title: Tissue response to subcutaneous implantation of glucose-oxidase-based glucose sensors in rats.
abstract: Considerable progress in improved control of disturbed glucose metabolism can be expected by continuous glucose monitoring. The aim of the study was to evaluate in male Sprague-Dawley rats tissue response to implantation of a new amperometric glucose-oxidase-based glucose sensor (NTS) compared to a commercially available sensor system CGMS of MiniMed. Both sensors were tested under working conditions over a period of 3 days. Using NTS, glucose in interstitial fluid reflected glucose in arterial blood even in rapidly changing hyper- and hypoglycaemia whereas the CGMS did not detect the experimentally induced glucose changes adequately. Gene expression profiling was performed using Affymetrix chips. Acute phase response to injury by sensor application for a short time is indicated by down regulation of the increase in mRNA of proteases e.g. metallothionein-1alpha and matrix metalloprotease-3 at day 3. Improvement of anabolic situation is suggested by decrease in mRNA of insulin-like growth factor binding protein whereas increase of heme oxygenase and hypoxia-inducible factor may be related to defense mechanisms. Changes of mRNA together with slight fibrous capsule formation suggest good histocompatibility. Comparability of the patterns of changed mRNA in tissue surrounding SCGM with and without operating voltage as shown in dendrogram indicates no contribution of hydrogen peroxide to worsening biocompatibility. Beside established histological investigations of foreign body reaction weeks or months after implantation, gene expression profiling provides additional information to biocompatibility already early after implantation.
authors.affiliation: Medical Research Center, University Hospital Mannheim, University of Heidelberg, D68167 Mannheim, Germany.
authors.forename: Nadja
authors.initials: N
authors.lastname: Henninger
authors.forename: Stefanie
authors.initials: S
authors.lastname: Woderer
authors.forename: Hans-Martin
authors.initials: HM
authors.lastname: Kloetzer
authors.forename: Arnulf
authors.initials: A
authors.lastname: Staib
authors.forename: Ralph
authors.initials: R
authors.lastname: Gillen
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Xiaolei
authors.initials: X
authors.lastname: Yu
authors.forename: Norbert
authors.initials: N
authors.lastname: Gretz
authors.forename: Bettina
authors.initials: B
authors.lastname: Kraenzlin
authors.forename: Johannes
authors.initials: J
authors.lastname: Pill
mesh_terms: D000818:Animals; D015374:Biosensing Techniques / Q000295:instrumentation*; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000009:adverse effects* / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005549:Foreign-Body Reaction / Q000175:diagnosis* / Q000209:etiology*; D005949:Glucose Oxidase / Q000737:chemistry*; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
chemical_list: D001786:Blood Glucose; D005949:Glucose Oxidase