1
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Conductive double-network hydrogel composed of sodium alginate, Polyacrylamide, and reduced graphene oxide. KOREAN J CHEM ENG 2023. [DOI: 10.1007/s11814-022-1311-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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2
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Damiati LA, El-Yaagoubi M, Damiati SA, Kodzius R, Sefat F, Damiati S. Role of Polymers in Microfluidic Devices. Polymers (Basel) 2022; 14:5132. [PMID: 36501526 PMCID: PMC9738615 DOI: 10.3390/polym14235132] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 11/22/2022] [Accepted: 11/22/2022] [Indexed: 11/27/2022] Open
Abstract
Polymers are sustainable and renewable materials that are in high demand due to their excellent properties. Natural and synthetic polymers with high flexibility, good biocompatibility, good degradation rate, and stiffness are widely used for various applications, such as tissue engineering, drug delivery, and microfluidic chip fabrication. Indeed, recent advances in microfluidic technology allow the fabrication of polymeric matrix to construct microfluidic scaffolds for tissue engineering and to set up a well-controlled microenvironment for manipulating fluids and particles. In this review, polymers as materials for the fabrication of microfluidic chips have been highlighted. Successful models exploiting polymers in microfluidic devices to generate uniform particles as drug vehicles or artificial cells have been also discussed. Additionally, using polymers as bioink for 3D printing or as a matrix to functionalize the sensing surface in microfluidic devices has also been mentioned. The rapid progress made in the combination of polymers and microfluidics presents a low-cost, reproducible, and scalable approach for a promising future in the manufacturing of biomimetic scaffolds for tissue engineering.
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Affiliation(s)
- Laila A. Damiati
- Department of Biology, Collage of Science, University of Jeddah, Jeddah 23890, Saudi Arabia
| | - Marwa El-Yaagoubi
- Department of Pure and Applied Chemistry, University of Strathclyde, 295 Cathedral Street, Glasgow G1 1XL, UK
| | - Safa A. Damiati
- Department of Pharmaceutics, Faculty of Pharmacy, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Rimantas Kodzius
- Faculty of Medicine, Ludwig Maximilian University of Munich (LMU), 80539 Munich, Germany
- Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania
| | - Farshid Sefat
- Interdisciplinary Research Centre in Polymer Science & Technology (Polymer IRC), University of Bradford, Bradford BD7 1DP, UK
- Department of Biomedical and Electronics Engineering, School of Engineering, University of Bradford, Bradford, BD7 1DP, UK
| | - Samar Damiati
- Department of Chemistry, College of Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates
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3
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Hasturk O, Smiley JA, Arnett M, Sahoo JK, Staii C, Kaplan DL. Cytoprotection of Human Progenitor and Stem Cells through Encapsulation in Alginate Templated, Dual Crosslinked Silk and Silk-Gelatin Composite Hydrogel Microbeads. Adv Healthc Mater 2022; 11:e2200293. [PMID: 35686928 PMCID: PMC9463115 DOI: 10.1002/adhm.202200293] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/28/2022] [Indexed: 01/27/2023]
Abstract
Susceptibility of mammalian cells against harsh processing conditions limit their use in cell transplantation and tissue engineering applications. Besides modulation of the cell microenvironment, encapsulation of mammalian cells within hydrogel microbeads attract attention for cytoprotection through physical isolation of the encapsulated cells. The hydrogel formulations used for cell microencapsulation are largely dominated by ionically crosslinked alginate (Alg), which suffer from low structural stability under physiological culture conditions and poor cell-matrix interactions. Here the fabrication of Alg templated silk and silk/gelatin composite hydrogel microspheres with permanent or on-demand cleavable enzymatic crosslinks using simple and cost-effective centrifugation-based droplet processing are demonstrated. The composite microbeads display structural stability under ion exchange conditions with improved mechanical properties compared to ionically crosslinked Alg microspheres. Human mesenchymal stem and neural progenitor cells are successfully encapsulated in the composite beads and protected against environmental factors, including exposure to polycations, extracellular acidosis, apoptotic cytokines, ultraviolet (UV) irradiation, anoikis, immune recognition, and particularly mechanical stress. The microbeads preserve viability, growth, and differentiation of encapsulated stem and progenitor cells after extrusion in viscous polyethylene oxide solution through a 27-gauge fine needle, suggesting potential applications in injection-based delivery and three-dimensional bioprinting of mammalian cells with higher success rates.
