The Future is Here: Glucose-Monitoring Contact Lenses

google-novartis-alcon-smart-contact-lens-0Earlier this year, Google announced that it was developing a contact lens that would be capable of monitoring blood glucose levels. By monitoring a person’s glucose levels through their tears, and sending that information to a smartphone, the device promised to do away with tests that require regular blood samples and pinpricks. And now, a partnership has been announced between that will help see this project through to completion.

Alcon, the eye care division of Novartis – a Swiss multinational pharmaceutical company – recently joined Google’s project to commercialize “smart contact lens” technology. The project, which came out of the Google X blue-sky innovation arm of the company, aimed to utilize a “tiny wireless chip and miniaturized glucose sensor that are embedded between two layers of soft contact lens material,” in order to detect glucose levels present in tears.

google-novartis-alcon-smart-contact-lensAt the time of the initial announcement in January, Google said its prototypes were able to take one glucose reading per second and that they was investigating ways for the device to act as an early warning system for the wearer should glucose levels become abnormal. All that was needed was a partner with the infrastructure and experience in the medical industry to see the prototypes put into production.

Under the terms of the new agreement, Google will license the technology to Alcon “for all ocular medical uses” and the two companies will collaborate to develop the lens and bring it to market. Novartis says that it sees Google’s advances in the miniaturization of electronics as complementary to its own expertise in pharmaceuticals and medical device. No doubt, the company also sees this as an opportunity to get in on the new trend of digitized, personalized medicine.

future_medicineAs Novartis said in a recent press release:

The agreement marries Google’s expertise in miniaturized electronics, low power chip design and microfabrication with Alcon’s expertise in physiology and visual performance of the eye, clinical development and evaluation, as well as commercialization of contact and intraocular lenses.

The transaction remains subject to anti-trust approvals, but assuming it goes through, Alcon hopes it will help to accelerate its product innovation. And with that, diabetics can look forward to yet another innovative device that simplifies the blood monitoring process and offers better early warning detection that can help reduce the risk of heart disease, stroke, kidney failure, foot ulcers, loss of vision, and coma.

Sources: gizmag.com, novartis.com

The Future of Medicine: New Blood-Monitoring Devices

medtechNon-invasive medicine is currently one of the fastest growing industries in the world. Thanks to ongoing developments in the fields of nanofabrication, wireless communications, embedded electronics and microsensors, new means are being created all the time that can monitor our health that are both painless and hassle-free.

Consider diabetes, an epidemic that currently affects 8% of the population in the US and is growing worldwide. In October of 2013, some 347 million cases were identified by the World Health Organization, which also claims that diabetes will become the 7th leading cause of death by 2030. To make matters worse, the conditions requires constant blood-monitoring, which is difficult in developing nations and a pain where the means exist.

google_lensesHence why medical researchers and companies are looking to create simpler, non-invasive means. Google is one such company, which back in January announced that they are working on a “smart” contact lens that can measure the amount of glucose in tears. By merging a mini glucose sensor and a small wireless chip into a set of regular soft contact lenses, they are looking to take all the pin-pricks out of blood monitoring.

In a recent post on Google’s official blog, project collaborators Brian Otis and Babak Parviz described the technology:

We’re testing prototypes that can generate a reading once per second. We’re also investigating the potential for this to serve as an early warning for the wearer, so we’re exploring integrating tiny LED lights that could light up to indicate that glucose levels have crossed above or below certain thresholds.

And Google is hardly alone in this respect. Due to growing concern and the advancements being made, others are also looking at alternatives to the finger prick, including glucose measures from breath and saliva. A company called Freedom Meditech, for example, is working on a small device  that can measure glucose levels with an eye scan.

I_Sugar_X_prototype1Their invention is known as the I-SugarX, a handheld device that scans the aqueous humor of eye, yielded accurate results in clinical studies in less than four minutes. John F. Burd, Ph.D., Chief Science Officer of Freedom Meditech, described the process and its benefits in the following way:

The eye can be thought of as an optical window into to body for the painless measurement of glucose in the ocular fluid as opposed to the blood, and is well suited for our proprietary optical polarimetric based measurements. Based on the results of this, and other studies, we plan to begin human clinical studies as we continue our product development.

