The technical field relates a minimally invasive colloidal crystal microneedle patch for naked-eye glucose monitoring. The microneedle patch is able to translate glucose concentrations into naked-eye distinguishable color changes within a few minutes and the responsiveness is reversible.
Over 463 million people worldwide are currently diagnosed with diabetes mellitus, a chronic disease characterized by abnormally high blood glucose levels (BGLs). People with type 1 or advanced type 2 diabetes need to self-monitor their BGLs frequently to determine the time and dose of insulin injection. The current electrochemical-based glucometer requires finger-prick blood sampling with consumption of numerous testing strips. This invasive, painful, and costly measurement strategy often needs to be conducted multiple times each day over a life-long time, causing severe physiological and psychological burden to people with diabetes and leading to poor adherence to treatment. Therefore, a minimally invasive, painless, and economical point-of-care testing (POCT) device for BGLs measurement is highly desired.
As a minimally invasive and painless alternative, microneedle (MN) patch devices have been developed and applied for extracting and analyzing interstitial fluid, where many molecular biomarkers are highly correlated with those in the blood. Among studies of leveraging MN patch for glucose monitoring, the colorimetric MN patch system is favorable due to its visualized results without involvement of supporting equipment or complicated procedures. Nonetheless, many of these colorimetric systems contain enzymes and chromogenic substrates, which can induce concerns including enzyme denature, color quenching, by-product toxicity, and non-reusability. Colloidal crystal, a structural color material, offers a promising manner to construct a colorimetric glucose sensor comparing with the enzymatic system. By formulating colloidal crystal with a glucose-responsive material, glucose level could be reported as a structural color of colloidal crystal by manipulating the periodic structure within colloidal crystal through the glucose-responsive material. The colloidal crystal formulated colorimetric glucose sensor is enzyme-free and structural color-based, evading the issues associated with enzymatic formulations. However, the application of colloidal crystal in colorimetric MN patch is still unexplored considering the challenges in formulating sensitive glucose-responsive colloidal crystal (GCC), and assembling soft colloidal crystal with hard microneedles while maintaining the physical properties of colloidal crystal.
A glucose-responsive colloidal crystal-microneedle (GCC-MN) patch is disclosed for minimally invasive, painless, and naked-eye recognizable glucose colorimetric monitoring as demonstrated in a diabetic mice study. The glucose level may be displayed in situ as a specific color of the patch generated by the glucose-responsive physical nanostructure within the GCC material. To convert physiological glucose levels into naked-eye recognizable structural color signals, the GCC material was formulated by constructing periodic structure inside glucose-responsive fluorophenylboronic acid (FPBA) based matrix with SiO2 nanoparticles (NPs). The GCC material was coated on the surface of a photo-polymerized MNs via a secondary photo-crosslinking process mediated by the residual double bonds on the MNs. This core-shell MN structure by assembly of the soft GCC on the exterior of the hard MNs can not only maintain the stimulus-responsive property of the GCC, but also support sufficient mechanical strength of MNs for skin penetration. Upon high glucose levels, increased glucose molecules can bind FPBA within GCC, which increases the hydrophilicity and causes the swelling of SiO2 NPs-embedding GCC. The increased distance between periodically arranged SiO2 NPs results in a redshift of the GCC reflection spectrum, displayed as a color redshift of the GCC-MN patch. Such behavior between glucose and FPBA is glucose concentration-dependent, yielding the GCC-MN patch with the functionality of continuous glucose monitoring. Notably, the optimized GCC formulation exhibited improved glucose responsiveness, manifested as the large spectral shift value (˜127 nm) within physiological glucose levels, making home-based POCT feasible. Notably, a separate reader device is not necessarily needed to analyze the color/color changes as these are observable by the user with the naked-eye, although a reader device could be used in some embodiments.
The glucose-responsive colloidal crystal microneedle (GCC-MN) patch was formulated with a core-shell structure with the glucose responsive material contained in the outer shell while the inner core is made from a biocompatible or biosafe resin or polymer material. The GCC-MN patch realized minimally invasive, painless, and naked-eye glucose monitoring in an enzyme-free manner. The GCC material showed improved glucose sensitivity under physiological glucose levels. The GCC material further showed reversible glucose responsiveness thereby making continuous glucose monitoring possible.
