse surfaces. These features provide distinct advantages, particularly in the advancement of wearable biosensors. This review examines the contemporary utilization of hydrogels in electrochemical sensing, explores strategies for optimization and prospective development trajectories, and highlights their distinctive advantages. The objective is to provide an exhaustive overview of the foundational principles of electrochemical sensing systems, analyze the compatibility of hydrogel properties with electrochemical methodologies, and propose potential healthcare applications to further illustrate their applicability. Despite significant advances in the development of hydrogel-based electrochemical biosensors, challenges persist, such as improving material fatigue resistance, interfacial adhesion, and maintaining balanced water content across various environments. Overall, hydrogels have immense potential in flexible biosensors and provide exciting opportunities. However, resolving the current obstacles will necessitate additional research and development efforts.
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Affiliation(s)
- Lingting Huang
- Strait Institute of Flexible Electronics (SIFE, Future Technologies), Fujian Key Laboratory of Flexible Electronics, Fujian Normal University and Strait Laboratory of Flexible Electronics (SLoFE), Fuzhou, 350117, China
| | - Yuyang Zhou
- Strait Institute of Flexible Electronics (SIFE, Future Technologies), Fujian Key Laboratory of Flexible Electronics, Fujian Normal University and Strait Laboratory of Flexible Electronics (SLoFE), Fuzhou, 350117, China
| | - Xiaoming Hu
- Strait Institute of Flexible Electronics (SIFE, Future Technologies), Fujian Key Laboratory of Flexible Electronics, Fujian Normal University and Strait Laboratory of Flexible Electronics (SLoFE), Fuzhou, 350117, China
- School of Materials Science and Engineering, East China Jiaotong University, Nanchang, 330013, China
| | - Zhen Yang
- Strait Institute of Flexible Electronics (SIFE, Future Technologies), Fujian Key Laboratory of Flexible Electronics, Fujian Normal University and Strait Laboratory of Flexible Electronics (SLoFE), Fuzhou, 350117, China
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5
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Cheng C, Ganguly S, Li P, Tang X. Detecting Hypoxia Through the Non-Invasive and Simultaneous Monitoring of Sweat Lactate and Tissue Oxygenation. BIOSENSORS 2024; 14:584. [PMID: 39727849 DOI: 10.3390/bios14120584] [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: 10/17/2024] [Revised: 11/25/2024] [Accepted: 11/27/2024] [Indexed: 12/28/2024]
Abstract
Hypoxia, characterized by inadequate tissue oxygenation, may result in tissue damage and organ failure if not addressed. Current detection approaches frequently prove insufficient, depending on symptoms and rudimentary metrics such as tissue oxygenation, which fail to comprehensively identify the onset of hypoxia. The European Pressure Ulcer Advisory Panel (EPUAP) has recognized sweat lactate as a possible marker for the early identification of decubitus ulcers, nevertheless, neither sweat lactate nor oxygenation independently provides an appropriate diagnosis of hypoxia. We have fabricated a wearable device that non-invasively and concurrently monitors sweat lactate and tissue oxygenation to fill this gap. The apparatus comprises three essential components: (i) a hydrogel-based colorimetric lactate biosensor, (ii) a near-infrared (NIR) sensor for assessing tissue oxygenation, and (iii) an integrated form factor for enhanced wearability. The lactate sensor alters its hue upon interaction with lactate in sweat, whereas the NIR sensor monitors tissue oxygenation levels in real-time. The device underwent testing on phantom exhibiting tissue-mimicking characteristics and on human sweat post aerobic and anaerobic activities. Moreover, the device was demonstrated to be capable of real-time "on-body" simultaneous monitoring of sweat lactate spikes and tissue oxygenation (StO2) drops, which showed strong correlation during a hypoxia protocol. This innovative technology has a wide range of potential applications, such as post-operative care, sepsis detection, and athletic performance monitoring, and may provide economical healthcare solutions in resource-limited regions.
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Affiliation(s)
- Cindy Cheng
- Department of Chemistry, University of Waterloo, 200 University Ave West, Waterloo, ON N2L 3G1, Canada
| | - Sayan Ganguly
- Department of Chemistry, University of Waterloo, 200 University Ave West, Waterloo, ON N2L 3G1, Canada
| | - Pei Li
- Department of Chemistry, University of Waterloo, 200 University Ave West, Waterloo, ON N2L 3G1, Canada
| | - Xiaowu Tang
- Department of Chemistry, University of Waterloo, 200 University Ave West, Waterloo, ON N2L 3G1, Canada
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6
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Liu Y, Hu S, Gan N, Yu Z. Wearable Patch Biosensor through Electrothermal Film-Stimulated Sweat Secretion for Continuous Sweat Glucose Analysis at Rest. Anal Chem 2024; 96:18510-18518. [PMID: 39523533 DOI: 10.1021/acs.analchem.4c04271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2024]
Abstract
Wearable patch biosensors for noninvasive and continuous diabetes management through sweat glucose analysis present a promising prospect. However, how to obtain sweat samples safely and effectively remains a huge challenge, especially in a resting state. In this work, we propose an innovative wearable patch biosensor through a heat-stimulated approach for sweat collection. A silver nanowire-loaded electrothermal film was designed as the heat source to stimulate sweat glands for sweat secretion. Subsequently, the secreted sweat sample was transported and enriched through microfluidic channels, which was continuously and sensitively analyzed by a Prussian blue and glucose oxidase comodified glucose electrochemical biosensor. Under optimal conditions, its sensitivity could achieve 14 μM sweat glucose within 15 min, which was 17 min shorter than that without heating. The specificity, reproducibility, and accuracy were also adequate. To achieve on-body perspiration monitoring of human subjects, the wearable patch biosensor was integrated with a portable electrochemical workstation, a temperature controller, and a power source. The glucose concentration was presented on a smartphone. Results showed that the glucose concentration in sweat detected by the wearable biosensor presented a highly consistent trend with the blood glucose measured by a blood glucose meter throughout the day with normal meals. Compared with other conventional sweat stimulation strategies, the simple device and safe principle made it more suitable for individuals who were sedentary or at rest. This work provides a new approach to realizing wearable patch biosensors for personalized health monitoring.
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Affiliation(s)
- Yuting Liu
- Key Laboratory of Advanced Mass Spectrometry and Molecular Analysis of Zhejiang Province, Institute of Mass Spectrometry, School of Material Science and Chemical Engineering, Ningbo University, Ningbo 315211, China
| | - Shuhao Hu
- Key Laboratory of Advanced Mass Spectrometry and Molecular Analysis of Zhejiang Province, Institute of Mass Spectrometry, School of Material Science and Chemical Engineering, Ningbo University, Ningbo 315211, China
| | - Ning Gan
- Key Laboratory of Advanced Mass Spectrometry and Molecular Analysis of Zhejiang Province, Institute of Mass Spectrometry, School of Material Science and Chemical Engineering, Ningbo University, Ningbo 315211, China
| | - Zhenzhong Yu
- Key Laboratory of Advanced Mass Spectrometry and Molecular Analysis of Zhejiang Province, Institute of Mass Spectrometry, School of Material Science and Chemical Engineering, Ningbo University, Ningbo 315211, China
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7
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Saha T, Khan MI, Sandhu SS, Yin L, Earney S, Zhang C, Djassemi O, Wang Z, Han J, Abdal A, Srivatsa S, Ding S, Wang J. A Passive Perspiration Inspired Wearable Platform for Continuous Glucose Monitoring. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2405518. [PMID: 39264314 PMCID: PMC11538657 DOI: 10.1002/advs.202405518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Revised: 08/30/2024] [Indexed: 09/13/2024]
Abstract
The demand for glucose monitoring devices has witnessed continuous growth from the rising diabetic population. The traditional approach of blood glucose (BG) sensor strip testing generates only intermittent glucose readings. Interstitial fluid-based devices measure glucose dynamically, but their sensing approaches remain either minimally invasive or prone to skin irritation. Here, a sweat glucose monitoring system is presented, which completely operates under rest with no sweat stimulation and can generate real-time BG dynamics. Osmotically driven hydrogels, capillary action with paper microfluidics, and self-powered enzymatic biochemical sensor are used for simultaneous sweat extraction, transport, and glucose monitoring, respectively. The osmotic forces facilitate greater flux inflow and minimize sweat rate fluctuations compared to natural perspiration-based sampling. The epidermal platform is tested on fingertip and forearm under varying physiological conditions. Personalized calibration models are developed and validated to obtain real-time BG information from sweat. The estimated BG concentration showed a good correlation with measured BG concentration, with all values lying in the A+B region of consensus error grid (MARD = 10.56% (fingertip) and 13.17% (forearm)). Overall, the successful execution of such osmotically driven continuous BG monitoring system from passive sweat can be a useful addition to the next-generation continuous sweat glucose monitors.
