Detectable, enzymatic degradation in the treatment of epilepsy silk hydrogel sensor
The flexible device (e.g., pressure and strain sensors) may be used in electronic devices and implantable skin. Although highly sensitive mechanical sensor research and development has made considerable progress, but the majority of wearable devices and electronic skin can only meet the requirements of monitoring. Durability, biocompatibility, treatment capacity, controlled drug release and can also trigger the degradation of flexible devices several challenges. Silkworm and spider silk protein produced has mechanical strength, biocompatibility and biodegradability. Silk mild processing conditions, which allows the electro-optical functions, optical or chemically active dopant (such as graphene, carbon nanotubes, laser dyes, metal and semiconductor nanoparticles and quantum dots) or a biological component (such as a drug, an enzyme, antibodies and antigen) doped into silk thereby retain their functional biological activity and a longer period. Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences Institute of Tao Tiger team published a Body-Integrated on Advanced Science, Enzyme-Triggered Degradable, Silk-Based Mechanical Sensors for Customized Health / Fitness Monitoring and In Situ Treatment, the authors report a set of conductive wire fibroin hydrogel (CSFH) stretching the flexible sensor, which is used wearable or implanted in the body. Doped carbon nanotubes (of CNTs) having a CSFH good flexibility, its elastic modulus of 0.001-0.15 MPa, up to 100% higher tensile properties, and have excellent rigidity and elasticity. Since the response CSFH various simple and complex movements (e.g., separate compression, stretching and bending) or various combinations thereof, so that it can be used to sense pressure and strain state, and discriminating between different behaviors. The authors show the capabilities of these devices in sign language interpreting and monitoring of physiological signals (such as during intracranial pressure (ICP) and the articulation of speech or muscle movements) area. Further, by the light – activated enzymatic degradation mechanism demand degradable hydrogel. The hydrogel sensor can effectively monitor and in-situ treatment of epilepsy.
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1. Structure and characterization of CSFH
FIG. 1a shows the basic structure and CSFHMaterial components. Silk protein of α- helix, [beta] sheet-like, short peptides and random coil, wire backbone hydrogels are formed by covalent bonds and hydrogen bonds. Due to a hydrogel doped carbon nanotubes having conductivity. CSFH has excellent compressibility, stretchability and bendability (FIG. 1b). FIG sensing mechanism described 1c- d is the contact force between the carbon nanotubes upon application of an external force. After application of tension, the stretching direction inside the gap (FIG. 1c (ii)) is increased to reduce the conductive path, resistance is increased. The initial state, the path between the carbon nanotubes increases, resistance decreases. When external pressure is applied, the internal clearance was significantly reduced (Fig. 1c (iii)), more carbon nanotubes contact each other, the conductive paths increases, resistance decreases. Bending (FIG. 1c (iv)), CSFH received a tensile strain is generated, resulting in increased resistance. Significant fluctuations in brightness Figure 1e shows a visualization application CSFH sensors, LED lamps can be programmed at the time of mechanical movement is lit, curved or straight in CSFH. In CSFH 0.25% papain solution degradable (FIG. 1f).

2. CSFH mechanical properties and electrical properties Characterization
CSFH evaluated the mechanical properties. CSFH may be a compressive stress of at least 5 cycles (FIG. 2a), while having excellent tensile (breaking strain 100%). No matter what state the sample, the current increases linearly with voltage, and CSFH in the initial state is smaller than the resistance of the tensile and bending state, but the resistance is larger than the compressed state (FIG. 2c). CSFH having desirable ohmic characteristics, which may be described as an ideal pressure and strain sensors. Figure 2d shows that the resistance decreases with increasing pressure ratio R / R0, when the pressure is less than 500 Pa, the pressure sensor having high sensitivity but at high pressure, reduced pressure sensitivity. R / R0 value of the tensile strain increases almost linearly(Fig. 2e). The sensitivity of the device is mounted to measure the index finger joint sensor, the value of R / R0 increases as the bending angle of the increasing sensitivity of 0.0045 / degrees (FIG. 2f). Figure 2g shows a pressure sensor as CSFH immediate response and cycling stability which immediate response time in the millisecond range. FIG 2h described sensor has high durability, repeatability and stability. Fast response and cycle durability are important considerations for wearable or real-time monitoring of physiological signals implantable.

