Tactile Chemomechanical Transduction Based on an Elastic Microstructured Array to Enhance the Sensitivity of Portable Biosensors

The cutting-edge progress in bioprinting for biomedicine: principles, applications, and future perspectives

Bioprinting is a highly promising application area of additive manufacturing technology that has been widely used in various fields, including tissue engineering, drug screening, organ regeneration, and biosensing. Its primary goal is to produce biomedical products such as artificial implant scaffolds, tissues and organs, and medical assistive devices through software-layered discrete and numerical control molding. Despite its immense potential, bioprinting technology still faces several challenges. It requires concerted efforts from researchers, engineers, regulatory bodies, and industry stakeholders are principal to overcome these challenges and unlock the full potential of bioprinting. This review systematically discusses bioprinting principles, applications, and future perspectives while also providing a topical overview of research progress in bioprinting over the past two decades. The most recent advancements in bioprinting are comprehensively reviewed here. First, printing techniques and methods are summarized along with advancements related to bioinks and supporting structures. Second, interesting and representative cases regarding the applications of bioprinting in tissue engineering, drug screening, organ regeneration, and biosensing are introduced in detail. Finally, the remaining challenges and suggestions for future directions of bioprinting technology are proposed and discussed. Bioprinting is one of the most promising application areas of additive manufacturing technology that has been widely used in various fields. It aims to produce biomedical products such as artificial implant scaffolds, tissues and organs, and medical assistive devices. This review systematically discusses bioprinting principles, applications, and future perspectives, which provides a topical description of the research progress of bioprinting.

Printed Divisional Optical Biochip for Multiplex Visualizable Exosome Analysis at Point-of-Care

Rapid detection of various exosomes is of great significance in early diagnosis and postoperative monitoring of cancers. Here, a divisional optical biochip is reported for multiplex exosome analysis via combining the self-assembly of nanochains and precise surface patterning. Arising from resonance-induced near-field enhancement, the nanochains show distinct color changes after capturing target exosomes for direct visual detection. Then, a series of divisional nanochain-based biochips conjugated with several specific antibodies are fabricated through designed hydrophilic and hydrophobic patterns. Because of the significant wettability difference, one sample droplet is precisely self-splitting into several microdroplets enabling simultaneous identification of multiple target exosomes in 30 min with a sensitivity of 6 × 107 particles mL-1 , which is about two orders lower than enzyme-linked immunosorbent assay. Apart from the trace amount detection, excellent semiquantitative capability is demonstrated to distinguish clinical exosomes from glioblastoma patients and healthy people. This method is simple, versatile, and highly efficient that can be extended as a diagnostic tool for many diseases, promoting the development of liquid biopsy.

Energy and power characteristics of nanocatalyzed Belousov-Zhabotinsky reactions via bifurcation analyses

Active stimuli-responsive materials, intrinsically powered by chemical reactions, have immense capabilities that can be harnessed for designing synthetic systems for a variety of biomimetic applications. It goes without saying that the key aspect involved in the designing of such systems is to accurately estimate the amount of energy and power available for transduction through various mechanisms. Belousov-Zhabotinsky (BZ) reactions are dynamical systems, which exhibit self-sustained nonlinear chemical oscillations, as their catalyst undergoes periodic redox cycles in the presence of reagents. The unique feature of BZ reaction based active systems is that they can continuously perform mechanical work by transducing energy from sustained chemical oscillations. The objective of our work is to use bifurcation analyses to identify oscillatory regimes and quantify energy-power characteristics of the BZ reaction based on nanocatalyst activity and BZ reaction formulations. Our approach involves not only the computation of higher order Lyapunov and frequency coefficients but also Hamiltonian functions, through normal form reduction of the kinetic model of the BZ reaction. Ultimately, using these calculations, we determine amplitude, frequency, and energy-power densities, as a function of the nanocatalysts' activity and BZ formulations. As normal form representations are applicable to any dynamical system, we believe that our framework can be extended to other self-sustained active systems, including systems based on stimuli-responsive materials.

