Diabetes

Sugar-powered teabag-like implant successfully manages type 1 diabetes

Sugar-powered teabag-like implant successfully manages type 1 diabetes
This prototype fuel cell can be implanted beneath the skin and powered by excess glucose in the blood
This prototype fuel cell can be implanted beneath the skin and powered by excess glucose in the blood
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This prototype fuel cell can be implanted beneath the skin and powered by excess glucose in the blood
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This prototype fuel cell can be implanted beneath the skin and powered by excess glucose in the blood
The energy-insulin self-regulating circuit
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The energy-insulin self-regulating circuit

Glucose fuel cells that can effectively harness the body’s chemical energy and turn it into an electrical charge has been a long-term holy grail for scientists since such potential was first studied back in 1968.

But these biotech batteries have been challenged by an array of biocompatibility issues for almost as long.

Now, a team of researchers out of ETH Zurich have developed a novel fuel cell implant for the management of type 1 diabetes. What’s more, it connects to artificial beta cells designed by the same team in 2016 that can successfully produce and release insulin when triggered.

"The new system autonomously regulates insulin and glucose levels and could be used to treat diabetes in the future," Martin Fussenegger from the Department of Biosystems Science and Engineering at ETH Zurich.

In type 1 diabetes, the body can’t produce enough insulin, so an external supply must intervene. Current insulin pumps and monitors also rely on external power supplies such as single-use batteries.

The fuel cell itself, which resembles a teabag that’s slightly larger than a fingernail, is covered in a nonwoven fabric and coated with alginate, an algae-derived product used widely in biomedicine because of its high degree of biocompatibility. When implanted under the skin, the cell’s alginate soaks up body fluid, allowing glucose to permeate the surface and flow into the power center.

Inside the cell, the team developed a copper-based nanoparticle anode that splits glucose into gluconic acid and a proton to generate an electric current.

"Many people, especially in the Western industrialized nations, consume more carbohydrates than they need in everyday life," Fussenegger said. "This gave us the idea of using this excess metabolic energy to produce electricity to power biomedical devices.

The fuel cell was then coupled with an insulin capsule featuring the team’s beta cells, which could be triggered to secrete insulin via electric current from the implant.

The energy-insulin self-regulating circuit
The energy-insulin self-regulating circuit

Overall, the two components provide a self-regulating circuit. When the fuel cell powered by glucose senses excess blood sugar, it powers up. This then stimulates the beta cells to produce and secrete insulin. As blood sugar levels dip, it trips a threshold sensor in the fuel cell, so it powers down, in turn stopping the insulin production and release.

This self-sustained circuit could also produce enough power to communicate with a device such as a smartphone, which allows for monitoring and adjusting, and even has potential for remote access for medical intervention.

While the biotech was successfully tested in mice models, the researchers hope to find the resources to develop it from prototype to market stage.

The study was published in the journal Advanced Materials.

Source: Eidgenössische Technische Hochschule Zürich

3 comments
3 comments
Rick O
So do the beta cells not automatically create insulin in the presence of glucose? I'm assuming that's the drawback of the artificial part. I worry about how well it will self regulate to prevent excessive lows and highs. The Omnipod 5 automatic system with the Dexcom integration still has some challenges, but much better than the older setup. Hopefully since this will regulate directly from the glucose it will be better. Some sort of an emergency bypass would be good to have, in the event that it fails to regulate properly.
Racjowley
Type 1 diabetics don’t produce ANY insulin naturally. Type 2 diabetics do t produce enough. Just to clarify.
Paul Young
What I'd like to know is how they plan to shield these beta cells from the Type 1 autoimmune response that killed the natural beta cells in the pancreas already. There are a few companies working on encapsulation techniques but from what I've read it's incredibly challenging problem to let the blood supply in, let insulin out, and still prevent the immune system from killing off the betas.