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Huang Y, Yao K, Zhang Q, Huang X, Chen Z, Zhou Y, Yu X. Bioelectronics for electrical stimulation: materials, devices and biomedical applications. Chem Soc Rev 2024. [PMID: 39132912 DOI: 10.1039/d4cs00413b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2024]
Abstract
Bioelectronics is a hot research topic, yet an important tool, as it facilitates the creation of advanced medical devices that interact with biological systems to effectively diagnose, monitor and treat a broad spectrum of health conditions. Electrical stimulation (ES) is a pivotal technique in bioelectronics, offering a precise, non-pharmacological means to modulate and control biological processes across molecular, cellular, tissue, and organ levels. This method holds the potential to restore or enhance physiological functions compromised by diseases or injuries by integrating sophisticated electrical signals, device interfaces, and designs tailored to specific biological mechanisms. This review explains the mechanisms by which ES influences cellular behaviors, introduces the essential stimulation principles, discusses the performance requirements for optimal ES systems, and highlights the representative applications. From this review, we can realize the potential of ES based bioelectronics in therapy, regenerative medicine and rehabilitation engineering technologies, ranging from tissue engineering to neurological technologies, and the modulation of cardiovascular and cognitive functions. This review underscores the versatility of ES in various biomedical contexts and emphasizes the need to adapt to complex biological and clinical landscapes it addresses.
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Affiliation(s)
- Ya Huang
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
| | - Kuanming Yao
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
| | - Qiang Zhang
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
| | - Xingcan Huang
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
| | - Zhenlin Chen
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
| | - Yu Zhou
- Department of Electronic and Computer Engineering, The Hong Kong University of Science and Technology, Hong Kong, China.
| | - Xinge Yu
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
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2
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Cho SW, Malick H, Kim SJ, Grattoni A. Advances in Skin-on-a-Chip Technologies for Dermatological Disease Modeling. J Invest Dermatol 2024; 144:1707-1715. [PMID: 38493383 DOI: 10.1016/j.jid.2024.01.031] [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: 10/30/2023] [Revised: 01/19/2024] [Accepted: 01/29/2024] [Indexed: 03/18/2024]
Abstract
Skin-on-a-chip (SoC) technologies are emerging as a paradigm shift in dermatology research by replicating human physiology in a dynamic manner not achievable by current animal models. Although animal models have contributed to successful clinical trials, their ability to predict human outcomes remains questionable, owing to inherent differences in skin anatomy and immune response. Covering areas including infectious diseases, autoimmune skin conditions, wound healing, drug toxicity, aging, and antiaging, SoC aims to circumvent the inherent disparities created by traditional models. In this paper, we review current SoC technologies, highlighting their potential as an alternative to animal models for a deeper understanding of complex skin conditions.
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Affiliation(s)
- Seo Won Cho
- Department of Nanomedicine, Houston Methodist Research Institute, Houston, Texas, USA; Texas A&M University School of Medicine, College Station, Texas, USA
| | - Hamza Malick
- Texas A&M University School of Medicine, College Station, Texas, USA
| | - Soo Jung Kim
- Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA
| | - Alessandro Grattoni
- Department of Nanomedicine, Houston Methodist Research Institute, Houston, Texas, USA; Department of Surgery, Houston Methodist Hospital, Houston, Texas, USA; Department of Radiation Oncology, Houston Methodist Hospital, Houston, Texas, USA.
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3
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Zhang Y, Huang S, Cao Y, Li L, Yang J, Zhao M. New Opportunities for Electric Fields in Promoting Wound Healing: Collective Electrotaxis. Adv Wound Care (New Rochelle) 2024. [PMID: 38780799 DOI: 10.1089/wound.2024.0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024] Open
Abstract
Significance: It has long been hypothesized that naturally occurring electric fields (EFs) aid wound healing by guiding cell migration. Consequently, the application of EFs has significant potential for promoting wound healing. However, the mechanisms underlying the cellular response to EFs remain unclear. Recent Advances: Although the directed migration of isolated single cells under EFs has been studied for decades, only recently has experimental evidence demonstrated the distinct collective migration of large sheets of keratinocytes and corneal epithelial cells in response to applied EFs. Accumulating evidence suggests that the emergent properties of cell groups in response to EF guidance offer new opportunities for EF-assisted directional migration. Critical Issues: In this review, we provide an overview of the field of collective electrotaxis, highlighting key advances made in recent years. We also discuss advanced engineering strategies utilized to manipulate collective electrotaxis. Future Directions: We outline a series of unanswered questions in this field and propose potential applications of collective electrotaxis in developing electrical stimulation technologies for wound healing.
