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Review Article

Sweat gland morphology and physiology in diabetes, neuropathy, and nephropathy: a review

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Received 16 Jan 2022, Accepted 02 Aug 2022, Published online: 05 Sep 2022

References

  • Agu, K.A., 2017. Can sweat glands act as temporary or permanent replacement for the excretory function of kidney? Emergent life science research, 3 (2), 37–41.
  • Al-omari, M., et al., 2014. A portable optical human sweat sensor. Journal of applied physics, 116 (18), 183102.
  • Anderson, K., et al., 2017. A highly sensitive non-enzymatic glucose biosensor based on the regulatory effect of glucose on electrochemical behaviors of colloidal silver nanoparticles on MoS2. Sensors, 17 (8), 1807.
  • Baker, L.B., 2019. Physiology of sweat gland function: rhe roles of sweating and sweat composition in human health. Temperature (Austin, Tex.), 6 (3), 211–259.
  • Bandodkar, A.J., et al., 2019. Wearable sensors for biochemical sweat analysis. Annual review of Analytical chemistry (Palo Alto, Calif.), 12 (1), 1–22.
  • Bandodkar, A.J., Jia, W., and Wang, J., 2015. Tattoo‐based wearable electrochemical devices: a review. Electroanalysis, 27 (3), 562–572.
  • Bariya, M., Nyein, H.Y.Y., and Javey, A., 2018. Wearable sweat sensors. Nature electronics, 1 (3), 160–171.
  • Bolaños, L.D., et al., editors. 2019. Low-Cost EDA device for screening diabetic neuropathy. 2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS). pp. 253–258.
  • Boucsein, W., 2012. Electrodermal activity. 2nd ed. Boston, MA: Springer, Springer Science & Business Media.
  • Bruen, D., et al., 2017. Glucose sensing for diabetes monitoring: recent developments. Sensors, 17 (8), 1866.
  • Cawley, E.P., Hoch-Ligheti, C., and Bond, G.M., 1961. The eccrine sweat glands of patients in uremia. Archives of dermatology, 84 (6), 889–897.
  • Chen, M.M., et al., 2019. Construction of a flexible electrochemiluminescence platform for sweat detection. Chemical science, 10 (25), 6295–6303.
  • Chen, Y.L., Kuan, W.-H., and Liu, C.-L., 2020. Comparative study of the composition of sweat from eccrine and apocrine sweat glands during exercise and in heat. International journal of environmental research and public health, 17 (10), 3377.
  • Choi, D.H., et al., 2018. Sweat test for cystic fibrosis: wearable sweat sensor vs. standard laboratory test. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 17 (4), e35–e8.
  • Chung, M., Fortunato, G., and Radacsi, N., 2019. Wearable flexible sweat sensors for healthcare monitoring: a review. Journal of the royal society, interface, 16 (159), 20190217.
  • Critchley, H.D., 2002. Electrodermal responses: what happens in the brain. The neuroscientist : a review journal bringing neurobiology, neurology and psychiatry, 8 (2), 132–142.
  • de Groot, J.H.B., Kirk, P.A., and Gottfried, J.A., 2020. Encoding fear intensity in human sweat. Philosophical transactions of the royal society of London. Series B, biological sciences, 375 (1800), 20190271.
  • Delgado-Povedano, M.M., et al., 2020. Priego-Capote F. Dry sweat as sample for metabolomics analysis. Talanta, 208, 120428.
  • Ebenezer, G., and Polydefkis, M., 2014. Epidermal innervation in diabetes: handbook of clinical neurology. Vol. 126. Amsterdam, Netherlands: Elsevier. p. 261–274.
  • Emrich, H., et al., 1968. Sweat composition in relation to rate of sweating in patients with cystic fibrosis of the pancreas. Pediatric research, 2 (6), 464–478.
  • Gagnon, D., et al., 2012. Modified iodine-paper technique for the standardised determination of sweat gland activation. Journal of applied physiology, 112 (8), 1419–1425.
  • Gao, B., et al., 2019. Gecko‐inspired paper artificial skin for intimate skin contact and multisensing. Advanced materials technologies, 4 (1), 1800392.
  • Gao, C., and Zhang, W., 2019. Urinary AQP5 is independently associated with eGFR decline in patients with type 2 diabetes and nephropathy. Diabetes research and clinical practice, 155, 107805.
  • Gao, W., et al., 2016. Fully integrated wearable sensor arrays for multiplexed in situ perspiration analysis. Nature, 529 (7587), 509–514.
  • Gibbons, C.H., et al., 2009. Quantification of sweat gland innervation: a clinical–pathologic correlation. Neurology, 72 (17), 1479–1486.
  • Groscurth, P., 2002. Anatomy of sweat glands. Current problems in dermatology, 30, 1–9. PMID: 12471693.
