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Johnston L, Wang G, Hu K, Qian C, Liu G. Advances in Biosensors for Continuous Glucose Monitoring Towards Wearables. Front Bioeng Biotechnol 2021; 9:733810. [PMID: 34490230 PMCID: PMC8416677 DOI: 10.3389/fbioe.2021.733810] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 08/09/2021] [Indexed: 11/18/2022] Open
Abstract
Continuous glucose monitors (CGMs) for the non-invasive monitoring of diabetes are constantly being developed and improved. Although there are multiple biosensing platforms for monitoring glucose available on the market, there is still a strong need to enhance their precision, repeatability, wearability, and accessibility to end-users. Biosensing technologies are being increasingly explored that use different bodily fluids such as sweat and tear fluid, etc., that can be calibrated to and therefore used to measure blood glucose concentrations accurately. To improve the wearability of these devices, exploring different fluids as testing mediums is essential and opens the door to various implants and wearables that in turn have the potential to be less inhibiting to the wearer. Recent developments have surfaced in the form of contact lenses or mouthguards for instance. Challenges still present themselves in the form of sensitivity, especially at very high or low glucose concentrations, which is critical for a diabetic person to monitor. This review summarises advances in wearable glucose biosensors over the past 5 years, comparing the different types as well as the fluid they use to detect glucose, including the CGMs currently available on the market. Perspectives on the development of wearables for glucose biosensing are discussed.
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Affiliation(s)
- Lucy Johnston
- School of Engineering, The University of Glasgow, Glasgow, United Kingdom
| | - Gonglei Wang
- School of Life and Health Sciences, The Chinese University of Hong Kong, Shenzhen, China
| | - Kunhui Hu
- Shenzhen YHLO Biotech Co., Ltd., Shenzhen, China
| | - Chungen Qian
- The Key Laboratory for Biomedical Photonics of MOE at Wuhan National Laboratory for Optoelectronics, Hubei Bioinformatics and Molecular Imaging Key Laboratory, Systems Biology Theme, Department of Biomedical Engineering, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China
| | - Guozhen Liu
- School of Life and Health Sciences, The Chinese University of Hong Kong, Shenzhen, China
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52
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Liu G. Grand Challenges in Biosensors and Biomolecular Electronics. Front Bioeng Biotechnol 2021; 9:707615. [PMID: 34422782 PMCID: PMC8377753 DOI: 10.3389/fbioe.2021.707615] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 07/28/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Guozhen Liu
- School of Life and Health Sciences, The Chinese University of Hong Kong, Shenzhen, China
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53
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Liu G, Jiang C, Lin X, Yang Y. Point-of-care detection of cytokines in cytokine storm management and beyond: Significance and challenges. VIEW 2021; 2:20210003. [PMID: 34766163 PMCID: PMC8242812 DOI: 10.1002/viw.20210003] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/01/2021] [Accepted: 03/08/2021] [Indexed: 12/16/2022] Open
Abstract
Cytokines are signaling molecules between cells in immune system. Cytokine storm, due to the sudden acute increase in levels of pro-inflammatory circulating cytokines, can result in disease severity and major-organ damage. Thus, there is urgent need to develop rapid, sensitive, and specific methods for monitoring of cytokines in biology and medicine. Undoubtedly, point-of-care testing (POCT) will provide clinical significance in disease early diagnosis, management, and prevention. This review aims to summarize and discuss the latest technologies for detection of cytokines with a focus on POCT. The overview of diseases resulting from imbalanced cytokine levels, such as COVID-19, sepsis and other cytokine release syndromes are presented. The clinical cut-off levels of cytokine as biomarkers for different diseases are summarized. The challenges and perspectives on the development of cytokine POCT devices are also proposed and discussed. Cytokine POCT devices are expected to be the ongoing spotlight of disease management and prevention during COVID-19 pandemic and also the post COVID-19 pandemic era.