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Affiliation(s)
- Yan Zhang
- Department of Occupational and Environmental Health, Hangzhou Normal University School of Public Health, Hangzhou, China
| | - Shiwen Huang
- Department of Occupational and Environmental Health, Hangzhou Normal University School of Public Health, Hangzhou, China
| | - Yifei Cao
- Department of Nutrition and Toxicology, Hangzhou Normal University School of Public Health, Hangzhou, China
| | - Li Li
- Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Jun Yang
- Department of Nutrition and Toxicology, Hangzhou Normal University School of Public Health, Hangzhou, China
| | - Min Zhao
- Department of Ophthalmology and Vision Science, University of California, Davis, California, USA
- Department of Dermatology, University of California, Davis, California, USA
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Venkatesan M, Chandrasekar J, Hsu YC, Sun TW, Li PY, King XT, Chung MA, Chung RJ, Lee WY, Zhou Y, Lin JH, Kuo CC. Rationally Improved Surface Charge Density of Triboelectric Nanogenerator with TiO 2-MXene/Polystyrene Nanofiber Charge Trapping Layer for Biomechanical Sensing and Wound Healing Application. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024:e2404019. [PMID: 38981048 DOI: 10.1002/advs.202404019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 06/29/2024] [Indexed: 07/11/2024]
Abstract
Triboelectric nanogenerators (TENGs) have become reliable green energy harvesters by converting biomechanical motions into electricity. However, the inevitable charge leakage and poor electric field (EF) of conventional TENG result in inferior tribo-charge density on the active layer. In this paper, TiO2-MXene incorporated polystyrene (PS) nanofiber membrane (PTMx NFM) charge trapping interlayer is introduced into single electrode mode TENG (S-TENG) to prevent electron loss at the electrode interface. Surprisingly, this charge-trapping mechanism augments the surface charge density and electric output performance of TENGs. Polyvinylidene difluoride (PVDF) mixed polyurethane (PU) NFM is used as tribo-active layer, which improves the crystallinity and mechanical property of PVDF to prevent delamination during long cycle tests. Herein, the effect of this double-layer capacitive model is explained experimentally and theoretically. With optimization of the PTMx interlayer thickness, S-TENG exhibits a maximum open-circuit voltage of (280 V), short-circuit current of (20 µA) transfer charge of (120 nC), and power density of (25.2 µW cm-2). Then, this energy is utilized to charge electrical appliances. In addition, the influence of AC/DC EF simulation in wound healing management (vitro L929 cell migration, vivo tissue regeneration) is also investigated by changing the polarity of trans-epithelial potential (TEP) distribution in the wounded area.