Rational Structural Design of Polymer Pens for Energy-Efficient Photoactuation

Photoactuated pens have emerged as promising tools for expedient, mask-free, and versatile nanomanufacturing. However, the challenge of effectively controlling individual pens in large arrays for high-throughput patterning has been a significant hurdle. In this study, we introduce novel generations of photoactuated pens and explore the impact of pen architecture on photoactuation efficiency and crosstalk through simulations and experiments. By introducing a thermal insulating layer and incorporating an air ap in the architecture design, we have achieved the separation of pens into independent units. This new design allowed for improved control over the actuation behavior of individual pens, markedly reducing the influence of neighboring pens. The results of our research suggest novel applications of photoactive composite films as advanced actuators across diverse fields, including lithography, adaptive optics, and soft robotics.

Water-soluble conjugated polymers for bioelectronic systems

Bioelectronics is an interdisciplinary field of research that aims to establish a synergy between electronics and biology. Contributing to a deeper understanding of bioelectronic processes and the built bioelectronic systems, a variety of new phenomena, mechanisms and concepts have been derived in the field of biology, medicine, energy, artificial intelligence science, etc. Organic semiconductors can promote the applications of bioelectronics in improving original performance and creating new features for organisms due to their excellent photoelectric and electrical properties. Recently, water-soluble conjugated polymers (WSCPs) have been employed as a class of ideal interface materials to regulate bioelectronic processes between biological systems and electronic systems, relying on their satisfying ionic conductivity, water-solubility, good biocompatibility and the additional mechanical and electrical properties. In this review, we summarize the prominent contributions of WSCPs in the aspect of the regulation of bioelectronic processes and highlight the latest advances in WSCPs for bioelectronic applications, involving biosynthetic systems, photosynthetic systems, biophotovoltaic systems, and bioelectronic devices. The challenges and outlooks of WSCPs in designing high-performance bioelectronic systems are also discussed.

Advances in Biodegradable Electronic Skin: Material Progress and Recent Applications in Sensing, Robotics, and Human-Machine Interfaces

The rapid growth of the electronics industry and proliferation of electronic materials and telecommunications technologies has led to the release of a massive amount of untreated electronic waste (e-waste) into the environment. Consequently, catastrophic environmental damage at the microbiome level and serious human health diseases threaten the natural fate of the planet. Currently, the demand for wearable electronics for applications in personalized medicine, electronic skins (e-skins), and health monitoring is substantial and growing. Therefore, "green" characteristics such as biodegradability, self-healing, and biocompatibility ensure the future application of wearable electronics and e-skins in biomedical engineering and bioanalytical sciences. Leveraging the biodegradability, sustainability, and biocompatibility of natural materials will dramatically influence the fabrication of environmentally friendly e-skins and wearable electronics. Here, the molecular and structural characteristics of biological skins and artificial e-skins are discussed. The focus then turns to the biodegradable materials, including natural and synthetic-polymer-based materials, and their recent applications in the development of biodegradable e-skin in wearable sensors, robotics, and human-machine interfaces (HMIs). Finally, the main challenges and outlook regarding the preparation and application of biodegradable e-skins are critically discussed in a near-future scenario, which is expected to lead to the next generation of biodegradable e-skins.

NO2 Sensing Behavior of Compacted Chemically Treated Multi-Walled Carbon Nanotubes

This article is devoted to the investigation of the sensing behavior of chemically treated multi-walled carbon nanotubes (MWNTs) at room temperature. Chemical treatment of MWNTs was carried out with a solution of either sulfuric or chromic acids. The materials obtained were investigated by transmission electron microscopy, scanning electron microscopy, Raman-spectroscopy, X-ray diffraction, and Fourier transform infrared spectroscopy. The active layer of chemiresistive gas sensors was obtained by cold pressing (compaction) at 11 MPa of powders of bare and treated multi-walled carbon nanotubes. The sensing properties of pellets were investigated using a custom dynamic type of station at room temperature (25 ± 2 °C). Detection of NO₂ was performed in synthetic air (79 vol% N₂, 21 vol% O₂). It was found that the chemical treatment significantly affects the sensing properties of multi-walled carbon nanotubes, which is indicated by increasing the response of the sensors toward 100-500 ppm NO₂ and lower concentrations.

