Biological Photonic Devices Designed for the Purpose of Bio-Imaging with Bio-Diagnosis

: The rapid progress in the fields of biomedical and biological photonic sciences has given rise to a substantial demand for biological photonic structures capable of interacting with living systems. These structures are expected to facilitate precise manipulation of incident light at small scales, enabling the detection of sensitive biological signals and the achievement of highly accurate cell structural imaging. The concept of designing biological photonic devices using innate biomaterials, particularly natural entities such as cells, viruses, and organs, has gained prominence. These innovative devices offer the capability of multimodal light manipulation at specific sites, enhancing biological compatibility while minimizing disruptions to the delicate biological microenvironment. This article delves into recent advancements within the realm of biological photonic devices, with a dedicated focus on their applications in bio-imaging and -diagnosis. The central theme revolves around devices derived from biological entities possessing the requisite optical properties, biocompatibility, biofunctionality, and the ability to induce biological effects. These devices encompass a diverse range of optical functionalities, including light generation, transportation, and modulation, all of which play pivotal roles in bio-detection and imaging, thereby contributing notably to the advancement of these fields. The potential future directions and opportunities for the enhancement of biological photonic devices were outlined.


Introduction
The precise monitoring of pathological alterations as well as the accurate identification of biological signals are crucial in facilitating the timely diagnosis and effective management of health issues such as infectious diseases, cancer, and other medical conditions.Detecting the specific targets of interest presents a significant challenge due to the limited presence of biological and chemical signals and the intricate environment within living systems.Fortunately, the rapid advancement of photonic as well as optical tools in up-todate times has introduced a multitude of options for optical detection and imaging.This development brings about the substantial potential for biological signals' real-time visualization within intricate bio-structural and dynamic processes [1,2].Optical detection harnesses optical reactions, including phenomena like the absorption of light, fluorescence, reflectance, and scattering.These responses are triggered by biophysical and biochemical alterations, serving the purpose of identifying biological entities and diagnosing diseases [3].Because of its inherent lack of reliance on labelling, optical detection presents a potent substitute for traditional detection methods, such as mass or electrochemical techniques [4][5][6][7].By utilizing optical detection methods, it becomes possible to capture realtime signals from various biological test specimens, spanning from biomolecular markers to cells, pathogens, and even tissues and organs, in a non-invasive way that has both elevated resolution and elevated sensitivity [8][9][10][11][12].Until now, optical imaging, as well as detection, have proven themselves as remarkably potent technologies for identifying biological signals and diagnosing an array of conditions, encompassing infectious diseases, cancer, and other disorders [13][14][15][16][17][18][19].
To achieve accurate and adaptable optical detection within a biological setting, the utilization of photonic devices featuring micro/nanostructures is consistently sought after.To fulfil this objective, the careful choice of suitable optical materials holds significant importance, as the effectiveness of probing is greatly influenced by their chemical and mechanical attributes, optical capabilities, and biological characteristics [20].Up to now, the prevailing materials employed for creating versatile photonic components and devices predominantly consist of inorganic substances like glass, silica, and so on [21][22][23][24].Alternatively, polymeric organic materials like polymeric nanowires have also been utilized as an option for constructing photonic components and devices [25,26].
Due to their exceptional optical characteristics, including high transparency and adequate mechanical strength, these materials have found application in a variety of fields for the development of integrated nanophotonic devices [27].For instance, optical waveguides utilizing optical fibres have undergone extensive investigation and even found utility in animal implants, including fibre-optical bioimplants within the deep tissue.Nevertheless, a notable limitation of these optical components, which are constructed from conventional materials, pertains to their insufficient biocompatibility and biodegradability, thereby considerably constraining their potential in the realm of biomedical applications.A paramount criterion for materials for in vivo applications is high biocompatibility, which necessitates the nonexistence of biotoxicity and minimal risk to biological systems [28].Furthermore, elevated biological compatibility extends to the material's capability to fulfil its intended functions within the living environment.Equally essential is biodegradability, allowing the material to naturally degrade and be metabolized by the body without necessitating additional removal procedures.
The natural abundance of biomaterials and biological entities has long served as a source of inspiration for designing tracers/devices as well as photonic structures that are capable of manipulating incident light [29].Biological cells, microorganisms, and their derivatives, encompassing DNA, proteins, silk, biomaterials, and polysaccharides, exhibit diverse interactions with light, facilitating their use as photonics components like waveguides, micro lenses, lasers, and even gratings [30][31][32][33][34][35][36].These innate biological materials and biological beings possess immense potential for innovating novel photonics tracers/devices tailored for biological imaging, detection, and restorative uses [37].They intrinsically manifest exceptional living properties, comprising high biological compatibility, mini-invasiveness, restorability, and biological degradability.Notably, a fascinating characteristic of natural beings such as cells, organs, and viruses is their dual role as both optical devices and diagnostic specimens, facilitating real-time imaging as well as detection within biologically compatible cellular environments.Consequently, the focus of biological photonic devices discussed in the study is predominantly on substantial biological entities like bacteria, viruses, algae, fungi, organs, mammalian cells, and biologically derived materials or biomolecules like proteins and nucleic acids.By translating biological principles into engineered designs, these biological photonic devices seamlessly bridge the gap between the optical, biological, and biomedical realms [38,39].
Despite existing comprehensive examinations of functional biological photonic structures derived from bio-inspired, naturally derived, and synthetic biomaterials, a notable gap remains in reviews dedicated to biological photonic devices centred around large natural beings, including cells, viruses, and organs, and the phototherapeutic and diagnostic aspects of translational medicines.This emerging area of natural-being-based photonics tracers/devices has considerably augmented the field of biological photonics, holding immense possibilities for applications in healthcare as well as biomedicine.In this article, the focus is directed toward recent advancements in biological photonics tracers/devices predicated on natural beings, with a substantial emphasis on cells, viruses, and organs and their uses in biological imaging as well as detection.We scientifically present biological laser systems, photonic waveguides, and photonic-based theragnostic applications in translational medicine (Scheme 1).These devices encompass a diverse array of optical functionalities ranging from incident light generation to light modulation as well as transportation.Moreover, we proposed the challenges that remain and offered insights into the potential future directions of these biological photonics tracers/devices for medical applications.
Scheme 1.The illustration portrays the biological laser system, photonic waveguides, and photonicbased theragnostic applications in translational medicine.

