The use of PThs as phototransducers for neurostimulation has opened new and exciting
avenues for rescuing biological functions and treating diseases [32,33], including their use
as retinal prostheses. In this case, PThs offers important advantages as compared with
other materials, namely photovoltaic functioning, high biocompatibility, mechanical re
silience, and a relatively high light sensitivity. In this regard, Maya-Vetencourt et al. have
developed a P3HT-based device composed of a flexible and highly conformable silk
substrate covered with photoactive layers (Figure 4.4), which was able to rescue vision in
dystrophic rats [34]. The further evolution of such an approach was the development of
injectable P3HT sub-micro particles in suspension. This approach simplifies the surgery
and provides a much better and diffuse retina coverage [35]. These results have inspired
other works, such as the work of Ghezzi et al., in which the prostheses are composed of a
P3HT/PCBM layer over a PDMS substrate [36]. Other works employ either organic
pigments or semiconducting carbon nanotubes and will be described in the relevant
sections below.
4.4 Small Molecules
Traditionally, small molecules have been employed widely in bioelectronics to modify
chemically the surface of electrodes, i.e. to enhance cell-to-electrode attachment and
electron transfer [37]. Some relevant examples relate to microbial fuel cells, whose effi
ciency greatly depends on bacteria-electrode attachment. For instance, Cheng et al. re
ported the ammonia treatment of neutral carbon cloth at elevated temperature, which
leads to the improvement of the start-up time and power production in mixed culture
microbial fuel cells [38]. Apart from these applications in which small molecules are
employed as passive components, in the last couple of decades, they have been in
creasingly used as active bioelectronic systems, i.e. for triggering bioelectric signaling.
FIGURE 4.4
(a) Scanning electron microscopy images of the prosthetic device (top) and of its cross-section. (b) Scheme of the
implant approach. Adapted with permission [ 34]. Copyright (2017) Springer Nature.
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