Accurately correlating the sweating rate and the concentration of biomarkers in sweat is essential in many sweat-based diagnostic applications.These two measurements are always done simultaneously in wearable sweat se...Accurately correlating the sweating rate and the concentration of biomarkers in sweat is essential in many sweat-based diagnostic applications.These two measurements are always done simultaneously in wearable sweat sensing platforms.However,concentration measurements of biomarkers are always delayed on the timeline compared with their production,whereas there is no such delay for sweating rate.Thus,a timeline mismatch exists between these two measurements.This means that the concentration vs rate correlation constructed on the basis of such measurements will deviate from the actual correlation.This study demonstrates the existence of this mismatch and explains its cause using sweat Na^(+)measurements.It also proposes an effective approach that applies a point-by-point compensation for the delay between Na+measurements and the real-time sweating rates,such that the data on the repositioned concentration vs time curve correspond to exactly the same point on the timeline as their production.A vison sensor is developed to measure the sweating rate with high accuracy at a frequency of more than 0.1 Hz.Off-body and on-body measurements of sweating rate and Na^(+)concentration are carried out,and concentration–rate correlations are constructed using both measured and repositioned concentration curves.The least squares and random forest methods are employed to fit the constructed correlations and evaluate the reliability of the proposed approach.The use of the repositioned concentration curve gives a constructed correlation that is much closer to the actual one.This study indicates the necessity to rearrange sensor-measured biomarker concentration vs time curves when correlations of concentration with sweating rate need to be constructed and proposes a practical point-by-point data repositioning strategy for doing so.The results presented here will benefit the study of sweat biomarkers with unclear correlations with sweating rate,as well as providing a basis for the development of more reliable sweat-based diagnostic methods.展开更多
Sweat contains numerous vital biomarkers such as metabolites,electrolytes,proteins,nucleic acids and antigens that reflect hydration status,exhaustion,nutrition,and physiological changes.Conventional healthcare diagno...Sweat contains numerous vital biomarkers such as metabolites,electrolytes,proteins,nucleic acids and antigens that reflect hydration status,exhaustion,nutrition,and physiological changes.Conventional healthcare diagnosis relies on disease diagnostics in sophisticated centralized laboratories with invasive sample collection(e.g.,chemical analyses,plasma separation via centrifugation,tissue biopsy,etc.).Cutting-edge point-of-care diagnostics for sweat biomarker analysis allow for non-invasive monitoring of physiologically related biomarkers in sweat and real-time health status tracking.Moreover,using advanced nanoarchitectures,including nanostructured platforms and nanoparticles,can enhance the specificity,sensitivity,wearability and widen the sensing modality of sweat biosensors.Herein,we comprehensively review the secretory mechanisms,clinical uses of sweat biomarkers,and the design,principle,and latest technologies of sweat biosensors.With an emphasis on cutting-edge technologies for sweat biomarker analysis,this review chronicles the issues associated with the current sweat biomarkers analysis of sweat biomarkers and provides insights into strategies for enhancing the translation of such biosensors into routine clinical practice.展开更多
Dear Editor,Three dimensional(3D)bioprinted extracellular matrix(ECM)can be used to provide both biochemical and biophysical cues to direct mesenchymal stem cells(MSCs)differentiation,and then differentiated cells wer...Dear Editor,Three dimensional(3D)bioprinted extracellular matrix(ECM)can be used to provide both biochemical and biophysical cues to direct mesenchymal stem cells(MSCs)differentiation,and then differentiated cells were isolated for implantation in vivo using surgical procedures.However,the reduced cell activity after cell isolation from 3D constructs and low cell retention in injured sites limit its application[1].Methacrylated gelatin(GelMA)hydrogel has the advantage of fast crosslinking,which could resemble complex architectures of tissue construct in vivo[2].Here,we adopted a noninvasive bioprinting procedure to imitate the regenerative microenvironment that could simultaneously direct the sweat gland(SG)and vascular differentiation from MSCs and ultimately promote the replacement of glandular tissue in situ(Fig.1a).展开更多
Sweat loss monitoring is important for understanding the body’s thermoregulation and hydration status,as well as for comprehensive sweat analysis.Despite recent advances,developing a low-cost,scalable,and universal m...Sweat loss monitoring is important for understanding the body’s thermoregulation and hydration status,as well as for comprehensive sweat analysis.Despite recent advances,developing a low-cost,scalable,and universal method for the fabrication of colorimetric microfluidics designed for sweat loss monitoring remains challenging.In this study,we propose a novel laserengraved surface roughening strategy for various flexible substrates.This process permits the construction of microchannels that show distinct structural reflectance changes before and after sweat filling.By leveraging these unique optical properties,we have developed a fully laser-engraved microfluidic device for the quantification of naked-eye sweat loss.This sweat loss sensor is capable of a volume resolution of 0.5µL and a total volume capacity of 11µL,and can be customized to meet different performance requirements.Moreover,we report the development of a crosstalk-free dual-mode sweat microfluidic system that integrates an Ag/AgCl chloride sensor and a matching wireless measurement flexible printed circuit board.This integrated system enables the real-time monitoring of colorimetric sweat loss signals and potential ion concentration signals without crosstalk.Finally,we demonstrate the potential practical use of this microfluidic sweat loss sensor and its integrated system for sports medicine via on-body studies.展开更多
Accurate detection of uric acid(UA)is crucial for diagnosing gout,yet traditional sweat-based UA sensors continue to face challenges posed by complex and costly electrode fabrication methods,as well as weakly hydrophi...Accurate detection of uric acid(UA)is crucial for diagnosing gout,yet traditional sweat-based UA sensors continue to face challenges posed by complex and costly electrode fabrication methods,as well as weakly hydrophilic substrates.Here,we designed and developed simple,low-cost,and hydrophilic sweat UA detection sensors constructed by carbon electrodes and cellulose paper substrates.The carbon electrodes were made by carbonized polyimide films through a simple,one-step laser engraving method.Our electrodes are porous,possess a large specific surface area,and are flexible and conductive.The substrates were composed of highly hydrophilic cellulose paper that can effectively collect,store,and transport sweat.The constructed electrodes demonstrate high sensitivity of 0.4μA Lμmol^(-1)cm^(-2),wide linear range of 2–100μmol/L.In addition,our electrodes demonstrate high selectivity,excellent reproducibility,high flexibility,and outstanding stability against mechanical bending,temperature variations,and extended storage periods.Furthermore,our sensors have been proven to provide reliable results when detecting UA levels in real sweat and on real human skin.We envision that these sensors hold enormous potential for use in the prognosis,diagnosis,and treatment of gout.展开更多