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Affiliation(s)
- Onur Hasturk
- Department of Biomedical Engineering, Tufts University, 4 Colby Street, Medford, MA 02155, USA
| | - Jordan A. Smiley
- Department of Biomedical Engineering, Tufts University, 4 Colby Street, Medford, MA 02155, USA
| | - Miles Arnett
- Department of Biomedical Engineering, Tufts University, 4 Colby Street, Medford, MA 02155, USA
| | - Jugal Kishore Sahoo
- Department of Biomedical Engineering, Tufts University, 4 Colby Street, Medford, MA 02155, USA
| | - Cristian Staii
- Department of Physics and Astronomy, Tufts University, Medford, MA 02155, USA
| | - David L. Kaplan
- Department of Biomedical Engineering, Tufts University, 4 Colby Street, Medford, MA 02155, USA
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4
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Xu Y, Zhu H, Denduluri A, Ou Y, Erkamp NA, Qi R, Shen Y, Knowles TPJ. Recent Advances in Microgels: From Biomolecules to Functionality. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2022; 18:e2200180. [PMID: 35790106 DOI: 10.1002/smll.202200180] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 03/15/2022] [Indexed: 06/15/2023]
Abstract
The emerging applications of hydrogel materials at different length scales, in areas ranging from sustainability to health, have driven the progress in the design and manufacturing of microgels. Microgels can provide miniaturized, monodisperse, and regulatable compartments, which can be spatially separated or interconnected. These microscopic materials provide novel opportunities for generating biomimetic cell culture environments and are thus key to the advances of modern biomedical research. The evolution of the physical and chemical properties has, furthermore, highlighted the potentials of microgels in the context of materials science and bioengineering. This review describes the recent research progress in the fabrication, characterization, and applications of microgels generated from biomolecular building blocks. A key enabling technology allowing the tailoring of the properties of microgels is their synthesis through microfluidic technologies, and this paper highlights recent advances in these areas and their impact on expanding the physicochemical parameter space accessible using microgels. This review finally discusses the emerging roles that microgels play in liquid-liquid phase separation, micromechanics, biosensors, and regenerative medicine.
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Affiliation(s)
- Yufan Xu
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Hongjia Zhu
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Akhila Denduluri
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Yangteng Ou
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Nadia A Erkamp
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Runzhang Qi
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
| | - Yi Shen
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
- School of Chemical and Biomolecular Engineering, The University of Sydney, Sydney, NSW, 2006, Australia
- The University of Sydney Nano Institute, University of Sydney, Sydney, NSW, 2006, Australia
| | - Tuomas P J Knowles
- Centre for Misfolding Diseases, Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK
- Cavendish Laboratory, University of Cambridge, Cambridge, CB3 0HE, UK
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5
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Silva RD, Carvalho LT, Moraes RM, Medeiros SDF, Lacerda TM. Biomimetic Biomaterials Based on Polysaccharides: Recent Progress and Future Perspectives. MACROMOL CHEM PHYS 2022. [DOI: 10.1002/macp.202100501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Rodrigo Duarte Silva
- Nanotechnology National Laboratory for Agriculture (LNNA) Embrapa Instrumentation Rua XV de Novembro 1452 São Carlos SP 13560‐970 Brazil
| | - Layde Teixeira Carvalho
- Department of Chemical Engineering Engineering School of Lorena University of São Paulo (EEL‐USP) Lorena SP 12602‐810 Brazil
| | - Rodolfo Minto Moraes
- Department of Material Engineering Engineering School of Lorena University of São Paulo, (EEL‐USP) Lorena SP 12602‐810 Brazil
| | - Simone de Fátima Medeiros
- Department of Chemical Engineering Engineering School of Lorena University of São Paulo (EEL‐USP) Lorena SP 12602‐810 Brazil
| | - Talita Martins Lacerda
- Department of Biotechnology Engineering School of Lorena University of São Paulo (EEL‐USP) Lorena SP 12602‐810 Brazil
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6
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Food-grade microgel capsules tailored for anti-obesity strategies through microfluidic preparation. Curr Opin Food Sci 2022. [DOI: 10.1016/j.cofs.2022.100816] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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7
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Microfluidic Synthesis and Analysis of Bioinspired Structures Based on CaCO 3 for Potential Applications as Drug Delivery Carriers. Pharmaceutics 2022; 14:pharmaceutics14010139. [PMID: 35057035 PMCID: PMC8777975 DOI: 10.3390/pharmaceutics14010139] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 12/25/2021] [Accepted: 12/29/2021] [Indexed: 12/17/2022] Open
