Ten years of laser-induced graphene: impact and future prospect on biomedical, healthcare, and wearable technology.

Since its introduction in 2014, laser-induced graphene (LIG) from commercial polymers has been gaining interests in both academic and industrial sectors. This can be clearly seen from its mass adoption in various fields ranging from energy storage and sensing platforms to biomedical applications. LIG is a 3-dimensional, nanoporous graphene structure with highly tuneable electrical, physical, and chemical properties. LIG can be easily produced by single-step laser scribing at normal room temperature and pressure using easily accessible commercial level laser machines and materials. With the increasing demand for novel wearable devices for biomedical applications, LIG on flexible substrates can readily serve as a technological platform to be further developed for biomedical applications such as point-of-care (POC) testing and wearable devices for healthcare monitoring system. This review will provide a comprehensive grounding on LIG from its inception and fabrication mechanism to the characterization of its key functional properties. The exploration of biomedicals applications in the form of wearable and point-of-care devices will then be presented. Issue of health risk from accidental exposure to LIG will be covered. Then LIG-based wearable devices will be compared to devices of different materials. Finally, we discuss the implementation of Internet of Medical Things (IoMT) to wearable devices and explore and speculate on its potentials and challenges.

Disposable screen-printed electrochemical sensing strips for rapid decentralized measurements of salivary ketone bodies: Towards therapeutic and wellness applications.

The interest in ketone bodies (KBs) has intensified recently as they play significant roles in healthcare, nutrition, and wellness applications. We present a disposable electrochemical sensing strip for rapid decentralized detection of ß-hydroxybutyrate (HB), one of the dominant physiological KBs, in saliva. The new salivary enzymatic HB sensor strip relies on a gold-coated screen-printed carbon electrode modified with a reagent layer containing toluidine blue O (TBO mediator), ß-hydroxybutyrate dehydrogenase (HBD enzyme), and the HBD cofactor nicotinamide adenine dinucleotide (NAD+ coenzyme), along with carbon nanotubes (CNTs) and chitosan (Chit) for enhancing the sensor's sensitivity and for encapsulating the enzyme and its cofactor, respectively. The systematic optimization resulted in an attractive analytical performance, with a rapid response time within 60 s, a wide HB dynamic detection range from 0.1 to 3.0 mM along with a low limit of detection (50 µM HB) in an artificial saliva medium. The strip displays high selectivity for HB over acetoacetate (AcAc) and other interferences (i.e., acetaminophen, ascorbic acid, glucose, lactic acid, and uric acid), good reproducibility, and high stability towards temperature or pH effects. The new disposable sensing strip system, coupled with a hand-held electrochemical analyzer, showed rapid HB monitoring in human saliva samples collected from healthy volunteers, with similar temporal profiles to those obtained in parallel capillary blood measurements in response to the intake of keto supplements. This strip enables efficient, reliable, and near real-time salivary HB detection to track non-invasively the dynamics of HB concentrations after intaking commercial supplements towards diverse healthcare and nutrition applications.

Self-Testing of Ketone Bodies, along with Glucose, Using Touch-Based Sweat Analysis.

ß-Hydroxybutyrate (HB) is one of the main physiological ketone bodies that play key roles in human health and wellness. Besides their important role in diabetes ketoacidosis, ketone bodies are currently receiving tremendous attention for personal nutrition in connection to the growing popularity of oral ketone supplements. Accordingly, there are urgent needs for developing a rapid, simple, and low-cost device for frequent onsite measurements of ß-hydroxybutyrate (HB), one of the main physiological ketone bodies. However, real-time profiling of dynamically changing HB concentrations is challenging and still limited to laboratory settings or to painful and invasive measurements (e.g., a commercial blood ketone meter). Herein, we address the critical need for pain-free frequent HB measurements in decentralized settings and report on a reliable noninvasive, simple, and rapid touch-based sweat HB testing and on its ability to track dynamic HB changes in secreted fingertip sweat, following the intake of commercial ketone supplements. The new touch-based HB detection method relies on an instantaneous collection of the fingertip sweat at rest on a porous poly(vinyl alcohol) (PVA) hydrogel that transports the sweat to a biocatalytic layer, composed of the ß-hydroxybutyrate dehydrogenase (HBD) enzyme and its nicotinamide adenine dinucleotide (NAD+) cofactor, covering the modified screen-printed carbon working electrode. As a result, the sweat HB can be measured rapidly by the mediated oxidation reaction of the nicotinamide adenine dinucleotide (NADH) product. A personalized HB dose-response relationship is demonstrated within a group of healthy human subjects taking commercial ketone supplements, along with a correlation between the sweat and capillary blood HB levels. Furthermore, a dual disposable biosensing device, consisting of neighboring ketone and glucose enzyme electrodes on a single-strip substrate, has been developed toward the simultaneous touch-based detection of dynamically changing sweat HB and glucose levels, following the intake of ketone and glucose drinks.

Cheap and Sustainable Biosensor Fabrication by Enzyme Immobilization in Commercial Polyacrylic Acid/Carbon Nanotube Films.

Novel glucose biosensors were constructed by loading glucose oxidase (GOx) into the nanopores of homogenous carbon nanotube (CNT) films on the surface of Pt disk electrodes and trapping the enzyme by subsequent deposition of polyacrylic acid (PAA), forming PAA/GOx-CNT-modified Pt disks. In amperometric biosensing with anodic hydrogen peroxide (H2O2) detection at a potential of +600 mV, increasing electrolyte glucose concentrations produced instantaneous steps in the H2O2 oxidation current. Glucose biosensor amperometry was feasible down to 10 µM, with a sensitivity of about 34 µA mM-1 cm-2 and linear current response up to 5 mM. The biosensors reliably determined glucose concentrations in human serum and a beverage. Successful trials with PAA/GOx-CNT-modified screen-printed Pt electrode disks demonstrated the potential of this means of enzyme fixation in biosensor mass fabrication, which offers a unique combination of cheap availability of the two matrix constituents and sensor layer formation through simple drop-and-dry steps. PAA/GOx-CNT/Pt biosensors are green and user-friendly bioanalytical tools that do not need large budgets, special skills, or laboratory amenities for their production. Any user, from industrial, university, or school laboratories, even if inexperienced in biosensor construction, can prepare functional biosensors with GOx, as in these proof-of-principle studies, or with other redox enzymes, for clinical, environmental, pharmaceutical, or food sample analysis.

Rapid sub-micromolar amperometric enzyme biosensing with free substrate access but without nanomaterial signalling support: oxidase-based glucose detection as a proof-of-principle example.

High-sensitivity electrochemical glucose biosensing has so far been possible only through incorporation of nanomaterials into the glucose oxidase-(GOx) containing polymer layer on the detector surface. Here, as a conceptionally novel simplified option, pure gelatin thin films with covalently attached GOx were used to convert platinum (Pt) disk electrodes into rapidly responding amperometric glucose probes with a sub-micromolar limit of detection. The advanced enzymatic tools are easy to make and, as is crucial for a focus on waste minimization, green and sustainable, through restriction of sensor modification to readily available economical materials.