Impedimetric aptasensor based on zirconium-cobalt metal-organic framework for detection of carcinoembryonic antigen

A zirconium-cobalt metal-organic framework (ZrCo-MOF) was prepared and used as sensing material to fabricate an aptasensor for trace detection of carcinoembryonic antigen (CEA). The ZrCo-MOF integrates the 3D porous structure and abundant defects of the MOF framework, the catalytic activity and inherent redox behavior of Co, and high stability of Zr-MOF, providing abundant active sites to effectively anchor aptamers. As a result, the ZrCo-MOF-based aptasensor shows high sensitivity to detect CEA via specific recognition between aptamer and CEA, as well as the formation of aptamer-CEA complex. A detection limit of 0.35 fg·mL^-1 was deduced from the electrochemical impedance spectroscopy within a wide linear range of 0.001-100 pg·mL^-1 for CEA, which was substantially lower than those of most reported CEA biosensors. The ZrCo-MOF-based aptasensor also shows good selectivity, reproducibility, regenerability, stability, and applicability for human serum sample. Therefore, the developed ZrCo-MOF-based aptasensor will be promising for ultrasensitive detection of biomarkers and the early diagnosis of cancer. This work presents a novel electrochemical aptasensor for the trace detection of carcinoembryonic antigen (CEA) based on a zirconium-cobalt metal-organic framework (ZrCo-MOF), which shows low detection limit of 0.35 fg·mL^-1, high selectivity as well as good reproducibility, regenerability, stability, and applicability. The result provides a promising approach to detect the cancer biomarkers in an early age.

Flexible microstructured pressure sensors: design, fabrication and applications

In recent years, flexible pressure sensors have caused widespread concern for their extensive applications in human activity and health monitoring, robotics and prosthesis, as well as human-machine interface. Flexible pressure sensors in these applications are required to have a high sensitivity, large detective limit, linear response, fast response time, and mechanical stability. The mechanisms of capacitive, piezoresistive, and piezoelectric pressure sensors and the strategies to improve their performance are introduced. Sensing layers with microstructures have shown capability to significantly improve the performances of pressure sensors. Various fabrication methods for these structures are reviewed in terms of their pros and cons. Besides, the interference caused by environmental stimuli and internal stress from different directions leads to the infidelity of the signal transmission. Therefore, the anti-interference ability of flexible pressure sensors is highly desired. Several potential applications for flexible pressure sensors are also briefly discussed. Last, we conclude the future challenges for facilely fabricating flexible pressure sensors with high performance and anti-interference ability.

Establishment of a dual-aptasensor for simultaneous detection of chloramphenicol and kanamycin

Aptamers, as single-stranded DNA or RNA fragments, have been widely applied as the bio-recognition element for fabrication of flexible and reliable aptasensors to be used in food safety control, clinical therapy and diagnosis and environment monitoring fields. With increasingly fierce antibiotics resistance appearing as a worldwide problem, a highly efficient method is urgently needed to detect antibiotics residues in animal-sourced food. Herein, a simply operated aptasensor based on quantitative real-time PCR (qRT-PCR) was fabricated to realise the simultaneous detection of two antibiotics (i.e. chloramphenicol and kanamycin). The limit of detection (LOD) of 6.13 ng/mL for chloramphenicol and of 19.17 ng/mL for kanamycin of this dual-aptasensor were achieved. Actually, such LOD values were not as good as that of an aptasensor individually established for each antibiotic. The circular dichroism analysis suggested that in the dual-aptasensor, adjacent aptamers might disturb each other's binding with their respective target. Although certain detection sensitivity was lost, the dual-aptasensor could still fulfil the detection requirements, and more importantly, it would improve the detection efficiency. Finally, this dual-aptasensor was applied for detecting chloramphenicol and kanamycin in real spiked food samples, and results indicated good recovery rates. These results demonstrated this developed dual-aptasensor to be a promising highly efficient method with low cost for simultaneous detection of chloramphenicol and kanamycin residues in animal-sourced food samples.