Dear Editor,The large defects of the skin caused by burns or trauma can result in disruption of the structure and function of the skin,as well as irreversible loss of skin appendages,such as sweat glands(SG).As the im...Dear Editor,The large defects of the skin caused by burns or trauma can result in disruption of the structure and function of the skin,as well as irreversible loss of skin appendages,such as sweat glands(SG).As the important modulator of temperature homeostasis,SG damage triggers heat intolerance and thermoregulatory dysfunction,which poses a considerable threat to health and quality of life[1-3].The promotion of wound healing with SG restoration remains a challenging issue.It has been reported that there are urinary epithelial cells(UECs)in human urine samples,and they may most likely originate from renal proximal tubules[4].UECs are easy to obtain from urine samples at any age,sex,or ethnic origin except for renal failure,with a cost-effective,non-invasive and simple isolation method[4].More importantly,the extensive source of clinical urine sample makes it easy for urinary cell autogenous transplantation and individualized treatment.Therefore,it is of great significance to convert UECs into urinary epithelial stem cells(UESCs)with repair ability.In this context,we design a strategy for the pharmacological conversion of UECs into UESCs,and the repair ability of UESCs in functional skin wound healing is explored.展开更多
Background：Relatively few studies on the peripheral sweating mechanisms of trained tennis athletes have been conducted.The purpose of this study was to compare the sweating capacities of tennis athletes against untra...Background：Relatively few studies on the peripheral sweating mechanisms of trained tennis athletes have been conducted.The purpose of this study was to compare the sweating capacities of tennis athletes against untrained subjects（controls）.Methods：Thirty-fi e healthy male volunteers participated including 15 untrained subjects and 20 trained tennis athletes（nationally ranked）.Active heat generation was performed for 30 min（running at 60%VO2max） in a climate chamber（temperature,25.0°C ± 0.5°C;relative humidity,60% ± 3%,termed active heating）.Sweating data（local sweat onset time,local sweat volume,activated sweat glands,sweat output per gland,whole body sweat loss volume） were measured by the capacitance hygrometer-ventilated capsule method and starch-iodide paper.Mean body temperature was calculated from tympanic and skin temperatures.Results：Local sweat onset time was shorter for tennis athletes（p〈0.001）.Local sweat volume,activated sweat glands of the torso and limbs,sweat output per gland,and whole body sweat loss volume were significant y higher for tennis athletes than control subjects after active heating（p〈0.001）.Tympanic and mean body temperatures were lower among tennis athletes than controls（p〈0.05）.Conclusion：These results indicate that tennis athletes had increased regulatory capacity of their sweat gland function.展开更多
Objective To explore the clinical efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children.Methods Infantile tuina combined with moxibustion was conducted for...Objective To explore the clinical efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children.Methods Infantile tuina combined with moxibustion was conducted for 28 cases of lung-wei insecurity-type sweating syndrome in children.Tuina was carried out for once every other day,and moxibustion was conducted for once every other three days.Clinical efficacy was observed after treatment for 4 weeks.Results The total effective rate of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children was 92.85%.Conclusion The efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children is definite,which is worthy of being popularized clinically.展开更多
Corrosion behavior of brass coinage was investigated in synthetic sweat solution by electrochemical measurement and surface analysis methods including scanning electron microscope （SEM） and energy dispersive X-ray s...Corrosion behavior of brass coinage was investigated in synthetic sweat solution by electrochemical measurement and surface analysis methods including scanning electron microscope （SEM） and energy dispersive X-ray spectrometer （EDX）. It is indicated that chloride ions in sweat solution accelerate the anodic active dissolution of brass, which is the main reason of pitting corrosion and dezincification corrosion. Meanwhile, lactic acid and ammonia water also promote the anode reaction. The corrosion products on the surface are mainly composed of basic copper chloride, cuprous oxide, the complex consisting of urea in association with copper, and few lactate ion. The kinetics of pitting corrosion development obeys the following equation of J0=0.3735（t＋185.93）^-1/2, and the process is controlled by dissolution of salt deposited on pit surface.展开更多
Advanced in wireless technologies and flexible materials with great biocompatibility,wearable devices have been utilized in the field of healthcare,sports management,and diseases prevention,which have been widely appl...Advanced in wireless technologies and flexible materials with great biocompatibility,wearable devices have been utilized in the field of healthcare,sports management,and diseases prevention,which have been widely applied in current electronic equipment.Sweat,as a common metabolite on the skin surface,contains a wealth of biomarkers for disease detection and diagnosis.Therefore,developing wearable sweat sensors can provide a non⁃invasive method for health data collecting,sports monitoring,and clinical diagnosis in a convenient way.Recent research in sweat metabolomics has offered a lot of information for sweat analysis and the wearable sweat sensors with small size,various sensing,and transmission units,and good skin contact has exhibited dynamic multi⁃signal detection.This article introduces the biomarkers in sweat related to different diseases and the current development of sweat sensors for users activation monitoring and diseases detection.The barriers and difficulties in the future are also discussed and perspectives in the next generation sweat sensors are proposed.展开更多