Abstract
Naturally inspired biomaterials such as calcium carbonate, produced in biological systems under specific conditions, exhibit superior properties that are difficult to reproduce in a laboratory. The emergence of microfluidic technologies provides an effective approach for the synthesis of such materials, which increases the interest of researchers in the creation and investigation of crystallization processes. Besides accurate tuning of the synthesis parameters, microfluidic technologies also enable an analysis of the process in situ with a range of methods. Understanding the mechanisms behind the microfluidic biomineralization processes could open a venue for new strategies in the development of advanced materials. In this review, we summarize recent advances in microfluidic synthesis and analysis of CaCO3-based bioinspired nano- and microparticles as well as core-shell structures on its basis. Particular attention is given to the application of calcium carbonate particles for drug delivery.
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8
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Lacroix A, Hayert M, Bosc V, Menut P. Batch versus microfluidic emulsification processes to produce whey protein microgel beads from thermal or acidic gelation. J FOOD ENG 2022. [DOI: 10.1016/j.jfoodeng.2021.110738] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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9
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Effect of Surfactant Dynamics on Flow Patterns Inside Drops Moving in Rectangular Microfluidic Channels. COLLOIDS AND INTERFACES 2021. [DOI: 10.3390/colloids5030040] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Drops contained in an immiscible liquid phase are attractive as microreactors, enabling sound statistical analysis of reactions performed on ensembles of samples in a microfluidic device. Many applications have specific requirements for the values of local shear stress inside the drops and, thus, knowledge of the flow field is required. This is complicated in commonly used rectangular channels by the flow of the continuous phase in the corners, which also affects the flow inside the drops. In addition, a number of chemical species are present inside the drops, of which some may be surface-active. This work presents a novel experimental study of the flow fields of drops moving in a rectangular microfluidic channel when a surfactant is added to the dispersed phase. Four surfactants with different surface activities are used. Flow fields are measured using Ghost Particle Velocimetry, carried out at different channel depths to account for the 3-D flow structure. It is shown that the effect of the surfactant depends on the characteristic adsorption time. For fast-equilibrating surfactants with a characteristic time scale of adsorption that is much smaller than the characteristic time of surface deformation, this effect is related only to the decrease in interfacial tension, and can be accounted for by the change in capillary number. For slowly equilibrating surfactants, Marangoni stresses accelerate the corner flow, which changes the flow patterns inside the drop considerably.
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Schroen K, Berton-Carabin C, Renard D, Marquis M, Boire A, Cochereau R, Amine C, Marze S. Droplet Microfluidics for Food and Nutrition Applications. MICROMACHINES 2021; 12:863. [PMID: 34442486 PMCID: PMC8400250 DOI: 10.3390/mi12080863] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/15/2021] [Accepted: 07/19/2021] [Indexed: 01/05/2023]
Abstract
Droplet microfluidics revolutionizes the way experiments and analyses are conducted in many fields of science, based on decades of basic research. Applied sciences are also impacted, opening new perspectives on how we look at complex matter. In particular, food and nutritional sciences still have many research questions unsolved, and conventional laboratory methods are not always suitable to answer them. In this review, we present how microfluidics have been used in these fields to produce and investigate various droplet-based systems, namely simple and double emulsions, microgels, microparticles, and microcapsules with food-grade compositions. We show that droplet microfluidic devices enable unprecedented control over their production and properties, and can be integrated in lab-on-chip platforms for in situ and time-resolved analyses. This approach is illustrated for on-chip measurements of droplet interfacial properties, droplet-droplet coalescence, phase behavior of biopolymer mixtures, and reaction kinetics related to food digestion and nutrient absorption. As a perspective, we present promising developments in the adjacent fields of biochemistry and microbiology, as well as advanced microfluidics-analytical instrument coupling, all of which could be applied to solve research questions at the interface of food and nutritional sciences.