Between these and other developments, a major trend towards “smart monitoring” is developing and likely to make life easier and cut down on the associated costs of medicine. A smart contact lens or saliva monitor would make it significantly easier to watch out for uncontrolled blood sugar levels, which ultimately lead to serious health complications.

I_Sugar_X_prototype2But of course, new techniques for blood-monitoring goes far beyond addressing chronic conditions like diabetes. Diagnosing and controlling the spread of debilitating, potentially fatal diseases is another major area of focus. Much like diabetes, doing regular bloodwork can be a bit difficult, especially when working in developing areas of the world where proper facilities can be hard to find.

But thanks to researchers at Rice University in Houston, Texas, a new test that requires no blood draws is in the works. Relying on laser pulse technology to create a vapor nanobubble in a malaria-infected cell, this test is able to quickly and non-invasively diagnose the disease. While it does not bring medical science closer to curing this increasingly drug-resistant disease, it could dramatically improve early diagnosis and outcomes.

malaria-blood-free-detectorThe scanner was invented by Dmitro Lapotko, a physicist, astronomer, biochemist, and cellular biologist who studied laser weapons in Belarus before moving to Houston. Here, he and his colleagues began work on a device that used the same kind of laser and acoustic sensing technology employed on sub-hunting destroyers, only on a far smaller scale and for medical purposes.

Dubbed “vapor nanobubble technology,” the device combines a laser scanner and a fiber-optic probe that detect malaria by heating up hemozoin – the iron crystal byproduct of hemoglobin that is found in malaria cells, but not normal blood cells. Because the hemozoin crystals absorb the energy from the laser pulse, they heat up enough to create transient vapor nanobubbles that pop.

malariaThis, in turn, produces a ten-millionth-of-a-second acoustic signature that is then picked up by the device’s fiber-optic acoustic sensor and indicates the presence of the malaria parasite in the blood cells scanned. And because the vapor bubbles are only generated by hemozoin, which is only present in infected cells, the approach is virtually fool-proof.

In an recent issue of Proceedings of the National Academy of Sciences, Lapotko and his research team claimed that the device detected malaria in a preclinical trial on mice where only one red blood cell in a million was infected with zero false positives. In a related school news release, the study’s co-author David Sullivan – a malaria clinician a Johns Hopkins University – had this to say about the new method:

The vapor nanobubble technology for malaria detection is distinct from all previous diagnostic approaches. The vapor nanobubble transdermal detection method adds a new dimension to malaria diagnostics, and it has the potential to support rapid, high-throughput and highly sensitive diagnosis and screening by nonmedical personnel under field conditions.

At present, malaria is one of the world’s deadliest diseases, infecting hundreds of millions of people a year and claiming the lives of more than 600,000. To make matters worse, most the victims are children. All of this combines to make malaria one of the most devastating illness effecting the developing world, comparable only to HIV/AIDS.

malaria_worldwideBy ensuring that blood tests that could detect the virus, and require nothing more than a mobile device that could make the determination quickly, and need only a portable car battery to power it, medical services could penetrate the once-thought impenetrable barriers imposed by geography and development. And this in turn would be a major step towards bringing some of the world’s most infectious diseases to heel.

Ultimately, the aim of non-invasive technology is to remove the testing and diagnostic procedures from the laboratory and make them portable, cheaper, and more user-friendly. In so doing, they also ensure that early detection, which is often the difference between life and death, is far easier to achieve. It also helps to narrow the gap between access between rich people and poor, not to mention developing and developing nations.

Sources: fastcoexist.com, news.cnet.com, businesswire.com, googleblogspot.ca, who.int

The Future of Medicine: Gene Therapy and Treatments

DNA-1Imagine a world where all known diseases were curable, where health problems could be treated in a non-invasive manner, and life could be extended significantly? Thanks to ongoing research into the human genome, and treatments arising out of it, that day may be coming soon. That’s the idea behind gene therapy and pharmacoperones – two treatment procedures that may make disease obsolete in the near future.