In one embodiment, a glucose-responsive colloidal crystal microneedle (GCC-MN) patch is disclosed for monitoring glucose levels in a subject. The patch includes a base having a plurality of microneedles extending away from the surface of the base, wherein the plurality of microneedles include a resin or polymer core surrounded by a shell formed by a glucose-responsive colloidal crystal (GCC) material that includes a glucose-responsive fluorophenylboronic acid (FPBA) based matrix having SiO2 nanoparticles dispersed therein.
The GCC-MN patch is used by applying the GCC-MN patch to the skin of a mammalian subject and ascertaining a color and/or color change of the GCC-MN patch, wherein the color and/or color change is indicative of a level of glucose in the mammalian subject. The color and/or color change may be ascertained by the subject or by another person (e.g., a caregiver, medical provider, or the like). The person that ascertains the color and/or color change may, in some embodiments, use a color chart or the like. In other embodiments, a reader device may be used to ascertain the color or color change of the GCC-MN patch.
The GCC-MN patch is made using a molding operation. First, a mold is provided that has a plurality of surface features defined therein that define the shape of microneedles in the patch (reverse of the microneedles). Next, a first layer of the patch is formed (i.e., the base and inner rigid cores of microneedles) is formed by depositing a resin or polymer over the mold and polymerizing the resin with polymerizing light. The first layer of the patch or the hardened portion containing the microneedle array is then removed from the mold. Next, the glucose-responsive colloidal crystal (GCC) solution (e.g., pre-polymer solution) is added to the mold. The first layer of the patch is then placed onto the mold containing the glucose-responsive colloidal crystal (GCC) solution, wherein a spacer is interposed between the mold and the first layer of the patch. The thickness of the spacer will control the thickness of the shell. The first layer of the patch with the GCC solution is then exposed to polymerizing light to form a shell of GCC material on the microneedles. The now-formed patch is then removed from the mold. The patch can be washed and stored in a buffer solution until use.
In one embodiment, a glucose-responsive colloidal crystal microneedle (GCC-MN) patch for monitoring glucose levels in a subject is disclosed. The GCC-MN patch has a base having a plurality of microneedles extending away from the surface of the base, wherein the plurality of microneedles comprise a resin or polymer core surrounded by a shell comprising glucose-responsive colloidal crystal (GCC) material comprising a glucose-responsive fluorophenylboronic acid (FPBA) based matrix having SiO2 nanoparticles dispersed therein.
In another embodiment, a method of using the GCC-MN patch includes applying the GCC-MN patch to the skin of a mammalian subject and ascertaining a color and/or color change of the GCC-MN patch, wherein the color and/or color change is indicative of a level of glucose in the mammalian subject.
In another embodiment, a method of making glucose-responsive colloidal crystal microneedle (GCC-MN) patch for monitoring glucose levels in a subject includes the operations of: providing a mold having a plurality of surface features defined therein that define the shape of microneedles in the patch; forming a first layer of the patch by depositing a resin or polymer over the mold and polymerizing the resin with polymerizing light; removing the first layer of the patch from the mold; adding a glucose-responsive colloidal crystal (GCC) solution to the mold; placing the first layer of the patch onto the mold containing the glucose-responsive colloidal crystal (GCC) solution, wherein a spacer is interposed between the mold and the first layer of the patch; irradiating the first layer of the patch with polymerizing light to form a shell of GCC material on the microneedles; and removing the formed patch from the mold.
In another embodiment, a kit is provided that includes a glucose-responsive colloidal crystal microneedle (GCC-MN) patch for monitoring glucose levels in a subject having a base having a plurality of microneedles extending away from the surface of the base, wherein the plurality of microneedles comprise a resin or polymer core surrounded by a shell comprising glucose-responsive colloidal crystal (GCC) material comprising a glucose-responsive fluorophenylboronic acid (FPBA) based matrix having SiO2 nanoparticles dispersed therein. The kit includes a color key that is used to correlate a particular color or color change to a specific glucose concentration or range of concentrations. In other embodiments, the kit is provided with or includes a reader device configured to capture images of the GCC-MN patch.
With reference to
The core-shell structures of the microneedles 14 is created by the deposting of the soft GCC material that forms the shell 22 on hard microneedle cores 12 that maintains the stimulus-responsive property of the GCC as well as supports sufficient mechanical strength of microneedles 14 for the penetration of tissue 100. The resin or polymer core 20 may be made from a number of biocompatible or biosafe resins or polymers. An example, is clear resin (CLEAR RESIN 1L) obtained from Formlabs Inc., Somerville, USA, CATALOG #RS-F2-GPCL-04. Other polymers may be used including crosslinked polymers formed from, for example, pentaerythritol tetraacrylate (PETA). The resin or polymer should be hard and colorless (i.e., optically transparent). Hardness allows for structural integrity of the patch 10 and enables the microneedles 14 to penetrate the tissue 100. By making the patch 10 substantially optically transparent, color changes and/or color shifts can be readily observed.