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Affiliation(s)
- Guozhen Liu
- School of Life and Health SciencesThe Chinese University of Hong KongShenzhen518172P.R. China
- Graduate School of Biomedical EngineeringUniversity of New South WalesSydneyNSW 2052Australia
| | - Cheng Jiang
- Nuffield Department of Clinical NeurosciencesJohn Radcliffe HospitalUniversity of OxfordOxfordOX3 9DUUnited Kingdom
| | - Xiaoting Lin
- Graduate School of Biomedical EngineeringUniversity of New South WalesSydneyNSW 2052Australia
| | - Yang Yang
- School of Life and Health SciencesThe Chinese University of Hong KongShenzhen518172P.R. China
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54
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Ambrosi A, Singh M, Webster RD, Steele TWJ. Precise Control of Diazirine Reduction to Tune the Mechanical Properties of Electrocuring Adhesives. ChemElectroChem 2021. [DOI: 10.1002/celc.202100594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Adriano Ambrosi
- Division of Chemistry & Biological Chemistry School of Physical and Mathematical Sciences Nanyang Technological University Singapore 637371 Singapore
- Key Laboratory of Optic-electric Sensing and Analytical Chemistry for Life Science, MOE Shandong Key Laboratory of Biochemical Analysis Key Laboratory of Analytical Chemistry for Life Science in Universities of Shandong College of Chemistry and Molecular Engineering Qingdao University of Science and Technology Qingdao 266042 P. R. China
| | - Manisha Singh
- NTU-Northwestern Institute for Nanomedicine (NNIN) Interdisciplinary Graduate School (IGS) Nanyang Technological University Singapore 637553 Singapore
- School of Materials Science and Engineering Nanyang Technological University Singapore 639798 Singapore
| | - Richard D. Webster
- Division of Chemistry & Biological Chemistry School of Physical and Mathematical Sciences Nanyang Technological University Singapore 637371 Singapore
| | - Terry W. J. Steele
- NTU-Northwestern Institute for Nanomedicine (NNIN) Interdisciplinary Graduate School (IGS) Nanyang Technological University Singapore 637553 Singapore
- School of Materials Science and Engineering Nanyang Technological University Singapore 639798 Singapore
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55
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Herrmann A, Haag R, Schedler U. Hydrogels and Their Role in Biosensing Applications. Adv Healthc Mater 2021; 10:e2100062. [PMID: 33939333 PMCID: PMC11468738 DOI: 10.1002/adhm.202100062] [Citation(s) in RCA: 100] [Impact Index Per Article: 33.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 04/12/2021] [Indexed: 12/16/2022]
Abstract
Hydrogels play an important role in the field of biomedical research and diagnostic medicine. They are emerging as a powerful tool in the context of bioanalytical assays and biosensing. In this context, this review gives an overview of different hydrogels and the role they adopt in a range of applications. Not only are hydrogels beneficial for the immobilization and embedding of biomolecules, but they are also used as responsive material, as wearable devices, or as functional material. In particular, the scientific and technical progress during the last decade is discussed. The newest hydrogel types, their synthesis, and many applications are presented. Advantages and performance improvements are described, along with their limitations.
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Affiliation(s)
- Anna Herrmann
- Department of Biology, Chemistry, PharmacyFreie Universität BerlinTakustr. 3Berlin14195Germany
| | - Rainer Haag
- Department of Biology, Chemistry, PharmacyFreie Universität BerlinTakustr. 3Berlin14195Germany
| | - Uwe Schedler
- PolyAn GmbHRudolf‐Baschant‐Straße 2Berlin13086Germany
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56
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Sempionatto JR, Moon JM, Wang J. Touch-Based Fingertip Blood-Free Reliable Glucose Monitoring: Personalized Data Processing for Predicting Blood Glucose Concentrations. ACS Sens 2021; 6:1875-1883. [PMID: 33872007 DOI: 10.1021/acssensors.1c00139] [Citation(s) in RCA: 71] [Impact Index Per Article: 23.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Diabetes prevalence has been rising exponentially, increasing the need for reliable noninvasive approaches for glucose monitoring. Different biofluids have been explored recently for replacing current blood finger-stick glucose strips with noninvasive painless sensing devices. While sweat has received considerable attention, there are mixed reports on correlating the sweat results with blood glucose levels. Here, we demonstrate a new rapid and reliable approach that combines a simple touch-based fingertip sweat electrochemical sensor with a new algorithm that addresses for personal variations toward the accurate estimate of blood glucose concentrations. The new painless and simple glucose self-testing protocol leverages the fast sweat rate on the fingertip for rapid assays of natural perspiration, without any sweat stimulation, along with the personalized sweat-response-to-blood concentration translation. A reliable estimate of the blood glucose sensing concentrations can thus be realized through a simple one-time personal precalibration. Such system training leads to a substantially improved accuracy with a Pearson correlation coefficient higher than 0.95, along with an overall mean absolute relative difference of 7.79%, with 100% paired points residing in the A + B region of the Clarke error grid. The speed and simplicity of the touch-based blood-free fingertip sweat assay, and the elimination of periodic blood calibrations, should lead to frequent self-testing of glucose and enhanced patient compliance toward the improved management of diabetes.