Sweat is a hypotonic fluid excreted by sweat glands to cool the body. There are conflicting reports on whether or not body composition has an effect on thermoregulatory responses especially during exercise. This study...Sweat is a hypotonic fluid excreted by sweat glands to cool the body. There are conflicting reports on whether or not body composition has an effect on thermoregulatory responses especially during exercise. This study was aimed at determining and comparing sweat rate and electrolyte composition in underweight (BMI BMI 30 kg/m<sup>2</sup>) during moderate exercise. Forty women (19 - 25 years) were used during this study after assessing their health status. They were stratified for BMI with each group having a total of ten women. It was ensured that all the women used in the study were euhydrated before commencing the research. Before sweat collection, the treadmill was calibrated according to the Bruce Treadmill Protocol. Sweat samples were obtained with a sweat suction apparatus from a 120 cm<sup>2</sup> circular area marked on the skin of the face and neck, after a 15 minute fast walk on a treadmill at an inclination of 15° and at a speed of 4.2 km/h at 27°C room temperature. The time at which sweating commenced in the subjects was recorded. Sweat rate (L/hour) was calculated using the formula: sweat rate (L/hr) = (pre-exercise body weight - Post-exercise body weight)/exercise duration. Each sweat sample was collected and analysed immediately. The results showed that obese women had a significantly (P < 0.05) higher sweat rate and underweight women had a significantly (P < 0.05) lower sweat rate than all the other groups. Furthermore, subjects with a high body surface area showed significantly higher sweat rates compared to subjects with lower body surface area. Sweat electrolyte composition did not change in all BMI groups. In conclusion, obese subjects are more likely to develop fluid imbalances than underweight and normal weight subjects during moderate exercise. Also, underweight women might be at a thermoregulatory disadvantage because of their reduced body fat and body surface area.展开更多
In this paper, the dynamic analysis of mental sweating for sound stimulus of a few tens of eccrine sweat glands is performed by the time-sequential piled-up en-face optical coherence tomography (OCT) images with the f...In this paper, the dynamic analysis of mental sweating for sound stimulus of a few tens of eccrine sweat glands is performed by the time-sequential piled-up en-face optical coherence tomography (OCT) images with the frame spacing of 3.3 sec. In the experiment, the amount of excess sweat can be evaluated simultaneously for a few tens of sweat glands by piling up of all the en-face OCT images. Strong non-uniformity is observed in mental sweating where the amount of sweat in response to sound stimulus is different for each sweat gland. Furthermore, the amount of sweat is significantly increased in proportion to the strength of the stimulus.展开更多
With the rapid technological innovation in materials engineering and device integration,a wide variety of textilebased wearable biosensors have emerged as promising platforms for personalized healthcare,exercise monit...With the rapid technological innovation in materials engineering and device integration,a wide variety of textilebased wearable biosensors have emerged as promising platforms for personalized healthcare,exercise monitoring,and pre-diagnostics.This paper reviews the recent progress in sweat biosensors and sensing systems integrated into textiles for wearable body status monitoring.The mechanisms of biosensors that are commonly adopted for biomarkers analysis are first introduced.The classification,fabrication methods,and applications of textile conductors in different configurations and dimensions are then summarized.Afterward,innovative strategies to achieve efficient sweat collection with textile-based sensing patches are presented,followed by an in-depth discussion on nanoengineering and system integration approaches for the enhancement of sensing performance.Finally,the challenges of textile-based sweat sensing devices associated with the device reusability,washability,stability,and fabrication reproducibility are discussed from the perspective of their practical applications in wearable healthcare.展开更多
Sweat,as a biofluid with the potential for noninvasive collection,provides profound insights into human health conditions,because it contains various chemicals and information to be utilized for the monitoring of well...Sweat,as a biofluid with the potential for noninvasive collection,provides profound insights into human health conditions,because it contains various chemicals and information to be utilized for the monitoring of well-being,stress levels,exercise,and nutrition.Recently,wearable sweat sensors have been developed as a promising substitute to conventional laboratory sweat detection methods.Such sensors are promising to realize low-cost,real-time,in situ sweat measurements,and provide great opportunities for health status evaluation analysis based on personalized big data.This review first presents an overview of wearable sweat sensors from the perspective of basic components,including materials and structures for specific sensing applications and modalities.Current strategies and specific methods of the fabrication of wearable power management are also summarized.Finally,current challenges and future directions of wearable sweat sensors are discussed.展开更多
Background: Large skin defects severely disrupt the overall skin structure and can irreversibly damage sweat glands(SGs), thus impairing the skin’s physiological function. This study aims to develop a stepwise reprog...Background: Large skin defects severely disrupt the overall skin structure and can irreversibly damage sweat glands(SGs), thus impairing the skin’s physiological function. This study aims to develop a stepwise reprogramming strategy to convert fibroblasts into SG lineages, which may provide a promising method to obtain desirable cell types for the functional repair and regeneration of damaged skin.Methods: The expression of the SG markers cytokeratin 5(CK5), cytokeratin 10(CK10), cytokeratin 18(CK18), carcinoembryonic antigen(CEA), aquaporin 5(AQP5) and α-smooth muscle actin(α-SMA) was assessed with quantitative PCR(qPCR), immunofluorescence and flow cytometry. Calcium activity analysis was conducted to test the function of induced SG-like cells(iSGCs). Mouse xenograft models were also used to evaluate the in vivo regeneration of iSGCs.BALB/c nude mice were randomly divided into normal group, SGM treatment group and iSGC transplantation group.Immunocytochemical analyses and starch-iodine sweat tests were used to confirm the in vivo regeneration of iSGCs.Results: Ectodermal dysplasia antigen(EDA) overexpression drove human dermal fibroblast(HDF) conversion into i SGCs in SG culture medium(SGM). qPCR indicated significantly increased mRNA levels of the SG markers CK5, CK18and CEA in iSGCs, and flow cytometry data demonstrated(4.18±0.04)% of iSGCs were CK5 positive and(4.36±0.25)%of iSGCs were CK18 positive. The addition of chemical cocktails greatly accelerated the SG fate program. qPCR results revealed significantly increased mRNA expression of CK5, CK18 and CEA in iSGCs, as well as activation of the duct marker CK10 and luminal functional marker AQP5. Flow cytometry indicated, after the treatment of chemical cocktails,(23.05±2.49)% of iSGCs expressed CK5^(+) and(55.79±3.18)% of iSGCs expressed CK18^(+), respectively. Calcium activity analysis indicated that the reactivity of iSGCs to acetylcholine was close to that of primary SG cells [(60.79±7.71)% vs.(70.59±0.34)%, ns]. In vivo transplantation experiments showed approximately(5.2±1.1)% of the mice were sweat test positive, and the histological analysis results indicated that regenerated SG structures were present in iSGCs-treated mice.Conclusions: We developed a SG reprogramming strategy to generate functional iSGCs from HDFs by using the single factor EDA in combination with SGM and small molecules. The generation of iSGCs has important implications for future in situ skin regeneration with SG restoration.展开更多