With reference to
The binding of glucose to FPBA in the GCC material located on the microneedles 14 is reversible and may operate under repeated cycles thereby allowing for glucose monitoring over an extended period of time (e.g., continuous glucose monitoring). To use the GCC-MN patch 10, the GCC-MN patch 10 is pressed against the skin tissue 100 (or other tissue) so that the microneedles 14 are embedded within the tissue 100. After exposure to the tissue 100, interstitial and other bodily fluids are exposed to and enter the GCC material of the shell 22 and the color and/or color change of the GCC-MN patch 10 can then be ascertained. The GCC-MN patch 10 can be removed by pulling the GCC-MN patch 10 away from the tissue 100 much in the way a conventional bandage is removed from the skin.
To make the patch a series of molding operations are undertaken. First, with reference to
In some embodiments, a kit may be provided to the user that includes one or more of the GCC-MN patches 10 along with the color key 26. The color key 26 may include a card or image that shows a range of colors and the corresponding glucose levels that correspond to each color. Of course, the color key 26 may be provided electronically, for example, as an image that can be downloaded or viewed on a computing device (e.g., mobile phone, tablet, PC and the like). In other embodiments, the kit may include one or more of the GCC-MN patches 10 along with the reader device 28.
Materials: SiO2 nanoparticles 24 (140 nm) were purchased from Nanjing Nanorainbow Biotechnology Co., Ltd (Nanjing, China). Acrylamide (≥99%), poly(ethylene glycol) diacrylate (PEGDA, average Mn 700), 2-hydroxy-2-methylpropiophenone (HMPP, 97%), dimethyl sulfoxide (DMSO, ≥99.9%), glucose (≥99.5%) were purchased from Sigma-Aldrich, Inc (St. Louis, USA). 4-((2-Acrylamidoethyl) carbamoyl)-3-fluorophenylboronic acid (FPBA) was synthesized by the method described in A. Matsumoto et al., A synthetic approach toward a self-regulated insulin delivery system, Angew. Chemie Int. Ed. 51 (2012) 2124-2128. doi:10.1002/anie.201106252, which is incorporated herein by reference. Clear resin was purchased from Formlabs Inc (Somerville, USA, CATALOG # is RS-F2-GPCL-04). Sulfo-cyanine5 NHS ester (Cy5) was purchased from Lumiprobe Corp (Maryland, USA). 1,1′-Dioctadecyl-3,3,3′,3′-tetramethylindocarbocyanine perchlorate (Dil) was obtained from Invitrogen Corp (California, USA).
Formulation of the GCC (for in vitro characterization only—not patch): FPBA (10.5% w/v), acrylamide (7% w/v), PEGDA (5% w/w of monomers) and HMPP (5% w/w of monomers) were dissolved in 15% v/v SiO2 nanoparticle 24 DMSO suspensions. The resulted GCC precursor solution was infused into the space between two hydrophobic glass slides where a 250 μm spacer was placed, and irradiated with 26.7 mW cm−2 365 nm UV light for 20 min. After that, the photo-polymerized GCC was washed with PBS solution until the residual DMSO in the GCC material was replaced. The obtained GCC was stored in PBS solution for further experiments.
Fabrication of the GCC-MN patch: Clear resin was filled into a microneedle patterned (pyramidal, 400 μm in width, 900 μm in height, 800 μm tip-tip spacing) patch mold 50 under vacuum and was polymerized under UV light (26.7 mW cm2, 365 nm) for 5 min. To increase the mechanical strength, the photo-polymerized first layer of the microneedle patch 10 was further cured under 405 nm light (1.25 mW cm−2) for 25 min, and then was detached from the mold 50. The as-prepared GCC precursor solution was infused into the previously used mold 50. Before inserting the cured first layer of the patch 10 into the GCC solution-containing mold, a 250 μm spacer was placed between the first layer of the patch 10 and the mold 50 to control the thickness of the shell 22. Afterward, the GCC precursor solution-containing mold with cured patch 10 was irradiated with 365 nm UV light (26.7 mW cm 2) for 15 min. Finally, the GCC-MN patch 10 was detached from the mold 50, washed, and stored in PBS solution.