  • Hamlin, C.R., Kohn, R.R., and Luschin, J.H., 1975. Apparent accelerated aging of human collagen in diabetes mellitus. Diabetes, 24 (10), 902–904.
  • Hanawa, M., et al., 1978. The significance of the sweat test in chronic pancreatitis. The Tohoku journal of experimental medicine, 125 (1), 59–69.
  • He, H., et al., 2020. Optoacoustic skin mesoscopy opens a window to systemic effects of diabetes. MedRxiv.
  • He, T., et al., 2017. Electrochemical skin conductance may be used to screen for diabetic cardiac autonomic neuropathy in a Chinese population with diabetes. Journal of diabetes research, 2017, 1–6.
  • Hu, L., et al., 2015. Low-frequency electrical stimulation attenuates muscle atrophy in CKD—a potential treatment strategy. Journal of the American Society of Nephrology : JASN, 26 (3), 626–635.
  • Hu, Y., et al., 2018. Neural control of sweat secretion: a review. The British journal of dermatology, 178 (6), 1246–1256.
  • Huang, C.T., et al., 2002. Uric acid and urea in human sweat. The Chinese journal of physiology, 45 (3), 109–116.
  • Ishibashi, F., et al., 2014. Correlation between sudomotor function, sweat gland duct size and corneal nerve fiber pathology in patients with type 2 diabetes mellitus. Journal of diabetes investigation, 5 (5), 588–596.
  • Jadoon, S., et al., 2015. Recent developments in sweat analysis and its applications. International journal of analytical chemistry, 2015, 164974.
  • Karimi, E., et al., 2021. Effects of L-arginine supplementation on biomarkers of glycemic control: a systematic review and meta‐analysis of randomised clinical trials. Archives of physiology and biochemistry, 1–11. doi:10.1080/13813455.2020.1863991.
  • Keller, R.W., et al., 2016. Urea transporters and sweat response to uremia. Physiological reports, 4 (11), e12825.
  • Khajuria, R., Singh, K., and Rahim, G., 2017. Dermatological manifestations in patients with chronic renal failurea: A clinicopathological study. Journal of medical education and research, 8 (3), 166–171. Corpus ID: 36711206
  • Kim, A.Y., et al., 2018. Automatic detection of major depressive disorder using electrodermal activity. Scientific reports, 8 (1), 1–9.
  • Koh, A., et al., 2016. A soft, wearable microfluidic device for the capture, storage, and colorimetric sensing of sweat. Science translational medicine, 8 (366), 366ra165.
  • Komives, G.K., Robinson, S., and Roberts, J.T., 1966. Urea transfer across the sweat glands. Journal of applied physiology, 21 (6), 1681–1684.
  • Köhler, T., and Schuschel, I., 1994. Changes in the number of active sweat glands (palmar sweat index, PSI) during a distressing film. Biological psychology, 37 (2), 133–145. ISSN 0301-0511. https://doi.org/10.1016/0301-0511(94)90027-2.
  • Krzywicki, A.T., Berntson, G.G., and O'Kane, B.L., 2014. A non-contact technique for measuring eccrine sweat gland activity using passive thermal imaging. International journal of psychophysiology : official journal of the international organization of psychophysiology, 94 (1), 25–34.
  • Kumar, S., et al., 2013. Microfluidic‐integrated biosensors: prospects for point‐of‐care diagnostics. Biotechnology journal, 8 (11), 1267–1279.
  • Landing, B.H., et al., 1970. Anatomy of eccrine sweat glands in children with chronic renal insufficiency and other fatal chronic diseases. American journal of clinical pathology, 54 (1), 15–21.
  • Lindsay, S.L., et al., 2008. Innervation and receptor profiles of the human apocrine (epitrichial) sweat gland: routes for intervention in bromhidrosis. The British journal of dermatology, 159 (3), 653–660.
  • Liu, J., Xie, L., and Yin, A., 2013. Expression of urea transporters in sweat gland tissue of normal subjects and uremic patients. Journal of Southern Medical University, 33 (7), 951–955.
  • Liu, Y.-L., et al., 2018. Flexible electrochemical urea sensor based on surface molecularly imprinted nanotubes for detection of human sweat. Analytical chemistry, 90 (21), 13081–13087.
  • Lu, C., and Fuchs, E., 2014. Sweat gland progenitors in development, homeostasis, and wound repair. Cold spring harbor perspectives in medicine, 4 (2), a015222–a015222.
  • Luo, K.-R., et al., 2012. Effect of glycemic control on sudomotor denervation in type 2 diabetes. Diabetes care, 35 (3), 612–616.
  • MacIntosh, B.J., et al., 2008. Electrodermal recording and fMRI to inform sensorimotor recovery in stroke patients. Neurorehabilitation and neural repair, 22 (6), 728–736.
