Pankaj Vadgama

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The 1st International Online Conference on Functional Biomaterials (IOCFB2024) was held from 10 to 12 July 2024. The conference covered a wide range of implantable biomaterials development topics, such as drug delivery, tissue engineering, antibacterial, dental, bone, and therapy. It sought to advance fresh approaches to the development of clinical biomaterials and broaden the scientific perspectives of biomaterials scientists. In order to foster interactions without the constraint of location or travel restrictions, the conference adopted an open online forum. Oral and poster presentations were featured in live broadcasts, enabling participants to take part in interactive discussions and sessions.

In this work, the enzyme aldehyde reductase, also known as aldose reductase, was synthesized and cloned from a human gene. Spectrophotometric measurements show that in presence of the nicotinamide adenine dinucleotide phosphate cofactor (NADPH), the aldehyde reductase catalyzed the reduction of glucose to sorbitol. Electrochemical measurements performed on an electrodeposited poly(methylene green)-modified gold electrode showed that in the presence of the enzyme aldehyde reductase, the electrocatalytic oxidation current of NADPH decreased drastically after the addition of glucose. These results demonstrate that aldehyde reductase is an enzyme that allows the construction of an efficient electrochemical glucose biosensor based on glucose reduction.

The biochemical monitoring of chronic wounds may help to tailor therapy with better clinical outcomes. Wound surface sensors would be appropriate for this, but their adhesion to the wound is likely to lead to tissue damage on retrieval. Degradable sensors offer a practical solution to this, but this would necessitate external degradable diffusion control membranes. In this study, we evaluated glutaraldehyde crosslinked albumen and collagen as potentially biodegradable barrier membranes. The diffusional transport of H₂O₂, ascorbate, and glucose was studied electrochemically. Albumin proved more selective for H₂O₂ against ascorbate, possibly due to its net negative charge. The thick (500–700 μm) membranes produced led to long response times (half‐life [t_0.5], 500–700 s) but had the advantage of stabilizing the response in unstirred solution. This was possibly because the thicker membrane on the electrode surface moved the developing diffusion layer in solution further away from the electrode surface. A dense albumin layer was produced using sebacoyl chloride as a crosslinker which was impermeable to solute and could be used in future as a degradable sensor base. Also, non‐toxic poly(2,3‐dihydrothieno‐1,4‐dioxin)‐poly(styrenesulfonate) dispersed in crosslinked albumin furnished a conducting membrane able to function as a working electrode. Thus, crosslinked proteins offer scope for diverse membrane properties that might be useful for future, degradable wound monitoring sensors.

Lactate electrochemical biosensors were fabricated using Pediococcus sp lactate oxidase (E.C. 1.1.3.2), an external polyurethane membrane laminate diffusion barrier and an internal ionomeric polymer barrier (sulphonated polyether ether sulphone polyether sulphone, SPEES PES). In a needle embodiment, a Pt wire working electrode was retained within stainless steel tubing serving as pseudoreference. The construct gave linearity to at least 25 mM lactate with 0.17 nA/mM lactate sensitivity. A low permeability inner membrane was also unexpectedly able to increase linearity. Responses were oxygen dependent at pO₂ < 70 mmHg, irrespective of the inclusion of an external diffusion barrier membrane. Subcutaneous tissue was monitored in Sprague Dawley rats, and saliva and sweat during exercise in human subjects. The tissue sensors registered no response to intravenous Na lactate, indicating a blood-tissue lactate barrier. Salivary lactate allowed tracking of blood lactate during exercise, but lactate levels were substantially lower than those in blood (0–3.5 mM vs. 1.6–12.1 mM), with variable degrees of lactate partitioning from blood, evident both between subjects and at different exercise time points. Sweat lactate during exercise measured up to 23 mM but showed highly inconsistent change as exercise progressed. We conclude that neither tissue interstitial fluid nor sweat are usable as surrogates for blood lactate, and that major reappraisal of lactate sensor use is indicated for any extravascular monitoring strategy for lactate.

