Conventional two-dimensional (2D) cell cultures and endpoint assays fail to capture the kinetic dynamics required to accurately evaluate cellular microenvironments and therapeutic efficacy. This thesis addresses these limitations by establishing a uni...
Conventional two-dimensional (2D) cell cultures and endpoint assays fail to capture the kinetic dynamics required to accurately evaluate cellular microenvironments and therapeutic efficacy. This thesis addresses these limitations by establishing a unified theragnostic framework built upon two core pillars: the development of continuous electrical impedance biosensors for label-free monitoring, and the engineering of therapeutic nanocomposites for enhanced intracellular delivery. Centered on the macrophage immune axis, the experimental work systematically progresses from 2D biosensing toward the real-time evaluation of advanced nanotherapeutics in three-dimensional (3D) tumor and epidermal tissue models. The foundational monitoring capabilities were established using indium tin oxide (ITO) microelectrodes. First, continuous impedance monitoring successfully resolved M0, M1, and M2 macrophage polarization dynamics in real-time without destructive sampling. This platform was then progressively enhanced via a dual nanomaterial coating (Siglec-1/β- cyclodextrin/reduced graphene oxide) to continuously detect Neu5Ac xeno- antigen expression on genetically engineered red blood cells, demonstrating high impedimetric sensitivity. Transitioning to 3D models, the thesis applied continuous impedance monitoring to evaluate the efficacy of newly developed nanocomposites designed to overcome the delivery barriers of complex tissues. For the 3D tumor model, an electropolymerized polydopamine (PDA) coating and PDMS microwell array were applied to the ITO platform, ensuring stable spheroid adhesion. By tuning the applied frequency to 10 kHz to penetrate the 3D mass, the platform continuously tracked the enhanced penetration and superior anticancer kinetics of cryptotanshinone-graphene quantum dot (CPT-GQD) nanocomposites compared to free drugs. Applying this identical strategy to a 3D epidermal tissue model, a custom fixed-geometry transepithelial/transendothelial electrical resistance (TEER) device was developed to overcome the geometric variability of commercial electrodes, to continuously monitor tight junction integrity. This continuous TEER monitoring was used to evaluate a second advanced delivery system: R9 cell-penetrating peptide-engineered exosomes. Just as the GQDs enhanced CPT delivery in tumors, molecular dynamics simulations and continuous 18-day impedance monitoring confirmed that R9 surface- functionalization significantly enhanced the cellular uptake and delivery of wound-healing miRNAs from M2 macrophages and mesenchymal stem cells, promoting superior skin barrier regeneration. Collectively, this thesis demonstrates that integrating continuous impedance monitoring with 3D tissue models is a critical necessity for the accurate, real-time preclinical evaluation of nanomaterial-enhanced drug and exosome delivery systems.