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Affiliation(s)
- Juliane R. Sempionatto
- Department Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Jong-Min Moon
- Department Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Joseph Wang
- Department Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
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Ghaffari R, Rogers JA, Ray TR. Recent progress, challenges, and opportunities for wearable biochemical sensors for sweat analysis. SENSORS AND ACTUATORS. B, CHEMICAL 2021; 332:129447. [PMID: 33542590 PMCID: PMC7853653 DOI: 10.1016/j.snb.2021.129447] [Citation(s) in RCA: 78] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Sweat is a promising, yet relatively unexplored biofluid containing biochemical information that offers broad insights into the underlying dynamic metabolic activity of the human body. The rich composition of electrolytes, metabolites, hormones, proteins, nucleic acids, micronutrients, and exogenous agents found in sweat dynamically vary in response to the state of health, stress, and diet. Emerging classes of skin-interfaced wearable sensors offer powerful capabilities for the real-time, continuous analysis of sweat produced by the eccrine glands in a manner suitable for use in athletics, consumer wellness, military, and healthcare industries. This perspective examines the rapid and continuous progress of wearable sweat sensors through the most advanced embodiments that address the fundamental challenges currently restricting widespread deployment. It concludes with a discussion of efforts to expand the overall utility of wearable sweat sensors and opportunities for commercialization, in which advances in biochemical sensor technologies will be critically important.
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Affiliation(s)
- Roozbeh Ghaffari
- -Querrey Simpson Institute for Bioelectronics and Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA
- -Epicore Biosystems, Inc., Cambridge, MA, USA
| | - John A. Rogers
- -Querrey Simpson Institute for Bioelectronics and Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA
- -Epicore Biosystems, Inc., Cambridge, MA, USA
- -Departments of Materials Science and Engineering, Mechanical Engineering, Electrical and Computer Engineering, Chemistry, Northwestern University, Evanston, IL, USA
- -Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Tyler R. Ray
- -Department of Mechanical Engineering, University of Hawai‘i at Mānoa, Honolulu, HI
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58
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Vinoth R, Nakagawa T, Mathiyarasu J, Mohan AMV. Fully Printed Wearable Microfluidic Devices for High-Throughput Sweat Sampling and Multiplexed Electrochemical Analysis. ACS Sens 2021; 6:1174-1186. [PMID: 33517662 DOI: 10.1021/acssensors.0c02446] [Citation(s) in RCA: 61] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Although the recent advancement in wearable biosensors provides continuous, noninvasive assessment of physiologically relevant chemical markers from human sweat, several bottlenecks still exist for its practical use. There were challenges in developing a multiplexed biosensing system with rapid microfluidic sampling and transport properties, as well as its integration with a portable potentiostat for improved interference-free data collection. Here, we introduce a clean-room free fabrication of wearable microfluidic sensors, using a screen-printed carbon master, for the electrochemical monitoring of sweat biomarkers during exercise activities. The sweat sampling is enhanced by introducing low-dimensional sensing compartments and lowering the hydrophilicity of channel layers via facile silane functionalization. The fluidic channel captures sweat at the inlet and directs the real-time sweat through the active sensing electrodes (within 40 s) for subsequent decoding and selective analyses. For proof of concept, simultaneous amperometric lactate and potentiometric ion sensing (Na+, K+, and pH) are carried out by a miniature circuit board capable of cross-talk-free signal collection and wireless signal transduction characteristics. All of the sensors demonstrated appreciable sensitivity, selectivity, stability, carryover efficiency, and repeatability. The floating potentiometric circuits eliminate the signal interference from the adjacent amperometric transducers. The fully integrated pumpless microfluidic device is mounted on the epidermis and employed for multiplexed real-time decoding of sweat during stationary biking. The regional variations in sweat composition are analyzed by human trials at the underarm and upperback locations. The presented method offers a large-scale fabrication of inexpensive high-throughput wearable sensors for personalized point-of-care and athletic applications.