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Affiliation(s)
- Manikandan Venkatesan
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Jayashree Chandrasekar
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Yung-Chi Hsu
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Ting-Wang Sun
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Po-Yu Li
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Xuan-Ting King
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Ming-An Chung
- Department of Electronic Engineering, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Ren-Jei Chung
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Wen-Ya Lee
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei, 10608, Taiwan
| | - Ye Zhou
- Institute for Advanced Study, Shenzhen University, Shenzhen, 518060, P. R. China
| | - Ja-Hon Lin
- Department of Electro-Optical Engineering, National Taipei University of Technology, Taipei, 106, Taiwan
| | - Chi-Ching Kuo
- Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei, 10608, Taiwan
- Advanced Research Center for Green Materials Science and Technology, National Taiwan University, Taipei, 10617, Taiwan
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Matter L, Abdullaeva OS, Shaner S, Leal J, Asplund M. Bioelectronic Direct Current Stimulation at the Transition Between Reversible and Irreversible Charge Transfer. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2306244. [PMID: 38460180 PMCID: PMC11251568 DOI: 10.1002/advs.202306244] [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: 08/31/2023] [Revised: 02/06/2024] [Indexed: 03/11/2024]
Abstract
Many biological processes rely on endogenous electric fields (EFs), including tissue regeneration, cell development, wound healing, and cancer metastasis. Mimicking these biological EFs by applying external direct current stimulation (DCS) is therefore the key to many new therapeutic strategies. During DCS, the charge transfer from electrode to tissue relies on a combination of reversible and irreversible electrochemical processes, which may generate toxic or bio-altering substances, including metal ions and reactive oxygen species (ROS). Poly(3,4-ethylenedioxythiophene) (PEDOT) based electrodes are emerging as suitable candidates for DCS to improve biocompatibility compared to metals. This work addresses whether PEDOT electrodes can be tailored to favor reversible biocompatible charge transfer. To this end, different PEDOT formulations and their respective back electrodes are studied using cyclic voltammetry, chronopotentiometry, and direct measurements of H2O2 and O2. This combination of electrochemical methods sheds light on the time dynamics of reversible and irreversible charge transfer and the relationship between capacitance and ROS generation. The results presented here show that although all electrode materials investigated generate ROS, the onset of ROS can be delayed by increasing the electrode's capacitance via PEDOT coating, which has implications for future bioelectronic devices that allow longer reversibly driven pulse durations during DCS.
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Affiliation(s)
- Lukas Matter
- Department of Microtechnology and NanoscienceChalmers University of TechnologyGothenburgSE 41296Sweden
- Department of Microsystems EngineeringUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Brainlinks‐Braintools CenterUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Freiburg Institute for Advanced Studies (FRIAS)University of FreiburgAlbertstraße 1979104FreiburgGermany
| | - Oliya S. Abdullaeva
- Division of Nursing and Medical TechnologyLuleå University of TechnologyLuleåSE 97187Sweden
| | - Sebastian Shaner
- Department of Microsystems EngineeringUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Brainlinks‐Braintools CenterUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
| | - José Leal
- Department of Microsystems EngineeringUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Brainlinks‐Braintools CenterUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
| | - Maria Asplund
- Department of Microtechnology and NanoscienceChalmers University of TechnologyGothenburgSE 41296Sweden
- Department of Microsystems EngineeringUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Brainlinks‐Braintools CenterUniversity of FreiburgGeorges‐Köhler‐Allee 20179110FreiburgGermany
- Freiburg Institute for Advanced Studies (FRIAS)University of FreiburgAlbertstraße 1979104FreiburgGermany
- Division of Nursing and Medical TechnologyLuleå University of TechnologyLuleåSE 97187Sweden
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6
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Lee KK, Celt N, Ardoña HAM. Looking both ways: Electroactive biomaterials with bidirectional implications for dynamic cell-material crosstalk. BIOPHYSICS REVIEWS 2024; 5:021303. [PMID: 38736681 PMCID: PMC11087870 DOI: 10.1063/5.0181222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 04/15/2024] [Indexed: 05/14/2024]
Abstract
Cells exist in natural, dynamic microenvironmental niches that facilitate biological responses to external physicochemical cues such as mechanical and electrical stimuli. For excitable cells, exogenous electrical cues are of interest due to their ability to stimulate or regulate cellular behavior via cascade signaling involving ion channels, gap junctions, and integrin receptors across the membrane. In recent years, conductive biomaterials have been demonstrated to influence or record these electrosensitive biological processes whereby the primary design criterion is to achieve seamless cell-material integration. As such, currently available bioelectronic materials are predominantly engineered toward achieving high-performing devices while maintaining the ability to recapitulate the local excitable cell/tissue microenvironment. However, such reports rarely address the dynamic signal coupling or exchange that occurs at the biotic-abiotic interface, as well as the distinction between the ionic transport involved in natural biological process and the electronic (or mixed ionic/electronic) conduction commonly responsible for bioelectronic systems. In this review, we highlight current literature reports that offer platforms capable of bidirectional signal exchange at the biotic-abiotic interface with excitable cell types, along with the design criteria for such biomaterials. Furthermore, insights on current materials not yet explored for biointerfacing or bioelectronics that have potential for bidirectional applications are also provided. Finally, we offer perspectives aimed at bringing attention to the coupling of the signals delivered by synthetic material to natural biological conduction mechanisms, areas of improvement regarding characterizing biotic-abiotic crosstalk, as well as the dynamic nature of this exchange, to be taken into consideration for material/device design consideration for next-generation bioelectronic systems.