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Affiliation(s)
- Tamoghna Saha
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Muhammad Inam Khan
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Samar Singh Sandhu
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Lu Yin
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Sara Earney
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Chenyang Zhang
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Omeed Djassemi
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
- Department of BioengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Zongnan Wang
- Department of Mechanical EngineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Jintong Han
- Department of Mechanical EngineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Abdulhameed Abdal
- Department of Mechanical EngineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Samarth Srivatsa
- Department of BioengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Shichao Ding
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
| | - Joseph Wang
- Aiiso Yufeng Li Family Department of Chemical and NanoengineeringUniversity of California San DiegoLa JollaCA92093USA
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8
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Mukherjee S, Pietrosemoli Salazar S, Saha T, Dickey MD, Velev OD. Capillary-osmotic wearable patch based on lateral flow assay for sweat potassium analysis. SENSORS AND ACTUATORS B: CHEMICAL 2024; 419:136383. [DOI: 10.1016/j.snb.2024.136383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2025]
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9
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Zhang Y, Zheng XT, Zhang X, Pan J, Thean AVY. Hybrid Integration of Wearable Devices for Physiological Monitoring. Chem Rev 2024; 124:10386-10434. [PMID: 39189683 DOI: 10.1021/acs.chemrev.3c00471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/28/2024]
Abstract
Wearable devices can provide timely, user-friendly, non- or minimally invasive, and continuous monitoring of human health. Recently, multidisciplinary scientific communities have made significant progress regarding fully integrated wearable devices such as sweat wearable sensors, saliva sensors, and wound sensors. However, the translation of these wearables into markets has been slow due to several reasons associated with the poor system-level performance of integrated wearables. The wearability consideration for wearable devices compromises many properties of the wearables. Besides, the limited power capacity of wearables hinders continuous monitoring for extended duration. Furthermore, peak-power operations for intensive computations can quickly create thermal issues in the compact form factor that interfere with wearability and sensor operations. Moreover, wearable devices are constantly subjected to environmental, mechanical, chemical, and electrical interferences and variables that can invalidate the collected data. This generates the need for sophisticated data analytics to contextually identify, include, and exclude data points per multisensor fusion to enable accurate data interpretation. This review synthesizes the challenges surrounding the wearable device integration from three aspects in terms of hardware, energy, and data, focuses on a discussion about hybrid integration of wearable devices, and seeks to provide comprehensive guidance for designing fully functional and stable wearable devices.
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Affiliation(s)
- Yu Zhang
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore 117576, Singapore
| | - Xin Ting Zheng
- Institute of Materials Research and Engineering (IMRE), Agency for Science Technology and Research (A*STAR), 2 Fusionopolis Way, Innovis #08-03, Singapore 138634, Singapore
| | - Xiangyu Zhang
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore 117576, Singapore
| | - Jieming Pan
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore 117576, Singapore
| | - Aaron Voon-Yew Thean
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore 117576, Singapore
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10
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Childs A, Mayol B, Lasalde-Ramírez JA, Song Y, Sempionatto JR, Gao W. Diving into Sweat: Advances, Challenges, and Future Directions in Wearable Sweat Sensing. ACS NANO 2024; 18:24605-24616. [PMID: 39185844 DOI: 10.1021/acsnano.4c10344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/27/2024]
Abstract
Sweat analysis has advanced from diagnosing cystic fibrosis and testing for illicit drugs to noninvasive monitoring of health biomarkers. This article introduces the rapid development of wearable and flexible sweat sensors, highlighting key milestones and various sensing strategies for real-time monitoring of analytes. We discuss challenges such as developing high-performance nanomaterial-based biosensors, ensuring continuous sweat production and sampling, achieving high sweat/blood correlation, and biocompatibility. The potential of machine learning to enhance these sensors for personalized healthcare is presented, enabling real-time tracking and prediction of physiological changes and disease onset. Leveraging advancements in flexible electronics, nanomaterials, biosensing, and data analytics, wearable sweat biosensors promise to revolutionize disease management, prevention, and prediction, promoting healthier lifestyles and transforming medical practices globally.
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Affiliation(s)
- Andre Childs
- Department of Electrical and Computer Engineering, Rice University, Houston, Texas 77005, United States
| | - Beatriz Mayol
- Department of Electrical and Computer Engineering, Rice University, Houston, Texas 77005, United States
| | - José A Lasalde-Ramírez
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, California 91125, United States
| | - Yu Song
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, 999077, China
| | - Juliane R Sempionatto
- Department of Electrical and Computer Engineering, Rice University, Houston, Texas 77005, United States
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, California 91125, United States
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11
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Ye H, Chen X, Huang X, Li C, Yin X, Zhao W, Wang T. Patterned Gold Nanoparticle Superlattice Film for Wearable Sweat Sensors. NANO LETTERS 2024; 24:11082-11089. [PMID: 39171663 DOI: 10.1021/acs.nanolett.4c03254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
Nanoparticle superlattices are beneficial in terms of providing strong and uniform signals in analysis owing to their closely packed uniform structures. However, nanoparticle superlattices are prone to cracking during physical activities because of stress concentrations, which hinders their detection performance and limits their analytical applications. In this work, template printing methods were used in this study to prepare a patterned gold nanoparticle (AuNP) superlattice film. By adjustment of the size of the AuNP superlattice domain below the critical size of fracture, the mechanical stability of the AuNP superlattice domain is improved. Thus, long-term sustainable high-performance signal output is achieved. The patterned AuNP superlattice film was used to construct a wearable sweat sensor based on surface-enhanced Raman scattering (SERS). The designed sensor showed promise for long-term reliable use in actual scenarios in terms of recommending water replenishment, monitoring hydration states, and tracking the intensity of activity.
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Affiliation(s)
- Haochen Ye
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
| | - Xiangyu Chen
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
| | - Xiaobin Huang
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
| | - Cancan Li
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
| | - Xiaomeng Yin
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
| | - Weidong Zhao
- Key Laboratory of Molecular Medicine and Biotherapy in the Ministry of Industry and Information Technology, School of Life Science, Beijing Institute of Technology, Beijing 100081, P. R. China
| | - Tie Wang
- Institute of Chemistry, Chinese Academy of Sciences (CAS), Beijing 100049, P. R. China
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
- Life and Health Intelligent Research Institute, Tianjin University of Technology, Tianjin 300384, P. R. China
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12
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Huang Y, Zhong H, Yang R, Pan Y, Lin J, Lee CKW, Chen S, Tan M, Lu X, Poon WY, Yuan Q, Li MG. Multifunctional laser-induced graphene circuits and laser-printed nanomaterials toward non-invasive human kidney function monitoring. Biosens Bioelectron 2024; 259:116386. [PMID: 38749285 DOI: 10.1016/j.bios.2024.116386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 04/29/2024] [Accepted: 05/12/2024] [Indexed: 06/03/2024]
Abstract
Faced with the increasing prevalence of chronic kidney disease (CKD), portable monitoring of CKD-related biomarkers such as potassium ion (K+), creatinine (Cre), and lactic acid (Lac) levels in sweat has shown tremendous potential for early diagnosis. However, a rapidly manufacturable portable device integrating multiple CKD-related biomarker sensors for ease of sweat testing use has yet to be reported. Here, a portable electrochemical sensor integrated with multifunctional laser-induced graphene (LIG) circuits and laser-printed nanomaterials based working electrodes fabricated by fully automatic laser manufacturing is proposed for non-invasive human kidney function monitoring. The sensor comprises a two-electrode LIG circuit for K+ sensing, a three-electrode LIG circuit with a Kelvin compensating connection for Cre and Lac sensing, and a printed circuit board based portable electrochemical workstation. The working electrodes containing Cu and Cu2O nanoparticles fabricated by two-step laser printing show good sensitivity and selectivity toward Cre and Lac sensing. The sensor circuits are fabricated by generating a hydrophilic-hydrophobic interface on a patterned LIG through laser. This sensor recruited rapid laser manufacturing and integrated with multifunctional LIG circuits and laser-printed nanomaterials based working electrodes, which is a potential kidney function monitoring solution for healthy people and kidney disease patients.