Artificial Skin Perception

Skin is the largest organ, with the functionalities of protection, regulation, and sensation. The emulation of human skin via flexible and stretchable electronics gives rise to electronic skin (e-skin), which has realized artificial sensation and other functions that cannot be achieved by conventional electronics. To date, tremendous progress has been made in data acquisition and transmission for e-skin systems, while the implementation of perception within systems, that is, sensory data processing, is still in its infancy. Integrating the perception functionality into a flexible and stretchable sensing system, namely artificial skin perception, is critical to endow current e-skin systems with higher intelligence. Here, recent progress in the design and fabrication of artificial skin perception devices and systems is summarized, and challenges and prospects are discussed. The strategies for implementing artificial skin perception utilize either conventional silicon-based circuits or novel flexible computing devices such as memristive devices and synaptic transistors, which enable artificial skin to surpass human skin, with a distributed, low-latency, and energy-efficient information-processing ability. In future, artificial skin perception would be a new enabling technology to construct next-generation intelligent electronic devices and systems for advanced applications, such as robotic surgery, rehabilitation, and prosthetics.

Functional Fibers and Fabrics for Soft Robotics, Wearables, and Human-Robot Interface

Soft robotics inspired by the movement of living organisms, with excellent adaptability and accuracy for accomplishing tasks, are highly desirable for efficient operations and safe interactions with human. With the emerging wearable electronics, higher tactility and skin affinity are pursued for safe and user-friendly human-robot interactions. Fabrics interlocked by fibers perform traditional static functions such as warming, protection, and fashion. Recently, dynamic fibers and fabrics are favorable to deliver active stimulus responses such as sensing and actuating abilities for soft-robots and wearables. First, the responsive mechanisms of fiber/fabric actuators and their performances under various external stimuli are reviewed. Fiber/yarn-based artificial muscles for soft-robots manipulation and assistance in human motion are discussed, as well as smart clothes for improving human perception. Second, the geometric designs, fabrications, mechanisms, and functions of fibers/fabrics for sensing and energy harvesting from the human body and environments are summarized. Effective integration between the electronic components with garments, human skin, and living organisms is illustrated, presenting multifunctional platforms with self-powered potential for human-robot interactions and biomedicine. Lastly, the relationships between robotic/wearable fibers/fabrics and the external stimuli, together with the challenges and possible routes for revolutionizing the robotic fibers/fabrics and wearables in this new era are proposed.

Emerging intraoral biosensors

Biomedical devices that involved continuous and real-time health-care monitoring have drawn much attention in modern medicine, of which skin electronics and implantable devices are widely investigated. Skin electronics are characterized for their non-invasive access to the physiological signals, and implantable devices are superior at the diagnosis and therapy integration. Despite the significant progress achieved, many gaps remain to be explored to provide a more comprehensive overview of human health. As the connecting point of the outer environment and human systems, the oral cavity contains many unique biomarkers that are absent in skin or inner organs, and hence, this could become a promising alternative locus for designing health-care monitoring devices. In this review, we outline the status of the oral cavity during the communication of the environment and human systems and compare the intraoral devices with skin electronics and implantable devices from the biophysical and biochemical aspects. We further summarize the established diagnosis database and technologies that could be adopted to design intraoral biosensors. Finally, the challenges and potential opportunities for intraoral biosensors are discussed. Intraoral biosensors could become an important complement for existing biomedical devices to constitute a more reliable health-care monitoring system.

