Zhang Shuai, Tan Renjie, Meng Shuo, Zhang Ke, Hu Jinlian
Department of Biomedical Engineering, City University of Hong Kong, Kowloon, Hong Kong SAR, 999077, China.
Adv Sci (Weinh). 2025 Sep;12(33):e02831. doi: 10.1002/advs.202502831. Epub 2025 Jul 12.
Muscle atrophy is a chronic disease caused by multiple factors, and there is currently no effective treatment or reliable diagnostic method. Similar review articles focus on the induction and summary of the pathogenic mechanism and traditional treatment of muscle atrophy. However, soft, portable, and efficient bioelectronic devices that are expected to achieve home diagnosis and treatment of the disease are more concerned, hoping to realize complete home care as soon as possible. The article includes: 1) Classification and summary of muscle atrophy-related diseases and pathways; 2) Mechanical sensors, electromyography (EMG), electrochemical sensors, bioelectrical impedance analysis (BIA), and ultrasonic patches for monitoring muscle atrophy; 3) Transcutaneous electrotherapy, bioelectronic implants, bioelectronic drug delivery devices, and ExoMuscles for treating muscle atrophy; 4) Electrode-tissue interface problems in muscle atrophy bioelectronics and feasible solutions. 5) Recommendations and prospects for integrated bioelectronic systems for home diagnosis and treatment of muscle atrophy in the future.
肌肉萎缩是一种由多种因素引起的慢性疾病,目前尚无有效的治疗方法或可靠的诊断手段。类似的综述文章侧重于肌肉萎缩致病机制及传统治疗方法的归纳总结。然而,人们更关注有望实现该疾病居家诊断和治疗的柔软、便携且高效的生物电子设备,希望尽快实现完全的居家护理。文章内容包括:1)肌肉萎缩相关疾病及通路的分类与总结;2)用于监测肌肉萎缩的机械传感器、肌电图(EMG)、电化学传感器、生物电阻抗分析(BIA)以及超声贴片;3)用于治疗肌肉萎缩的经皮电疗法、生物电子植入物、生物电子药物递送装置以及外骨骼肌肉;4)肌肉萎缩生物电子学中的电极-组织界面问题及可行的解决方案。5)未来用于肌肉萎缩居家诊断和治疗的集成生物电子系统的建议与展望。