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Affiliation(s)
- Yangyi Huang
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Haosong Zhong
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Rongliang Yang
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Yexin Pan
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China; Hong Kong Branch of Chinese National Engineering Research Center for Tissue Restoration and Reconstruction, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Jing Lin
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Connie Kong Wai Lee
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Siyu Chen
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Min Tan
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Xupeng Lu
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Wing Yan Poon
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Qiaoyaxiao Yuan
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China
| | - Mitch Guijun Li
- Center for Smart Manufacturing, Division of Integrative Systems and Design, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China; Hong Kong Branch of Chinese National Engineering Research Center for Tissue Restoration and Reconstruction, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China.
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13
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Hu Z, Hu Y, Huang L, Zhong W, Zhang J, Lei D, Chen Y, Ni Y, Liu Y. Recent Progress in Organic Electrochemical Transistor-Structured Biosensors. BIOSENSORS 2024; 14:330. [PMID: 39056606 PMCID: PMC11274720 DOI: 10.3390/bios14070330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2024] [Revised: 06/30/2024] [Accepted: 07/01/2024] [Indexed: 07/28/2024]
Abstract
The continued advancement of organic electronic technology will establish organic electrochemical transistors as pivotal instruments in the field of biological detection. Here, we present a comprehensive review of the state-of-the-art technology and advancements in the use of organic electrochemical transistors as biosensors. This review provides an in-depth analysis of the diverse modification materials, methods, and mechanisms utilized in organic electrochemical transistor-structured biosensors (OETBs) for the selective detection of a wide range of target analyte encompassing electroactive species, electro-inactive species, and cancer cells. Recent advances in OETBs for use in sensing systems and wearable and implantable applications are also briefly introduced. Finally, challenges and opportunities in the field are discussed.
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Affiliation(s)
- Zhuotao Hu
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Yingchao Hu
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Lu Huang
- School of Physics & Optoelectronic Engineering, Guangdong University of Technology, Guangzhou 510006, China;
| | - Wei Zhong
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Jianfeng Zhang
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Dengyun Lei
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Yayi Chen
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Yao Ni
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
| | - Yuan Liu
- School of Integrated Circuits, Guangdong University of Technology, Guangzhou 510006, China; (Z.H.); (Y.H.); (W.Z.); (J.Z.); (D.L.); (Y.C.)
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14
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Huang S, Wu Y, Wang Y, Hu X, Song K. An embedded obstacle type micromixer-concentration gradient generator based on capillary driven. Electrophoresis 2024; 45:420-432. [PMID: 37915122 DOI: 10.1002/elps.202300164] [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: 07/25/2023] [Revised: 10/14/2023] [Accepted: 10/22/2023] [Indexed: 11/03/2023]
Abstract
An embedded obstacle-type micromixer-concentration gradient generator based on capillary self-driven is proposed and studied. Herringbone structure (HS) for mixing and palisade-shape small channels at the outlet are designed in the device (named HS). Simulation and experimentation are done to study the liquid mixing efficiency in the small channels and concentration gradient at the outlet, and the experimental results agree with the simulation results. For three cases of liquid dripping (sequential, reverse, and delayed drippings), mixing analysis shows that the mixing efficiency increases along both mixing channel and palisade length, and is high in the middle small channel of the palisade-shape area and low on both sides. An obvious concentration gradient at the outlet can form compared with the device without the palisade-shape area. Finally, water pH value detection is done as one of the applications of HS. This study can provide guidance for the application of HS in biochemical detection, cell research, drug screening, etc. based on the capillary-driven effect.
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Affiliation(s)
- Sisi Huang
- School of Mechanical Engineering and Mechanics, Xiangtan University, Xiangtan, P. R. China
| | - Yihao Wu
- School of Mechanical Engineering and Mechanics, Xiangtan University, Xiangtan, P. R. China
| | - Yifan Wang
- School of Mechanical Engineering and Mechanics, Xiangtan University, Xiangtan, P. R. China
| | - Xiaoling Hu
- School of Mechanical Engineering and Mechanics, Xiangtan University, Xiangtan, P. R. China
- Institute of Rheological Mechanics, Xiangtan University, Xiangtan, P. R. China
| | - Kui Song
- School of Mechanical Engineering and Mechanics, Xiangtan University, Xiangtan, P. R. China
- Institute of Rheological Mechanics, Xiangtan University, Xiangtan, P. R. China
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15
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Saha T, Mukherjee S, Dickey MD, Velev OD. Harvesting and manipulating sweat and interstitial fluid in microfluidic devices. LAB ON A CHIP 2024; 24:1244-1265. [PMID: 38197332 DOI: 10.1039/d3lc00874f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
Microfluidic devices began to be used to facilitate sweat and interstitial fluid (ISF) sensing in the mid-2010s. Since then, numerous prototypes involving microfluidics have been developed in different form factors for sensing biomarkers found in these fluids under in vitro, ex vivo, and in vivo (on-body) settings. These devices transport and manipulate biofluids using microfluidic channels composed of silicone, polymer, paper, or fiber. Fluid flow transport and sample management can be achieved by controlling the flow rate, surface morphology of the channel, and rate of fluid evaporation. Although many devices have been developed for estimating sweat rate, electrolyte, and metabolite levels, only a handful have been able to proceed beyond laboratory testing and reach the stage of clinical trials and commercialization. To further this technology, this review reports on the utilization of microfluidics towards sweat and ISF management and transport. The review is distinguished from other recent reviews by focusing on microfluidic principles of sweat and ISF generation, transport, extraction, and management. Challenges and prospects are highlighted, with a discussion on how to transition such prototypes towards personalized healthcare monitoring systems.
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Affiliation(s)
- Tamoghna Saha
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Sneha Mukherjee
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Michael D Dickey
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Orlin D Velev
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
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16
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Yang M, Sun N, Lai X, Zhao X, Zhou W. Advances in Non-Electrochemical Sensing of Human Sweat Biomarkers: From Sweat Sampling to Signal Reading. BIOSENSORS 2023; 14:17. [PMID: 38248394 PMCID: PMC10813192 DOI: 10.3390/bios14010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 12/19/2023] [Accepted: 12/25/2023] [Indexed: 01/23/2024]
Abstract
Sweat, commonly referred to as the ultrafiltrate of blood plasma, is an essential physiological fluid in the human body. It contains a wide range of metabolites, electrolytes, and other biologically significant markers that are closely linked to human health. Compared to other bodily fluids, such as blood, sweat offers distinct advantages in terms of ease of collection and non-invasive detection. In recent years, considerable attention has been focused on wearable sweat sensors due to their potential for continuous monitoring of biomarkers. Electrochemical methods have been extensively used for in situ sweat biomarker analysis, as thoroughly reviewed by various researchers. This comprehensive review aims to provide an overview of recent advances in non-electrochemical methods for analyzing sweat, including colorimetric methods, fluorescence techniques, surface-enhanced Raman spectroscopy, and more. The review covers multiple aspects of non-electrochemical sweat analysis, encompassing sweat sampling methodologies, detection techniques, signal processing, and diverse applications. Furthermore, it highlights the current bottlenecks and challenges faced by non-electrochemical sensors, such as limitations and interference issues. Finally, the review concludes by offering insights into the prospects for non-electrochemical sensing technologies. By providing a valuable reference and inspiring researchers engaged in the field of sweat sensor development, this paper aspires to foster the creation of innovative and practical advancements in this domain.
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Affiliation(s)
- Mingpeng Yang
- School of Automation, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China (X.Z.)
- Jiangsu Collaborative Innovation Centre on Atmospheric Environment and Equipment Technology, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China
| | - Nan Sun
- School of Automation, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China (X.Z.)
| | - Xiaochen Lai
- School of Automation, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China (X.Z.)
- Jiangsu Collaborative Innovation Centre on Atmospheric Environment and Equipment Technology, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China
| | - Xingqiang Zhao
- School of Automation, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China (X.Z.)
