IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 58, NO. 9, SEPTEMBER 2011 2521
Characterization of the Electrochemical Behavior
of Gastrointestinal Fluids Using a
Multielectrode Sensor Probe
Karen Twomey*, Eva Alvarez de Eulate, Julian R. Marchesi, Sofia Kolida, Glenn Gibson,
Damien W. M. Arrigan, and Vladimir I. Ogurtsov
Abstract—A characterization of gastrointestinal fluids has been
performed by means of an electrochemical sensor that has poten-
tial for clinical in vivo and in vitro monitoring applications. The
sensor comprised a three-electrode cell with a counter, reference,
and four working electrodes, Au, Pt, Ir, and Rh. Cyclic voltam-
metry was used to obtain chemical information from faecal water
(in vitro) and gut model (in vivo) fluids. Stable voltammetric re-
sponses were obtained for both fluids at these noble metal working
electrodes. The responses differed in shape that demonstrated the
discrimination capability and the potential for practical use as a
tool for gastrointestinal fluid investigation. The analysis of the sta-
bility profiles in faecal water over a 14-h duration has indicated a
possible adsorption mechanism with the formation of a biolayer on
the sensor surface. The stability in gut model fluids over a 42-h du-
ration has demonstrated a more stable profile, but the mechanisms
involved are more complicated to determine.
Index Terms—Electrochemical, electrode, gastrointestinal
fluids, voltammetry.
I. INTRODUCTION
G
ASTROINTESTINAL diseases are growing in incidence
in particular across the Western World. The gold stan-
dard in diagnosis is endoscopy, an invasive technique that is not
suitable for all candidates, where high-resolution color images
are taken of the gut wall. Therefore, there have been significant
efforts to develop reliable alternative approaches that could pro-
vide a noninvasive diagnosis, e.g., by application of different
Manuscript received October 27, 2010; revised March 31, 2011; accepted
May 23, 2011. Date of publication June 2, 2011; date of current version Au-
gust 19, 2011. This work was supported by Enterprise Ireland under Grant
CFTD.05/112 and Grant IC/2006/64. Asterisk indicates corresponding author.
*K. Twomey is with the Molecular Microsystems Group, Tyndall National
Institute, University College Cork, Cork, Ireland (e-mail: karen.twomey@
tyndall.ie).
E. Alvarez de Eulate and D. W. M. Arrigan were with the Molecular Mi-
crosystems Group, Tyndall National Institute, University College Cork, Cork,
Ireland. They are now with the Department of Chemistry, Nanochemistry
Research Institute, Curtin University, Perth, W.A. 6845, Australia (e-mail:
eva.alvarez@postgrad.curtin.edu.au; d.arrigan@curtin.edu.au).
J. R. Marchesi is with the School of Biosciences, Cardiff University, Cardiff,
CF10 3AT, U.K. (e-mail: marchesiJR@cardiff.ac.uk).
S. Kolida and G. Gibson are with the School of Food Biosciences, Univer-
sity of Reading, Reading, RG6 6UR, U.K. (e-mail: s.kolida@reading.ac.uk;
g.r.gibson@reading.ac.uk).
V. I. Ogurtsov is with the Molecular Microsystems Group, Tyndall Na-
tional Institute, University College Cork, Cork, Ireland (e-mail: vladimir.
ogourtsov@tyndall.ie).
Digital Object Identifier 10.1109/TBME.2011.2158543
analytical methods for the gastrointestinal fluid analysis. For
example, mass spectrometric investigation of gut fluids has de-
termined differences in the spectra from healthy humans versus
patients with inflammatory bowel disease (IBD) [1]. An analysis
of gut lavage fluid using chromatographic techniques has also
shown that mucin levels differ between samples from healthy
and IBD subjects [2]. Faecal calprotectin levels in faeces have
been proposed as a marker for intestinal inflammation [3], [4].
In spite of these studies, the gut environment is still poorly
investigated, and this fundamental limitation, in turn, leads to
difficulty in understanding the causes and behavior of diseases
of the gut.
This paper describes an electrochemical study of two
biomimetic fluids related to the gut environment, faecal wa-
ter, and gut model fluids, which have potential for in vitro and
in vivo applications. For in vitro applications, faecal water was
prepared from stool samples of healthy volunteers. A gut model
system was used for access to gut model fluids. The electro-
chemical system under investigation adapts an electronic tongue
(e-tongue) approach, which is a multisensor system incorporat-
ing high-sensitivity sensors and signal-processing routines [5],
[6]. It has been proven that this methodology can be effectively
used for the analysis of complex solutions including recognition
of different flavors. This approach has been well established in
the analysis of complex liquids in food and environmental ap-
plications where a qualitative assessment on conditions of liquid
foods [7]–[9] and waste water [10], [11] (e.g., as part of water
treatment processes) is needed.
The first of these e-tongue systems can be attributed to Toko,
who in 1990 introduced a sensor that could distinguish between
the five basic tastes salt, sweet, sour, bitter, and umami. [12].
Other sensors followed with potentiometric [13], voltammet-
ric [14]–[16], and surface acoustic wave array sensors [17] being
developed for applications ranging from tasting the freshness of
milk, different fruit juices, and the quality of drinking water.
Among these systems, the voltammetric e-tongue tends to be
favored for robust applications. It consists of an array of no-
ble metal electrodes that do not require selective coatings and
can be cleaned in situ. These electrodes can be deposited on
a sensing substrate using microfabrication techniques [18] that
facilitate miniaturization, batch production, high reproducibil-
ity, low cost, and a disposable option (so, surface fouling and
cross contamination is not an issue).
The aim of this paper is to evaluate the suitability of an e-
tongue approach for the analysis of gastrointestinal fluids. To
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