INTRODUCTION ๐งฌ
Inflammation is a biological response to harmful stimuli, playing a central role in the progression of numerous infectious and chronic diseases. Understanding and quantifying inflammation can provide critical insight into disease mechanisms, diagnosis, and treatment. Traditional methods for monitoring inflammation, such as blood tests, are often invasive and impractical for continuous monitoring. As a result, the development of non-invasive or minimally invasive wearable biosensors has emerged as a transformative solution, offering real-time, patient-friendly alternatives. These devices are gaining momentum due to their potential to improve personalized healthcare, especially in remote or resource-limited settings. This review highlights the current landscape of wearable biosensors focused on inflammation monitoring, emphasizing the biofluids involved, the technological advancements in sensor platforms, and the challenges and opportunities that lie ahead in integrating these innovations into clinical practice.
BIOFLUIDS AND INFLAMMATORY BIOMARKERS ๐ง
Biofluids such as sweat, saliva, tears, and interstitial fluid are increasingly studied for non-invasive inflammatory biomarker detection. Each biofluid presents unique advantages and challenges in terms of analyte stability, sample volume, and biomarker concentration. Key inflammatory markers, including cytokines like IL-6, TNF-ฮฑ, and CRP, are central to tracking disease progression. However, translating their detection from blood to other biofluids requires sensitive and selective sensing technologies. The complexity of these biofluids—often dilute and compositionally variable—necessitates advanced extraction and amplification methods to ensure accurate readings. Understanding the biochemistry of target markers within these alternative fluids is fundamental for designing biosensors that are both clinically relevant and user-friendly.
MICRONEEDLE-BASED BIOSENSORS ๐ฉน
Microneedle patches represent a minimally invasive approach for sampling interstitial fluid, a rich source of inflammatory biomarkers closely mirroring blood composition. These biosensors penetrate the outermost layer of the skin painlessly, enabling continuous biomarker analysis. Fabricated from biodegradable polymers or metal alloys, microneedles can be integrated with transducers and reagents to facilitate electrochemical or optical detection. Despite their promise, challenges remain in ensuring consistent fluid extraction, long-term skin compatibility, and reliable signal transduction. Research is actively exploring smart microneedle designs with real-time wireless capabilities, aiming to overcome these barriers and move toward clinical-grade inflammatory monitoring platforms.
FLEXIBLE ELECTRONIC SKINS ⚡
Flexible electronic skins (e-skins) are stretchable, wearable devices that conform to the skin and incorporate biosensing components capable of detecting biomarkers in sweat or epidermal secretions. These systems employ materials like graphene, conductive polymers, or nanocomposites to enable high sensitivity, mechanical robustness, and biocompatibility. E-skins can continuously track inflammation-related parameters such as sweat cytokine levels or skin temperature. Integration with wireless communication modules allows real-time data transmission to smartphones or medical servers. However, ensuring consistent sensor-skin contact and addressing the variability in sweat composition among individuals are current research challenges. Future developments are focused on multimodal platforms that combine biochemical and physiological sensing for more holistic inflammation assessment.
TEXTILE-BASED BIOSENSORS ๐งต
Textile-integrated biosensors are emerging as a convenient solution for long-term and unobtrusive monitoring of health biomarkers, including inflammatory markers. These sensors are embedded within clothing or accessories, enabling non-invasive access to biofluids like sweat. Materials such as conductive threads and embroidered electrodes allow for real-time signal acquisition without compromising user comfort. Current research addresses issues such as sensor stability after washing, signal integrity during movement, and the integration of power and data transmission systems. Textile biosensors are especially promising in wearable healthcare due to their potential for scalability and integration into everyday garments, making them ideal for continuous inflammation tracking in both clinical and home environments.
DATA PROCESSING AND FUTURE OUTLOOK ๐
The utility of wearable biosensors extends beyond hardware—it depends heavily on efficient and intelligent data processing. Advanced signal processing techniques, machine learning algorithms, and cloud-based analytics are integral in filtering noise, recognizing patterns, and delivering actionable insights from continuous data streams. Ensuring data security and user privacy remains a key concern in clinical settings. Looking forward, multidisciplinary collaboration will be essential to refine sensor accuracy, miniaturization, energy efficiency, and regulatory compliance. Future research will likely focus on fully integrated wearable platforms that combine multiple sensing modalities with AI-driven analytics to revolutionize chronic inflammation management.
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