Biological Lasers
Achieving the promising medical uses of photonics tracers/devices demands effective modulation as well as control of the generation of light, especially in intricate biological/chemical microenvironments such as in vivo deep organs as well as cells.The distinct attributes of laser-emitted light, encompassing monochromatic emission, high intensity, and directionality, have established lasers as invaluable means in biological medical uses [40].The previous study employed biophysical and biomaterial concepts for applications in the biomedical interface [41].Subsequently, the exploration and advancement of lasers have paved the way for novel avenues in biomedical applications, resulting in the widespread incorporation of laser-based biomedical devices within clinical practices.The prior investigation focused on the exploration of selectively manipulating upconversion emission channels using tuneable biological photonic devices (Figure 1, [42]).

Figure 1.
Illustration of the previous study's emphasis on manipulating upconversion emission channels through the utilization of adaptable biological photonic devices, which was reproduced from [42].Copyright 2021 American Chemical Society.
The biological laser [43] circumvents the biological hazards associated with traditional devices of the laser.By embedding or introducing biological lasers into organs or cells, they function as devices of photonics for the imaging as well as detection of diverse signals at the biomolecular [44][45][46], cell [47,48], and organ levels [49][50][51].Biological lasers founded on cellular and tissue structures offer heightened sensitivity for bio-imaging as well as detection, as their optic output closely correlates with the biostructures as well as bioactivities intrinsic to the biosystems.

Essence Design of Biological Laser System
A defining feature of biological lasers is the integration of natural beings, including organs, cells, and viruses, as the gain medium-either wholly or partially.Given the intimate link between the gain medium and lasing output, biological changes within the gain medium are swiftly detectable via biological lasers, underscoring their remarkable sensitivity.Selecting suitable gain materials necessitates careful consideration to ensure biological compatibility as well as biological degradability.Illustrative instances of biologically compatible biomaterials encompass biological dyes as well as fluorescent proteins.Fluorescent proteins, harvested from diverse organisms, boast excellent biocompatibility, and robust photostability [52].Successful emission of the laser via proteins of fluorescence like monomeric Cherry (mCherry), Venus, indocyanine green (ICG), and green fluorescent protein (GFP) is being attained by applying varied cavity configurations [43,49,[53][54][55][56].Alternatively, natural biological dyes present in the tissues of humans and other species, for example, riboflavin (vitamin B2) as well as luciferin, have been harnessed as gain materials for biological laser systems [57,58].By integrating these biologically compatible fluorophores in viruses, tissues, and cells, biological laser systems are enabled to be fabricated, capitalizing on these natural beings to serve as the biological gain medium.The preceding study centered on enhancing photosensitivity in reassembled one-dimensional VB2 submicron rods, aiming to achieve efficient antibacterial therapy (Figure 2, [59]).

Figure 2.
Illustration depicting the primary objective of the prior research: augmenting photosensitivity within reassembled one-dimensional VB2 submicron rods, to facilitate effective antibacterial therapy, which was reproduced from [59].Copyright 2023 American Chemical Society.