- Jiangsu Collaborative Innovation Centre on Atmospheric Environment and Equipment Technology, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China
| | - Wangping Zhou
- School of Automation, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China (X.Z.)
- Jiangsu Collaborative Innovation Centre on Atmospheric Environment and Equipment Technology, Nanjing University of Information Science and Technology, 219 Ningliu Road, Nanjing 210044, China
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17
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Saha T, Del Caño R, De la Paz E, Sandhu SS, Wang J. Access and Management of Sweat for Non-Invasive Biomarker Monitoring: A Comprehensive Review. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2023; 19:e2206064. [PMID: 36433842 DOI: 10.1002/smll.202206064] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/07/2022] [Indexed: 06/16/2023]
Abstract
Sweat is an important biofluid presents in the body since it regulates the internal body temperature, and it is relatively easy to access on the skin unlike other biofluids and contains several biomarkers that are also present in the blood. Although sweat sensing devices have recently displayed tremendous progress, most of the emerging devices primarily focus on the sensor development, integration with electronics, wearability, and data from in vitro studies and short-term on-body trials during exercise. To further the advances in sweat sensing technology, this review aims to present a comprehensive report on the approaches to access and manage sweat from the skin toward improved sweat collection and sensing. It is begun by delineating the sweat secretion mechanism through the skin, and the historical perspective of sweat, followed by a detailed discussion on the mechanisms governing sweat generation and management on the skin. It is concluded by presenting the advanced applications of sweat sensing, supported by a discussion of robust, extended-operation epidermal wearable devices aiming to strengthen personalized healthcare monitoring systems.
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Affiliation(s)
- Tamoghna Saha
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Rafael Del Caño
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
- Department of Physical Chemistry and Applied Thermodynamics, University of Cordoba, Cordoba, E-14014, Spain
| | - Ernesto De la Paz
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Samar S Sandhu
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
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18
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Zhang Y, Hou C, Zhao P, Zeng X, Liu Y, Chen J, Gao Y, Wang C, Hou J, Huo D. Fe Single-Atom Nanozyme-Modified Wearable Hydrogel Patch for Precise Analysis of Uric Acid at Rest. ACS APPLIED MATERIALS & INTERFACES 2023; 15:43541-43549. [PMID: 37694575 DOI: 10.1021/acsami.3c08978] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
Resting sweat analysis could provide unique insight into the metabolic levels of physiological and pathological states. However, the low secretion rate of resting sweat and the low concentration of metabolic molecules pose challenges for the development of noninvasive wearable sensors. Here, we demonstrated a wearable patch for the precise analysis of uric acid at rest. Fe single-atom nanozymes (FeSAs) with excellent electrocatalytic activity were used to develop a sensor for selective catalysis of uric acid (UA, 1-425 μM), and the catalytic mechanism of UA was later explored by density functional theory. In addition, polyaniline was integrated into the wearable patch for pH detection; thus, accurate analysis of sweat UA molecules can be achieved by pH calibration. Then, we explored the possibility of collecting resting sweat with different ratios of agarose hydrogels to reduce the sweat accumulation time. Finally, the possibility of a wearable patch for accurate UA detection in volunteer sweat samples was experimentally verified. We believe that our work provides novel insights and ideas for the analysis of resting sweat using wearable devices, further driving advancements in the field of personalized medicine.
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Affiliation(s)
- Yong Zhang
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Changjun Hou
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Peng Zhao
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Xin Zeng
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Yiyi Liu
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Jian Chen
- Chongqing University Three Gorges Hospital, Chongqing 404000, PR China
| | - Yifan Gao
- School of Electrical Engineering, Chongqing University of Science and Technology, Chongqing401331, PR China
| | - Cuncun Wang
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Jingzhou Hou
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
- Postdoctoral Research Station, Bioengineering College of Chongqing University, Chongqing 400044, PR China
| | - Danqun Huo
- Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College of Chongqing University, Chongqing 400044, PR China
- Chongqing Key Laboratory of Bio-perception & Intelligent Information Processing, School of Microelectronics and Communication Engineering, Chongqing University, Chongqing 400044, PR China
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19
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Lin PH, Nien HH, Li BR. Wearable Microfluidics for Continuous Assay. ANNUAL REVIEW OF ANALYTICAL CHEMISTRY (PALO ALTO, CALIF.) 2023; 16:181-203. [PMID: 36888989 DOI: 10.1146/annurev-anchem-091322-082930] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The development of wearable devices provides approaches for the realization of self-health care. Easily carried wearable devices allow individual health monitoring at any place whenever necessary. There are various interesting monitoring targets, including body motion, organ pressure, and biomarkers. An efficient use of space in one small device is a promising resolution to increase the functions of wearable devices. Through integration of a microfluidic system into wearable devices, embedding complicated structures in one design becomes possible and can enable multifunction analyses within a limited device volume. This article reviews the reported microfluidic wearable devices, introduces applications to different biofluids, discusses characteristics of the design strategies and sensing principles, and highlights the attractive configurations of each device. This review seeks to provide a detailed summary of recent advanced microfluidic wearable devices. The overview of advanced key components is the basis for the development of future microfluidic wearable devices.
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Affiliation(s)
- Pei-Heng Lin
- Institute of Biomedical Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan;
- Department of Electronics and Electrical Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Hsin-Hua Nien
- Institute of Biomedical Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan;
- College of Electrical and Computer Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
- Department of Radiation Oncology, Cathay General Hospital, Taipei, Taiwan
- School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Bor-Ran Li
- Institute of Biomedical Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan;
- Department of Electronics and Electrical Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
- Center for Emergent Functional Matter of Science, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
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20
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Song Z, Zhou S, Qin Y, Xia X, Sun Y, Han G, Shu T, Hu L, Zhang Q. Flexible and Wearable Biosensors for Monitoring Health Conditions. BIOSENSORS 2023; 13:630. [PMID: 37366995 DOI: 10.3390/bios13060630] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 05/22/2023] [Accepted: 06/01/2023] [Indexed: 06/28/2023]
Abstract
Flexible and wearable biosensors have received tremendous attention over the past decade owing to their great potential applications in the field of health and medicine. Wearable biosensors serve as an ideal platform for real-time and continuous health monitoring, which exhibit unique properties such as self-powered, lightweight, low cost, high flexibility, detection convenience, and great conformability. This review introduces the recent research progress in wearable biosensors. First of all, the biological fluids often detected by wearable biosensors are proposed. Then, the existing micro-nanofabrication technologies and basic characteristics of wearable biosensors are summarized. Then, their application manners and information processing are also highlighted in the paper. Massive cutting-edge research examples are introduced such as wearable physiological pressure sensors, wearable sweat sensors, and wearable self-powered biosensors. As a significant content, the detection mechanism of these sensors was detailed with examples to help readers understand this area. Finally, the current challenges and future perspectives are proposed to push this research area forward and expand practical applications in the future.