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Affiliation(s)
- Karin Schroen
- Food Process and Engineering Group, Wageningen University and Research, Bornse Weilanden 9, 6708 WG Wageningen, The Netherlands; (K.S.); (C.B.-C.)
| | - Claire Berton-Carabin
- Food Process and Engineering Group, Wageningen University and Research, Bornse Weilanden 9, 6708 WG Wageningen, The Netherlands; (K.S.); (C.B.-C.)
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
| | - Denis Renard
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
| | | | - Adeline Boire
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
| | - Rémy Cochereau
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
| | - Chloé Amine
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
| | - Sébastien Marze
- INRAE, BIA Biopolymères Interactions Assemblages, F-44316 Nantes, France; (D.R.); (A.B.); (R.C.); (C.A.)
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11
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Gürsoy M. Fabrication of Paper-Based Microfluidic Devices Using PECVD for Selective Separation. Macromol Res 2021. [DOI: 10.1007/s13233-021-9050-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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12
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Beaumont M, Tran R, Vera G, Niedrist D, Rousset A, Pierre R, Shastri VP, Forget A. Hydrogel-Forming Algae Polysaccharides: From Seaweed to Biomedical Applications. Biomacromolecules 2021; 22:1027-1052. [PMID: 33577286 PMCID: PMC7944484 DOI: 10.1021/acs.biomac.0c01406] [Citation(s) in RCA: 94] [Impact Index Per Article: 31.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 01/29/2021] [Indexed: 12/22/2022]
Abstract
With the increasing growth of the algae industry and the development of algae biorefinery, there is a growing need for high-value applications of algae-extracted biopolymers. The utilization of such biopolymers in the biomedical field can be considered as one of the most attractive applications but is challenging to implement. Historically, polysaccharides extracted from seaweed have been used for a long time in biomedical research, for example, agarose gels for electrophoresis and bacterial culture. To overcome the current challenges in polysaccharides and help further the development of high-added-value applications, an overview of the entire polysaccharide journey from seaweed to biomedical applications is needed. This encompasses algae culture, extraction, chemistry, characterization, processing, and an understanding of the interactions of soft matter with living organisms. In this review, we present algae polysaccharides that intrinsically form hydrogels: alginate, carrageenan, ulvan, starch, agarose, porphyran, and (nano)cellulose and classify these by their gelation mechanisms. The focus of this review further lays on the culture and extraction strategies to obtain pure polysaccharides, their structure-properties relationships, the current advances in chemical backbone modifications, and how these modifications can be used to tune the polysaccharide properties. The available techniques to characterize each organization scale of a polysaccharide hydrogel are presented, and the impact on their interactions with biological systems is discussed. Finally, a perspective of the anticipated development of the whole field and how the further utilization of hydrogel-forming polysaccharides extracted from algae can revolutionize the current algae industry are suggested.