Principle Operation of the Biological Laser
Typically comprised of three primary components-an optic cavity for light confinement, a gain medium to amplify incident light within the cavity, and a source of energy of pump-the laser system's photons undergo iterative relations with the initiated gain medium, resulting in photon amplification.The phenomenon of emission of laser materializes only once the pool of accessible excited gain molecules exceeds the cumulative losses within the cavity, thereby surpassing the lasing threshold [43].This threshold can be mathematically described [60].The Q-factor (quality factor) gauges the effects of damping of the modes of the resonator and is expressed as the fraction of stored energy to energy dissipation per radian of the oscillation [61].
Contrasted with conventional fluorescence emission, the laser-based devices/probes exhibit significantly narrower line widths, heightened light intensity, greater spatial resolution, superior sensitivity, and spectral resolution.This is attributed to the distinctive optical feedback mechanism and threshold characteristics of the lasers [62].
An optical waveguide is a physical structure designed to direct electromagnetic waves within the optical spectrum.Electromagnetic wave-based analogue computing is being become an attractive computing paradigm indicating the promise for low power, high-throughput, and parallel functions [63].Common types of optical waveguides encompass optical fibre waveguides, transparent dielectric waveguides crafted from materials such as plastic and glass, liquid light guides, and liquid waveguides.Optical waveguides serve various purposes, acting as integral components within integrated optical circuits or functioning as the transmission medium in optical communication systems.These waveguides can be categorized based on several factors, including their geometry (such as planar, strip, or fibre waveguides), mode structure (including single-mode or multi-mode), refractive index distribution (featuring step or gradient index profiles), and the materials employed (which range from glass and polymers to semiconductors).

Cellular-Based Biological Laser Systems
Cellular-based lasers are enabled to be classified into distinct categories based on the position of the resonator: extracellular lasers (where the resonator structure exists external to the cell) and intracellular lasers (where the resonator structure is inside the cell).Previous research has demonstrated the remarkable phenomenon of self-sustained lasing occurring within living cells equipped with intracellular optical resonators.The cellular laser system is depicted in [64].Under typical culture conditions, cells undergo natural endocytosis to internalize whispering gallery-mode microsphere resonators.This ingenious process eliminates the necessity for an external resonator structure.Extracellular lasers are commonly established using a Fabry-Pérot (FP) cavity configuration, involving the placement of fluorophore-stained cells between two reflective mirrors, thus creating an optical cavity for laser emission [62,65,66].The earliest instances of extracellular lasers involved GFP-expressing mammalian cells enclosed within an FP resonator [66].Furthermore, the spectra emission from the cell laser resided in multiple narrow-band peaks, facilitating the identification of distinct spectral components for cell phenotyping.Similarly, E. coli bacteria that stably expressed GFP were integrated into biomaterials [56] and biological systems [67] to act as a biological gain medium.By supplying adequate nutrients for E. coli's steady-state growth, functional GFP expression was maintained, ensuring the self-replenishment of the gain medium.However, while endogenous fluorescence proteins present an appealing option for generating optical gain within cells, the practicality is hindered by the protracted transfection process required for fluorescent protein expression.In the previous work, single cell was used to induce optical confinement in biological lasers [68].
In contrast to the use of intracellular fluorescence proteins, a more diverse array of synthetic fluorescence biomolecules, including fluorescein sodium salt [65], 5-chloromethyl fluorescein diacetate (CMFDA) [69,70], Calcein-AM [71], molecular beacon [72], and fluorescein isothiocyanate (FITC)/Rhodamine 6G [73,74], are being explored as convenient gain media for generating cellular-based lasers across various cellular types.Of particular note, the rapid dye staining processes can be executed in a given period, drastically reducing the time needed for laser preparation compared to the time-intensive fluorescence protein transfection methods.Additionally, an extensive range of lasing wavelengths, spanning from green to red, are capable of being achieved as per the chosen dyes and mirrors.
Once the entire resonator structure, accompanied by the dye gain medium, is uptaken with the cell, an independent intracellular laser, often referred to as a "whispering gallery mode" (WGM) laser, can be realized.WGMs [75] are specific modes accessible in optical resonators, renowned for their application in precision physical determinations as well as biologically chemical sensing at the single-molecule level [76][77][78].Typically compact and characterized by relatively low thresholds due to high Q-factors [79], micro-as well as nano-sized optical resonators can be readily uptaken by cells, presenting an ideal platform for cellular lasers.The polymeric/organic optical device/dyes could possess less toxicity and biocompatible properties and have been indicated to be used in a laser system based on a real cell [80].The previous investigation revolved around the phenomenon of cavity-enhanced fluorescence observed in colliding droplets of aqueous solutions containing Rhodamine 6G (Figure 3, [81]).