High-Contrast Dynamic Reflecting System Based on Pneumatic Micro/Nanoscale Surface Morphing

Cephalopods offer a fascinating dynamic reflecting system to create desired colors and patterns through contracting and releasing their soft skins in response to environmental stimuli. Inspired by this natural display strategy, we designed a novel dynamic reflecting system based on pneumatic micro/nanoscale surface morphing. This system consists of a thin metal skin/elastomer bilayer modulated by a microfluidic-based gas injector. Benefited from the "wrinkled-specular" transition of the metal's surface under a small pneumatic actuation (4 kPa), an unprecedented reflectance contrast of 93 for broad-band (500-750 nm) modulation is achieved. This remarkable response also has excellent cycle stability (>2500 times) and fast response time (∼0.2 s). These advantages enable a robust and ultrasensitive optical gas pressure sensor with a sensitivity of 178 kPa^-1, which is 3-4 orders of magnitude higher than those of conventional optical gas pressure sensors based on either a Fabry-Pérot interferometer or a Mach-Zehnder interferometer. Moreover, as proof-of-concept applications, we also experimentally demonstrated a curvature-variable convex mirror and noniridescent dynamic display, suggesting that our pneumatically dynamic reflecting system will potentially broaden the applications in adaptive optical devices, sensors, and displays.

An On-Skin Electrode with Anti-Epidermal-Surface-Lipid Function Based on a Zwitterionic Polymer Brush

On-skin flexible devices provide a noninvasive approach for continuous and real-time acquisition of biological signals from the skin, which is essential for future chronic disease diagnosis and smart health monitoring. Great progress has been achieved in flexible devices to resolve the mechanical mismatching between conventional rigid devices and human skin. However, common materials used for flexible devices including silicon-based elastomers and various metals exhibit no resistance to epidermal surface lipids (skin oil and grease), which restricts the long-term and household usability. Herein, an on-skin electrode with anti-epidermal-surface-lipid function is reported, which is based on the grafting of a zwitterionic poly(2-methacryl-oyloxyethyl, methacryloyl-oxyethyl, or meth-acryloyloxyethyl phosphorylcholine) (PMPC) brush on top of gold-coated poly(dimethylsiloxane) (Au/PDMS). Such an electrode allows the skin-lipids-fouled surface to be cleaned by simple water rinsing owing to the superhydrophilic zwitterionic groups. As a proof-of-concept, the PMPC-Au/PDMS electrodes are employed for both electrocardiography (ECG) and electromyography (EMG) recording. The electrodes are able to maintain stable skin-electrode impedance and good signal-to noise ratio (SNR) by water rinsing alone. This work provides a material-based solution to improve the long-term reusability of on-skin electronics and offers a unique prospective on developing next generation wearable healthcare devices.

Variable-Temperature Electron Transport and Dipole Polarization Turning Flexible Multifunctional Microsensor beyond Electrical and Optical Energy

Humans are undergoing a fateful transformation focusing on artificial intelligence, quantum information technology, virtual reality, etc., which is inseparable from intelligent nano-micro devices. However, the booming of "Big Data" brings about an even greater challenge by growing electromagnetic radiation. Herein, an innovative flexible multifunctional microsensor is proposed, opening up a new horizon for intelligent devices. It integrates "non-crosstalk" multiple perception and green electromagnetic interference shielding only in one pixel, with satisfactory sensitivity and fast information feedback. Importantly, beneficial by deep insight into the variable-temperature electromagnetic response, the microsensor tactfully transforms the urgent threat of electromagnetic radiation into "wealth," further integrating self-power. This result will refresh researchers' realization of next-generation devices, ushering in a new direction for aerospace engineering, remote sensing, communications, medical treatment, biomimetic robot, prosthetics, etc.

