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Analytical Chemistry Chemical Cytometry Quantitates Superoxide

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GOx<br />

glucose + O298 gluconic acid +<br />

0.7 V<br />

H2O298 H 2 O 2 (GOx: glucose oxidase) (1)<br />

2H + + O 2 + 2e -<br />

The reaction may be carried out by mixing the reagents in solution<br />

to produce H2O2 which is then subsequently detected by<br />

integrated electrodes, 7,8 or by immobilizing GOx directly onto<br />

the detection electrode surface to react with glucose in solution. 9<br />

The electrochemical detectors in these microchips displayed fast<br />

response times and low detection limits. Immobilizing GOx<br />

certainly reduces its consumption significantly compared to<br />

devices in which GOx is added in solution. However, the major<br />

disadvantage of this approach is that the enzyme layer is prone<br />

to biofouling in in vivo applications, which might cause a decrease<br />

in activity over time and poor performance as a result. 10,11<br />

Over the past decade, a number of glucose sensor designs<br />

have been developed and become available for continuous<br />

monitoring purposes. 12-16 Mastrototaro et al. 14 reported an in<br />

vivo needle-type continuous glucose monitoring system (CGMS),<br />

which is currently being used by consumers as a kit (MiniMed).<br />

The detector in this system is based on the reaction of immobilized<br />

glucose oxidase on the electrode with glucose. Schoemaker et<br />

al. 15 and Wientjes et al. 17 have both reported a subcutaneous<br />

continuous glucose monitoring system (SCGM) based on a<br />

microdialysis probe and using the solution-based enzymatic<br />

reaction with glucose. They reported reliable measurements in<br />

diabetes patients over periods of four days 18 up to two weeks. 19,20<br />

However, due to their bulky size and the need for connecting<br />

tubes between system components, these systems exhibited<br />

relatively long physical lag times of 30 min or more. Pickup et<br />

al. 13 reviewed the clinical use of glucose monitoring systems and<br />

introduced new technology for noninvasive glucose sensing, based<br />

on near-infrared spectroscopy and fluorescence. Wentholt et al. 21<br />

(10) Gerritsen, M.; Jansen, J. A.; Lutterman, J. A. Neth. J. Med. 1999, 54, 167–<br />

179.<br />

(11) Wisniewski, N.; Moussy, F.; Reichert, W. M. Fresenius’ J. Anal. Chem. 2000,<br />

366, 611–621.<br />

(12) Maran, A.; Crepaldi, C.; Tiengo, A.; Grassi, G.; Vitali, E.; Pagano, G.; Bistoni,<br />

S.; Calabrese, G.; Santeusanio, F.; Leonetti, F.; Ribaudo, M.; Di Mario, U.;<br />

Annuzzi, G.; Genovese, S.; Riccardi, G.; Previti, M.; Cucinotta, D.; Giorgino,<br />

F.; Bellomo, A.; Giorgino, R.; Poscia, A.; Varalli, M. Diabetes Care 2002,<br />

25, 347–352.<br />

(13) Pickup, J. C.; Hussain, F.; Evans, N. D.; Sachedina, N. Biosens. Bioelectron.<br />

2005, 20, 1897–1902.<br />

(14) Mastrototaro, J. J. Diabetes Technol. Ther. 2000, 2, 13–18.<br />

(15) Schoemaker, M.; Andreis, E.; Roper, J.; Kotulla, R.; Lodwig, V.; Obermaier,<br />

K.; Stephan, P.; Reuschling, W.; Rutschmann, M.; Schwaninger, R.;<br />

Wittmann, U.; Rinne, H.; Kontschieder, H.; Strohmeier, W. Diabetes Technol.<br />

Ther. 2003, 5, 599–608.<br />

(16) Suzuki, H.; Tokuda, T.; Miyagishi, T.; Yoshida, H.; Honda, N. Sens. Actuators,<br />

B 2004, 97, 90–97.<br />

(17) Wientjes, K. J. C.; Grob, U.; Hattemer, A.; Hoogenberg, K.; Jungheim, K.;<br />

Kapitza, C.; Schoonen, A. J. M. Diabetes Technol. Ther. 2003, 5, 615–620.<br />

(18) Kapitza, C.; Lodwig, V.; Obermaier, K.; Wientjes, K. J. C.; Hoogenberg, K.;<br />

Jungheim, K.; Heinemann, L. Diabetes Technol. Ther. 2003, 5, 609–614.<br />

(19) Wientjes, K. J.; Vonk, P.; Vonk-van Klei, Y.; Schoonen, A. J.; Kossen, N. W.<br />