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Affiliation(s)
- Zhimin Song
- Department of Anesthesiology, The Second Hospital of Jilin University, Changchun 130041, China
| | - Shu Zhou
- Department of Anesthesiology, Jilin Cancer Hospital, Changchun 130021, China
| | - Yanxia Qin
- State Key Laboratory of Electroanalytical Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, China
| | - Xiangjiao Xia
- State Key Laboratory of Electroanalytical Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, China
| | - Yanping Sun
- School of Biomedical Engineering, Guangdong Laboratory of Artificial Intelligence and Digital Economy (SZ), Shenzhen Key Laboratory for Nano-Biosensing Technology, International Health Science Innovation Center, Research Center for Biosensor and Nanotheranostic, Health Science Center, Shenzhen University, Shenzhen 518060, China
| | - Guanghong Han
- Department of Oral Geriatrics, Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - Tong Shu
- School of Biomedical Engineering, Guangdong Laboratory of Artificial Intelligence and Digital Economy (SZ), Shenzhen Key Laboratory for Nano-Biosensing Technology, International Health Science Innovation Center, Research Center for Biosensor and Nanotheranostic, Health Science Center, Shenzhen University, Shenzhen 518060, China
| | - Liang Hu
- State Key Laboratory of Radiation Medicine and Protection, School for Radiological and Interdisciplinary Sciences (RAD-X) and Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions, Soochow University, Suzhou 215123, China
| | - Qiang Zhang
- State Key Laboratory of Electroanalytical Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, China
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21
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Chen Y, Ma B, Zuo Y, Chen G, Hao Q, Zhao C, Liu H. Versatile sweat bioanalysis on demand with hydrogel-programmed wearables. Biosens Bioelectron 2023; 235:115412. [PMID: 37236013 DOI: 10.1016/j.bios.2023.115412] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 05/07/2023] [Accepted: 05/19/2023] [Indexed: 05/28/2023]
Abstract
Wearable sweat bioanalysis is promising for non-invasive diagnostics of diseases. However, collection of representative sweat samples without disturbing daily life and wearable bioanalysis of targets that are clinically significant are still challenging. In this work, we report on a versatile method for the sweat bioanalysis. The method is based on a thermoresponsive hydrogel which can imperceptibly absorb slowly secreted sweat without stimulation such as heat or sport exercise. The wearable bioanalysis is accomplished by programmed electric heating of hydrogel modules to 42°C to release absorbed sweat or preloaded reagents into a microfluidic detection channel. Using our method, not only one-step detection of glucose but also multi-step immunoassay of cortisol is accomplished within 1 h, even at a very low sweat rate. Our test results are also compared with those obtained with conventional blood samples and stimulated sweat samples to evaluate the applicability of our method to non-invasive clinical practice.
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Affiliation(s)
- Yichen Chen
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China
| | - Biao Ma
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China.
| | - Yinxiu Zuo
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China
| | - Gangsheng Chen
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China
| | - Qing Hao
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China
| | - Chao Zhao
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China
| | - Hong Liu
- State Key Laboratory of Digital Medical Engineering, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 210096, China.
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22
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Ma X, Guo G, Wu X, Wu Q, Liu F, Zhang H, Shi N, Guan Y. Advances in Integration, Wearable Applications, and Artificial Intelligence of Biomedical Microfluidics Systems. MICROMACHINES 2023; 14:mi14050972. [PMID: 37241596 DOI: 10.3390/mi14050972] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 04/20/2023] [Accepted: 04/25/2023] [Indexed: 05/28/2023]
Abstract
Microfluidics attracts much attention due to its multiple advantages such as high throughput, rapid analysis, low sample volume, and high sensitivity. Microfluidics has profoundly influenced many fields including chemistry, biology, medicine, information technology, and other disciplines. However, some stumbling stones (miniaturization, integration, and intelligence) strain the development of industrialization and commercialization of microchips. The miniaturization of microfluidics means fewer samples and reagents, shorter times to results, and less footprint space consumption, enabling a high throughput and parallelism of sample analysis. Additionally, micro-size channels tend to produce laminar flow, which probably permits some creative applications that are not accessible to traditional fluid-processing platforms. The reasonable integration of biomedical/physical biosensors, semiconductor microelectronics, communications, and other cutting-edge technologies should greatly expand the applications of current microfluidic devices and help develop the next generation of lab-on-a-chip (LOC). At the same time, the evolution of artificial intelligence also gives another strong impetus to the rapid development of microfluidics. Biomedical applications based on microfluidics normally bring a large amount of complex data, so it is a big challenge for researchers and technicians to analyze those huge and complicated data accurately and quickly. To address this problem, machine learning is viewed as an indispensable and powerful tool in processing the data collected from micro-devices. In this review, we mainly focus on discussing the integration, miniaturization, portability, and intelligence of microfluidics technology.
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Affiliation(s)
- Xingfeng Ma
- School of Communication and Information Engineering, Shanghai University, Shanghai 200000, China
- Department of Microelectronics, Shanghai University, Shanghai 200000, China
| | - Gang Guo
- Department of Microelectronics, Shanghai University, Shanghai 200000, China
| | - Xuanye Wu
- Department of Microelectronics, Shanghai University, Shanghai 200000, China
- Shanghai Industrial μTechnology Research Institute, Shanghai 200000, China
| | - Qiang Wu
- Shanghai Aure Technology Limited Company, Shanghai 200000, China
| | - Fangfang Liu
- Shanghai Industrial μTechnology Research Institute, Shanghai 200000, China
| | - Hua Zhang
- Shanghai Aure Technology Limited Company, Shanghai 200000, China
| | - Nan Shi
- Shanghai Industrial μTechnology Research Institute, Shanghai 200000, China
- Institute of Translational Medicine, Shanghai University, Shanghai 200000, China
| | - Yimin Guan
- Department of Microelectronics, Shanghai University, Shanghai 200000, China
- Shanghai Aure Technology Limited Company, Shanghai 200000, China
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23
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Min J, Tu J, Xu C, Lukas H, Shin S, Yang Y, Solomon SA, Mukasa D, Gao W. Skin-Interfaced Wearable Sweat Sensors for Precision Medicine. Chem Rev 2023; 123:5049-5138. [PMID: 36971504 PMCID: PMC10406569 DOI: 10.1021/acs.chemrev.2c00823] [Citation(s) in RCA: 185] [Impact Index Per Article: 92.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
Wearable sensors hold great potential in empowering personalized health monitoring, predictive analytics, and timely intervention toward personalized healthcare. Advances in flexible electronics, materials science, and electrochemistry have spurred the development of wearable sweat sensors that enable the continuous and noninvasive screening of analytes indicative of health status. Existing major challenges in wearable sensors include: improving the sweat extraction and sweat sensing capabilities, improving the form factor of the wearable device for minimal discomfort and reliable measurements when worn, and understanding the clinical value of sweat analytes toward biomarker discovery. This review provides a comprehensive review of wearable sweat sensors and outlines state-of-the-art technologies and research that strive to bridge these gaps. The physiology of sweat, materials, biosensing mechanisms and advances, and approaches for sweat induction and sampling are introduced. Additionally, design considerations for the system-level development of wearable sweat sensing devices, spanning from strategies for prolonged sweat extraction to efficient powering of wearables, are discussed. Furthermore, the applications, data analytics, commercialization efforts, challenges, and prospects of wearable sweat sensors for precision medicine are discussed.
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Affiliation(s)
- Jihong Min
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Jiaobing Tu
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Changhao Xu
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Heather Lukas
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Soyoung Shin
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Yiran Yang
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Samuel A. Solomon
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Daniel Mukasa
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
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24
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De la Paz E, Saha T, Del Caño R, Seker S, Kshirsagar N, Wang J. Non-invasive monitoring of interstitial fluid lactate through an epidermal iontophoretic device. Talanta 2023; 254:124122. [PMID: 36459870 DOI: 10.1016/j.talanta.2022.124122] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 11/09/2022] [Accepted: 11/19/2022] [Indexed: 11/27/2022]
Abstract
The development of a non-invasive sensing technology that allows collection of interstitial fluid (ISF) lactate and its subsequent analysis without exertion requirement, could enable lactate monitoring from rested individuals. Here, we describe a wearable, soft epidermal adhesive patch that integrates a reverse iontophoretic (RI) system, and an amperometric lactate biosensor placed on the anodic electrode with a porous hydrogel reservoir, for simultaneous ISF lactate extraction and quantification via electrochemical sensing, respectively. The iontophoretic system includes agarose hydrogels for preventing skin electrocution, while a porous polyvinyl alcohol-based hydrogel facilitates the effective transport of lactate from skin to the biosensor. The flexible skin-worn device tested on healthy individuals at rest showed rapid lactate collection from the ISF after 10 min of reverse iontophoresis with no evidence of discomfort or irritation to the skin. Detailed characterization of the enzymatic biosensor before and during on-body trials along with relevant control experiments confirmed the efficient extraction and selective detection of ISF lactate. Such an epidermal technology represents the first demonstration of an all-in-one platform that integrates non-invasive collection and subsequent analysis of lactate from iontophoretically extracted ISF toward point-of-care operation.
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Affiliation(s)
- Ernesto De la Paz
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA
| | - Tamoghna Saha
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA
| | - Rafael Del Caño
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA; Department of Physical Chemistry and Applied Thermodynamics, University of Cordoba, E-14014, Spain
| | - Sumeyye Seker
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA
| | - Nikhil Kshirsagar
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego La Jolla, CA, 92093, USA.