Cyber-Physiochemical Interfaces

Living things rely on various physical, chemical, and biological interfaces, e.g., somatosensation, olfactory/gustatory perception, and nervous system response. They help organisms to perceive the world, adapt to their surroundings, and maintain internal and external balance. Interfacial information exchanges are complicated but efficient, delicate but precise, and multimodal but unisonous, which has driven researchers to study the science of such interfaces and develop techniques with potential applications in health monitoring, smart robotics, future wearable devices, and cyber physical/human systems. To understand better the issues in these interfaces, a cyber-physiochemical interface (CPI) that is capable of extracting biophysical and biochemical signals, and closely relating them to electronic, communication, and computing technology, to provide the core for aforementioned applications, is proposed. The scientific and technical progress in CPI is summarized, and the challenges to and strategies for building stable interfaces, including materials, sensor development, system integration, and data processing techniques are discussed. It is hoped that this will result in an unprecedented multi-disciplinary network of scientific collaboration in CPI to explore much uncharted territory for progress, providing technical inspiration-to the development of the next-generation personal healthcare technology, smart sports-technology, adaptive prosthetics and augmentation of human capability, etc.

Multiscale porous elastomer substrates for multifunctional on-skin electronics with passive-cooling capabilities

In addition to mechanical compliance, achieving the full potential of on-skin electronics needs the introduction of other features. For example, substantial progress has been achieved in creating biodegradable, self-healing, or breathable, on-skin electronics. However, the research of making on-skin electronics with passive-cooling capabilities, which can reduce energy consumption and improve user comfort, is still rare. Herein, we report the development of multifunctional on-skin electronics, which can passively cool human bodies without needing any energy consumption. This property is inherited from multiscale porous polystyrene-block-poly(ethylene-ran-butylene)-block-polystyrene (SEBS) supporting substrates. The multiscale pores of SEBS substrates, with characteristic sizes ranging from around 0.2 to 7 µm, can effectively backscatter sunlight to minimize heat absorption but are too small to reflect human-body midinfrared radiation to retain heat dissipation, thereby delivering around 6 °C cooling effects under a solar intensity of 840 W⋅m^-2 Other desired properties, rooted in multiscale porous SEBS substrates, include high breathability and outstanding waterproofing. The proof-of-concept bioelectronic devices include electrophysiological sensors, temperature sensors, hydration sensors, pressure sensors, and electrical stimulators, which are made via spray printing of silver nanowires on multiscale porous SEBS substrates. The devices show comparable electrical performances with conventional, rigid, nonporous ones. Also, their applications in cuffless blood pressure measurement, interactive virtual reality, and human-machine interface are demonstrated. Notably, the enabled on-skin devices are dissolvable in several organic solvents and can be recycled to reduce electronic waste and manufacturing cost. Such on-skin electronics can serve as the basis for future multifunctional smart textiles with passive-cooling functionalities.

Recent advances in two-dimensional materials and their nanocomposites in sustainable energy conversion applications

Two-dimensional (2D) materials have a wide platform in research and expanding nano- and atomic-level applications. This study is motivated by the well-established 2D catalysts, which demonstrate high efficiency, selectivity and sustainability exceeding that of classical noble metal catalysts for the oxygen reduction reaction (ORR), oxygen evolution reaction (OER), and/or hydrogen evolution reaction (HER). Nowadays, the hydrogen evolution reaction (HER) in water electrolysis is crucial for the cost-efficient production of a pure hydrogen fuel. We will also discuss another important point related to electrochemical carbon dioxide and nitrogen reduction (ECR and N2RR) in detail. In this review, we mainly focused on the recent progress in the fuel cell technology based on 2D materials, including graphene, transition metal dichalcogenides, black phosphorus, MXenes, metal-organic frameworks, and metal oxide nanosheets. First, the basic attributes of the 2D materials were described, and their fuel cell mechanisms were also summarized. Finally, some effective methods for enhancing the performance of the fuel cells based on 2D materials were also discussed, and the opportunities and challenges of 2D material-based fuel cells at the commercial level were also provided. This review can provide new avenues for 2D materials with properties suitable for fuel cell technology development and related fields.