Oxygen and nitrogen free radicals (RONS) form an exceptionally reactive molecular assembly within eukaryote cells. This perspective article gives a combined overview of different facets of research covering molecular reactivity, resultant tissue damage and final tissue outcomes as they relate to major disease. There is an emphasis on cardiovascular disease, as the damage processes are best liked to the pathology. The overriding importance of inflammation in driving damage across all tissues is highlighted. Brief coverage is also provided of measurement approaches, respectively for antioxidant status, using potentiometry, and voltammetry for selected target species. Whilst damage due to RONS is a common focus, the fundamental importance of RONS to biological signalling is also covered here as an indispensable basis for life. The article thus provides a global overview of this topic for anyone wishing to understand the current status across multiple fronts.

Near Infrared (800–2500 nm) spectroscopy has been extensively used in biomedical applications, as it offers rapid, in vivo, bed-side monitoring of important haemodynamic parameters, which is especially important in critical care settings. However, the choice of NIR spectrometer needs to be investigated for biomedical applications, as both the dual beam dispersive spectrophotomer and the FTNIR spectrometer have their own advantages and disadvantages. In this study, predictive analysis of lactate concentrations in whole blood were undertaken using multivariate techniques on spectra obtained from the two spectrometer types simultaneously and results were compared. Results showed significant improvement in predicting analyte concentration when analysis was performed on full range spectral data. This is in comparison to analysis of limited spectral regions or lactate signature peaks, which yielded poorer prediction models. Furthermore, for the same region, FTNIR showed 10% better predictive capability than the dual beam dispersive NIR spectrometer.

Uninterrupted monitoring of serum lactate levels is a prerequisite in the critical care of patients prone to sepsis, cardiogenic shock, cardiac arrest, or severe lung disease. Yet there exists no device to continuously measure blood lactate in clinical practice. Optical spectroscopy together with multivariate analysis is proposed as a viable noninvasive tool for estimation of lactate in blood. As an initial step towards this goal, we inspected the plausibility of predicting the concentration of sodium lactate (NaLac) from the UV/visible, near-infrared (NIR), and mid-infrared (MIR) spectra of 37 isotonic phosphate-buffered saline (PBS) samples containing NaLac ranging from 0 to 20 mmol/L. UV/visible (300–800 nm) and NIR (800–2600 nm) spectra of PBS samples were collected using the PerkinElmer Lambda 1050 dual-beam spectrophotometer, while MIR (4000–500 cm⁻¹) spectra were collected using the Spectrum two FTIR spectrometer. Absorption bands in the spectra of all three regions were identified and functional groups were assigned. The concentration of lactate in samples was predicted using the Partial Least-Squares (PLS) regression analysis and leave-one-out cross-validation. The regression analysis showed a correlation coefficient (R²) of 0.926, 0.977, and 0.992 for UV/visible, NIR, and MIR spectra, respectively, between the predicted and reference samples. The RMSECV of UV/visible, NIR, and MIR spectra was 1.59, 0.89, and 0.49 mmol/L, respectively. The results indicate that optical spectroscopy together with multivariate models can achieve a superior technique in assessing lactate concentrations.

The disruptive action of an acute or critical illness is frequently manifest through rapid biochemical changes that may require continuous monitoring. Within these changes, resides trend information of predictive value, including responsiveness to therapy. In contrast to physical variables, biochemical parameters monitored on a continuous basis are a largely untapped resource because of the lack of clinically usable monitoring systems. This is despite the huge testing repertoire opening up in recent years in relation to discrete biochemical measurements. Electrochemical sensors offer one of the few routes to obtaining continuous readout and, moreover, as implantable devices information referable to specific tissue locations. This review focuses on new biological insights that have been secured through in vivo electrochemical sensors. In addition, the challenges of operating in a reactive, biological, sample matrix are highlighted. Specific attention is given to the choreographed host rejection response, as evidenced in blood and tissue, and how this limits both sensor life time and reliability of operation. Examples will be based around ion, O₂, glucose, and lactate sensors, because of the fundamental importance of this group to acute health care.