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Affiliation(s)
- Kathryn Kwangja Lee
- Department of Chemical and Biomolecular Engineering, University of California, Irvine, California 92697, USA
| | - Natalie Celt
- Department of Biomedical Engineering, University of California, Irvine, California 92697, USA
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Asefifeyzabadi N, Nguyen T, Li H, Zhu K, Yang HY, Baniya P, Medina Lopez A, Gallegos A, Hsieh HC, Dechiraju H, Hernandez C, Schorger K, Recendez C, Tebyani M, Selberg J, Luo L, Muzzy E, Hsieh C, Barbee A, Orozco J, Alhamo MA, Levin M, Aslankoohi E, Gomez M, Zhao M, Teodorescu M, Isseroff RR, Rolandi M. A pro-reparative bioelectronic device for controlled delivery of ions and biomolecules. Wound Repair Regen 2024. [PMID: 38794912 DOI: 10.1111/wrr.13191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 03/28/2024] [Accepted: 05/07/2024] [Indexed: 05/26/2024]
Abstract
Wound healing is a complex physiological process that requires precise control and modulation of many parameters. Therapeutic ion and biomolecule delivery has the capability to regulate the wound healing process beneficially. However, achieving controlled delivery through a compact device with the ability to deliver multiple therapeutic species can be a challenge. Bioelectronic devices have emerged as a promising approach for therapeutic delivery. Here, we present a pro-reparative bioelectronic device designed to deliver ions and biomolecules for wound healing applications. The device incorporates ion pumps for the targeted delivery of H+ and zolmitriptan to the wound site. In vivo studies using a mouse model further validated the device's potential for modulating the wound environment via H+ delivery that decreased M1/M2 macrophage ratios. Overall, this bioelectronic ion pump demonstrates potential for accelerating wound healing via targeted and controlled delivery of therapeutic agents to wounds. Continued optimization and development of this device could not only lead to significant advancements in tissue repair and wound healing strategies but also reveal new physiological information about the dynamic wound environment.
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Affiliation(s)
- Narges Asefifeyzabadi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Tiffany Nguyen
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Houpu Li
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Kan Zhu
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
| | - Hsin-Ya Yang
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Prabhat Baniya
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Andrea Medina Lopez
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Anthony Gallegos
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Hao-Chieh Hsieh
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Harika Dechiraju
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cristian Hernandez
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Kaelan Schorger
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cynthia Recendez
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
| | - Maryam Tebyani
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - John Selberg
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Le Luo
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Elana Muzzy
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cathleen Hsieh
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
- Department of Chemistry and Biochemistry, University of California Santa Cruz, California, Santa Cruz, USA
| | - Alexie Barbee
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Jonathan Orozco
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
- Department of Economics, University of California Santa Cruz, Santa Cruz, California, USA
| | - Moyasar A Alhamo
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Michael Levin
- Department of Biology, Tufts University, Medford, Massachusetts, USA
| | - Elham Aslankoohi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Marcella Gomez
- Department of Applied Mathematics, University of California Santa Cruz, Santa Cruz, California, USA
| | - Min Zhao
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Mircea Teodorescu
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Roslyn Rivkah Isseroff
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
- Dermatology Section, VA Northern California Health Care System, Mather, California, USA
| | - Marco Rolandi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
