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先进材料在非酶葡萄糖监测中的应用:从有创到可穿戴设备。

Applications of Advanced Materials for Non-Enzymatic Glucose Monitoring: From Invasive to the Wearable Device.

机构信息

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Pharmaceutical Analysis Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Crit Rev Anal Chem. 2023;53(5):1116-1131. doi: 10.1080/10408347.2021.2008227. Epub 2021 Dec 13.

DOI:10.1080/10408347.2021.2008227
PMID:34894901
Abstract

Diabetes mellitus (DM) is a global health problem leading to many complications and disabilities in life adjusting activities and even dead. Monitoring glucose levels is a key factor in diagnosis and management of DM. Conventional glucose sensors consisted of immobilized enzymes, are so susceptible to environmental conditions. In this way, nonenzymatic biosensors have attracted extensive attentions in many clinical diagnostics applications. To date, the finger pricking test is a common enzyme-based glucometer that is an invasive and inconvenient and may lead to infections in the injection sites. So, working on the possibility of cutaneous or subcutaneous insertion of devices as a noninvasive or minimally-invasive systems for continuous glucose controlling approaches through human biofluids (blood, perspiration, tears, saliva, etc.) have stimulated growing interest. This review summarizes recent nonenzymatic and noninvasive biofluids glucose monitoring systems which are highly resilience and stretchable to continuously adapt to body movements during common physical activity. Sensors are based on their constituent materials including carbon-based, metal nanoparticles, polymer, and hydrogel systems are classified for electrochemical, and optical glucose detection. Finally, we address the drawbacks and challenges of enzyme-free sensors which are aroused sustaining research passion to be used in point-of-care medical diagnostics applications.

摘要

糖尿病(DM)是一个全球性的健康问题,导致许多并发症和生活适应活动的残疾,甚至死亡。监测血糖水平是 DM 诊断和管理的关键因素。传统的葡萄糖传感器由固定化酶组成,对环境条件非常敏感。在这种情况下,非酶生物传感器在许多临床诊断应用中引起了广泛的关注。迄今为止,指刺测试是一种常见的基于酶的血糖仪,它具有侵入性和不便性,并且可能导致注射部位感染。因此,研究皮肤或皮下插入设备的可能性作为非侵入性或微创系统,通过人体生物流体(血液、汗液、眼泪、唾液等)进行连续血糖控制方法的研究引起了越来越多的兴趣。本综述总结了最近的非酶和非侵入性生物流体葡萄糖监测系统,这些系统具有高度的弹性和可拉伸性,可以在常见的身体活动中不断适应身体运动。传感器基于其组成材料进行分类,包括碳基、金属纳米粒子、聚合物和水凝胶系统,用于电化学和光学葡萄糖检测。最后,我们讨论了无酶传感器的缺点和挑战,这些挑战激发了人们的研究热情,使其能够应用于即时医疗诊断应用。

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