In vitro glucose monitoring: To study the glucose responsiveness of the GCC, the GCC or the GCC-MN patch 10 (5×5 array) was immersed in 10 mL glucose-containing PBS solution and observed at different incubation time points.
In vivo glucose monitoring: To evaluate the in vivo glucose responsiveness of the GCC-MN patch 10, diabetic mice (C57BL/6J, Jackson Lab) and normal mice (C57BL/6J, Jackson Lab) were used as the hyperglycemic model and the normoglycemic control, respectively. All animal studies complied with the protocol (ARC #2018-062) approved by the Institutional Animal Care and Use Committee at the University of California, Los Angeles (UCLA). To perform glucose monitoring with the GCC-MN patch 10, the mice were shaved and anesthetized before the experiment. The BGLs of the mice were measured with an Accu-Chek Aviva® meter (Roche Diabetes Care, Inc.) before the GCC-MN patch 10 insertion. Then, the GCC-MN patch 10 was pressed on the skin tissue 100 of the mouse for 10 s and retained for a specific time. Thereafter, the GCC-MN patch 10 was removed from the skin and the color change of the GCC-MN patch 10 was recorded with a camera.
Characterizations: The reflection spectra were recorded with a spectrometer (OCEAN-HDX-XR, Ocean Insight, USA). The SEM images were obtained with a field emission scanning electron microscope (Supra® 40VP, Zeiss, Germany). The 3D fluorescence images were obtained and reconstructed with a confocal microscope (Leica TCS-SP8, Leica Microsystems, Germany) and Imaris software, respectively. The mechanical strength tests were conducted by using the compression mode of Instron 5560 (Instron Corporation, Norwood, Mass). 1H nuclear magnetic resonance spectrum (
Results and Discussion
The structural color of colloidal crystal is dominated by its periodic structure according to Bragg's law:
λ=1.633dnavg (1)
The color and the structure of the GCC changed while immersed into various concentrations of glucose solutions (100, 200, 300, and 400 mg dL−1). The reflection peak of the GCC red-shifted with the prolonged reaction time and increased glucose concentration (
To quantify the color of the GCC, averaged hue value (H), the color appearance parameter, of the GCC under different glucose concentrations was measured and presented in a hue circle (
To assemble the soft GCC together with the hard microneedles 14 while maintaining both of the glucose responsiveness of the GCC and the ability of microneedles 14 to puncture the skin tissue 100, the GCC was secondarily modified on the surface of microneedles 14 through photo-crosslinking. As illustrated in
The in vitro glucose responsiveness of the GCC-MN patch 10 was evaluated by exposing the core-shell MN patches 10 into different glucose solutions (100, 200, 300, and 400 mg dL−1) for various periods (0, 5, 10, 20, and 30 min). Their averaged hue values were subsequently calculated (
The secondary modification design integrated the gel-like GCC with the skin-penetrating MN scaffold, allowing the minimally invasive in vivo study (
A GCC-MN patch 10 was developed for minimally invasive, painless, and naked-eye recognizable glucose colorimetric monitoring. The GCC showed improved glucose sensitivity, rendering naked-eye glucose monitoring feasible. The secondary modification strategy integrated the GCC with MN, which enabled the in vivo glucose colorimetric monitoring with naked eyes in an enzyme-free way. As demonstrated in a diabetic mouse model, the GCC-MN patch 10 was qualified to in situ detect hyperglycemia in mice without significant inflammation concern. With this secondary modification method, the microneedle-containing patch could be tailored with theranostic functions (with the GCC material in this specific implementation) for broad applications beyond glucose monitoring in drug delivery and POCT fields.
While embodiments of the present invention have been shown and described, various modifications may be made without departing from the scope of the present invention. For example, in some embodiments, the GCC-MN patch 10 may include an adhesive which aids in keeping the GCC-MN patch 10 secured to the tissue 100. A fastener (e.g., band) or backing material may also be provided on the GCC-MN patch 10 to aid in securing the GCC-MN patch 10 to the tissue 100. The invention, therefore, should not be limited, except to the following claims, and their equivalents.
This application claims priority to U.S. Provisional Patent Application No. 63/140,206 filed on Jan. 21, 2021, which is hereby incorporated by reference. Priority is claimed pursuant to 35 U.S.C. § 119 and any other applicable statute.
This invention was made with government support under Grant Number 1708620, awarded by the National Science Foundation. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/012973 | 1/19/2022 | WO |
Number | Date | Country | |
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63140206 | Jan 2021 | US |