Novel Graphene Biosensor Based on the Functionalization of Multifunctional Nano-bovine Serum Albumin for the Highly Sensitive Detection of Cancer Biomarkers

A simple, convenient, and highly sensitive bio-interface for graphene field-effect transistors (GFETs) based on multifunctional nano-denatured bovine serum albumin (nano-dBSA) functionalization was developed to target cancer biomarkers. The novel graphene-protein bioelectronic interface was constructed by heating to denature native BSA on the graphene substrate surface. The formed nano-dBSA film served as the cross-linker to immobilize monoclonal antibody against carcinoembryonic antigen (anti-CEA mAb) on the graphene channel activated by EDC and Sulfo-NHS. The nano-dBSA film worked as a self-protecting layer of graphene to prevent surface contamination by lithographic processing. The improved GFET biosensor exhibited good specificity and high sensitivity toward the target at an ultralow concentration of 337.58 fg mL^-1. The electrical detection of the binding of CEA followed the Hill model for ligand-receptor interaction, indicating the negative binding cooperativity between CEA and anti-CEA mAb with a dissociation constant of 6.82 × 10^-10 M. The multifunctional nano-dBSA functionalization can confer a new function to graphene-like 2D nanomaterials and provide a promising bio-functionalization method for clinical application in biosensing, nanomedicine, and drug delivery.

Stretchable, Skin-Attachable Electronics with Integrated Energy Storage Devices for Biosignal Monitoring

The demand for novel electronics that can monitor human health, for example, the physical conditions of individuals, during daily life using different techniques from those used in traditional clinic diagnostic facilities is increasing. These novel electronics include stretchable sensor devices that allow various biosignals to be directly measured on human skin without restricting routine activity. The thin, skin-like characteristics of these devices enable stable operation under various deformations, such as stretching, pressing, and rubbing, experienced while attached to skin. The mechanically engineered design of these devices also minimizes the inconvenience caused by long-term wear owing to conformal lamination on the skin. The final form of a skin-attachable device must be an integrated platform with an independent and complete system containing all components on a single, thin, lightweight, stretchable substrate. To fabricate fully integrated devices, various aspects, such as material design for deformable interconnection, fabrication of high-performance active devices, miniaturization, and dense arrangement of component devices, should be considered. In particular, a power supply system is critical and must be combined in an electromechanically stable and efficient manner with all devices, including sensors. Additionally, the biosignals obtained by these sensors should be wirelessly transmitted to external electronic devices for free daily activity. This Account covers recent progress in developing fully integrated, stretchable, skin-attachable devices by presenting our strategies to achieve this goal. First, we introduce several integration methods used in this field to build stretchable systems with a special focus on the utilization of liquid gallium alloy. The unique characteristics and patterning process of liquid metal are summarized. Second, various skin-attachable sensors, including strain, pressure, with enhanced sensitivity and mechanical properties are discussed along with their applications for biosignal monitoring. Dual mode sensors that simultaneously detect temperature and pressure signals without interference are also introduced. Third, we emphasize supercapacitors as promising, efficient energy storage devices for power management systems in wearable devices. Supercapacitors for skin-attachable applications should have a high performance, such as high operation voltage, high energy and power densities, cyclic and air stability and water resistance. For this, strategies to select novel materials for electrode, electrolyte, and encapsulation are suggested. Several approaches to fabricate stretchable supercapacitor systems are also presented. Finally, we introduce recent examples of skin-attachable, stretchable electronics that integrate sensors, power management devices, and wireless data transfer functions on a single elastomer substrate. Conventional wireless technologies, such as near-field communications (NFC) and Bluetooth, are incorporated in miniaturized features on the devices. To date, much research has been performed in this field, but there are still many technologies to develop. The performance of individual devices and mass fabrication techniques should be enhanced. We expect that future electronic devices with fully integrated functions will include advanced human-machine interaction capabilities and expand the overall abilities of the human body.