What is it about?

Inspired by the sensing ability of biological cilia, we report wireless sensing mechanisms in sensory artificial cilia for detecting mucus conditions, including viscosity and layer thickness, which are crucial biomarkers for disease severity. These sensing mechanisms could be integrated with existing implantable devices, such as airway stents, to monitor various fluidic conditions for disease monitoring, enabling timely interventions.

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Why is it important?

Mucus conditions are important biomarkers for indicating inflammation and stent patency inside the human airway but remain challenging to monitor. Existing methods pose risks due to radiation exposure and lack the ability to provide continuous real-time feedback outside of hospital settings. For the first time, we demonstrate integrating the sensing mechanisms and wireless electronics in airway stents, to not only monitor stent patency but also sense various fluidic conditions for disease monitoring, enabling timely interventions in Central Airway Obstruction, Chronic Obstructive Pulmonary Diseases (COPD), Cystic Fibrosis, lung cancer, and other airway diseases.

Perspectives

This work was done in collaboration with Vanderbilt University Medical Center faculty members Fabien Maldonado, professor of medicine and thoracic surgery; Caitlin Demarest, assistant professor Thoracic Surgery; and Caglar Oskay, chair of the Department of Civil and Environmental Engineering and Cornelius Vanderbilt Professor of Engineering. Yusheng Wang, the study’s first author, is a third-year Ph.D. student in the Department of Mechanical Engineering. Our sensing mechanism for mucus viscosity leverages external magnetic fields to actuate a magnetic artificial cilium, with shape sensing achieved through a flexible strain-gauge. Additionally, we developed an artificial cilium with capacitance sensing for measuring mucus layer thickness, offering unique self-calibration, adjustable sensitivity, and range—all enabled by external magnetic fields generated by a wearable magnetic actuation system. We tested this method by deploying the sensors independently or in conjunction with an airway stent within both an artificial trachea and a sheep trachea. Sensing signals are transferred wirelessly to a smartphone or the cloud for further data analysis and disease diagnosis. These sensing mechanisms and devices pave the way for real-time monitoring of mucus conditions, facilitating early disease detection, providing stent patency alerts, and thereby enabling timely interventions and personalized care.

Xiaoguang Dong
Vanderbilt University

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This page is a summary of: Sensory artificial cilia for in situ monitoring of airway physiological properties, Proceedings of the National Academy of Sciences, November 2024, Proceedings of the National Academy of Sciences,
DOI: 10.1073/pnas.2412086121.
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