Department of Mechanical Engineering, University of California, Santa Barbara, Santa Barbara, CA, USA.
Medtronic Inc., Santa Clarita, CA, USA.
J Diabetes Sci Technol. 2024 May;18(3):625-634. doi: 10.1177/19322968221123083. Epub 2022 Sep 13.
Many type 1 diabetes patients using continuous subcutaneous insulin infusion (CSII) suffer from the phenomenon of unexplained hypoglycemia or "site loss." Site loss is hypothesized to be caused by toxic excipients, for example, phenolic compounds within insulin formulations that are used as preservatives and stabilizers. Here, we develop a bioinspired polyelectrolyte-modified carbon electrode for effective electrooxidative removal of phenol from insulin and eventual incorporations into an infusion set of a CSII device.
We modified a carbon screen printed electrode (SPE) with poly-L-lysine (PLL) to avoid passivation due to polyphenol deposition while still removing phenolic compounds from insulin injections. We characterized these electrodes using scanning electron microscopy (SEM) and electrochemical impedance spectroscopy (EIS) and compared their data with data from bare SPEs. Furthermore, we performed electrochemical measurements to determine the extent of passivation, and high-performance liquid chromatography (HPLC) measurements to confirm both the removal of phenol and the integrity of insulin after phenol removal.
Voltammetry measurements show that electrode passivation due to polyphenol deposition is reduced by a factor of 2X. HPLC measurements confirm a 10x greater removal of phenol by our modified electrodes relative to bare electrodes.
Using bioinspired polyelectrolytes to modify a carbon electrode surface aids in the electrooxidation of phenolic compounds from insulin and is a step toward integration within an infusion set for mitigating site loss.
许多使用连续皮下胰岛素输注 (CSII) 的 1 型糖尿病患者会出现不明原因的低血糖或“部位丧失”现象。部位丧失现象据推测是由毒性赋形剂引起的,例如胰岛素制剂中用作防腐剂和稳定剂的酚类化合物。在这里,我们开发了一种基于仿生的聚电解质修饰碳电极,用于从胰岛素中有效电氧化去除酚类化合物,并最终将其纳入 CSII 设备的输注套件中。
我们用聚-L-赖氨酸 (PLL) 修饰碳丝网印刷电极 (SPE),以避免因多酚沉积而导致钝化,同时仍能从胰岛素注射剂中去除酚类化合物。我们使用扫描电子显微镜 (SEM) 和电化学阻抗谱 (EIS) 对这些电极进行了表征,并将它们的数据与裸 SPE 的数据进行了比较。此外,我们进行了电化学测量以确定钝化程度,并进行高效液相色谱 (HPLC) 测量以确认在去除酚类化合物后胰岛素的完整性。
伏安测量表明,由于多酚沉积导致的电极钝化减少了 2 倍。HPLC 测量证实,我们修饰的电极相对于裸电极对酚类化合物的去除率提高了 10 倍。
使用仿生聚电解质修饰碳电极表面有助于从胰岛素中电氧化去除酚类化合物,是朝着集成在输注套件中以减轻部位丧失的方向迈出的一步。