Virus-Derivative Biological Laser Systems
Viruses, the most prevalent microorganisms on Earth, are characterized by their fundamental structure: genetic biomaterial (DNA or RNA) enclosed within the shell of a protein known as a capsid [82].Within the realm of viruses, bacteriophages (phages) have garnered considerable attention; these viruses constitute a diverse group that exclusively infects bacteria [83].Utilizing phage display techniques, an array of proteins as well as polypeptides boasting diverse bio-functionalities can be systematically and meticulously showcased on the phage capsids' surface [84].Driven by their stability, biosafety, and availability attributes, phages have currently developed as multipurpose means with a plethora of biological medical uses [85][86][87][88][89].A groundbreaking phage-derived biolaser tailored for bio-detection has emerged, featuring the utilization of the M13 phage-a filamentous phage characterized by its rod-like architecture, having a length of 900 nm as well as a diameter of 7 nm [44].The host cell for the M13 phage is a strain of E. coli bacteria expressing F pilus, ensuring its safety for human use.Through the chemical conjugation of fluorescent dyes onto the M13 surface, a virus-based laser system was crafted, offering adaptable laser output because of the repetitive arrangement of M13.Leveraging the capabilities of phage display technology, M13 can be engineered with various target binding specificities, thereby detecting an extensive array of biomolecules of interest.The resulting laser emissions from M13 demonstrate remarkable sensitivity of detection.These virusdriven lasing probes/devices exhibit substantial possibility to supplant conventional antibody-construed ways of bio-detecting, offering heightened precision and accelerated detection rates.The preceding study was centred on the distinguishing of small molecules within a microcavity using molecular laser polarization (Figure 4, [90]).

Figure 4.
Illustration depicting the primary focus of the prior study: distinguishing of small molecules within a microcavity achieved through the utilization of molecular laser polarization, which was reproduced from [90].Copyright 2020 American Chemical Society.

Biological Laser Applications in Organs
Beyond cell and virus-based lasers, the application of biological lasers within tissues holds greater significance for clinical utilization, given that tissues, composed of cells and the surrounding extracellular matrix, offer a more accurate representation of the complex physiological conditions in vivo.In pursuit of this objective, considerable efforts have been directed toward the development of tissue lasers over recent years.Leveraging the scattering properties inherent in tissues, tissue-based lasing can be conveniently achieved via random lasing, accomplished via the administration of fluorescence dyes [91,92].This phenomenon of random lasing has been successfully demonstrated in a variety of tissue types, including bone and heart [51,93], brain and muscle [94,95], kidney, cancerous, and colon tissue [92,96,97].Given that the output features of random lasing intimately correspond with tissue microenvironment as well as structure, the resulting lasing spectra can serve as a valuable tool for distinguishing between healthy and malignant tissues [98], investigating subtle structural changes [51], and detecting biological variations [99].The advantage of random lasing lies in its relatively straightforward methodology for generating tissue-based lasers without the necessity of introducing external cavities.Nevertheless, the inherent uncertainty in lasing thresholds and spectral peaks can potentially compromise sensitivity as well as detection accuracy [31].
Besides random lasers, the creation of bio-implantable and standalone whispering gallery mode (WGM) lasers within tissues has also been successfully realized through the incorporation of solid microbeads or liquid microdroplets into structures such as tissues.Nevertheless, current tissue lasing techniques still lack the capability for identifying as well as detecting specific biological markers in organs, a capability that holds substantial significance in rendering biological lasers more applicable for clinical settings.
Addressing these limitations, the research group led by the scientist has devised a multipurpose organ-lasing platform known as the laser-emission-based microscope (LEM).This novel approach integrates a high-quality Fabry-Pérot (FP) cavity, formed by two highly reflective mirrors, with tissues stained by biocompatible fluorescent dyes, effectively sandwiching the tissues in between [73].In this setup, distinct lasing emissions were observed from human tissues stained with dyes, like muscle or adipose, with remarkably low threshold intensities.For the generation of lasing within specific cells amidst the tissue, biomarkers like proteins or nucleic acids within the cells were labelled using fluorescently labelled nucleic acids or antibody dyes [62].Integration with a twodimensional raster-scanning stage facilitated the acquisition of maps or images of tumour tissues extracted from patients, with the laser emissions stemming from the labelled biomarkers enabling high-resolution discrimination between cancerous and normal tissues.Notably, the technique even allowed the early-stage diagnosis of lung cancer.The LEM approach stands poised to significantly contribute to precision medicine, harnessing its attributes of potent background suppression, high intensity, and impressive spatial/spectral resolution.
Beyond organs as well as solid tumours, the realm of lasing extends to blood as well.A notable example involves the use of the human-safe near-infrared dye indocyanine green (ICG), enabling lasing within whole human blood flowing through an optofluidic ring resonator (OFRR) capillary [49].ICG, present at a biocompatible concentration below 0.04 mM, demonstrated an affinity for lipoproteins (LDL) within the blood, inducing ICGbased lasing.Furthermore, lasing within human blood was also accomplished by directly dispersing dye-doped polymeric beads into the tissue of the blood [100].Such blood-based lasing holds immense potential for diverse biomedical as well as clinical applications, particularly in the domain of blood diagnosis.

