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  糖尿病是一種以高血糖為主要特征的慢性疾病，Ⅰ型或嚴(yán)重的Ⅱ型糖尿病患者往往需要皮下注射胰島素來維持血糖穩(wěn)定。由于過量的胰島素可能導(dǎo)致低血糖，甚至危及生命，因此每日通常需要分2~4次注射，給糖尿病患者的日常生活帶來巨大不便。因此，設(shè)計(jì)具有葡萄糖響應(yīng)性能的胰島素遞送體系，根據(jù)血糖濃度智能地控制胰島素釋放速率，對減少給藥次數(shù)、方便患者生活具有重要意義。

Figure 1. The designing process of glucose-responsive microneedle patch with enhanced insulin-loading capacity and blood-glucose regulating performance.

Figure 2. (a) Self-assembly of polymers and the INS-loading process. (b) ILCs of the polymers under the feed ratio of 1 g/g. (c) ILCs of PL-NA/FPBA under the feed ratio of 1 g/g. (d) ILCs of PL-NA(20%)/FPBA(38%) under different feed ratios. (e) ILCs (average) of different polymeric carriers in the previous reports. The carriers were labeled according to their main chains, including βCD, Alg, pAsp, HA, CS, Dex, PLGA and αPL. The data of “PL” referred to ILC of PL-NA(20%)/FPBA(38%) under the feed ratio of 2 g/g. The data of (b)-(d) were shown as the means ± SD (n = 3).

Figure 4. (a) The reaction between NANP and glucose. (b) The glucose-responsive INS-releasing mechanism of INS/NANP and (c) the corresponding in-vitro cumulative-releasing profiles. (d) The glucose-responsive INS-releasing mechanism of NA-MNP and (e) the corresponding in-vitro cumulative-releasing profiles. The data of (c) and (e) were shown as the means ± SD (n = 3).

Figure 5. (a) The applied MNP on a rat with the skin repairing test (scale bar = 2 mm) and the trypan-blue staining test. (b) The 8-hour BGL-lowering test and (c) the corresponding BGL-lowering speeds (n = 5). (d) The 8-hour curves of plasma INS and (e) the calculation results of AUC (n = 5). (f) The hypoglycemia-avoiding test and (g) the calculation results of AUC_{Health control} (n = 5). (h) The IPGTT results (n = 5). (i) The curves of plasma INS (n = 5). (j) The BGL-monitoring procedure and (k) the corresponding BGL curves under the “three-meal-per-day” mode (n = 5). The data of (b-i, k) were shown as the means ± SD. The statistical analyses were performed by two-tailed Student’s t-test. The t-test of (h) was applied between “nNA-MNP” and “NA-MNP”. * P < 0.05, ** P < 0.01 and *** P < 0.001.

  論文信息：ACS Appl. Mater. Interfaces 2023, 15, 31330-31343

  論文鏈接：https://doi.org/10.1021/acsami.3c06483