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25
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Chen L, Guo X, Sun X, Zhang S, Wu J, Yu H, Zhang T, Cheng W, Shi Y, Pan L. Porous Structural Microfluidic Device for Biomedical Diagnosis: A Review. MICROMACHINES 2023; 14:547. [PMID: 36984956 PMCID: PMC10051279 DOI: 10.3390/mi14030547] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 02/21/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
Microfluidics has recently received more and more attention in applications such as biomedical, chemical and medicine. With the development of microelectronics technology as well as material science in recent years, microfluidic devices have made great progress. Porous structures as a discontinuous medium in which the special flow phenomena of fluids lead to their potential and special applications in microfluidics offer a unique way to develop completely new microfluidic chips. In this article, we firstly introduce the fabrication methods for porous structures of different materials. Then, the physical effects of microfluid flow in porous media and their related physical models are discussed. Finally, the state-of-the-art porous microfluidic chips and their applications in biomedicine are summarized, and we present the current problems and future directions in this field.
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Affiliation(s)
| | | | - Xidi Sun
- Correspondence: (X.S.); (Y.S.); (L.P.)
| | | | | | | | | | | | - Yi Shi
- Correspondence: (X.S.); (Y.S.); (L.P.)
| | - Lijia Pan
- Correspondence: (X.S.); (Y.S.); (L.P.)
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26
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Ketone bodies detection: Wearable and mobile sensors for personalized medicine and nutrition. Trends Analyt Chem 2023. [DOI: 10.1016/j.trac.2023.116938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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27
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Shen Y, Liu C, He H, Zhang M, Wang H, Ji K, Wei L, Mao X, Sun R, Zhou F. Recent Advances in Wearable Biosensors for Non-Invasive Detection of Human Lactate. BIOSENSORS 2022; 12:1164. [PMID: 36551131 PMCID: PMC9776101 DOI: 10.3390/bios12121164] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 11/29/2022] [Accepted: 12/09/2022] [Indexed: 06/17/2023]
Abstract
Lactate, a crucial product of the anaerobic metabolism of carbohydrates in the human body, is of enormous significance in the diagnosis and treatment of diseases and scientific exercise management. The level of lactate in the bio-fluid is a crucial health indicator because it is related to diseases, such as hypoxia, metabolic disorders, renal failure, heart failure, and respiratory failure. For critically ill patients and those who need to regularly control lactate levels, it is vital to develop a non-invasive wearable sensor to detect lactate levels in matrices other than blood. Due to its high sensitivity, high selectivity, low detection limit, simplicity of use, and ability to identify target molecules in the presence of interfering chemicals, biosensing is a potential analytical approach for lactate detection that has received increasing attention. Various types of wearable lactate biosensors are reviewed in this paper, along with their preparation, key properties, and commonly used flexible substrate materials including polydimethylsiloxane (PDMS), polyethylene terephthalate (PET), paper, and textiles. Key performance indicators, including sensitivity, linear detection range, and detection limit, are also compared. The challenges for future development are also summarized, along with some recommendations for the future development of lactate biosensors.
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Affiliation(s)
- Yutong Shen
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Chengkun Liu
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Haijun He
- Engineering Research Center for Knitting Technology of the Ministry of Education, Jiangnan University, Wuxi 214122, China
| | - Mengdi Zhang
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Hao Wang
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Keyu Ji
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Liang Wei
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Xue Mao
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Runjun Sun
- School of Textile Science and Engineering, Xi’an Polytechnic University, Xi’an 710048, China
- Key Laboratory of Functional Textile Material and Product of the Ministry of Education, Xi’an Polytechnic University, Xi’an 710048, China
- Shaanxi College Engineering Research Center of Functional Micro/Nano Textile Materials, Xi’an Polytechnic University, Xi’an 710048, China
| | - Fenglei Zhou
- Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK
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28
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Silva-Neto HA, Arantes IV, Ferreira AL, do Nascimento GH, Meloni GN, de Araujo WR, Paixão TR, Coltro WK. Recent advances on paper-based microfluidic devices for bioanalysis. Trends Analyt Chem 2022. [DOI: 10.1016/j.trac.2022.116893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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29
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Saha T, Songkakul T, Knisely CT, Yokus MA, Daniele MA, Dickey MD, Bozkurt A, Velev OD. Wireless Wearable Electrochemical Sensing Platform with Zero-Power Osmotic Sweat Extraction for Continuous Lactate Monitoring. ACS Sens 2022; 7:2037-2048. [PMID: 35820167 DOI: 10.1021/acssensors.2c00830] [Citation(s) in RCA: 49] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Wearable and wireless monitoring of biomarkers such as lactate in sweat can provide a deeper understanding of a subject's metabolic stressors, cardiovascular health, and physiological response to exercise. However, the state-of-the-art wearable and wireless electrochemical systems rely on active sweat released either via high-exertion exercise, electrical stimulation (such as iontophoresis requiring electrical power), or chemical stimulation (such as by delivering pilocarpine or carbachol inside skin), to extract sweat under low-perspiring conditions such as at rest. Here, we present a continuous sweat lactate monitoring platform combining a hydrogel for osmotic sweat extraction, with a paper microfluidic channel for facilitating sweat transport and management, a screen-printed electrochemical lactate sensor, and a custom-built wireless wearable potentiostat system. Osmosis enables zero-electrical power sweat extraction at rest, while continuous evaporation at the end of a paper channel allows long-term sensing from fresh sweat. The positioning of the lactate sensors provides near-instantaneous sensing at low sweat volume, and the custom-designed potentiostat supports continuous monitoring with ultra-low power consumption. For a proof of concept, the prototype system was evaluated for continuous measurement of sweat lactate across a range of physiological activities with changing lactate concentrations and sweat rates: for 2 h at the resting state, 1 h during medium-intensity exercise, and 30 min during high-intensity exercise. Overall, this wearable system holds the potential of providing comprehensive and long-term continuous analysis of sweat lactate trends in the human body during rest and under exercising conditions.
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Affiliation(s)
- Tamoghna Saha
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, North Carolina 27695, United States
| | - Tanner Songkakul
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Charles T Knisely
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, North Carolina 27695, United States
| | - Murat A Yokus
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Michael A Daniele
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Drive, Raleigh, North Carolina 27695, United States.,Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, 911 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Michael D Dickey
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, North Carolina 27695, United States
| | - Alper Bozkurt
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Orlin D Velev
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, North Carolina 27695, United States
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30
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Aerathupalathu Janardhanan J, Chen YL, Liu CT, Tseng HS, Wu PI, She JW, Hsiao YS, Yu HH. Sensitive Detection of Sweat Cortisol Using an Organic Electrochemical Transistor Featuring Nanostructured Poly(3,4-Ethylenedioxythiophene) Derivatives in the Channel Layer. Anal Chem 2022; 94:7584-7593. [PMID: 35588463 DOI: 10.1021/acs.analchem.2c00497] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
In this study, we examined the influence of functionalized poly(3,4-ethylenedioxythiophene) (PEDOT) nanostructures decorated on the channel layer of an organic electrochemical transistor (OECT) for the detection of sweat cortisol, an adrenocorticosteroid stress hormone. The OECT device featured a bilayer channel confined by a PEDOT:polystyrenesulfonate (PSS) underlayer and a nanostructure-decorated upper layer engineered from the monomers EDOT-COOH and EDOT-EG3 through template-free electrochemical polymerization. This molecular design allowed antibody conjugation using 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide/N-hydroxysulfosuccinimide coupling through the carboxylic acid side chain, with EDOT-EG3 known to minimize nonspecific binding of biomolecules. We also engineered an OECT device having a channel area without any nanostructures to gain insight into the effect of the nanostructures on cortisol sensing. Our new nanostructure-embedded OECT device facilitated real-time detection of cortisol at concentrations ranging from 1 fg/mL to 1 μg/mL with a detection limit of 0.0088 fg/mL with good linearity (R2 = 0.9566), in addition to excellent selectivity toward cortisol among other structurally similar interfering compounds and high stability and reproducibility. With its rapid response for the detection of 100 ng/mL cortisol-spiked artificial sweat, this nanostructure-decorated OECT device has potential clinical practicality and utility in wearable sensors for future healthcare applications.