Sweat, like blood, contains electrolytes and biomolecules that can reveal aspects of a person’s physiology, from hydration to kidney function. Though scientists have long recognized sweat’s potential use as a medica...Sweat, like blood, contains electrolytes and biomolecules that can reveal aspects of a person’s physiology, from hydration to kidney function. Though scientists have long recognized sweat’s potential use as a medical diagnostic tool, only recently have engineering advances allowed them to explore the possibility in earnest.展开更多
In recent years, analyses of sweat have become more popular since it doesn't require invasive sampling procedures. Although blood still remains the golden standards in clinical, analyses of other common body fluid...In recent years, analyses of sweat have become more popular since it doesn't require invasive sampling procedures. Although blood still remains the golden standards in clinical, analyses of other common body fluids,such as sweat, have become increasingly important. Because the compositions of sweat and blood are osmotically related, the content of certain metabolites in sweat can directly reflect the disease. Sweat detection can be used as an alternative to blood detection and allows continuous monitoring. Increased development of wearable sensors makes it possible for continuous sweat detection. Here, this paper gave a review about the sweat detection methods, such as fluorescence sensing, electrochemical sensing and colorimetric sensing. The advantages and disadvantages of each method and their developing trend in sweat detection were summarized. Then, for the problem of continuous sweat sampling, three methods(capillary force, hydrogel osmotic pump, evaporationdriven micropump) were introduced through different structures of microfluidic chip, and the level of sweat collection and transport achieved by related research was demonstrated. This review aims to provide guidance for future research in sweat detection and stimulate further interest in continuous monitoring of sweat using microfluidic chip.展开更多
Sweat could be a carrier of informative biomarkers for health status identification;therefore,wearable sweat sensors have attracted significant attention for research.An external power source is an important component...Sweat could be a carrier of informative biomarkers for health status identification;therefore,wearable sweat sensors have attracted significant attention for research.An external power source is an important component of wearable sensors,however,the current power supplies,i.e.,batteries,limit further shrinking down the size of these devices and thus limit their application areas and scenarios.Herein,we report a stretchable self-powered biosensor with epidermal electronic format that enables the in situ detec-tion of lactate and glucose concentration in sweat.Enzymatic biofuel cells serve as self-powered sensing modules allowing the sweat sensor to exhibit a determination coefficient(R2)of 0.98 with a sensitivity of 2.48 mV/mM for lactate detection,and R2 of 0.96 with a sensitivity of 0.11 mV/μM for glucose detection.The microfluidic channels developed in an ultra-thin soft flexible polydimethylsiloxane layer not only enable the effective collection of sweat,but also provide excellent mechanical properties with stable performance output even under 30%stretching.The presented soft sweat sensors can be integrated at nearly any location of the body for the continuous monitoring of lactate and glucose changes during normal daily activities such as exercise.Our results provide a promising approach to develop next-generation sweat sensors for real-time and in situ sweat analysis.展开更多
This report describes the clinical and pathological aspects of an apocrine sweat gland carcinoma with distant metastasis in an aged dog.A 7-year-old male terrier dog was referred to small animal hospital of Shuhid Bah...This report describes the clinical and pathological aspects of an apocrine sweat gland carcinoma with distant metastasis in an aged dog.A 7-year-old male terrier dog was referred to small animal hospital of Shuhid Bahonar University of Kerman with a 5.5×3.5 centimeter pedunculated mass on its head near left auricular region which had been progressively growing since tliree months ago.The radiography showed no local and distant metastasis.Surgical excision and histological evaluation was done.Histologically,the mass was composed of epithelial cells arranged in glandular and solid patterns.The morphologic findings suggested either a primary or metastatic apocrine-gland carcinoma.Immunohistochemically,the tumor cells were intensely positive for cytokeratin 7 and 20 and negative for S100 protein.On the basis of histopathological and clinical findings,the tumor was diagnosed as a malignant apocrine gland tumor,arising from apocrine sweat glands of the skin.Local tumor recurrence with anorexia and weight loss was reported by the owner nine month later.Severe submandibular and prescapular lymphadenomegaly was noted in clinical examination.Several large pulmonary nodules were noted in chest radiographs resembling mediastinal lymph node metastasis.Second surgery and chemotherapy was rejected by the owner due to grave prognosis of the patient.The animal was died 45 days later due to respiratory complications.Tumors of apocrine sweat glands are relatively uncommon in dogs whereas apocrine gland adenocarcinoma with distant metastasis is extremely rare.展开更多
Inductively coupled plasma mass spectrometry (ICP-MS) was used to measure the levels of trace heavy metals in human urine and sweat, to compare the performance of ICP-MS using three sample processing methods, namely d...Inductively coupled plasma mass spectrometry (ICP-MS) was used to measure the levels of trace heavy metals in human urine and sweat, to compare the performance of ICP-MS using three sample processing methods, namely direct dilution, wet digestion, and microwave digestion. The results showed that the wet digestion ICP-MS method has the highest accuracy (relative standard deviation ≤10%) and is more useful for measuring the levels of trace heavy metals in urine and sweat. Hence, we used this method to compare the levels of the five trace heavy metals, namely chromium, copper, zinc, cadmium, and lead, in the urine and sweat of adults after strenuous exercise. The results showed that the levels of these five trace heavy metals in sweat were significantly higher than those in urine after strenuous exercise (The differences between the measurements in urine and those in sweat were significant P ≤ 0.01). The results suggested that exercise-induced sweating can effectively remove the harmful heavy metals from the human body.展开更多
基金support from the National Natural Science Foundation of China(Grant No.61901295)the Nanchang Microsystem Institute of Tianjin University.
