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Self‐Generated Displacement Current of Triboelectric Nanogenerator for Cancer Therapy: Theory and Application

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Wearable and implantable triboelectric nanogenerators (TENGs) convert mechanical energy to electricity in the daily movements of the human body. Self‐generated dynamic electric field or displacement current of TENGs can operate from micrometers to centimeters, which offers a key technology for TENG‐based therapy systems for precision medicine on both tissues and cells. TENGs have low‐current and high‐voltage properties, which reduce damage to normal tissues, and kill rapidly dividing cancer cells. In this work, the dynamic electric field from TENG directly inhibits the cellular proliferation behavior of cancer cells. The work paves a new way for the self‐generated electric field of TENG for cancer therapy.
TENG‐based self‐generated electric fields inhibit tumor growth in vitro. a) Schematic of the in vitro experimental setup for TENG‐based self‐generated electric field systems. b) Relative cell viabilities of B16F10 cells 24 h after treatment with TENG‐based self‐generated electric field systems (n = 4). c) The inhibition ratio of different treatment times of TENG with self‐generated electric fields in B16F10 cells (n = 4). d) The inhibition ratio of different electric field intensities of B16F10 cells (n = 4). e) Representative flow cytometry profiles and apoptotic cell percentage for B16F10 cells under TENG‐based self‐generated electric fields (n = 4). f) Levels of 8‐hydroxy‐20‐deoxyguanosine (8‐OHdG), 4‐hydroxynonenal (4‐HNE), and protein carbonyl (PCO) content after different treatments (n = 4). g) Calcein AM and PI double‐stained images of B16F10 cells treated with TENG‐based self‐generated electric fields (n = 4). h) Fluorescence images and the ratio of fluorescence intensity of JC‐1 monomers and JC‐1 aggregates of the B16F10 cells under different treatments (n = 4). i) Representative fluorescent images and quantification of H2DCFDA staining for intracellular ROS (n = 4). j) Representative fluorescent images and quantification of staining for intracellular Ca²⁺ and the intensity of fluorescence (n = 4). Statistical significance was calculated via Student's t‐test compared with the control or the ordinary one‐way ANOVA with multiple comparisons. Values of p < 0.05 were considered statistically significant. Asterisk (*) denotes statistical significance between bars (*p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001); ns, not statistically significant.
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RESEARCH ARTICLE
www.advmattechnol.de
Self-Generated Displacement Current of Triboelectric
Nanogenerator for Cancer Therapy: Theory and Application
Meihua Chen, Xin Cui, Yaming Zhang, Pingjin Zou, Ling Xiao, Mengzhe Kang,
Junyang Chen, Junjin Ren, Zengyi Fang, Lijie Li, Jinyi Lang,* Yan Zhang,*
and Zhong Lin Wang*
Wearable and implantable triboelectric nanogenerators (TENGs) convert
mechanical energy to electricity in the daily movements of the human body.
Self-generated dynamic electric field or displacement current of TENGs can
operate from micrometers to centimeters, which offers a key technology for
TENG-based therapy systems for precision medicine on both tissues and
cells. TENGs have low-current and high-voltage properties, which reduce
damage to normal tissues, and kill rapidly dividing cancer cells. In this work,
the dynamic electric field from TENG directly inhibits the cellular proliferation
behavior of cancer cells. The work paves a new way for the self-generated
electric field of TENG for cancer therapy.
M. Chen, X. Cui, Y. Zhang, P. Zou, L. Xiao, M. Kang, J. Ren, Z. Fang,
J. Lang, Y. Zhang
Department of Radiation Oncology
Radiation Oncology Key Laboratory of Sichuan Province
Sichuan Clinical Research Center for Cancer
Sichuan Cancer Hospital & Institute
Sichuan Cancer Center
School of Physics
Aliated Cancer Hospital of University of Electronic Science and
Technology of China
Chengdu , China
E-mail: langjy@.com;zhangyan@uestc.edu.cn
J. Chen
School of Clinical Medicine
Chengdu University of Traditional Chinese Medicine
Chendu , China
L. Li, Y. Zhang
College of Engineering
Swansea University
Swansea SA EN, UK
Y. Zhang, Z. L. Wang
Beijing Institute of Nanoenergy and Nanosystems
Chinese Academy of Sciences
Beijing , China
E-mail: zlwang@gatech.edu
Z. L. Wang
College of Nanoscience and Technology
University of Chinese Academy of Sciences
Beijing , China
The ORCID identification number(s) for the author(s) of this article
can be found under https://doi.org/./admt.
