Injectable nano-network controls blood sugar in diabetics for days at a time

"We've created a 'smart' system that is injected into the body and responds to changes in blood sugar by releasing insulin, effectively controlling blood-sugar levels," says Dr. Zhen Gu, lead author of a paper describing the work and an assistant professor in the joint biomedical engineering program at NC State and UNC Chapel Hill. "We've tested the technology in mice, and one injection was able to maintain blood sugar levels in the normal range for up to 10 days."

When a patient has type 1 diabetes, his or her body does not produce sufficient insulin, a hormone that transports glucose -- or blood sugar -- from the bloodstream into the body's cells. This can cause a host of health effects. Currently, diabetes patients must take frequent blood samples to monitor their blood-sugar levels and inject insulin as needed to ensure their blood sugar levels are in the "normal" range. However, these injections can be painful, and it can be difficult to determine the accurate dose level of insulin. Administering too much or too little insulin poses its own health risks.

The new, injectable nano-network is composed of a mixture containing nanoparticles with a solid core of insulin, modified dextran and glucose oxidase enzymes. When the enzymes are exposed to high glucose levels they effectively convert glucose into gluconic acid, which breaks down the modified dextran and releases the insulin. The insulin then brings the glucose levels under control. The gluconic acid and dextran are fully biocompatible and dissolve in the body.

Each of these nanoparticle cores is given either a positively charged or negatively charged biocompatible coating. The positively charged coatings are made of chitosan (a material normally found in shrimp shells), while the negatively charged coatings are made of alginate (a material normally found in seaweed).

When the solution of coated nanoparticles is mixed together, the positively and negatively charged coatings are attracted to each other to form a "nano-network." Once injected into the subcutaneous layer of the skin, the nano-network holds the nanoparticles together and prevents them from dispersing throughout the body. Both the nano-network and the coatings are porous, allowing blood -- and blood sugar -- to reach the nanoparticle cores.

"This technology effectively creates a 'closed-loop' system that mimics the activity of the pancreas in a healthy person, releasing insulin in response to glucose level changes," Gu says. "This has the potential to improve the health and quality of life of diabetes patients."

Gu's research team is currently in discussions to move the technology into clinical trials for use in humans.