Wearable sweat analysis possesses significant potential for transforming personalized and precision medicine, by capturing the longitudinal profiles of a broad spectrum of biomarker molecules that are informative of our body’s dynamic chemistry. However, the lack of established physiological criteria to provide personalized feedback, based on sweat biomarker readings, has prevented the translation of wearable sweat-based bioanalytical technologies into health and wellness monitoring applications. Accordingly, scalable sweat sampling tools are required to facilitate large-scale and longitudinal clinical studies focusing on interpreting sweat biomarker readings. However, conventional sweat induction-collection tools are bulky and require multi-step and manual operations. Accordingly, here, we devise a sweat sampling patch, which can be deployed for autonomous diurnal sweat induction-collection. The core of this patch is an addressable array of miniaturized and coupled iontophoresis/microfluidic interfaces that can be activated on- demand or at scheduled time-points to induce/collect sufficient sweat samples for analysis. The iontophoresis interface was designed following an introduced design space centering on sufficient sweat secretory agonist delivery at safe current levels. The microfluidic interface was fabricated following a simple, rapid, and low-cost fabrication scheme. To achieve autonomous operation, these interfaces were extended into an array format and coupled with a custom-developed flexible and wireless circuit board. To inform utility, periodically induced/collected sweat samples of an individual were analyzed in relation to meal intake. 
                        more » 
                        « less   
                    
                            
                            Wearable aptamer-field-effect transistor sensing system for noninvasive cortisol monitoring
                        
                    
    
            Wearable technologies for personalized monitoring require sensors that track biomarkers often present at low levels. Cortisol—a key stress biomarker—is present in sweat at low nanomolar concentrations. Previous wearable sensing systems are limited to analytes in the micromolar-millimolar ranges. To overcome this and other limitations, we developed a flexible field-effect transistor (FET) biosensor array that exploits a previously unreported cortisol aptamer coupled to nanometer-thin-film In 2 O 3 FETs. Cortisol levels were determined via molecular recognition by aptamers where binding was transduced to electrical signals on FETs. The physiological relevance of cortisol as a stress biomarker was demonstrated by tracking salivary cortisol levels in participants in a Trier Social Stress Test and establishing correlations between cortisol in diurnal saliva and sweat samples. These correlations motivated the development and on-body validation of an aptamer-FET array–based smartwatch equipped with a custom, multichannel, self-referencing, and autonomous source measurement unit enabling seamless, real-time cortisol sweat sensing. 
        more » 
        « less   
        
    
                            - Award ID(s):
- 1847729
- PAR ID:
- 10336140
- Date Published:
- Journal Name:
- Science Advances
- Volume:
- 8
- Issue:
- 1
- ISSN:
- 2375-2548
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
- 
            
- 
            To track dynamically varying and physiologically relevant biomarker profiles in sweat, autonomous wearable platforms are required to periodically sample and analyze sweat with minimal or no user intervention. Previously reported sweat sensors are functionally limited to capturing biomarker information at one time-point/period, thereby necessitating repeated user intervention to increase the temporal granularity of biomarker data. Accordingly, we present a compact multi-compartment wearable system, where each compartment can be activated to autonomously induce/modulate sweat secretion ( via iontophoretic actuation) and analyze sweat at set time points. This system was developed following a hybrid-flex design and a vertical integration scheme—integrating the required functional modules: miniaturized iontophoresis interfaces, adhesive thin film microfluidic-sensing module, and control/readout electronics. The system was deployed in a human subject study to track the diurnal variation of sweat glucose levels in relation to the daily food intake. The demonstrated autonomous operation for diurnal sweat biomarker data acquisition illustrates the system's suitability for large-scale and longitudinal personal health monitoring applications.more » « less
- 
            Neuropeptide Y (NPY) plays a central role in a variety of emotional and physiological functions in humans, such as forming a part of the body′s response to stress and anxiety. This work compares the impact of MCH and PEG spacer molecules on the performance of a potentiometric NPY sensor. An NPY‐specific DNA aptamer with thiol termination was immobilized onto a gold electrode surface. The performance of the sensor is compared when either an MCH‐ or PEG‐based self‐assembled monolayer is formed following aptamer immobilization. Backfilling the surface with alkanethiol spacer molecules like these is key for proper conformational folding of aptamer‐target binding. Non‐specific adhesion of NPY to the MCH‐based sensor surface was observed via surface plasmon resonance (SPR), and then confirmed via potentiometry. It is then shown that PEG improves the sensor′s sensitivity to NPY compared to the surfaces with an MCH‐based SAM. We achieve the detection of picomolar range NPY levels in buffer with a sensitivity of 36.1 mV/decade for the aptamer and PEG‐based sensor surface, thus demonstrating the promise of potentiometric sensing of NPY for future wearable deployment. The sensor′s selectivity was also studied via exposure to cortisol, a different stress marker, resulting in a 13x smaller differential voltage (aptamer‐specific) response compared to that of NPY.more » « less
- 
            Managing stress is essential for mental and physical health, yet current methods rely on subjective self-assessments or indirect physiological measurements, often lacking accuracy. Existing wearable sensors primarily target a single stress hormone, cortisol, using single-point measurements that fail to capture real-time changes and distinguish between acute and chronic stress. To address this, we present Stressomic, a wearable multiplexed microfluidic biosensor for noninvasive monitoring of cortisol, epinephrine, and norepinephrine in sweat. Stressomic integrates iontophoresis-driven sweat extraction with bursting valve-regulated microfluidic channels for continuous sampling and analysis. Gold nanodendrite–decorated laser-engraved graphene electrodes achieve picomolar-level sensitivity, enabling simultaneous detection of multiple stress hormones. Electrochemical assays and human studies demonstrate that Stressomic reliably tracks hormone fluctuations in response to physical, psychological, and pharmacological stressors. Distinct temporal patterns reveal the dynamic interplay between the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. This platform enables continuous, multiplexed stress profiling, offering opportunities for early detection of maladaptive responses, personalized stress management, and deeper insights into stress biology.more » « less
- 
            null (Ed.)Stress biomarkers produced by the body are briefly reviewed and our recent research is presented. Quantitative detection using aptamer-LFA demonstrated against cortisol, dopamine, and endotoxin. Microfluidic label-free optical method presented simultaneous detection of multiple biomarkers in bodily fluids, promising real-time detection. Lastly, future biomarker detection is discussed.more » « less
 An official website of the United States government
An official website of the United States government 
				
			 
					 
					
 
                                    