Diabetes Care 1998, 21, 1481–1488.<br />

(20) Schoonen, A. J. M.; Schmidt, F. J.; Hasper, H.; Verbrugge, D. A.; Tiessen,<br />

R. G.; Lerk, C. F. Biosens. Bioelectron. 1990, 5, 37–46.<br />

(21) Wentholt, I. M. E.; Hoekstra, J. B. L.; DeVries, J. H. Diabetes Technol. Ther.<br />

2007, 9, 399–409.<br />

(2)<br />

reported an overview of the current applications and clinically<br />

relevant aspects of continuous glucose monitors (CGMs), with<br />

emphasis on the calibration procedure, interpretation of continuous<br />

glucose data, and some important limitations. Overall, these<br />

authors concluded that improved accuracy, reliability for longer<br />

periods of time, miniaturization, and cost-effectiveness are the<br />

main issues which need to be considered in the further development<br />

of continuous glucose monitoring systems. 21<br />

Chip-based microfluidic technologies are a good alternative to<br />

improve on conventional monitoring approaches such as the<br />

SCGM described above. Microfluidic systems, also termed<br />

“miniaturized total analysis systems (µTAS)” 22 or “lab-on-a-chip”,<br />

are now widely used in analytical chemistry and biological<br />

applications. Advantages of these systems include dramatically<br />

reduced consumption of chemical reagents, faster reaction times<br />

and cost-effectiveness. Micro SCGM systems can thus be envisaged<br />

which exploit the solution-based reaction of GOx with<br />

glucose in nL volumes in micrometer-sized channels for glucose<br />

sensing. The speed of this analysis is determined by the efficiency<br />

of mixing reagents in the microfluidic channels. Mixing at the<br />

micrometer scale is a challenge, as flows are generally extremely<br />

well-defined and laminar. Mixing of two solution streams in a<br />

straight microchannel is possible only through means of diffusion,<br />

a passive molecular transport process which is very slow. There<br />

has therefore been an enormous amount of research done in the<br />

past decade or so on how to implement efficient mixing at the nL<br />

scale. So-called passive micromixers are generally preferred for<br />

many micro analytical flow systems, since these elements do not<br />

require the application of an external force to achieve mixing. A<br />

large number of passive micromixers have been reported, including<br />

a planar laminar flow mixer, 23 a cross-shaped micromixer 24<br />

and a droplet mixer. 25 The approach chosen for our work is one<br />

based on chaotic mixing, first described by Stroock et al. 26,27<br />

Mixing is achieved through the incorporation of an array of<br />

microgrooves into a microchannel. Flow over the groove array<br />

assumes a helical or corkscrew pattern, in which the contact area<br />

between two adjacent solutions is increased dramatically to<br />

facilitate mixing by diffusion.<br />

The long-term goal of the present project is to realize an<br />

autonomous, portable sensing system for continuous in vivo<br />

glucose monitoring, based on the reaction in solution of GOx with<br />

glucose to produce H 2O2. To accomplish this, we have designed<br />

a miniaturized glucose sensing system based on microdialysis<br />

sampling and lab-on-a-chip technology. In this system, nL<br />

amounts of sample and enzyme rapidly mix and react. As highrecovery<br />

microdialysis requires flow rates in tissue less than 1<br />

µL/min, 17 we have adapted the microreactor dimensions<br />

according to these conditions. In this paper, we describe a new<br />

application for chaotic mixing, that is, the efficient and fast<br />

mixing of GOx and glucose for reaction. To that end, either<br />

(22) Reyes, D. R.; Iossifidis, D.; Auroux, P.-A.; Manz, A. Anal. Chem. 2002, 74,<br />

2623–2636.<br />

(23) Melin, J.; Gimenez, G.; Roxhed, N.; van der Wijngaart, W.; Stemme, G.<br />

Lab Chip 2004, 4, 214–219.<br />

(24) Wong, S. H.; Bryant, P.; Ward, M.; Wharton, C. Sens. Actuators, B 2003,<br />

95, 414–424.<br />

(25) Paik, P.; Pamula, V. K.; Fair, R. B. Lab Chip 2003, 3, 253–259.<br />

(26) Stroock, A. D.; Dertinger, S. K. W.; Ajdari, A.; Mezic, I.; Stone, H. A.;<br />

Whitesides, G. M. Science 2002, 295, 647–651.<br />

(27) Stroock, A. D.; Dertinger, S. K.; Whitesides, G. M.; Ajdari, A. Anal. Chem.<br />

2002, 74, 5306–5312.<br />

<strong>Analytical</strong> <strong>Chemistry</strong>, Vol. 82, No. 16, August 15, 2010<br />

6757

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