A new method that uses nanotechnology to rapidly measure minute amounts of insulin is a major step toward developing the ability to assess the health of the body’s insulin-producing cells in real time.
Among other potential applications, this method could be used to improve the efficacy of a new procedure for treating Type 1 (juvenile) diabetes that has demonstrated the ability to free diabetics from insulin injections for several years. It works by transplanting insulin-producing cells into the livers of diabetics to replace the cells that the disease has disabled or destroyed.
To gain this capability, the researchers developed a new electrode for a device called a microphysiometer. The microphysiometer assesses the condition of living cells by placing them in liquid nutrient, confining them in a very small chamber and then measuring variations in their metabolism. The volume of the chamber is only three microliters – about 1/20th the size of an ordinary raindrop – allowing the electrode to detect the minute amounts of insulin released by special pancreatic cells called Islets of Langerhans.
The new electrode is built from multiwalled carbon nanotubes, which are like several flat sheets of carbon atoms stacked and rolled into very small tubes. The nanotubes are electrically conductive and the concentration of insulin in the chamber can be directly related to the current at the electrode and the nanotubes operate reliably at pH levels characteristic of living cells.
Current detection methods measure insulin production at intervals by periodically collecting small samples and measuring their insulin levels. The new sensor detects insulin levels continuously by measuring the transfer of electrons produced when insulin molecules oxidize in the presence of glucose. When the cells produce more insulin molecules, the current in the sensor increases and vice versa, allowing the researchers to monitor insulin concentrations in real time. It is similar to a device developed by another group of researchers that operated at acidity levels well beyond those where living cells can function.
Previous tests had shown that nanotube electrodes are more sensitive at measuring insulin than conventional methods. However, the researchers had to overcome a major obstacle to adapt them to work in the microphysiometer.
In the small chamber, they found that the fluid moves across the electrode surface rather than pushing against it. These micro-currents tended to sweep the nanotubes aside rather than pinning them to the electrode surface where their electrical activity can be measured. The researchers solved this problem by mixing the nanotubes with a chemical called dihydropyran, a small molecule that forms chemical bonds that stabilize the nanotube film and stick it to the electrode surface.
Now that the microphysiometer has demonstrated the ability to rapidly detect the small quantities of insulin produced by individual cells, the researchers hope to use it to determine the health of the islet cells used for transplantation.
One of the next steps is to use the microphysiometer to measure insulin, lactate and oxygen levels simultaneously. This will allow researchers to study how the islet cells react to the drugs and help identify the best way to deal with transplant rejection. It will also allow them to verify the health of the islets cells before they are transplanted into patients.
The new insulin detection method was developed by a team of Vanderbilt researchers headed by Associate Professor of Chemistry David Cliffel and is reported in the February 18 issue of the journal Analytica Chimica Acta.
Diabetes-Retinopathy Independently Predicts New Heart Failure: Researchers have published a new study, corroborating findings from a 2005 study linking an increased risk of heart failure to diabetic retinopathy. In the Journal of American College of Cardiology, the Atherosclerosis Risk in Communities concludes that type 2 diabetes patients without renal dysfunction, clinical coronary disease or heart failure are at a greater risk for developing heart failure. In the multi-variate analysis, researchers cited similar origins in progressive vascular disease or vascular inflammation with endothelial dysfunction as potential factors influencing the mechanistic association between diabetic retinopathy and heart failure. Among African-Americans with retinopathy, the risk for developing heart failure was nearly four times greater than White patients with the same condition. Researchers noted that improved assessments were necessary for patients with diabetic retinopathy to implement preventative measures for detecting and combating heart failure early-on.