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Affiliation(s)
- Rajendran Vinoth
- Electrodics and Electrocatalysis Division, CSIR—Central Electrochemical Research Institute (CECRI), Karaikudi 630003, Tamil Nadu, India
- Academy of Scientific and Innovative Research (AcSIR)—CSIR, Ghaziabad 201002, Uttar Pradesh, India
| | - Tatsuo Nakagawa
- Research & Development Group, Hitachi, Ltd., 1-280 Higashi-koigakubo, Kokubunji-shi, Tokyo1858601, Japan
| | - Jayaraman Mathiyarasu
- Electrodics and Electrocatalysis Division, CSIR—Central Electrochemical Research Institute (CECRI), Karaikudi 630003, Tamil Nadu, India
- Academy of Scientific and Innovative Research (AcSIR)—CSIR, Ghaziabad 201002, Uttar Pradesh, India
| | - A. M. Vinu Mohan
- Electrodics and Electrocatalysis Division, CSIR—Central Electrochemical Research Institute (CECRI), Karaikudi 630003, Tamil Nadu, India
- Academy of Scientific and Innovative Research (AcSIR)—CSIR, Ghaziabad 201002, Uttar Pradesh, India
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59
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Ye S, Feng S, Huang L, Bian S. Recent Progress in Wearable Biosensors: From Healthcare Monitoring to Sports Analytics. BIOSENSORS 2020; 10:E205. [PMID: 33333888 PMCID: PMC7765261 DOI: 10.3390/bios10120205] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 12/11/2020] [Accepted: 12/13/2020] [Indexed: 02/07/2023]
Abstract
Recent advances in lab-on-a-chip technology establish solid foundations for wearable biosensors. These newly emerging wearable biosensors are capable of non-invasive, continuous monitoring by miniaturization of electronics and integration with microfluidics. The advent of flexible electronics, biochemical sensors, soft microfluidics, and pain-free microneedles have created new generations of wearable biosensors that explore brand-new avenues to interface with the human epidermis for monitoring physiological status. However, these devices are relatively underexplored for sports monitoring and analytics, which may be largely facilitated by the recent emergence of wearable biosensors characterized by real-time, non-invasive, and non-irritating sensing capacities. Here, we present a systematic review of wearable biosensing technologies with a focus on materials and fabrication strategies, sampling modalities, sensing modalities, as well as key analytes and wearable biosensing platforms for healthcare and sports monitoring with an emphasis on sweat and interstitial fluid biosensing. This review concludes with a summary of unresolved challenges and opportunities for future researchers interested in these technologies. With an in-depth understanding of the state-of-the-art wearable biosensing technologies, wearable biosensors for sports analytics would have a significant impact on the rapidly growing field-microfluidics for biosensing.
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Affiliation(s)
- Shun Ye
- Microfluidics Research & Innovation Laboratory, School of Sport Science, Beijing Sport University, Beijing 100084, China;
- Biomedical Engineering Department, College of Engineering, Pennsylvania State University, University Park, PA 16802, USA
- State Key Laboratory of Microbial Resources, Institute of Microbiology, Chinese Academy of Sciences, Beijing 100101, China
| | - Shilun Feng
- State Key Laboratory of Transducer Technology, Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences, Shanghai 200050, China;
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore
| | - Liang Huang
- School of Instrument Science and Opto–Electronics Engineering, Hefei University of Technology, Hefei 230009, China;
| | - Shengtai Bian
- Microfluidics Research & Innovation Laboratory, School of Sport Science, Beijing Sport University, Beijing 100084, China;
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