Tuesday, September 12, 2023

Smart pill can track key biological markers in real-time in the human gut

Good news! Are you ready for a Fantastic Voyage! "“Fantastic Voyage,” a 1966 film about four scientists who shrink themselves to fit into a tiny submarine that travels through the arteries of a sick man to treat a problem in his brain."

These pills are getting smaller and smaller and better!

"Researchers ... report a smart pill the size of a blueberry that could be a game changer in the diagnosis and treatment of bowel diseases. That’s because it is the first technology compatible with ingestion that can automatically detect — and report on in real time — key biological molecules that could be indicative of a problem. ...
The new study significantly advances earlier research reported in a 2018 issue of Science. The current pill is approximately one-sixth the size of the prototype reported in Science, conforming to safe, ingestible dosage forms on the market. It has also been designed to detect key biological molecules, such as nitric oxide and byproducts of hydrogen sulfide, which are important signals and mediators of the inflammation associated with bowel diseases. ...
The new pill, which has been successfully tested in pigs, combines specially engineered living bacteria with electronics and a tiny battery. When the bacteria sense a molecule of interest, they produce light (the bacteria by themselves have also been successfully tested outside of animals and in mice). The pill electronics then convert that light into a wireless signal that can be transmitted through the body to a smartphone or other computer in real time as the pill travels through the gut. ...
In their study, the researchers showed that the smart pill could detect nitric oxide, a short-lived molecule that is associated with many IBDs. Importantly, the sensors could also detect different concentrations of nitric oxide. ... It’s also important because biomarker levels vary greatly among patients. ... 
The team says the pill could be tweaked to detect other key biomarkers. ..."

From the abstract:
"Transient molecules in the gastrointestinal tract such as nitric oxide and hydrogen sulfide are key signals and mediators of inflammation. Owing to their highly reactive nature and extremely short lifetime in the body, these molecules are difficult to detect. Here we develop a miniaturized device that integrates genetically engineered probiotic biosensors with a custom-designed photodetector and readout chip to track these molecules in the gastrointestinal tract. Leveraging the molecular specificity of living sensors, we genetically encoded bacteria to respond to inflammation-associated molecules by producing luminescence. Low-power electronic readout circuits integrated into the device convert the light emitted by the encapsulated bacteria to a wireless signal. We demonstrate in vivo biosensor monitoring in the gastrointestinal tract of small and large animal models and the integration of all components into a sub-1.4 cm3 form factor that is compatible with ingestion and capable of supporting wireless communication. With this device, diseases such as inflammatory bowel disease could be diagnosed earlier than is currently possible, and disease progression could be more accurately tracked. The wireless detection of short-lived, disease-associated molecules with our device could also support timely communication between patients and caregivers, as well as remote personalized care."

Smart pill can track key biological markers in real-time | MIT News | Massachusetts Institute of Technology

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