Continuous glucose monitoring (CGM) sensors, worn for up to 14 days, create localized inflammatory responses in 60-70% of users. The presence of foreign materials triggers cellular reactions at the sensor-tissue interface, leading to erythema, itching, and in some cases, contact dermatitis. These biological responses not only cause patient discomfort but can also affect sensor accuracy and longevity.

The fundamental challenge lies in developing adhesive materials that maintain secure sensor attachment while minimizing the immune response at the skin interface over extended wear periods.

This page brings together solutions from recent research—including hypoallergenic hydrogel matrices, bio-mimetic adhesive polymers, moisture-permeable materials, and gradient interface designs. These and other approaches focus on improving patient comfort while maintaining the sensing accuracy and wear duration required for effective glucose monitoring.

1. Engineering immune-responsive biomaterials for skin regeneration.

Pingli Wu, Yangyang Liang, Guoming Sun, 2021

The progress of biomaterials and tissue engineering has led to significant advances in wound healing, but the clinical therapy to regenerate perfect skin remains a great challenge. The implantation of biomaterial scaffolds to heal wounds inevitably leads to a host immune response. Many recent studies revealed that the immune system plays a significant role in both the healing process and the outcome. Immunomodulation or immuno-engineering has thus become a promising approach to develop pro-regenerative scaffolds for perfect skin regeneration. In this paper, we will review recent advancements in immunomodulating biomaterials in the field of skin repair and regeneration, and discuss strategies to modulate the immune response by tailoring the chemical, physical and biological properties of the biomaterials. Understanding the important role of immune responses and manipulating the inherent properties of biomaterials to regulate the immune reaction are approaches to overcome the current bottleneck of skin repair and regeneration.

2. Controlling Systemic Inflammation by Careful Formulation of Topical Skin Care Products: Our Bodies Didn’t Evolve With All the Current Chemicals in Skin Care Products

Greg Maguire - MDPI AG, 2020

Although man is still rapidly evolving, he has not co-evolved with all of the modern chemicals made by man, including those in cosmetic products. Care must be taken when formulating products so that commonly used ingredients, such as polyethylene glycol, can be substituted with safer ingredients to which man has adapted and that will not cause irritation and inflammation. This is especially important given that induction of skin inflammation will cause systemic inflammation. A review of the literature and of commercially available products was made to highlight techniques and products that remediate inflammation or induce inflammation. Many skin care products contain chemicals that induce irritation and inflammation that may lead to chronic, systemic inflammation. Well studied natural products, especially skin identical chemicals, may offer an advantage compared to recent man-made chemicals in cosmetic and topical formulations and help to reduce skin inflammation as well as skin derived systemic chronic inflammation.

3. Eugenol as a Promising Molecule for the Treatment of Dermatitis: Antioxidant and Anti‐inflammatory Activities and Its Nanoformulation

Amanda de Araújo Lopes, Francisco Noé da Fonseca, Talita Magalhães Rocha - Wiley, 2018

Contact dermatitis produces an inflammatory reaction primarily via stimulation of keratinocytes and cells of the immune system, which promote the release of cytokines, reactive oxygen species (ROS), and other chemical mediators. Eugenol (EUG, phenylpropanoid of essential oils) has attracted attention due to its anti‐inflammatory properties, as well as antioxidant effect. On the other hand, it is volatile and insoluble and is a skin irritant. In this case, nanostructured systems have been successfully employed as a drug carrier for skin diseases since they improve both biological and pharmaceutical properties of active compounds. The cytotoxic, antioxidant, and anti‐inflammatory effects of EUG were assessed in human neutrophils and keratinocytes. Additionally, polymeric nanocarries (NCEUG) were prepared to improve the chemical and irritant characteristics of EUG. EUG presented apparent safety and antioxidant and anti‐inflammatory effects on human neutrophils, but presented cytotoxic effects on keratinocytes. However, the nanocapsules were able to reduce its cytotoxicity. An in vivo ex... Read More

4. Effects of synthesized curcumin derivatives (MS65) on interleukin-6 and its signalling pathways in histamine-induced keratinocytes cell line

Nurul Atika Razali, 2017

Allergic skin diseases are the most common dermatological problems with a dramatic increase in prevalence over the last few decades. Histamine is a well-known chemical mediator that is involved in allergic inflammation and immune modulation by regulating numerous cellular functions via up-regulation of proinflammatory cytokines. In recent years, antihistamines remain the mainstay of allergy treatment by suppressing the transcription of inflammatory cytokines, chemokines and adhesion molecules. However, current usage of antihistamines is limited in efficacy and associated with several common side effects. Currently, alternative therapeutic preferences are derived from natural products in an effort to provide safer and more reliable anti-inflammatory agents. Chalcone, curcumin and their derivatives are among compounds of interest in natural product research due to numerous pharmacological benefits including anti-inflammatory activities. Therefore, the aim of this study was to investigate the effects of synthesized compounds consisting of chalcone and curcumin derivatives in reducing cy... Read More

5. Anti-inflammatory and anti-bacterial properties of SIG1273: A skin protecting cosmetic functional ingredient

José R. Fernández, Karl Rouzard, Michael Voronkov - Elsevier BV, 2016

Background: The skin is the first line of defense against exposure to microbial, physical, environmental and chemical insults. In mobilizing a protective response, several different cell types located in our skin release and respond to pro-inflammatory cytokines ensuring skin homeostasis and health. However, chronic activation of this response, eventually causes damage resulting in premature aging. Tetramethylhexadecenyl Succinoyl Cysteine (SIG1273), an isoprenylcysteine small molecule down modulates these inflammatory signaling pathways in various cell types and possesses anti-bacterial properties.

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