  • Mickelsen, O., and Keys, A., 1943. The composition of sweat, with special reference to the vitamins. Journal of biological chemistry, 149 (2), 479–490.
  • Montain, S.J., Cheuvront, S.N., and Lukaski, H.C., 2007. Sweat mineral-element responses during 7 h of exercise-heat stress. International journal of sport nutrition and exercise metabolism, 17 (6), 574–582.
  • Moyer, J., et al., 2012. Correlation between sweat glucose and blood glucose in subjects with diabetes. Diabetes technology & therapeutics, 14 (5), 398–402.
  • Munje R, Muthukumar S, Prasad S, editors. 2016. Interfacial tuning for detection of cortisol in sweat using ZnO thin films for wearable biosensing. 2016 IEEE Nanotechnology Materials and Devices Conference (NMDC);: IEEE.
  • Na, C.H., et al., 2019. Integrated Transcriptomic and Proteomic Analysis of Human Eccrine Sweat Glands Identifies Missing and Novel Proteins. Molecular & cellular proteomics: MCP, 18 (7), 1382–1395.
  • Nejsum, L.N., et al., 2002. Functional requirement of aquaporin-5 in plasma membranes of sweat glands. Proceedings of the national academy of sciences of the United States of America, 99 (1), 511–516.
  • Novak, P., 2016. Electrochemical skin conductance correlates with skin nerve fiber density. Frontiers in aging neuroscience, 8, 199.
  • Nunes, M.J., et al., 2021. Screening of potential stress biomarkers in sweat associated with sports training. Sports medicine - open, 7 (1), 8.
  • Nyein, H.Y.Y., et al., 2016. A wearable electrochemical platform for non-invasive simultaneous monitoring of Ca2+ and pH. ACS nano, 10 (7), 7216–7224.
  • Oh, B.H., Kim, K.H., and Chung, K.Y., 2019. Skin imaging using ultrasound imaging, optical coherence tomography, confocal microscopy, and two-photon microscopy in cutaneous oncology. Frontiers in medicine, 6, 274.
  • Ohmi, M., 2016. Application to skin physiology using optical coherence tomography. Laser therapy, 25 (4), 251–258.
  • Onor, M., et al., 2017. Potentiometric sensor for non invasive lactate determination in human sweat. Analytica Chimica Acta, 989, 80–87.
  • Panju, S., et al., 2015. Atypical sympathetic arousal in children with autism spectrum disorder and its association with anxiety symptomatology. Molecular autism, 6 (1), 1–10.
  • Pistone, G., et al., 2016. Sweat gland biopsy: a possible early diagnostic tool in the anderson-fabry disease. Preprints, 2016080228.
  • Posada-Quintero, H.F., and Chon, K.H., 2020. Innovations in electrodermal activity data collection and signal processing: A systematic review. Sensors, 20 (2), 479.
  • Prince, E.B., et al., 2017. The relationship between autism symptoms and arousal level in toddlers with autism spectrum disorder, as measured by electrodermal activity. Autism: The international Journal of research and practice, 21 (4), 504–508.
  • Rachow, T., et al., 2011. Non-linear relationship between electrodermal activity and heart rate variability in patients with acute schizophrenia. Psychophysiology, 48 (10), 1323–1332.
  • Reinholz, M., et al., 2016. Non‐invasive diagnosis of sweat gland dysplasia using optical coherence tomography and reflectance confocal microscopy in a family with anhidrotic ectodermal dysplasia (Christ–Siemens–Touraine syndrome. Journal of the European Academy of Dermatology and Venereology : JEADV, 30 (4), 677–682.
  • Robinson, S., and Robinson, A.H., 1954. Chemical composition of sweat. Physiological reviews, 34 (2), 202–220.
  • Saga, K., 2002. Structure and function of human sweat glands studied with histochemistry and cytochemistry. Progress in histochemistry and cytochemistry, 37 (4), 323–386.
  • Sands, J.M., and Layton, H.E., 2014. Advances in understanding the urine-concentrating mechanism. Annual review of physiology, 76, 387–409.
  • Sathiah, P., et al., 2017. Diagnosis of Lafora Disease by skin biopsy. Journal of clinical and diagnostic research : JCDR, 11 (9), EJ01–EJ02.
  • Sato, K., et al., 1989. Biology of sweat glands and their disorders. II. Disorders of sweat gland function. Journal of the American Academy of Dermatology, 20 (5 Pt 1), 713–726.
  • Sekine, Y., et al., 2018. A fluorometric skin-interfaced microfluidic device and smartphone imaging module for in situ quantitative analysis of sweat chemistry. Lab on a chip, 18 (15), 2178–2186.