文摘Accurately correlating the sweating rate and the concentration of biomarkers in sweat is essential in many sweat-based diagnostic applications.These two measurements are always done simultaneously in wearable sweat sensing platforms.However,concentration measurements of biomarkers are always delayed on the timeline compared with their production,whereas there is no such delay for sweating rate.Thus,a timeline mismatch exists between these two measurements.This means that the concentration vs rate correlation constructed on the basis of such measurements will deviate from the actual correlation.This study demonstrates the existence of this mismatch and explains its cause using sweat Na^(+)measurements.It also proposes an effective approach that applies a point-by-point compensation for the delay between Na+measurements and the real-time sweating rates,such that the data on the repositioned concentration vs time curve correspond to exactly the same point on the timeline as their production.A vison sensor is developed to measure the sweating rate with high accuracy at a frequency of more than 0.1 Hz.Off-body and on-body measurements of sweating rate and Na^(+)concentration are carried out,and concentration–rate correlations are constructed using both measured and repositioned concentration curves.The least squares and random forest methods are employed to fit the constructed correlations and evaluate the reliability of the proposed approach.The use of the repositioned concentration curve gives a constructed correlation that is much closer to the actual one.This study indicates the necessity to rearrange sensor-measured biomarker concentration vs time curves when correlations of concentration with sweating rate need to be constructed and proposes a practical point-by-point data repositioning strategy for doing so.The results presented here will benefit the study of sweat biomarkers with unclear correlations with sweating rate,as well as providing a basis for the development of more reliable sweat-based diagnostic methods.
基金supported by the JSPS fellowship to M.K.M(Grant Number P20039)support from JST-ERATO Yamauchi Materials Space-Tectonics Project(JPMJER2003)+1 种基金the funding from the Queensland government through the Advance Queensland Fellowship Program(AQIRF043-2020-CV)supported by the National Health and Medical Research Council(NHMRC,1195451).
文摘Sweat contains numerous vital biomarkers such as metabolites,electrolytes,proteins,nucleic acids and antigens that reflect hydration status,exhaustion,nutrition,and physiological changes.Conventional healthcare diagnosis relies on disease diagnostics in sophisticated centralized laboratories with invasive sample collection(e.g.,chemical analyses,plasma separation via centrifugation,tissue biopsy,etc.).Cutting-edge point-of-care diagnostics for sweat biomarker analysis allow for non-invasive monitoring of physiologically related biomarkers in sweat and real-time health status tracking.Moreover,using advanced nanoarchitectures,including nanostructured platforms and nanoparticles,can enhance the specificity,sensitivity,wearability and widen the sensing modality of sweat biosensors.Herein,we comprehensively review the secretory mechanisms,clinical uses of sweat biomarkers,and the design,principle,and latest technologies of sweat biosensors.With an emphasis on cutting-edge technologies for sweat biomarker analysis,this review chronicles the issues associated with the current sweat biomarkers analysis of sweat biomarkers and provides insights into strategies for enhancing the translation of such biosensors into routine clinical practice.
基金supported by the Science Fund for National Defense Distinguished Young Scholars(2022-JCJQ-ZQ-016)the Key Basic Research Projects of the Foundation Strengthening Plan(2022-JCJQZD-096-00)+2 种基金the National Key Research and Development Program of China(2022YFA1104604)the National Natural Science Foundation of China(32000969)the Key Support Program for Growth Factor Research(SZYZ-TR-03).
文摘Dear Editor,Three dimensional(3D)bioprinted extracellular matrix(ECM)can be used to provide both biochemical and biophysical cues to direct mesenchymal stem cells(MSCs)differentiation,and then differentiated cells were isolated for implantation in vivo using surgical procedures.However,the reduced cell activity after cell isolation from 3D constructs and low cell retention in injured sites limit its application[1].Methacrylated gelatin(GelMA)hydrogel has the advantage of fast crosslinking,which could resemble complex architectures of tissue construct in vivo[2].Here,we adopted a noninvasive bioprinting procedure to imitate the regenerative microenvironment that could simultaneously direct the sweat gland(SG)and vascular differentiation from MSCs and ultimately promote the replacement of glandular tissue in situ(Fig.1a).
基金support from the National Natural Science Foundation of China(No.62174152)。
文摘Sweat loss monitoring is important for understanding the body’s thermoregulation and hydration status,as well as for comprehensive sweat analysis.Despite recent advances,developing a low-cost,scalable,and universal method for the fabrication of colorimetric microfluidics designed for sweat loss monitoring remains challenging.In this study,we propose a novel laserengraved surface roughening strategy for various flexible substrates.This process permits the construction of microchannels that show distinct structural reflectance changes before and after sweat filling.By leveraging these unique optical properties,we have developed a fully laser-engraved microfluidic device for the quantification of naked-eye sweat loss.This sweat loss sensor is capable of a volume resolution of 0.5µL and a total volume capacity of 11µL,and can be customized to meet different performance requirements.Moreover,we report the development of a crosstalk-free dual-mode sweat microfluidic system that integrates an Ag/AgCl chloride sensor and a matching wireless measurement flexible printed circuit board.This integrated system enables the real-time monitoring of colorimetric sweat loss signals and potential ion concentration signals without crosstalk.Finally,we demonstrate the potential practical use of this microfluidic sweat loss sensor and its integrated system for sports medicine via on-body studies.
基金funded by Guangdong Basic and Applied Basic Research Foundation(No.2023A1515011388)Guangzhou City Industrial Science&Technology Projects(No.202201010059)+2 种基金the fund from Guangxi China Tobacco Industry Co.,Ltd.(No.2022450000340057)the fund for the construction of Bengbu-SCUT Research Center for Advanced Manufacturing of Biomaterials(No.20210190)The National Key Research and Development Program of China(No.2018YFC1902102)。
文摘Accurate detection of uric acid(UA)is crucial for diagnosing gout,yet traditional sweat-based UA sensors continue to face challenges posed by complex and costly electrode fabrication methods,as well as weakly hydrophilic substrates.Here,we designed and developed simple,low-cost,and hydrophilic sweat UA detection sensors constructed by carbon electrodes and cellulose paper substrates.The carbon electrodes were made by carbonized polyimide films through a simple,one-step laser engraving method.Our electrodes are porous,possess a large specific surface area,and are flexible and conductive.The substrates were composed of highly hydrophilic cellulose paper that can effectively collect,store,and transport sweat.The constructed electrodes demonstrate high sensitivity of 0.4μA Lμmol^(-1)cm^(-2),wide linear range of 2–100μmol/L.In addition,our electrodes demonstrate high selectivity,excellent reproducibility,high flexibility,and outstanding stability against mechanical bending,temperature variations,and extended storage periods.Furthermore,our sensors have been proven to provide reliable results when detecting UA levels in real sweat and on real human skin.We envision that these sensors hold enormous potential for use in the prognosis,diagnosis,and treatment of gout.