DOI: 10.1002/admt.202301225
1. Introduction
Food and Drug Administration (FDA) ap-
proved tumor treating fields (TTFields) to
use in glioblastoma multiforme (GBM),
which have been found to improve
survival in patients. TTFields use low-
intensity (1–3 V cm1) and intermediate-
frequency (100–300 kHz) electrical fields
to treat cancers.[1]TTFields selectively
interrupt mitosis and kill rapidly divid-
ing tumor cells by delivering continu-
ous alternating electric fields to the tu-
mor site.[2]As an innovative and noninva-
sive therapy, TTFields selectively affects
dividing cells while quiescent cells are left intact. However, the
treatment costs of TTFields are $21 000 per month for pro-
longed treatment. The patients need to wear the TTFields device
continuously with minimal interruption, for more than 18 h a
day, this inevitably requires lifestyle modifications which leads to
lifestyle drawbacks.[3]
Triboelectric nanogenerators (TENGs)[4]based precision
medicine systems have been a wide application prospect in
the medical and health field.[5]TENGs convert electricity from
human biomechanical energy.[6]TENGs have been applied
on peripheral nerves to modulate gastric, sciatic, and blad-
der function.[7]Biomechanical systems based on TENGs are
effectively applied for cell modulation,[8]and direct muscle
stimulation.[9]TENG-based precision medicine systems have
been used as prostheses for the auditory,[10]visual,[11]and ol-
factory systems.[12]A self-powered magnet TENG-based drug
delivery system (DDS) was developed in preclinical research.[13]
TENGs can control the drug release, which is used for the DDS
that transports chemotherapeutic drug doxorubicin by red blood
cells (RBCs).[13]
Wearable TENGs offer novel therapeutic with self-generated
fields that directly treat cancer by human biomechanical energy.
Yao et al.[14]developed a human self-driven catalysis-promoting
system (TENG-CatSystem) by self-generated electric field for cat-
alytic cancer therapy. TENG-based devices can directly treat can-
cer for flexible time antitumor treatment. The lower frequency
and higher intensity of TENG driven by daily movement can be a
great strategy for tumor treatments. In this study, we investigate
that self-generated field from TENG directly treats cancer in can-
cer cells and murine tumors. Figure 1is the schematic diagram
of TENG with self-generated electric field systems for cancer
Adv. Mater. Technol. 2024,9,  ©  Wiley-VCH GmbH
2301225 (1 of 11)
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Electric field‐based stimulation is emerging as a new cancer therapeutic modality through interfering with cell mitosis. To address its limitations of complicated wire connections, bulky devices, and coarse spatial resolution, we propose an improved and alternative method for wirelessly delivering electrical stimulation into tumor tissues through designing an implantable, biodegradable and wirelessly controlled therapeutic triboelectric nanogenerator (ET‐TENG). With the excitation of ultrasound (US) to the ET‐TENG, the implanted ET‐TENG can generate an alternating current voltage and concurrently release the loaded anti‐mitotic drugs into tumor tissues, which synergistically disrupts the assembly of microtubules and filament actins, induces cell cycle arrest, and finally enhances cell death. With the assistance of US, the device can be completely degraded after the therapy, getting free of a secondary surgical extraction. The device can not only work around those unresectable tumors, but also provides a new application of wireless electric field in cancer therapy. This article is protected by copyright. All rights reserved
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Inhibiting energy metabolism of cancer cells is an effective way to treat cancer but remains a great challenge. Herein, electrostimulation (ES) is applied to effectively suppress energy metabolism of cancer cells to induce rapid cell death, and deeply reveal the underlying mechanisms at the molecular and nanomechanical levels by combined use of fluorescence imaging and atomic force microscopy. Cancer cells are found significantly less tolerant to ES than normal cells; and ES causes "domino effect" to induce mitochondrial dysfunction to impede electron transport chain (ETC) and tricarboxylic acid (TCA) cycle pathways, leading to fatal energy-supply crisis and death of cancer cells. From the perspective of cell mechanics, the Young's modulus decreases and cytoskeleton destruction of MCF-7 cell membranes caused by F-actin depolymerization occurs, along with down-regulation and sporadic distribution of glucose transporter 1 (GLUT1) after ES. Such a double whammy renders ES highly effective and promising for potential clinical cancer treatments.