Applications in Bio-Detection and Imaging
As discussed earlier, the employment of cell-and tissue-based biological lasers facilitates the localized delivery of optic energy toward biosystems, achieving both temporal as well as spectral optical localization.These biological lasers stand as promising devices of photonics with broad applications in the biomedical realm, spanning from cell tracking as well as tagging to diagnostics, cellular sensing, and innovative imaging.
Leveraging the unique spectral signatures of cellular lasers, it becomes achievable to distinguish and track individual cells amidst large populations of cells.For instance, previous works, including [71,101] integrated WGM microdisk-based lasers into various cell types.The utilization of microdisks with slightly varying diameters caused discernibly distinct lasing output spectra, enabling the tracking as well as tagging of individual cells.Given the minute size of microdisks, cells could accommodate multiple ones, facilitating wavelength-multiplexed spectrum signals and enabling the simultaneous unique tagging of large cell populations.Within a 3D tumour organ model in vitro, numerous tumour cells displaying differing motility patterns were effectively tagged and tracked.These microdisk-based cellular lasers demonstrated robust stability and high biofunctionality within cellular and tissue environments.However, a limitation of these disc-shaped laser particles lies in their inherent directional emission, primarily occurring within the cavity resonance plane [102].For tracking cells, this inherent property could lead to random fluctuations in intensity and obstruct the optical reading of lasers, given the arbitrary and erratic change in orientation as cells move.Addressing this issue, Tang et al. introduced modifications to microdisk lasers [103].
The potential of cell-based biological lasers extends further through their integration with other imaging techniques, enhancing the precision of tracking the trajectories of individual cells.For instance, Li et al. [104] devised a double-modality bioimaging system by merging nanowire-based lasers with optical coherence tomography (OCT), a well-established bioimaging technique.
Notably, the spectral information of lasers directly correlates with biological alterations within tissues or cells, particularly at the individual tissue or cell level.This attribute can be harnessed for biological medical diagnoses, particularly in the context of cancer detection.For instance, an array of cell lasers was engineered through the integration of micro-well arrays with high-quality Fabry-Pérot (FP) cavities [48].Actual monitoring of shifts in spectral peak wavelength and lasing thresholds allowed the recognition of anomalous cells amidst a larger population of healthy cells.A recent advancement, the laser-emission-based microscope (LEM), has exhibited heightened sensitivity and specificity in screening pathological cancer tissues [62].Through the labelling of cells having fluorochrome-engineered tumour biomarkers, substantial differences in lasing thresholds in normal as well as tumour cells facilitated the detection of tumours with impressive sensitivity.Up to the present time, this versatile diagnostic platform has been successfully applied across various cancer types with samples prepared through diverse methods [73,[105][106][107].
The utility of cellular-based biological lasers extends to their capacity for real-time measurement of subtle physiological bioactivities within living cells-a capability not easily attainable through conventional techniques.For example, the LEM technique enabled the detection of minute changes in cellular ion concentrations at the nanomolar level in single neurons and neural networks [108].This "neuron laser" exhibited an enhancement in detection sensitivity compared to traditional fluorescence detection methods.Additionally, cell lasers showcased potential as sensing probes/devices for monitoring alterations in intracellular osmotic pressure [65].In a recent development, the research team introduced a cellular laser-constructed contraction biosensor, incorporating WGM lasers into heart cells [109].This novel biosensor facilitated the all-optical measurement of contractile transient bioactivities within heart cells, having exceptional sensitivity as well as subcellular precision.This technique carries the substantial potential for diverse biological medical uses, for example, the recording of contraction in vivo profiles, the extended tracking of individual heart cells, and at the tissue level.The utilization of emerging cellular lasers as noninvasive, biologically integrated sensing tracers/devices represents a potent avenue for observing various physiological bioactivities within living cells, achieving subcellular resolution.The previous investigation focused on the application of controlled outcoupling methods for whispering-gallery-mode lasers, making usage of self-assembled organic single-crystalline microrings (Figure 5, [110]).

