DiSanto Rocco Michael, Subramanian Vinayak, Gu Zhen
Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Raleigh, NC, USA.
Molecular Pharmaceutics Division, Center for Nanotechnology in Drug Delivery, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2015 Jul-Aug;7(4):548-64. doi: 10.1002/wnan.1329. Epub 2015 Jan 15.
Nanotechnology in diabetes research has facilitated the development of novel glucose measurement and insulin delivery modalities which hold the potential to dramatically improve quality of life for diabetics. Recent progress in the field of diabetes research at its interface with nanotechnology is our focus. In particular, we examine glucose sensors with nanoscale components including metal nanoparticles and carbon nanostructures. The addition of nanoscale components commonly increases glucose sensor sensitivity, temporal response, and can lead to sensors which facilitate continuous in vivo glucose monitoring. Additionally, we survey nanoscale approaches to 'closed-loop' insulin delivery strategies which automatically release insulin in response to fluctuating blood glucose levels (BGLs). 'Closing the loop' between BGL measurements and insulin administration by removing the requirement of patient action holds the potential to dramatically improve the health and quality of life of diabetics. Advantages and limitations of current strategies, as well as future opportunities and challenges are also discussed.
纳米技术在糖尿病研究中推动了新型血糖测量和胰岛素递送方式的发展,这些方式有可能显著改善糖尿病患者的生活质量。我们关注的是糖尿病研究领域与纳米技术交叉领域的最新进展。特别地,我们研究了具有纳米级组件的葡萄糖传感器,包括金属纳米颗粒和碳纳米结构。添加纳米级组件通常会提高葡萄糖传感器的灵敏度、时间响应,并能产生有助于体内连续血糖监测的传感器。此外,我们还探讨了“闭环”胰岛素递送策略的纳米级方法,这些策略可根据血糖水平波动自动释放胰岛素。通过消除患者操作的需求来实现血糖测量和胰岛素给药之间的“闭环”,有可能显著改善糖尿病患者的健康状况和生活质量。我们还讨论了当前策略的优缺点以及未来的机遇和挑战。