The first comes to us from the Utah School of Medicine, where researcher Amit Patel recently developed a non-invasive, naked DNA approach to deal with treating heart problems. His process was recently tested o Ernie Lively, an actor suffering from heart damage, who made a full recovered afterwards without ever having to go under the knife.

gene_therapyIn short, Patel’s method relies on a catheter, which he used to access the main cardiac vein (or coronary sinus), where a balloon is inflated to halt the flow of blood and isolate the area. A high dose of naked DNA, which codes for a protein called SDF-1, is then delivered. SDF-1, which stands for stromal cell-derived factor, is a potent attractant both for stem cells circulating in the bloodstream, and for those developing in the bone marrow.

Stromal cells, which manufacture SDF-1, are the creative force which knit together our fibrous connective tissues. The problem is they do not make enough of this SDF-1 under normal conditions, nor do specifically deliver it in just the right places for repair of a mature heart. By introducing a dose of these cells directly into the heart, Patel was able to give Lively what his heart needed, where it needed it.

gene_therapy1Compared to other gene therapies, the introduction of SDF-1 into cells was done without the assistance of a virus. These “viral vector” method have had trouble in the past due to the fact that after the virus helps target specific cells for treatment, the remnant viral components can draw unwanted attention from the immune system, leading to complications.

But of course, there is still much to be learned about the SDF-1 treatment and others like it before it can be considered a viable replacement for things like open-heart surgery. For one, the yield – the number or percentage of cells that take up the DNA – remains unknown. Neither are the precise mechanisms of uptake and integration within the cell known here.

Fortunately, a great deal of research is being done, particularly by neuroscientists who are looking to control brain cells through the use of raw DNA as well. Given time, additional research, and several clinical trials, a refined version of this process could be the cure for heart-related diseases, Alzheimer’s, and other disorders that are currently thought to be incurable, or require surgery.

pharmacoperones-protein-foldingAnother breakthrough treatment that is expected to revolutionize medicine comes in the form of pharmacoperones (aka. “protein chaperones”). a new field of drugs that have the ability to enter cells and fix misfolded proteins. These kind of mutations usually result in proteins becoming inactive; but in some cases, can lead to toxic functionality or even diseases.

Basically, proteins adopt their functional 3-D structure by folding linear chains of amino acids, and gene mutation can cause this folding process to go awry, resulting in “misfolding”. Up until recently, scientists believed these proteins were simply non-functional. But thanks to ongoing research, it is now known their inactivity is due to the cell’s quality control system misrouting them within the cell.

protein1Although this process has been observed under a microscope in recent years, a team led by Doctor P. Michael Conn while at Oregon Health & Science University (OHSU) was the first to demonstrate it in a living laboratory animal. The team was able to cure mice of a disease that makes the males unable to father offspring, and believe the technique will also work on human beings.

The team says neurodegenerative diseases, such as Alzheimer’s, Parkinson’s and Huntington’s, as well as certain types of diabetes, inherited cataracts and cystic fibrosis are just a few of the diseases that could potentially be cured using the new approach. Now working at the Texas Tech University Health Sciences Center (TTUHSC), Conn and his team are looking to conduct human trials.

DNA-molecule2One of the hallmarks of the coming age of science, technology and medicine is the idea that people will be living in post-mortality age, where all diseases and conditions are curable and life can be extended almost indefinitely. Might still sound like science fiction, but all of this research is indicative of the burgeoning trend where things that were once thought to be “treatable but not curable” is a thing of the past.

It’s an exciting time to be living in, almost as exciting as the world our children will be inhabiting – assuming things go according to plan. And in the meantime, check out this video of the SDF-1 gene therapy in action, courtesy of the University of Utah School of Medicine:


Sources: extremetech.com, gizmag.com