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Affiliation(s)
- Jayakrishnan Aerathupalathu Janardhanan
- Smart Organic Materials Laboratory, Institute of Chemistry, Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan.,Taiwan International Graduate Program (TIGP), Sustainable Chemical Science & Technology (SCST), Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan.,Department of Applied Chemistry, National Yang Ming Chiao Tung University (NYCU), Hsinchu 300, Taiwan
| | - Ying-Lin Chen
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology (NTUST), Keelung Road, Da'an District, Taipei 106335, Taiwan
| | - Chun-Ting Liu
- Department of Chemical Engineering, National Taiwan University, Roosevelt Road, Da'an District, Taipei 10617, Taiwan
| | - Hsueh-Sheng Tseng
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology (NTUST), Keelung Road, Da'an District, Taipei 106335, Taiwan
| | - Po-I Wu
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology (NTUST), Keelung Road, Da'an District, Taipei 106335, Taiwan
| | - Jia-Wei She
- Smart Organic Materials Laboratory, Institute of Chemistry, Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan.,Taiwan International Graduate Program (TIGP), Nano Science & Technology Program, Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan.,Department of Engineering and System Science, National Tsing Hua University (NTHU), Hsinchu 300, Taiwan
| | - Yu-Sheng Hsiao
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology (NTUST), Keelung Road, Da'an District, Taipei 106335, Taiwan
| | - Hsiao-Hua Yu
- Smart Organic Materials Laboratory, Institute of Chemistry, Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan.,Taiwan International Graduate Program (TIGP), Sustainable Chemical Science & Technology (SCST), Academia Sinica, No. 128, Section 2, Research Institute Road, Nankang, Taipei 11529, Taiwan
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31
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Darby DR, Cai Z, Mason CR, Pham JT. Modulus and adhesion of Sylgard 184, Solaris, and Ecoflex 00‐30 silicone elastomers with varied mixing ratios. J Appl Polym Sci 2022. [DOI: 10.1002/app.52412] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Daniel R. Darby
- Department of Chemical and Materials Engineering University of Kentucky Lexington Kentucky USA
| | - Zhuoyun Cai
- Department of Chemical and Materials Engineering University of Kentucky Lexington Kentucky USA
| | - Christopher R. Mason
- Department of Chemical and Materials Engineering University of Kentucky Lexington Kentucky USA
| | - Jonathan T. Pham
- Department of Chemical and Materials Engineering University of Kentucky Lexington Kentucky USA
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32
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Vaquer A, Barón E, de la Rica R. Dissolvable Polymer Valves for Sweat Chrono-Sampling in Wearable Paper-Based Analytical Devices. ACS Sens 2022; 7:488-494. [PMID: 35172102 DOI: 10.1021/acssensors.1c02244] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Paper sensors with colorimetric signal transduction mechanisms are promising for developing single-use wearable patches that only require a smartphone to quantify signals. However, measuring biomarker fluctuations with colorimetric wearable sensors requires implementing a chrono-sampling method for performing sequential measurements. In this article, we report on a chrono-sampling method that enables the fabrication of wearable devices made entirely of filter paper. It consists of using dried polymers as closed valves that deflect the flow of liquids to different transducers of a multisensor. As time passes by, the polymer dissolves and the valve opens. The sequential opening of the valves results in a succession of measurements that reveals fluctuations in the concentration of the target analyte. This concept was demonstrated with a paper multisensor capable of performing nine consecutive pH measurements. The device was also adapted for developing a urea biosensor that detects pH measurements generated by the hydrolysis of the analyte catalyzed by urease. The proposed analytical platform could monitor the pH of sweat with an accuracy and precision comparable to a laboratory-based method when worn during an exercise routine. The results shown here pave the way for developing colorimetric wearable biosensors that measure variations in the concentration of biomarkers such as glucose, lactate, creatinine, or uric acid over time.
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Affiliation(s)
- Andreu Vaquer
- Multidisciplinary Sepsis Group, Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, 07120 Palma de Mallorca, Spain
- Department of Chemistry, University of the Balearic Islands, 07122 Palma de Mallorca, Spain
| | - Enrique Barón
- Multidisciplinary Sepsis Group, Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, 07120 Palma de Mallorca, Spain
| | - Roberto de la Rica
- Multidisciplinary Sepsis Group, Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, 07120 Palma de Mallorca, Spain
- Department of Chemistry, University of the Balearic Islands, 07122 Palma de Mallorca, Spain
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33
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Manasa G, Mascarenhas RJ, Shetti NP, Malode SJ, Mishra A, Basu S, Aminabhavi TM. Skin Patchable Sensor Surveillance for Continuous Glucose Monitoring. ACS APPLIED BIO MATERIALS 2022; 5:945-970. [PMID: 35170319 DOI: 10.1021/acsabm.1c01289] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Diabetes mellitus is a physiological and metabolic disorder affecting millions of people worldwide, associated with global morbidity, mortality, and financial expenses. Long-term complications can be avoided by frequent, continuous self-monitoring of blood glucose. Therefore, this review summarizes the current state-of-art glycemic control regimes involving measurement approaches and basic concepts. Following an introduction to the significance of continuous glucose sensing, we have tracked the evolution of glucose monitoring devices from minimally invasive to non-invasive methods to present an overview of the spectrum of continuous glucose monitoring (CGM) technologies. The conveniences, accuracy, and cost-effectiveness of the real-time CGM systems (rt-CGMs) are the factors considered for discussion. Transdermal biosensing and drug delivery routes have recently emerged as an innovative approach to substitute hypodermal needles. This work reviews skin-patchable glucose monitoring sensors for the first time, providing specifics of all the major findings in the past 6 years. Skin patch sensors and their progressive form, i.e., microneedle (MN) array sensory and delivery systems, are elaborated, covering self-powered, enzymatic, and non-enzymatic devices. The critical aspects reviewed are material design and assembly techniques focusing on flexibility, sensitivity, selectivity, biocompatibility, and user-end comfort. The review highlights the advantages of patchable MNs' multi-sensor technology designed to maintain precise blood glucose levels and administer diabetes drugs or insulin through a "sense and act" feedback loop. Subsequently, the limitations and potential challenges encountered from the MN array as rt-CGMs are listed. Furthermore, the current statuses of working prototype glucose-responsive "closed-loop" insulin delivery systems are discussed. Finally, the expected future developments and outlooks in clinical applications are discussed.
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Affiliation(s)
- G Manasa
- Electrochemistry Research Group, Department of Chemistry, St. Joseph's College (Autonomous), Lalbagh Road, Bangalore, Karnataka 560027, India
| | - Ronald J Mascarenhas
- Electrochemistry Research Group, Department of Chemistry, St. Joseph's College (Autonomous), Lalbagh Road, Bangalore, Karnataka 560027, India
| | - Nagaraj P Shetti
- Department of Chemistry, School of Advanced Sciences, KLE Technological University, Vidyanagar, Hubballi, Karnataka 580031, India
| | - Shweta J Malode
- Department of Chemistry, School of Advanced Sciences, KLE Technological University, Vidyanagar, Hubballi, Karnataka 580031, India
| | - Amit Mishra
- Department of Chemical Engineering, Inha University, Incheon 22212, South Korea
| | - Soumen Basu
- School of Chemistry and Biochemistry, Thapar Institute of Engineering & Technology, Patiala, Punjab 147004, India
| | - Tejraj M Aminabhavi
- Department of Chemistry, School of Advanced Sciences, KLE Technological University, Vidyanagar, Hubballi, Karnataka 580031, India
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Li T, Liang B, Ye Z, Zhang L, Xu S, Tu T, Zhang Y, Cai Y, Zhang B, Fang L, Mao X, Zhang S, Wu G, Yang Q, Zhou C, Cai X, Ye X. An integrated and conductive hydrogel-paper patch for simultaneous sensing of Chemical-Electrophysiological signals. Biosens Bioelectron 2022; 198:113855. [PMID: 34871834 DOI: 10.1016/j.bios.2021.113855] [Citation(s) in RCA: 41] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 11/27/2021] [Indexed: 12/11/2022]
Abstract
Simultaneous monitoring of electrophysiological and biochemical signals is of great importance in healthcare and fitness management, while the fabrication of highly integrated and flexible devices is crucial to these applications. Herein, we devised a multifunctional and flexible hydrogel-paper patch (HPP) that was capable of simultaneously real-time monitoring of electrocardiogram (ECG) signal and biochemical signal (glucose content) in sweat during exercise. The self-assembly of the highly porous PEDOT:PSS hydrogel on paper fiber provided the HPP with good conductivity and hydrophilic wettability for efficient electron transmission and substance diffusion, thereby enabling it to serve as a low-impedance ECG electrode and a highly sensitive glucose sensor. Additionally, the spontaneous capillary flow effect allows the paper patch to be used as microfluidic channels for the collect and analysis of sweat. Moreover, the HPP is integrated with a flexible printed circuit board (FPCB) and works as a multifunctional wearable device mounted on the chest for real-time monitoring of electrophysiological and biochemical signals during exercise.