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Affiliation(s)
- Marco Beaumont
- Queensland
University of Technology, Brisbane, Australia
| | - Remy Tran
- Institute
for Macromolecular Chemistry, University
of Freiburg, Freiburg, Germany
| | - Grace Vera
- Institute
for Macromolecular Chemistry, University
of Freiburg, Freiburg, Germany
| | - Dennis Niedrist
- Institute
for Macromolecular Chemistry, University
of Freiburg, Freiburg, Germany
| | - Aurelie Rousset
- Centre
d’Étude et de Valorisation des Algues, Pleubian, France
| | - Ronan Pierre
- Centre
d’Étude et de Valorisation des Algues, Pleubian, France
| | - V. Prasad Shastri
- Institute
for Macromolecular Chemistry, University
of Freiburg, Freiburg, Germany
- Centre
for Biological Signalling Studies, University
of Freiburg, Frieburg, Germany
| | - Aurelien Forget
- Institute
for Macromolecular Chemistry, University
of Freiburg, Freiburg, Germany
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13
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Damiati SA, Rossi D, Joensson HN, Damiati S. Artificial intelligence application for rapid fabrication of size-tunable PLGA microparticles in microfluidics. Sci Rep 2020; 10:19517. [PMID: 33177577 PMCID: PMC7658240 DOI: 10.1038/s41598-020-76477-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 10/27/2020] [Indexed: 12/11/2022] Open
Abstract
In this study, synthetic polymeric particles were effectively fabricated by combining modern technologies of artificial intelligence (AI) and microfluidics. Because size uniformity is a key factor that significantly influences the stability of polymeric particles, therefore, this work aimed to establish a new AI application using machine learning technology for prediction of the size of poly(D,L-lactide-co-glycolide) (PLGA) microparticles produced by diverse microfluidic systems either in the form of single or multiple particles. Experimentally, the most effective factors for tuning droplet/particle sizes are PLGA concentrations and the flow rates of dispersed and aqueous phases in microfluidics. These factors were utilized to develop five different and simple in structure artificial neural network (ANN) models that are capable of predicting PLGA particle sizes produced by different microfluidic systems either individually or jointly merged. The systematic development of ANN models allowed ultimate construction of a single in silico model which consists of data for three different microfluidic systems. This ANN model eventually allowed rapid prediction of particle sizes produced using various microfluidic systems. This AI application offers a new platform for further rapid and economical exploration of polymer particles production in defined sizes for various applications including biomimetic studies, biomedicine, and pharmaceutics.
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Affiliation(s)
- Safa A Damiati
- Department of Pharmaceutics, Faculty of Pharmacy, King Abdulaziz University (KAU), Jeddah, 21589, Saudi Arabia.
| | - Damiano Rossi
- Blacktrace Holdings Ltd (Dolomite Microfluidics), Royston, SG8 5TW, UK
| | - Haakan N Joensson
- Division of Protein Science, KTH Royal Institute of Technology, Stockholm, Sweden
- Novo Nordisk Foundation Center for Biosustainability at KTH, Stockholm, Sweden
| | - Samar Damiati
- Department of Biochemistry, Faculty of Science, King Abdulaziz University (KAU), Jeddah, Saudi Arabia.
- Division of Nanobiotechnology, Department of Protein Science, Science for Life Laboratory, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden.
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14
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The Advantages of Polymeric Hydrogels in Calcineurin Inhibitor Delivery. Processes (Basel) 2020. [DOI: 10.3390/pr8111331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
In recent years, polymeric hydrogels (PolyHy) have been extensively explored for their applications in biomedicine as biosensors, in tissue engineering, diagnostic processes, and drug release. The physical and chemical properties of PolyHy indicate their potential use in regulating drug delivery. Calcineurin inhibitors, particularly cyclosporine (CsA) and tacrolimus (TAC), are two important immunosuppressor drugs prescribed upon solid organ transplants. Although these drugs have been used since the 1970s to significantly increase the survival of transplanted organs, there are concerns regarding their undesirable side effects, primarily due to their highly variable concentrations. In fact, calcineurin inhibitors lead to acute and chronic toxicities that primarily cause adverse effects such as hypertension and nephrotoxicity. It is suggested from the evidence that the encapsulation of calcineurin inhibitors into PolyHy based on polysaccharides, specifically alginate (Alg), offers effective drug delivery with a stable immunosuppressive response at the in vitro and in vivo levels. This not only may reduce the adverse effects but also would improve the adherence of the patients by the effective preservation of drug concentrations in the therapeutic ranges.
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