Limitations as Well as Possible Improvements
Despite the promising prospects of laser-based photonic devices, their current stage of development is relatively nascent.However, these bio-photonic devices have immense potential across a wide array of biomedical applications.As a fledgling technology, it also confronts certain challenges that necessitate further investigation and innovative strategies for designing and cultivating diverse biolayer forms.Presented below are a few of the limitations encountered, along with potential avenues for improvement.
To initiate efficient lasing emissions, surpassing the lasing threshold is imperative.Consequently, the external pump's intensity or the concentration of gain molecules must be sufficiently high, especially when the cavity's Q-factor is relatively low.Nonetheless, this requirement introduces a dilemma, as intense external pumping and concentrated fluorophores within the cytoplasm or tissues might trigger notable cellular and tissue damage and toxicity [111].The development of enhanced cavities boasting higher Q-factors and lower thresholds stands as a pressing objective, as it would mitigate the biological harm stemming from pumping light and fluorophores into tissues as well as living cells.
The preceding study focused on the phenomenon of sublethal exposure to crude oil enhancing positive phototaxis in the calanoid copepod Calanus finmarchicus (Figure 6, [112]).Figure 6.Illustration depicting the primary subject of the previous study: the enhancement of positive phototaxis in the calanoid copepod Calanus finmarchicus due to sublethal exposure to crude oil, which was reproduced from [112].Copyright 2013 American Chemical Society.
The primary choice for conducting in vivo fluorescence imaging techniques is to utilize visible light (ranging from 400 nm to 700 nm) and near-infrared I (NIR-I, spanning from 700 nm to 900 nm) wavelengths.This preference is largely driven by the ready availability of light sources and detectors that operate effectively within this wavelength range.Even though NIR-I light possesses reduced scattering as well as absorption within biological tissues, enabling deeper penetration compared to UV-visible light, its reach is limited to approximately 10 mm into subcutaneous tissues [113].Consequently, the utilization of biological lasers for bio-detection and imaging within deeper body tissues remains a considerable challenge.Exploring gain materials that can be stimulated within the NIR-II region (ranging from 1000 nm to 1700 nm) could prove beneficial for deep tissue applications.Alternately, coupling biological lasers with biofunctional optical waveguides presents a potential solution, effectively bypassing the tissue penetration constraints by guiding light into deeper tissues.Employing a waveguide or fibre optic system to transmit light from within the human body might enable circumvention of the limitations posed by tissue penetration.Two-photon bioimaging techniques entail reduced optical harm to tissues as well as cells, with the absorption of NIR light limited to the focal plane, thereby enhancing tissue optical sectioning.NIR-based phototherapies and diagnosis hold promising and innovative applications in the field of biomedicine [114].A prior study investigated the improved anticancer impact of photothermal therapy amplified by reactive oxygen species (ROS), utilizing polypyrrole nanoparticles coated with fucoidan (Figure 7, [115]).A prior research undertaking investigated the application of photothermal-irradiated polyethyleneimine-polypyrrole nanopigment film-coated polyethylene fabrics for infrared-inspired purposes, along with an assessment of their efficacy against pathogens.(Figure 8, [116]).A previous study centred on the development of dual-targeting polypyrrole nanoparticles decorated with glycol chitosan and heparin, aiming to enhance the efficacy of photothermal-based thrombolytic therapy (Figure 9, [117]).Illustration depicting the concept of dual-targeting glycol chitosan/heparin-decorated polypyrrole nanoparticles for augmented photothermal thrombolytic therapy, which was reproduced from [117]).Copyright 2021 American Chemical Society.

Cell-Constructed Biological Photonic Waveguides
Enabling controlled light guidance and transport within biological systems holds paramount importance across various biomedical as well as biological uses, encompassing biomedical diagnosis as well as biomolecular sensing.However, the reach of nearinfrared as well as visible-wavelength light within tissues as well as biological media is significantly restricted due to light scattering, thereby limiting the efficacy of light penetration.As foundational constituents for the integration of photonics, optic waveguides play a pivotal role in facilitating the propagation of light through well-defined structures.Within the context of biomedical applications, optical waveguides possess the potential to surmount light penetration constraints, efficiently guiding light into deeper tissues.
Traditional materials such as silica glass and rigid plastics are commonly employed to generate optical waveguides due to their practical limitations [118].Furthermore, the inherent fragility of silica glass poses risks when interacting with living organisms.Hence, the quest for biological photonic waveguides characterized by elasticity, biocompatibility/biofunctionality, and biodegradability has gained prominence, particularly in interfacing with biological systems for advanced biomedical applications.
Among the diversity of innate biomedical materials, living cells emerge as prime candidates for creating in-situ biological photonic waveguides that fulfil the aforementioned criteria for the propagation of light.This part explores the waveguides of biological photonics constructed using various cells through an array of techniques of fabrication.These living cell-constructed biologically photonic waveguides demonstrate wanted optical features, such as effective light guiding, while crucially remaining biofunctional and adaptable compared to conventional synthetic materials.Additionally, we delve into the possibility of living cellular-based biologically photonic waveguides within the realms of biodetection and imaging.