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Lim PLK, Balakrishnan Y, Goh G, Tham KC, Ng YZ, Lunny DP, Leavesley DI, Bonnard C. Automated Electrical Stimulation Therapy Accelerates Re-Epithelialization in a Three-Dimensional In Vitro Human Skin Wound Model. Adv Wound Care (New Rochelle) 2024; 13:217-234. [PMID: 38062745 DOI: 10.1089/wound.2023.0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024] Open
Affiliation(s)
- Priscilla L K Lim
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
| | - Yamini Balakrishnan
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
| | - Gracia Goh
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
| | - Khek-Chian Tham
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
| | - Yi Zhen Ng
- Tissue Technologies, Skin Research Institute of Singapore (SRIS), A*STAR, Singapore, Republic of Singapore
| | - Declan P Lunny
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
- Asian Skin Biobank, Skin Research Institute of Singapore (SRIS), A*STAR, Singapore, Republic of Singapore
| | - David I Leavesley
- Tissue Technologies, Skin Research Institute of Singapore (SRIS), A*STAR, Singapore, Republic of Singapore
| | - Carine Bonnard
- Model Development, A*STAR Skin Research Labs (A*SRL), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore
- Asian Skin Biobank, Skin Research Institute of Singapore (SRIS), A*STAR, Singapore, Republic of Singapore
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Apoorva S, Nguyen NT, Sreejith KR. Recent developments and future perspectives of microfluidics and smart technologies in wearable devices. LAB ON A CHIP 2024; 24:1833-1866. [PMID: 38476112 DOI: 10.1039/d4lc00089g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
Wearable devices are gaining popularity in the fields of health monitoring, diagnosis, and drug delivery. Recent advances in wearable technology have enabled real-time analysis of biofluids such as sweat, interstitial fluid, tears, saliva, wound fluid, and urine. The integration of microfluidics and emerging smart technologies, such as artificial intelligence (AI), machine learning (ML), and Internet of Things (IoT), into wearable devices offers great potential for accurate and non-invasive monitoring and diagnosis. This paper provides an overview of current trends and developments in microfluidics and smart technologies in wearable devices for analyzing body fluids. The paper discusses common microfluidic technologies in wearable devices and the challenges associated with analyzing each type of biofluid. The paper emphasizes the importance of combining smart technologies with microfluidics in wearable devices, and how they can aid diagnosis and therapy. Finally, the paper covers recent applications, trends, and future developments in the context of intelligent microfluidic wearable devices.
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Affiliation(s)
- Sasikala Apoorva
- UKF Centre for Advanced Research and Skill Development(UCARS), UKF College of Engineering and Technology, Kollam, Kerala, India, 691 302
| | - Nam-Trung Nguyen
- Queensland Micro and Nanotechnology Centre, Griffith University, 170 Kessels Road, Nathan, 4111, Queensland, Australia.
| | - Kamalalayam Rajan Sreejith
- Queensland Micro and Nanotechnology Centre, Griffith University, 170 Kessels Road, Nathan, 4111, Queensland, Australia.
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Sacchi M, Sauter-Starace F, Mailley P, Texier I. Resorbable conductive materials for optimally interfacing medical devices with the living. Front Bioeng Biotechnol 2024; 12:1294238. [PMID: 38449676 PMCID: PMC10916519 DOI: 10.3389/fbioe.2024.1294238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 01/02/2024] [Indexed: 03/08/2024] Open
Abstract
Implantable and wearable bioelectronic systems are arising growing interest in the medical field. Linking the microelectronic (electronic conductivity) and biological (ionic conductivity) worlds, the biocompatible conductive materials at the electrode/tissue interface are key components in these systems. We herein focus more particularly on resorbable bioelectronic systems, which can safely degrade in the biological environment once they have completed their purpose, namely, stimulating or sensing biological activity in the tissues. Resorbable conductive materials are also explored in the fields of tissue engineering and 3D cell culture. After a short description of polymer-based substrates and scaffolds, and resorbable electrical conductors, we review how they can be combined to design resorbable conductive materials. Although these materials are still emerging, various medical and biomedical applications are already taking shape that can profoundly modify post-operative and wound healing follow-up. Future challenges and perspectives in the field are proposed.
