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葡萄糖氧化酶介导的智能响应胰岛素递送的研究进展

Progress of intelligent-responsive insulin delivery mediated by glucose oxidase

  • 摘要: 外源性胰岛素的递送对于1型和晚期2型糖尿病的治疗至关重要。传统的注射式给药易引发低血糖,而智能胰岛素系统具有安全、长效、高响应性等优点。葡萄糖氧化酶(glucose oxidase,GOx)能够消耗O2,催化葡萄糖生成葡萄糖酸和H2O2,因此GOx系统的O2水平、H2O2含量及pH大小与系统中的葡萄糖水平密切相关。本文总结了近年关于GOx在闭环胰岛素递送系统中的应用,按照机制分为pH响应、缺氧响应、H2O2响应的单一响应及多重响应,并探讨了GOx在未来应用方面所面临的机遇与挑战。

     

    Abstract: The delivery of exogenous insulin is very important for the treatment of type 1 and advanced type 2 diabetes.Traditional injectable administration is prone to cause hypoglycemia, while the intelligent insulin system has the advantages of safety, long-term effectiveness, and high responsiveness.Glucose oxidase (GOx) can consume O2 and catalyze glucose to produce gluconic acid and H2O2.Therefore, the O2 level, H2O2 content and pH of GOx system are closely related to the glucose level in the system.This review introduces the application of GOx in closed-loop insulin delivery systems at home and abroad in recent years, which can be divided into single response and multiple response of pH-response, hypoxia-response, and H2O2-response according to the mechanism.It also discusses the opportunities and challenge facing by the application of GOx in the future.

     

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