Biologically Inspired Light Guidance
Within nature, a myriad of optic waveguide structures biologically designed for light harvesting and guidance can be found in both plant and animal species.For example, jellyfish utilize the fibre-like structures present in their tentacles to guide bioluminescent light, effectively luring prey [119,120].Plant vascular systems, including living leaves as well as stems, function as natural optical waveguides, facilitating the capture and transmission of sunlight toward their roots [121].Deep-sea sponge E. aspergillum's spicules exhibit notable fibre-optic features akin to glass fibres available commercially [122].Within vertebrate eye retinas, light traverses' multiple cellular layers before attaining photoreceptor cells.Intriguingly, Müller glial cells, primarily responsible for intercellular connections within the retina, act as optical waveguides, ushering light from the retinal interface toward the photoreceptor cell midsection via tubular cell bodies [123,124].
Beyond natural waveguiding structures in biological systems, innately originated biomedical materials like silks, cellulose, and/or intracellular proteins present themselves as robust contenders for generating optical waveguides or utilizing them in optical applications [125][126][127].These biomedical materials boast exceptional optical traits, including low transmission loss as well as high transparency [128][129][130][131][132]. For instance, even native spider silk filaments, though experiencing comparatively high light propagation loss, display light-guiding potentials [133].Silkworm silks have been harnessed for crafting microscale optical waveguides characterized by adjustable structure as well as composition [130].Furthermore, cellularly endogenous proteins have been manipulated into all-protein nanowire-constructed optical waveguides, showcasing diverse complex micro/nano architectures and proficient propagation of light along waveguide structures [134].

Cell-Constructed Biologically Photonic Waveguides
The revelation of individual cell capabilities for light guidance has prompted the design of biological photonic waveguides using living cells.In principle, the refractive index (RI) of the optical material should exceed that of the surrounding medium to facilitate the entire internal reflection [135].Bigger RI discrepancies between the material and its surroundings serve to minimize waveguide losses.Although RI inherently varies at the molecular as well as atomic level, it is pragmatically described as an averaged value across the optical wavelength's dimension.The RI parameters of a living system were mentioned [136].
The capacity of individual cells to guide light paves the way for assembling biological photonic waveguides using multiple living cells.Optical trapping, offering a non-invasive methodology for manipulating various targets, facilitates the assembly of multiple cells.For instance, E. coli bacteria have been successfully assembled into cell chains using optical trapping, achieved through an extended optical gradient force or a collaboration between optical scattering and gradient force [38].These assemblies, formed within aqueous solutions using an abrupt tapered optical fibre (ATF), generate biological photonic waveguides.E. coli cells, with an RI slightly different from water's IR, allow for total internal reflection, permitting light to propagate across cell chains.The length of these biological photonic waveguides is modifiable based on the number of cells assembled and/or the related parameters, dictated by the laser's intensity [38].This optical trapping approach extends beyond E. coli cells, accommodating various cell types for creating diverse biological photonic waveguides or optical features [137].The technique is biocompatible/biofunctional and flexible, assembling optical devices from living cells with the added benefit of direct sensing and detection of biological signals, thus eliminating the necessity for invasive synthetic optical materials.
The challenge of light propagation over extended distances within a biological environment, hindered by strong scattering and absorption losses, finds a solution in nonlinear optical effects.Nonlinear optical methodologies have been employed to overcome such obstacles, enabling enhanced light propagation through scattering media like colloids and nanoparticle suspensions [138][139][140].

Biologically Medical Uses
Biological photonic waveguides composed of biological cells offer distinct compensations for facilitating the transportation of light within bio-systems due to their natural biocompatibility/biofunctionality and flexibility, which mitigate potential risks to living organisms.Similar to innate structural properties found in living biological organisms, individual biological cells exhibit the ability to guide light.This incident lightnavigating potential within single cells represents a substantial advancement toward constructing biological photonic traces/devices for various biologically medical uses, particularly for improved non-invasiveness in biosensing as well as bioimaging in biological microenvironments.
Beyond individual cells, biological photonic waveguide-constructed devices generated by cellular chains have also found applications in bioimaging as well as detection within bio-systems.It was developed as a cellular-based biological photonic waveguide [160].This biological photonic waveguide serves as a probe/device for cell imaging and fluorescence signal detection.In a separate study, it was made for a cellular-based biological photonic waveguide created from a chain of E. faecalis cells optically trapped in a chamber of microfluidic compartments [160].
It was investigated for its capacity as a biological photonic tracer/device by sensing backscattered signals from red blood cells (RBCs), indicating its potential for single-cell analysis as well as biologically medical sensing.
Living cells not only serve as the constructing blocks for biological photonic waveguides but also function as the assessing samples themselves.Given that the refractive index, as well as the shape of living red blood cells (RBCs), are intricately linked with the physical and chemical features of the membrane and surrounding environment, biological photonic waveguides constructed from RBCs offer a promising technique of detection for diagnosing blood-associated disorders.The scientist devised biological photonic features that relied on RBC waveguides for sensing the pH of blood [161].