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Affiliation(s)
- Marta Sacchi
- Université Grenoble Alpes, CEA, LETI-DTIS (Département des Technologies pour l’Innovation en Santé), Grenoble, France
- Université Paris-Saclay, CEA, JACOB-SEPIA, Fontenay-aux-Roses, France
| | - Fabien Sauter-Starace
- Université Grenoble Alpes, CEA, LETI-DTIS (Département des Technologies pour l’Innovation en Santé), Grenoble, France
| | - Pascal Mailley
- Université Grenoble Alpes, CEA, LETI-DTIS (Département des Technologies pour l’Innovation en Santé), Grenoble, France
| | - Isabelle Texier
- Université Grenoble Alpes, CEA, LETI-DTIS (Département des Technologies pour l’Innovation en Santé), Grenoble, France
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11
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Horta-Velázquez A, Mota-Morales JD, Morales-Narváez E. Next-generation of smart dressings: Integrating multiplexed sensors and theranostic functions. Int J Biol Macromol 2024; 254:127737. [PMID: 38287589 DOI: 10.1016/j.ijbiomac.2023.127737] [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: 06/30/2023] [Revised: 10/18/2023] [Accepted: 10/26/2023] [Indexed: 01/31/2024]
Abstract
Non-healing wounds represent a significant burden for healthcare systems and society, giving rise to severe economic and human issues. Currently, the use of dressings and visual assessment represent the primary and standard care for wounds. Conventional dressings, like cotton gauze, provide only passive physical protection. Besides, they end up paradoxically hampering the wound-healing process by producing tissue damage and pain when removed during routine check-ups. In response to these limitations, researchers, engineers, and technologists are developing innovative dressings that incorporate advanced diagnostic and therapeutic functionalities, coined as "smart dressings". Now, the maturation of smart dressing is bringing them closer to real-life applications, leading to an exciting new generation of these devices. The next generation of smart dressings is capable of monitoring in real-time multiple biomarkers while including pro-healing capabilities in a single platform. Such multiplexed and theranostic smart dressings are expected to offer a timely biomarker-directed diagnosis of non-healing wounds while enabling rapid, automated, and personalized treatments of infection and chronicity. Herein, we provide an insightful overview of these advantageous devices, delving into the diverse spectrum of possible engineering strategies. This encompasses the use of electrochemical and optical platforms with diverse multiplexing architectures, such as multi-zone sensing arrays and multi-layered devices. Open or closed-loop theranostic mechanisms using various stimuli-responsive materials that could be internally or externally controlled are also included. Finally, a critical discussion on the main challenges and future directions of smart dressings is also offered.
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Affiliation(s)
| | - Josué D Mota-Morales
- Centro de Física Aplicada y Tecnología Avanzada (CFATA), Universidad Nacional Autónoma de México (UNAM), Querétaro 76230, Mexico
| | - Eden Morales-Narváez
- Centro de Física Aplicada y Tecnología Avanzada (CFATA), Universidad Nacional Autónoma de México (UNAM), Querétaro 76230, Mexico.
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Chepelova N, Antoshin A, Voloshin S, Usanova A, Efremov Y, Makeeva M, Evlashin S, Stepanov M, Turkina A, Timashev P. Oral Galvanism Side Effects: Comparing Alloy Ions and Galvanic Current Effects on the Mucosa-like Model. J Funct Biomater 2023; 14:564. [PMID: 38132818 PMCID: PMC10744021 DOI: 10.3390/jfb14120564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 12/05/2023] [Accepted: 12/07/2023] [Indexed: 12/23/2023] Open
Abstract
The interaction of different dental alloys with the oral environment may cause severe side effects (e.g., burning sensation, inflammatory reactions, carcinogenesis) as a result of oral galvanism. However, the pathogenesis of side effects associated with oral galvanism is still unclear, and the effects of direct current and alloy corrosion ions are considered potentially contributing factors. Therefore, the aim of this study was to systemically compare the damaging effects of (1) galvanism as a synergistic process (direct current + corrosion ions), (2) direct current separately, and (3) corrosion ions separately on an in vitro mucosa-like model based on a cell line of immortalized human keratinocytes (HaCaTs) to reveal the factors playing a pivotal role in dental alloys side effects. For this, we chose and compared the dental alloys with the highest risk of oral galvanism: Ti64-AgPd and NiCr-AgPd. We showed that galvanic current may be the leading damaging factor in the cytotoxic processes associated with galvanic coupling of metallic intraoral appliances in the oral cavity, especially in the short-term period (28 days). However, the contribution of corrosion ions (Ni2+) to the synergistic toxicity was also shown, and quite possibly, in the long term, it could be no less dangerous.
