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Swallowed capsule can identify health problems from inside the gut and send alert

Wed, 05/30/2018 - 21:27
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Scientists have developed a swallowed capsule packed with tiny electronics and millions of genetically engineered living cells that might someday be used to spot health problems from inside the gut. The capsule was tested in pigs and correctly detected signs of bleeding researchers at the Massachusetts Institute of Technology report in the journal Science, suggesting the capsule could eventually be used in people to find signs of ulcers, inflammatory bowel disease or even colon cancer.

The MIT device is the first to use engineered cells as sensors in swallowed capsules, said Dr Kourosh Kalantar-zadeh, who is developing a gas-sensing, all-electronic pill at the Royal Melbourne Institute of Technology in Australia. "The work is yet another step toward showing the great promises of smart, ingestible capsules.”

The researchers tested the capsules using a harmless strain of E. coli bacteria. The cells were modified with DNA from other bacteria to make them detect blood and then light up. Electronics then take over, relaying signals to a smartphone. The research was reported in the paper, ‘An ingestible bacterial-electronic system to monitor gastrointestinal health,’ in the journal Science.

Figure 1: The capsule packed with electronics and genetically engineered living cells in Cambridge, MA (credit: Lillie Paquette/MIT School of Engineering via AP)
The capsule packed with electronics and genetically engineered living cells in Cambridge, MA (Credit: Lillie Paquette/MIT School of Engineering via AP)

Shrinking the capsule to a normal pill size could be achieved by combining its three electronic chips, said co-author, Dr Phillip Nadeau. Data encryption will be needed to protect patient privacy and it is designed to be used once, so it will need to be flushable.

As labs discover DNA with new sensing powers, the capsule could be customised to diagnose multiple conditions.

Co-author Tim Lu speculated that future patients could swallow a capsule "once a week or once a month" to screen for early signs of cancer instead of getting a colonoscopy.

The capsule could help doctors monitor tricky-to-reach parts of the small intestine for people with Crohn's disease or to study the normal balance of microbes in the gut, said Dr Stephanie Hansel of Mayo Clinic in Rochester, MI, who was not involved in the research.

"We're excited about it," said Hansel, while noting that it probably will not replace the need for procedures using flexible scopes.

Texas Instruments and the National Science Foundation helped pay for the research, and the researchers are seeking patents for the capsule. Mimee received a fellowship from the Howard Hughes Medical Institute, which also supports The Associated Press Health & Science Department.

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