基金supported in part by the National Natural Science Foundation of China(92268206,81830064)the CAMS Innovation Fund for Medical Sciences(CIFMS,2019-I2M-5-059)+2 种基金the Military Medical Research Projects(145AKJ260015000X,2022-JCJQ-ZB-09600,2020-JCJQ-ZD-256-021)the Military Medical Research and Development Projects(AWS17J005,2019-126)the Specific Research Fund of the Innovation Platform for Academicians of Hainan Province(YSPTZX202317).
文摘Dear Editor,The large defects of the skin caused by burns or trauma can result in disruption of the structure and function of the skin,as well as irreversible loss of skin appendages,such as sweat glands(SG).As the important modulator of temperature homeostasis,SG damage triggers heat intolerance and thermoregulatory dysfunction,which poses a considerable threat to health and quality of life[1-3].The promotion of wound healing with SG restoration remains a challenging issue.It has been reported that there are urinary epithelial cells(UECs)in human urine samples,and they may most likely originate from renal proximal tubules[4].UECs are easy to obtain from urine samples at any age,sex,or ethnic origin except for renal failure,with a cost-effective,non-invasive and simple isolation method[4].More importantly,the extensive source of clinical urine sample makes it easy for urinary cell autogenous transplantation and individualized treatment.Therefore,it is of great significance to convert UECs into urinary epithelial stem cells(UESCs)with repair ability.In this context,we design a strategy for the pharmacological conversion of UECs into UESCs,and the repair ability of UESCs in functional skin wound healing is explored.
基金supported by the Soonchunhyang University Research Fund
文摘Background：Relatively few studies on the peripheral sweating mechanisms of trained tennis athletes have been conducted.The purpose of this study was to compare the sweating capacities of tennis athletes against untrained subjects（controls）.Methods：Thirty-fi e healthy male volunteers participated including 15 untrained subjects and 20 trained tennis athletes（nationally ranked）.Active heat generation was performed for 30 min（running at 60%VO2max） in a climate chamber（temperature,25.0°C ± 0.5°C;relative humidity,60% ± 3%,termed active heating）.Sweating data（local sweat onset time,local sweat volume,activated sweat glands,sweat output per gland,whole body sweat loss volume） were measured by the capacitance hygrometer-ventilated capsule method and starch-iodide paper.Mean body temperature was calculated from tympanic and skin temperatures.Results：Local sweat onset time was shorter for tennis athletes（p〈0.001）.Local sweat volume,activated sweat glands of the torso and limbs,sweat output per gland,and whole body sweat loss volume were significant y higher for tennis athletes than control subjects after active heating（p〈0.001）.Tympanic and mean body temperatures were lower among tennis athletes than controls（p〈0.05）.Conclusion：These results indicate that tennis athletes had increased regulatory capacity of their sweat gland function.
基金Supported by Inheritance venation and academic idea study of Huxiang five meridians combination acupuncturemoxibustion and tuina academic school:201423
文摘Objective To explore the clinical efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children.Methods Infantile tuina combined with moxibustion was conducted for 28 cases of lung-wei insecurity-type sweating syndrome in children.Tuina was carried out for once every other day,and moxibustion was conducted for once every other three days.Clinical efficacy was observed after treatment for 4 weeks.Results The total effective rate of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children was 92.85%.Conclusion The efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children is definite,which is worthy of being popularized clinically.
基金Project(21276036)supported by the National Natural Science Foundation of ChinaProject(2009AA05Z120)supported by the National High-tech Research and Development Program of China+1 种基金Project(2014025018)supported by the Liaoning Provincial Natural Science Foundation of ChinaProject(3132014323)supported by the Fundamental Research Funds for the Central Universities,China
文摘Corrosion behavior of brass coinage was investigated in synthetic sweat solution by electrochemical measurement and surface analysis methods including scanning electron microscope （SEM） and energy dispersive X-ray spectrometer （EDX）. It is indicated that chloride ions in sweat solution accelerate the anodic active dissolution of brass, which is the main reason of pitting corrosion and dezincification corrosion. Meanwhile, lactic acid and ammonia water also promote the anode reaction. The corrosion products on the surface are mainly composed of basic copper chloride, cuprous oxide, the complex consisting of urea in association with copper, and few lactate ion. The kinetics of pitting corrosion development obeys the following equation of J0=0.3735（t＋185.93）^-1/2, and the process is controlled by dissolution of salt deposited on pit surface.
基金Sponsored by the Basic Research Program of China(Grant No.2019YFB1310200)the Foundation for Innovative Research Groups of the National Natural Science Foundation of China(Grant No.51521003)the Self⁃Planned Task of State Key Laboratory of Robotics and System,Harbin Institute of Technology(Grant Nos.SKLRS201801B and SKLRS201607B).
文摘Advanced in wireless technologies and flexible materials with great biocompatibility,wearable devices have been utilized in the field of healthcare,sports management,and diseases prevention,which have been widely applied in current electronic equipment.Sweat,as a common metabolite on the skin surface,contains a wealth of biomarkers for disease detection and diagnosis.Therefore,developing wearable sweat sensors can provide a non⁃invasive method for health data collecting,sports monitoring,and clinical diagnosis in a convenient way.Recent research in sweat metabolomics has offered a lot of information for sweat analysis and the wearable sweat sensors with small size,various sensing,and transmission units,and good skin contact has exhibited dynamic multi⁃signal detection.This article introduces the biomarkers in sweat related to different diseases and the current development of sweat sensors for users activation monitoring and diseases detection.The barriers and difficulties in the future are also discussed and perspectives in the next generation sweat sensors are proposed.