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Nanozymes with intrinsic enzyme‐mimicking activities have shown great potential to become surrogates of natural enzymes in many fields by virtue of their advantages of high catalytic stability, ease of functionalization, and low cost. However, due to the lack of predictable descriptors, most of the nanozymes reported in the past were obtained mainly through trial‐and‐error strategies, and the catalytic efficiency, substrate specificity, as well as practical application effect under physiological conditions, are far inferior to that of natural enzymes. To optimize the catalytic efficacies and functions of nanozymes in biomedical settings, recent studies have introduced biosystem‐inspired strategies into nanozyme design. In this review, recent advances in the engineering of biosystem‐inspired nanozymes by leveraging the refined catalytic structure of natural enzymes, simulating the behavior changes of natural enzymes in the catalytic process, and mimicking the specific biological processes or living organisms, are introduced. Furthermore, the currently involved biomedical applications of biosystem‐inspired nanozymes are summarized. More importantly, the current opportunities and challenges of the design and application of biosystem‐inspired nanozymes are discussed. It is hoped that the studies of nanozymes based on bioinspired strategies will be beneficial for constructing the new generation of nanozymes and broadening their biomedical applications. This article is protected by copyright. All rights reserved
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In this work, we design a bioadhesive triboelectric nanogenerator (BA‐TENG) as a first‐aid rescue for instant and robust wound sealing, and ultrasound‐driven accelerated wound healing. This BA‐TENG is fabricated with biocompatible materials, and integrates a flexible TENG as the top layer and bioadhesive as the bottom layer, resulting in effective electricity supply and strong sutureless sealing capability on wet tissues. When driven by ultrasound, BA‐TENG can produce stable voltage of 1.50 V and current of 24.20 μA underwater. The ex vivo porcine colon organ models showed that BA‐TENG sealed defects instantly (∼ 5 s) with high interfacial toughness (∼ 150 J m−2), while the rat bleeding liver incision model confirmed that BA‐TENG performed rapid wound closure and hemostasis, reducing the blood loss by 82%. When applied in living rats, BA‐TENG not only sealed skin injuries immediately but also produced a strong electric field (E‐field) of about 0.86 kV m−1 stimulated by ultrasound to accelerate skin wound healing significantly. The in vitro studies confirmed that these effects were attributed to the E‐field‐accelerated cell migration and proliferation. In addition, these TENG adhesives could be applied to not only wound treatment, nerve stimulation and regeneration, and charging batteries in implanted devices. This article is protected by copyright. All rights reserved
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Inspired by endogenous physiological electric fields in humans, electricity has been widely used as an accessible source of physical stimulation to help treat diseases, including cancer therapy. Electricity can not only be used as a weapon to directly kill cancer cells but also be used as a “switch” to control the anticancer drug delivery systems (DDSs), enabling on‐demand drug release at the lesion sites. Recently, the antitumor electrotherapy based on the induction of tumor cell apoptosis by highly toxic reactive oxygen species (ROS) has been developed. Many studies have proved that the electrical stimulation can mobilize the body's immune system to kill tumors through different mechanisms. When the single electrical therapy is not effective for the treatment of advanced tumors, the integration with immunotherapy is considered as “life‐saving straw.” Moreover, with the growing need for convenient, personalized, and telehealth care and treatment, the emerging nanotechnologies such as self‐powered triboelectric nanogenerators (TENGs) are integrated with electrotherapy. This review comprehensively summarizes these developments from clinic applications to new emerging strategies and proposes future challenges and opportunities in this field. Herein, different kinds of electricity‐assisted cancer therapeutic methods are reviewed, from the traditional clinically used approaches to the emerging cancer electrotherapy combined with nanotechnologies and nanomedicines, which aims to provide an enlightenment for the future cancer treatment.
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In classical electrodynamics, by motion for either the observer or the media, it is always naturally assumed that the relative moving velocity is a constant along a straight line (e.g., in inertia reference frame), so that the electromagnetic behavior of charged particles in vacuum space can be easily described using special relativity. However, for engineering applications, the media have shapes and sizes and may move with acceleration, and recent experimental progresses in triboelectric nanogenerators have revealed evidences for expanding Maxwell’s equations to include media motion that could be time and even space dependent. Therefore, we have developed the expanded Maxwell’s equations for a mechano-driven media system (MEs-f-MDMS) by neglecting relativistic effect. This paper first presents the updated progresses made in the field. Second, we extensively investigated Faraday’s law of electromagnetic induction for a media system that moves with an acceleration. We concluded that the newly developed MEs-f-MDMS are required for describing the electrodynamics inside a media that has a finite size and volume and move with and even without acceleration. The classical Maxwell’s equations are to describe the electrodynamics in vacuum space when the media in the nearby move.
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Harvesting biomechanical energy is an important route for providing electricity to sustainably drive wearable electronics, which currently still use batteries and therefore need to be charged or replaced/disposed frequently. Here we report an approach that can continuously power wearable electronics only by human motion, realized through a triboelectric nanogenerator (TENG) with optimized materials and structural design. Fabricated by elastomeric materials and a helix inner electrode sticking on a tube with the dielectric layer and outer electrode, the TENG has desirable features including flexibility, stretchability, isotropy, weavability, water-resistance and a high surface charge density of 250 mC m À 2. With only the energy extracted from walking or jogging by the TENG that is built in outsoles, wearable electronics such as an electronic watch and fitness tracker can be immediately and continuously powered.
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Monitoring cardiovascular activities plays a critical role in predicting and preventing cardiovascular diseases. Flexible and biosafe sensors that can provide complementary information about cardiovascular activity beyond the traditional electrocardiogram (ECG) are in great demand. Here, a novel eco-friendly in-situ gap-generation method by vaporizing soaked distilled water is developed to fabricate a no-spacer triboelectric nanogenerator (NSTENG). This NSTENG reveals more uniform stress/strain distributions and undergoes larger displacement compared with the traditional TENG with spacer under the same pressure; and it obliterates the obstruction on detection of subtle movements near spacer. The unique fabrication method also guarantees biological safety and avoids air contamination in vivo. The established wireless mobile system based on the NSTENG can precisely detect the full pulse waveforms and display them on the phone screen in real time. By mounting onto the rat's heart, it can monitor normal heart motion and the measured heart rate has an accuracy of up to 99.73%. Moreover, the NSTENG can monitor abnormal heart motion and detect subtle heart movements that fail to be captured by the ECG. This work provides a new strategy that promotes the innovation of biosafe and new-structure TENGs, and offers new insights into developing wearable and implantable sensors.