3. CSFH enzymatic degradation of
CSFH degradable crosslinked enzyme (FIG. 3a) by a protease (e.g., papain), when mixed with papain CSFH, the secondary structure of the silk protein is destroyed, CSFH gradual degradation. Papain doped porous internal structure CSFH tissue during the degradation process becomes more disordered (FIG. 3b), the external trigger can accelerate the degradation process. Compression modulus and the tensile modulus increased degradation with time significantly reduced, indicating that papain doped CSFH more easily deformable (FIG. 3c). ΔR / R0 absolute value does not vary significantly reduced degradation (FIG. 3D); the contrary, since the partial degradation of structural disorder and the interior of the porous hydrogel matrix will be a slight increase in the elastic modulus decreased CSFH make CSFH more easily deformed, more sensitive to mechanical forces, to keep the sensor described CSFH sensor sensitivity throughout the degradation process until completely decomposed. Figure 3e shows the effect of temperature on the degradation rate CSFH pH greater than, and most suitable degraded is 50 ° C, pH = 6. OF also doped by gold particles (of AuNPs) local laser heating to accelerate the degradation rate of CSFH (FIG. 3g) use.

4. Application CSFH real-time monitoring of physiological signals and sign language translation
The author goes on to CSFH used in sign language translation and real-time monitoring of physiological signals. As shown in FIG. 4a, on all joints of the fingers 14 CSFH sensors were installed, the sensor according to the conversation letters, words and gestures, generates a specific signature signal flexion. FIG. 4a using signal patterns of different color mapping each sensor and gesture shows the experimental results of \”hydrogel\” word. The sensor may also detect a physiological signal in a voice or articulation, such as ICP and muscle movement. CSFH membrane is sandwiched between the two electrodes to assemble a pressure sensor, and implanted into rats with intracranial space detecting intracranial pressure (FIG. 4a). Under normal conditions, the resistance change value ([Delta] R) are fluctuating rhythm, euthanasia into linear movement, show rhythmic fluctuations in the normal state of cardiac impulses ICP and respiration. The pressure sensor can monitor intracranial pressure (FIG. 4b) during a seizure, epilepsy after induction, the value of [Delta] R PNG penicillin solution decreased, indicating intracranial pressure during the seizure. CSFH sensor may also be connected to the throat to monitor the speech during muscle movement (FIG. 4C), measured or fixed onto human knee exercise such as walking, jogging, and squat (FIG. 4d). These experiments demonstrate that the party and the potential health monitoring sensor CSFH in helping patients with language barriers to communicate.

5. CSFH for the treatment of epilepsy
In addition, the sensor further having CSFH drug release function, to carry out inspection of epilepsy selectedcertificate. CSFH used microneedle array patch and sensor combination to trigger laser heat treatment (FIG. 5a). Phenobarbital drug contained microneedle array closely adhered CSFH sensor, then the patch attached to the back of the mouse health monitoring (FIG. 5b). The patch can detect the signal if the onset of epilepsy exercise and health status. When the symptoms of epilepsy, laser heating patches trigger degradation, phenobarbital released into the body to be treated (FIG. 5c). After this 10 minutes photoinitiator drug therapy, topical patches temperature reaches 42 ° C, significantly alleviate epilepsy seizures (FIGS. 5d-e).

Conclusion
Preparation of a set of flexible, stretchable, and implantable wearable CSFH sensor that has a good adhesion, rigidity and elasticity, for human skin and internal organs have good mechanical compliance. These devices may be applied to many parts of the body, to effect movement of the physiological signal monitoring and identification. In addition, papain by combining gold nanoparticles, the light may trigger degradation CSFH. The apparatus in combination with drug microneedle array may be monitored in real time and in situ treatment of epilepsy. This provides a flexible mechanical sensing loop (i.e., \”sense and respond\”) a flexible multi-functional electronic platform, in the future may be used in soft robot, clinical treatment and rehabilitation of patients detected.