文摘Sweat is a hypotonic fluid excreted by sweat glands to cool the body. There are conflicting reports on whether or not body composition has an effect on thermoregulatory responses especially during exercise. This study was aimed at determining and comparing sweat rate and electrolyte composition in underweight (BMI BMI 30 kg/m<sup>2</sup>) during moderate exercise. Forty women (19 - 25 years) were used during this study after assessing their health status. They were stratified for BMI with each group having a total of ten women. It was ensured that all the women used in the study were euhydrated before commencing the research. Before sweat collection, the treadmill was calibrated according to the Bruce Treadmill Protocol. Sweat samples were obtained with a sweat suction apparatus from a 120 cm<sup>2</sup> circular area marked on the skin of the face and neck, after a 15 minute fast walk on a treadmill at an inclination of 15° and at a speed of 4.2 km/h at 27°C room temperature. The time at which sweating commenced in the subjects was recorded. Sweat rate (L/hour) was calculated using the formula: sweat rate (L/hr) = (pre-exercise body weight - Post-exercise body weight)/exercise duration. Each sweat sample was collected and analysed immediately. The results showed that obese women had a significantly (P < 0.05) higher sweat rate and underweight women had a significantly (P < 0.05) lower sweat rate than all the other groups. Furthermore, subjects with a high body surface area showed significantly higher sweat rates compared to subjects with lower body surface area. Sweat electrolyte composition did not change in all BMI groups. In conclusion, obese subjects are more likely to develop fluid imbalances than underweight and normal weight subjects during moderate exercise. Also, underweight women might be at a thermoregulatory disadvantage because of their reduced body fat and body surface area.
文摘In this paper, the dynamic analysis of mental sweating for sound stimulus of a few tens of eccrine sweat glands is performed by the time-sequential piled-up en-face optical coherence tomography (OCT) images with the frame spacing of 3.3 sec. In the experiment, the amount of excess sweat can be evaluated simultaneously for a few tens of sweat glands by piling up of all the en-face OCT images. Strong non-uniformity is observed in mental sweating where the amount of sweat in response to sound stimulus is different for each sweat gland. Furthermore, the amount of sweat is significantly increased in proportion to the strength of the stimulus.
基金supported by the National Natural Science Foundation of China(62201243)Fundamental and Applied Research Grant of Guangdong Province(2021A1515110627)+3 种基金Southern University of Science and Technology(Y01796108,Y01796208)RGC Senior Research Fellow Scheme of Hong Kong(SRFS2122-5S04)the Hong Kong Polytechnic University(1-ZVQM),RI-Wear of PolyU(1-CD44)Shenzhen Science and Technology Innovation Committee(SGDX20210823103403033).
文摘With the rapid technological innovation in materials engineering and device integration,a wide variety of textilebased wearable biosensors have emerged as promising platforms for personalized healthcare,exercise monitoring,and pre-diagnostics.This paper reviews the recent progress in sweat biosensors and sensing systems integrated into textiles for wearable body status monitoring.The mechanisms of biosensors that are commonly adopted for biomarkers analysis are first introduced.The classification,fabrication methods,and applications of textile conductors in different configurations and dimensions are then summarized.Afterward,innovative strategies to achieve efficient sweat collection with textile-based sensing patches are presented,followed by an in-depth discussion on nanoengineering and system integration approaches for the enhancement of sensing performance.Finally,the challenges of textile-based sweat sensing devices associated with the device reusability,washability,stability,and fabrication reproducibility are discussed from the perspective of their practical applications in wearable healthcare.
基金the National Natural Science Foundation of China(Nos.51975513 and 52105593)the Natural Science Foundation of Zhejiang Province,China(No.LR20E050003)and the Major Research Plan of Ningbo Innovation 2025(No.2020Z022).
文摘Sweat,as a biofluid with the potential for noninvasive collection,provides profound insights into human health conditions,because it contains various chemicals and information to be utilized for the monitoring of well-being,stress levels,exercise,and nutrition.Recently,wearable sweat sensors have been developed as a promising substitute to conventional laboratory sweat detection methods.Such sensors are promising to realize low-cost,real-time,in situ sweat measurements,and provide great opportunities for health status evaluation analysis based on personalized big data.This review first presents an overview of wearable sweat sensors from the perspective of basic components,including materials and structures for specific sensing applications and modalities.Current strategies and specific methods of the fabrication of wearable power management are also summarized.Finally,current challenges and future directions of wearable sweat sensors are discussed.
基金supported in part by the National Natural Science Foundation of China (81871569, 81830064, 81721092, 61803250)the National Key Research and Development Plan (2018YFC1105704, 2017YFC1103304, 2016YFA0101000, 2016YFA0101002)+2 种基金the CAMS Innovation Fund for Medical Sciences (CIFMS, 2019-I2M-5-059)the Military Key Basic Research of Foundational Strengthening Program (2020-JCJQ-ZD-256-021)the Military Medical Research and Development Projects (AWS17J005, 2019-126)。
文摘Background: Large skin defects severely disrupt the overall skin structure and can irreversibly damage sweat glands(SGs), thus impairing the skin’s physiological function. This study aims to develop a stepwise reprogramming strategy to convert fibroblasts into SG lineages, which may provide a promising method to obtain desirable cell types for the functional repair and regeneration of damaged skin.Methods: The expression of the SG markers cytokeratin 5(CK5), cytokeratin 10(CK10), cytokeratin 18(CK18), carcinoembryonic antigen(CEA), aquaporin 5(AQP5) and α-smooth muscle actin(α-SMA) was assessed with quantitative PCR(qPCR), immunofluorescence and flow cytometry. Calcium activity analysis was conducted to test the function of induced SG-like cells(iSGCs). Mouse xenograft models were also used to evaluate the in vivo regeneration of iSGCs.BALB/c nude mice were randomly divided into normal group, SGM treatment group and iSGC transplantation group.Immunocytochemical analyses and starch-iodine sweat tests were used to confirm the in vivo regeneration of iSGCs.Results: Ectodermal dysplasia antigen(EDA) overexpression drove human dermal fibroblast(HDF) conversion into i SGCs in SG culture medium(SGM). qPCR indicated significantly increased mRNA levels of the SG markers CK5, CK18and CEA in iSGCs, and flow cytometry data demonstrated(4.18±0.04)% of iSGCs were CK5 positive and(4.36±0.25)%of iSGCs were CK18 positive. The addition of chemical cocktails greatly accelerated the SG fate program. qPCR results revealed significantly increased mRNA expression of CK5, CK18 and CEA in iSGCs, as well as activation of the duct marker CK10 and luminal functional marker AQP5. Flow cytometry indicated, after the treatment of chemical cocktails,(23.05±2.49)% of iSGCs expressed CK5^(+) and(55.79±3.18)% of iSGCs expressed CK18^(+), respectively. Calcium activity analysis indicated that the reactivity of iSGCs to acetylcholine was close to that of primary SG cells [(60.79±7.71)% vs.(70.59±0.34)%, ns]. In vivo transplantation experiments showed approximately(5.2±1.1)% of the mice were sweat test positive, and the histological analysis results indicated that regenerated SG structures were present in iSGCs-treated mice.Conclusions: We developed a SG reprogramming strategy to generate functional iSGCs from HDFs by using the single factor EDA in combination with SGM and small molecules. The generation of iSGCs has important implications for future in situ skin regeneration with SG restoration.