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Affiliation(s)
- Tianyu Li
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China; Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang Province, PR China
| | - Bo Liang
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China.
| | - Zhichao Ye
- School of Medicine, Zhejiang University, Zhejiang Province, PR China
| | - Lei Zhang
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Shiyi Xu
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Tingting Tu
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Yiming Zhang
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Yu Cai
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Bin Zhang
- Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang Province, PR China
| | - Lu Fang
- Department of Automation, Hangzhou Dianzi University, Zhejiang Province, PR China
| | - Xiyu Mao
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Shanshan Zhang
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Guan Wu
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Qifu Yang
- School of Medicine, Zhejiang University, Zhejiang Province, PR China
| | - Congcong Zhou
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China
| | - Xiujun Cai
- Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang Province, PR China.
| | - Xuesong Ye
- Biosensor National Special Laboratory, College of Biomedical Engineering and Instrument Science, Zhejiang University, Zhejiang Province, PR China.
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Kukkar D, Zhang D, Jeon B, Kim KH. Recent advances in wearable biosensors for non-invasive monitoring of specific metabolites and electrolytes associated with chronic kidney disease: Performance evaluation and future challenges. Trends Analyt Chem 2022. [DOI: 10.1016/j.trac.2022.116570] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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36
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Osmotically Enabled Wearable Patch for Sweat Harvesting and Lactate Quantification. MICROMACHINES 2021; 12:mi12121513. [PMID: 34945363 PMCID: PMC8705979 DOI: 10.3390/mi12121513] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 11/28/2021] [Accepted: 12/02/2021] [Indexed: 01/10/2023]
Abstract
Lactate is an essential biomarker for determining the health of the muscles and oxidative stress levels in the human body. However, most of the currently available sweat lactate monitoring devices require external power, cannot measure lactate under low sweat rates (such as in humans at rest), and do not provide adequate information about the relationship between sweat and blood lactate levels. Here, we discuss the on-skin operation of our recently developed wearable sweat sampling patch. The patch combines osmosis (using hydrogel discs) and capillary action (using paper microfluidic channel) for long-term sweat withdrawal and management. When subjects are at rest, the hydrogel disc can withdraw fluid from the skin via osmosis and deliver it to the paper. The lactate amount in the fluid is determined using a colorimetric assay. During active sweating (e.g., exercise), the paper can harvest sweat even in the absence of the hydrogel patch. The captured fluid contains lactate, which we quantify using a colorimetric assay. The measurements show the that the total number of moles of lactate in sweat is correlated to sweat rate. Lactate concentrations in sweat and blood correlate well only during high-intensity exercise. Hence, sweat appears to be a suitable biofluid for lactate quantification. Overall, this wearable patch holds the potential of providing a comprehensive analysis of sweat lactate trends in the human body.
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Saha T, Fang J, Yokus MA, Mukherjee S, Bozkurt A, Daniele MA, Dickey MD, Velev OD. A Wearable Patch for Prolonged Sweat Lactate Harvesting and Sensing. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:6863-6866. [PMID: 34892683 DOI: 10.1109/embc46164.2021.9630881] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Operating at low sweat rates, such as those experienced by humans at rest, is still an unmet need for state-of-the-art wearable sweat harvesting and testing devices for lactate. Here, we report the on-skin performance of a non-invasive wearable sweat sampling patch that can harvest sweat at rest, during exercise, and post-exercise. The patch simultaneously uses osmosis and evaporation for long-term (several hours) sampling of sweat. Osmotic sweat withdrawal is achieved by skin-interfacing a hydrogel containing a concentrated solute. The gel interfaces with a paper strip that transports the fluid via wicking and evaporation. Proof of concept results show that the patch was able to sample sweat during resting and post-exercise conditions, where the lactate concentration was successfully quantified. The patch detected the increase in sweat lactate levels during medium level exercise. Blood lactate remained invariant with exercise as expected. We also developed a continuous sensing version of the patch by including enzymatic electrochemical sensors. Such a battery-free, passive, wearable sweat sampling patch can potentially provide useful information about the human metabolic activity.
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Ghaffari R, Yang DS, Kim J, Mansour A, Wright JA, Model JB, Wright DE, Rogers JA, Ray TR. State of Sweat: Emerging Wearable Systems for Real-Time, Noninvasive Sweat Sensing and Analytics. ACS Sens 2021; 6:2787-2801. [PMID: 34351759 DOI: 10.1021/acssensors.1c01133] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Skin-interfaced wearable systems with integrated colorimetric assays, microfluidic channels, and electrochemical sensors offer powerful capabilities for noninvasive, real-time sweat analysis. This Perspective details recent progress in the development and translation of novel wearable sensors for personalized assessment of sweat dynamics and biomarkers, with precise sampling and real-time analysis. Sensor accuracy, system ruggedness, and large-scale deployment in remote environments represent key opportunity areas, enabling broad deployment in the context of field studies, clinical trials, and recent commercialization. On-body measurements in these contexts show good agreement compared to conventional laboratory-based sweat analysis approaches. These device demonstrations highlight the utility of biochemical sensing platforms for personalized assessment of performance, wellness, and health across a broad range of applications.
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Affiliation(s)
- Roozbeh Ghaffari
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Da Som Yang
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
| | - Joohee Kim
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
| | - Amer Mansour
- Division of Biological Sciences, The University of Chicago, Chicago, Illinois 60637, United States
| | - John A. Wright
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Jeffrey B. Model
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Donald E. Wright
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - John A. Rogers
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
- Departments of Materials Science and Engineering, Mechanical Engineering, Electrical and Computer Engineering, and Chemistry, Northwestern University, Evanston, Illinois 60202, United States
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, United States
| | - Tyler R. Ray
- Department of Mechanical Engineering, University of Hawai’i at Ma̅noa, Honolulu, Hawaii 96822, United States
- Department of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai’i at Ma̅noa, Honolulu, Hawaii 96813, United States
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Yokus BMA, Daniele MA. Integrated non-invasive biochemical and biophysical sensing systems for health and performance monitoring: A systems perspective. Biosens Bioelectron 2021; 184:113249. [PMID: 33895689 DOI: 10.1016/j.bios.2021.113249] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 12/21/2022]
Abstract
Advances in materials, bio-recognition elements, transducers, and microfabrication techniques, as well as progress in electronics, signal processing, and wireless communication have generated a new class of skin-interfaced wearable health monitoring systems for applications in personalized medicine and digital health. In comparison to conventional medical devices, these wearable systems are at the cusp of initiating a new era of longitudinal and noninvasive sensing for the prevention, detection, diagnosis, and treatment of diseases at the molecular level. Herein, we provide a review of recent developments in wearable biochemical and biophysical systems. We survey the sweat sampling and collection methods for biochemical systems, followed by an assessment of biochemical and biophysical sensors deployed in current wearable systems with an emphasis on their hardware specifications. Specifically, we address how sweat collection and sample handling platforms may be a rate limiting technology to realizing the clinical translation of wearable health monitoring systems; moreover, we highlight the importance of achieving both longitudinal sensing and assessment of intrapersonal variation in sweat-blood correlations to have the greatest clinical impact. Lastly, we assess a snapshot of integrated wireless wearable systems with multimodal sensing capabilities, and we conclude with our perspective on the state-of-the-art and the required developments to achieve the next-generation of integrated wearable health and performance monitoring systems.
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Affiliation(s)
- By Murat A Yokus
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Dr., Raleigh, NC, 27695, USA
| | - Michael A Daniele
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Dr., Raleigh, NC, 27695, USA; Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, 911 Oval Dr., Raleigh, NC, 27695, USA.
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