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Affiliation(s)
- Natalia Chepelova
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
| | - Artem Antoshin
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
| | - Sergei Voloshin
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
| | - Anna Usanova
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
| | - Yuri Efremov
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
| | - Maria Makeeva
- Therapeutic Dentistry Department, Institute for Dentistry, Sechenov First Moscow State Medical University, 8-2 Trubetskaya Str., Moscow 119048, Russia; (M.M.); (A.T.)
- Conservative Dentistry Department, RUDN University, 6 Miklukho-Maklaya Street, Moscow 117198, Russia
| | - Stanislav Evlashin
- Center for Materials Technologies, Skolkovo Institute of Science and Technology, Moscow 121205, Russia;
| | - Mikhail Stepanov
- Department of Dental Surgery, Sechenov First Moscow State Medical University, 8-2 Trubetskaya Str., Moscow 119048, Russia;
| | - Anna Turkina
- Therapeutic Dentistry Department, Institute for Dentistry, Sechenov First Moscow State Medical University, 8-2 Trubetskaya Str., Moscow 119048, Russia; (M.M.); (A.T.)
| | - Peter Timashev
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 8-2 Trubetskaya St., Moscow 119048, Russia; (N.C.); (S.V.); (A.U.); (Y.E.); (P.T.)
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Leal J, Shaner S, Jedrusik N, Savelyeva A, Asplund M. Electrotaxis evokes directional separation of co-cultured keratinocytes and fibroblasts. Sci Rep 2023; 13:11444. [PMID: 37454232 PMCID: PMC10349865 DOI: 10.1038/s41598-023-38664-y] [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: 04/12/2023] [Accepted: 07/12/2023] [Indexed: 07/18/2023] Open
Abstract
Bioelectric communication plays a significant role in several cellular processes and biological mechanisms, such as division, differentiation, migration, cancer metastasis, and wound healing. Ion flow across cellular walls leads to potential gradients and subsequent formation of constant or time-varying electric fields(EFs), which regulate cellular processes. An EF is natively generated towards the wound center during epithelial wound healing, aiming to align and guide cell migration, particularly of macrophages, fibroblasts, and keratinocytes. While this phenomenon, known as electrotaxis or galvanotaxis, has been extensively investigated across many cell types, it is typically explored one cell type at a time, which does not accurately represent cellular interactions during complex biological processes. Here we show the co-cultured electrotaxis of epidermal keratinocytes and dermal fibroblasts with a salt-bridgeless microfluidic approach for the first time. The electrotactic response of these cells was first assessed in mono-culture to establish a baseline, resulting in the characteristic cathodic migration for keratinocytes and anodic for fibroblasts. Both cell types retained their electrotactic properties in co-culture leading to clear cellular partition even in the presence of cellular collisions. The methods leveraged here pave the way for future co-culture electrotaxis experiments where the concurrent influence of cell types can be thoroughly investigated.
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Affiliation(s)
- José Leal
- Department of Microsystems Engineering (IMTEK), University of Freiburg, Freiburg, Germany.
- BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany.
| | - Sebastian Shaner
- Department of Microsystems Engineering (IMTEK), University of Freiburg, Freiburg, Germany
- BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany
| | - Nicole Jedrusik
- Department of Microsystems Engineering (IMTEK), University of Freiburg, Freiburg, Germany
- BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany
| | - Anna Savelyeva
- Department of Microsystems Engineering (IMTEK), University of Freiburg, Freiburg, Germany
- BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany
| | - Maria Asplund
- Department of Microsystems Engineering (IMTEK), University of Freiburg, Freiburg, Germany.
- BrainLinks-BrainTools Center, University of Freiburg, Freiburg, Germany.
- Freiburg Institute for Advanced Studies (FRIAS), University of Freiburg, Freiburg, Germany.
- Department of Microtechnology and Nanoscience, Chalmers University of Technology, Gothenburg, Sweden.
- Division of Nursing and Medical Technology, Luleå University of Technology, 97187, Luleå, Sweden.
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