文摘Sweat, like blood, contains electrolytes and biomolecules that can reveal aspects of a person’s physiology, from hydration to kidney function. Though scientists have long recognized sweat’s potential use as a medical diagnostic tool, only recently have engineering advances allowed them to explore the possibility in earnest.
基金supported by the National Key Research and Development Program of China (No. 2020YFC2004600, No. 2018YFE0205000)the National Natural Science Foundation of China (No. 81571766)+1 种基金the Natural Science Foundation of Tianjin (No. 17JCYBJC24400)the 111 Project of China (No. B07014)。
文摘In recent years, analyses of sweat have become more popular since it doesn't require invasive sampling procedures. Although blood still remains the golden standards in clinical, analyses of other common body fluids,such as sweat, have become increasingly important. Because the compositions of sweat and blood are osmotically related, the content of certain metabolites in sweat can directly reflect the disease. Sweat detection can be used as an alternative to blood detection and allows continuous monitoring. Increased development of wearable sensors makes it possible for continuous sweat detection. Here, this paper gave a review about the sweat detection methods, such as fluorescence sensing, electrochemical sensing and colorimetric sensing. The advantages and disadvantages of each method and their developing trend in sweat detection were summarized. Then, for the problem of continuous sweat sampling, three methods(capillary force, hydrogel osmotic pump, evaporationdriven micropump) were introduced through different structures of microfluidic chip, and the level of sweat collection and transport achieved by related research was demonstrated. This review aims to provide guidance for future research in sweat detection and stimulate further interest in continuous monitoring of sweat using microfluidic chip.
基金the City University of Hong Kong,China(Nos.9610423,9667199,and 9667221)Research Grants Council of the Hong Kong Special Administrative Region,China(No.21210820)+2 种基金Shenzhen Science and Technology Innovation Commission,China(No.JCYJ20200109110201713)Science and Technology of Sichuan Province,China(No.2020YFH0181)China Postdoctoral Science Foundation(No.2019TQ0051).
文摘Sweat could be a carrier of informative biomarkers for health status identification;therefore,wearable sweat sensors have attracted significant attention for research.An external power source is an important component of wearable sensors,however,the current power supplies,i.e.,batteries,limit further shrinking down the size of these devices and thus limit their application areas and scenarios.Herein,we report a stretchable self-powered biosensor with epidermal electronic format that enables the in situ detec-tion of lactate and glucose concentration in sweat.Enzymatic biofuel cells serve as self-powered sensing modules allowing the sweat sensor to exhibit a determination coefficient(R2)of 0.98 with a sensitivity of 2.48 mV/mM for lactate detection,and R2 of 0.96 with a sensitivity of 0.11 mV/μM for glucose detection.The microfluidic channels developed in an ultra-thin soft flexible polydimethylsiloxane layer not only enable the effective collection of sweat,but also provide excellent mechanical properties with stable performance output even under 30%stretching.The presented soft sweat sensors can be integrated at nearly any location of the body for the continuous monitoring of lactate and glucose changes during normal daily activities such as exercise.Our results provide a promising approach to develop next-generation sweat sensors for real-time and in situ sweat analysis.
文摘This report describes the clinical and pathological aspects of an apocrine sweat gland carcinoma with distant metastasis in an aged dog.A 7-year-old male terrier dog was referred to small animal hospital of Shuhid Bahonar University of Kerman with a 5.5×3.5 centimeter pedunculated mass on its head near left auricular region which had been progressively growing since tliree months ago.The radiography showed no local and distant metastasis.Surgical excision and histological evaluation was done.Histologically,the mass was composed of epithelial cells arranged in glandular and solid patterns.The morphologic findings suggested either a primary or metastatic apocrine-gland carcinoma.Immunohistochemically,the tumor cells were intensely positive for cytokeratin 7 and 20 and negative for S100 protein.On the basis of histopathological and clinical findings,the tumor was diagnosed as a malignant apocrine gland tumor,arising from apocrine sweat glands of the skin.Local tumor recurrence with anorexia and weight loss was reported by the owner nine month later.Severe submandibular and prescapular lymphadenomegaly was noted in clinical examination.Several large pulmonary nodules were noted in chest radiographs resembling mediastinal lymph node metastasis.Second surgery and chemotherapy was rejected by the owner due to grave prognosis of the patient.The animal was died 45 days later due to respiratory complications.Tumors of apocrine sweat glands are relatively uncommon in dogs whereas apocrine gland adenocarcinoma with distant metastasis is extremely rare.
文摘Inductively coupled plasma mass spectrometry (ICP-MS) was used to measure the levels of trace heavy metals in human urine and sweat, to compare the performance of ICP-MS using three sample processing methods, namely direct dilution, wet digestion, and microwave digestion. The results showed that the wet digestion ICP-MS method has the highest accuracy (relative standard deviation ≤10%) and is more useful for measuring the levels of trace heavy metals in urine and sweat. Hence, we used this method to compare the levels of the five trace heavy metals, namely chromium, copper, zinc, cadmium, and lead, in the urine and sweat of adults after strenuous exercise. The results showed that the levels of these five trace heavy metals in sweat were significantly higher than those in urine after strenuous exercise (The differences between the measurements in urine and those in sweat were significant P ≤ 0.01). The results suggested that exercise-induced sweating can effectively remove the harmful heavy metals from the human body.