Further Limitations and Potential Improvements
Undoubtedly, the application of biological cell-constructed biological photonic waveguides/optical devices marks a novel direction for biological medical detection as well as sensing in bio-systems because of their high biological functionality.However, the photonic system also faces considerable challenges that restrict their broader clinical applications.The issues, limitations, and possible improvements are as follows (Table 1).Table 1.Issues, limitations, and possible improvements on the photonic-system uses.

Fabrication challenges
Generating long-length cellular-based biological photonic waveguides/devices remains a challenge because of the geometric properties of cells.Moreover, maintaining the biological functionality as well as the viability of living cells in fabrication is crucial, limiting the ways to those that can create these waveguides without harming living cells.
Further research is vital for exploring novel ways of producing long-living cellular-based biological photonic waveguides/devices under biologically compatible situations.

Limited penetration depth of light
The depth to which light can be delivered along formed biological cellular-based waveguides/devices remains constrained, posing a hurdle for applications in vivo.
Developing methods to overcome scattering losses and enhance light transmission efficiency is essential to achieve deeper tissue penetration in the body.Cellular morphology dependence The optical properties of cell-based bio-micro lenses are greatly influenced by various factors, including cell morphology and the surrounding medium.
Precisely controlling these factors for consistent and reliable performance is needed and it is required for further investigation.
Despite these limitations, living cell-based biological photonic waveguides hold immense potential for advancing various biomedical applications, from cellular analysis to disease diagnosis.Further research and technological innovations are necessary to address the existing challenges and fully realize the capabilities of these unique biological photonic devices.
The use of sophisticated techniques for biosensing, such as multiphonic effects and the assistance of machine learning, represents a potential and novel development in the field of biotechnology and bioengineering [162].The ability to automatically interpret information through biosensors seems like a fundamental cornerstone of modern technology.One crucial application of this capability is in biological sensors, which could evaluate biological data in living organisms, detect potential threats, and predict urgent situations.These biological sensors rely on physical as well as chemical phenomena to provide valuable analytical insights.Machine learning techniques play a vital role in approximating functions that could uncover patterns in the detection of dynamic entities within the living body.They could possibly identify pathological viruses, unsafe substances, or rare cellular kinetics, augmenting the capability to respond to emerging threats and defend public health.

Conclusions
This review aims to highlight the notable advancements in developing biological photonic tracers/devices constructed from natural beings, including bacteria, viruses, tissues, and cells, for imaging as well as bio-detection.Notably, they inherently facilitate biocompatibility/biofunctionality and biodegradability, distinguishing them from synthetic materials.Furthermore, the utilization of biological cells and tissues as both optical components and test subjects enables real-time sensing, preclinical imaging, and detection.
In the realm of biological photonic waveguides/probes/devices, intensified efforts are needed to develop robust structures capable of long-range light delivery for noninvasive biomedical diagnoses within deep organ regions.Integrating biological photonic probes/devices with optical readouts boasting high sensitivity and selectivity is pivotal for real-time diagnostics.Notably, the recent strides in smartphone technology have paved the way for portable, home-care smartphone-based molecular diagnosis platforms.Consequently, the integration of bio-optical devices into such a platform holds tremendous promise for on-the-go optic bioimaging as well as the analysis of blood from clinical healthcare test samples, especially in resource-constrained zones.Institutional Review Board Statement: The published figures' copyright have been obtained reasonably.
Informed Consent Statement: All of the authors involved in this study have agreed to the publication of this manuscript.

Figure 3 .
Figure 3. Illustration depicting the central focus of the earlier study: the observation of cavity-enhanced fluorescence within colliding droplets of aqueous solutions containing Rhodamine 6G, which was reproduced from [81].Copyright 2023 American Chemical Society.

Figure 5 .
Figure 5. Illustration indicates that the earlier research centred on implementing controlled outcoupling techniques for whispering-gallery-mode lasers, employing self-assembled organic single-crystalline microrings [110].Copyright 2019 American Chemical Society.

Figure 8 .
Figure 8. Illustration depicting the application of photothermal-irradiated polyethyleneiminepolypyrrole nanopigment film-coated polyethylene fabrics for infrared-inspired purposes, along with the assessment of their pathogen-fighting capabilities, which was reproduced from[116].Copyright 2021 American Chemical Society.

Author
Contributions: S.-C.C., S.-A.Y., P.-C.H. and H.-T.L. contributed to the writing of various sections of the manuscript.H.T.N. was responsible for data collection for the study.E.-Y.C. played a crucial role in the finalization of the manuscript.All authors diligently reviewed and unanimously approved the final version of the manuscript.All authors have read and agreed to the published version of the manuscript.Funding: This study was financially supported by grants from the National Science and Technology Council (NSTC), Taiwan [grant numbers 112-2221-E-038-002-MY3, and 112-2622-E-038-006-]; Taipei Medical University/National Taiwan University of Science and Technology cross-university collaboration project (TMU-NTUST-109-09).