  • Sempionatto, J.R., Moon, J.M., and Wang, J., 2021. Touch-based fingertip blood-free reliable glucose monitoring: personalized data processing for predicting blood glucose concentrations. ACS sensors, 6 (5), 1875–1883.
  • Shankle, W.R., Azen, S.P., and Landing, B.H., 1982. Comparisons of eccrine sweat gland anatomy in genetic, chromosomal, and other diseases, and a suggested procedure for use of sweat gland measurements in differential diagnosis. Teratology, 25 (2), 239–245.
  • Shibasaki, M., and Crandall, C.G., 2010. Mechanisms and controllers of eccrine sweating in humans. Frontiers in bioscience (scholar edition), 2 (2), 685–696.
  • Shinaoka, A., Nakahara, R., and Saeki, M., 2021. The use of 33 MHz ultra-high-frequency ultrasonography for the evaluation of sweat glands in the axilla with osmidrosis. PLoS one, 16 (5), e0251600. Published 2021 May 13.
  • Srivastava, R.K., et al., 2012. Functionalized multilayered graphene platform for urea sensor. ACS nano, 6 (1), 168–175.
  • Sudha, S., Kalpana, R., and Soundararajan, P., 2021. Quantification of sweat urea in diabetes using electro-optical technique. Physiological measurement, 42 (9), 095002. Sep 27
  • Sugiyama, M., et al., 2015. Morphological Alterations of the Eccrine Sweat Apparatus in Amputated Feet from Diabetes Mellitus Patients. The Showa university journal of medical sciences, 27 (2), 93–102.
  • Tang, Y.M., et al., 2016. Relationships between micronutrient losses in sweat and blood pressure among heat-exposed steelworkers. Industrial health, 54 (3), 215–0225.
  • Tecilazich, F., and Veves, A., 2018. Role of peripheral neuropathy in the development of foot ulceration and impaired wound healing in diabetes mellitus. Nutritional and Therapeutic Interventions for Diabetes and Metabolic Syndrome. 2nd ed. Amsterdam: Academic Press, 95–104.
  • Tricoli, A., and Neri, G., 2018. Miniaturized bio-and chemical-sensors for point-of-care monitoring of chronic kidney diseases. Sensors, 18 (4), 942.
  • Turner, M.J., and Avolio, A.P., 2016. Does replacing sodium excreted in sweat attenuate the health benefits of physical activity? International Journal of sport nutrition and exercise metabolism, 26 (4), 377–389.
  • Udhayarasu, M., Ramakrishnan, K., and Periasamy, S., 2017. Assessment of chronic kidney disease using skin texture as a key parameter: for South Indian population. Healthcare technology letters, 4 (6), 223–227.
  • Valli, M. N., Sudha, S., and Kalpana, R., 2019. Influence of physical activity on electrodermal response. In: Ramakrishna Sen, Susmita Mukherjee, Rajashree Paul, Rajiv Narule, editors. Biotechnology and biological sciences 1st edition. Newyork: CRC Press Taylor & Francis Group. p. 18–24.
  • Valli, M.N., et al., 2022. Analysis of dermal activity and skin images for diabetic kidney disease. International journal of medical engineering and informatics, 14 (2), 176–189.
  • Viberti, G.C., 1983. Increased capillary permeability in diabetes mellitus and its relationship to microvascular angiopathy. The American journal of medicine, 75 (5B), 81–84.
  • Vieluf, S., et al., 2020. Autonomic nervous system changes detected with peripheral sensors in the setting of epileptic seizures. Scientific reports, 10 (1), 1–8.
  • Xie, L., et al., 2017. The expression of AQP5 and UTs in the sweat glands of uremic patients. BioMed research international, 2017, 1–10.
  • Xu, J., Fang, Y., and Chen, J., 2021. Wearable biosensors for non-invasive sweat diagnostics. Biosensors, 11 (8), 245.
  • Xue, M., and Jackson, C.J., 2015. Extracellular matrix reorganisation during wound healing and its impact on abnormal scarring. Advances in wound care, 4 (3), 119–136.
  • Ye, T., Tu, W., and Xu, G., 2014. Hot bath for the treatment of chronic renal failure. Renal failure, 36 (1), 126–130.
  • Zhang, M., et al., 2014. Localisation of Na+–K+-ATPase α/β, Na+–K+–2Cl-cotransporter 1 and aquaporin-5 in human eccrine sweat glands. Acta histochemica, 116 (8), 1374–1381.
  • Zhang, Y., et al., 2019. Passive sweat collection and colorimetric analysis of biomarkers relevant to kidney disorders using a soft microfluidic system. Lab on a chip, 19 (9), 1545–1555.
  • Zilliox, L.A., et al., 2015. Clinical neuropathy scales in neuropathy associated with impaired glucose tolerance. Journal of diabetes and its complications, 29 (3), 372–377.

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