Stretchable and Skin-Attachable Electronic Device for Remotely Controlled Wearable Cancer Therapy

Recent advances in nanomaterials for wearable devices: classification, synthesis, and applications

Wearable devices have a wide range of applications in mobile electronics, energy storage, human movement and health monitoring due to their flexibility, comfort and portability. Nanomaterials have excellent electrical conductivity and mechanical properties due to being in the nanoscale range with small size and surface effects that alter electrical properties. This paper focuses on the progress of research on advanced nanomaterials in the wearable field, including the classification of nanomaterials, physical, chemical, microwave-assisted, and biological synthesis for nanomaterials, as well as spinning, textile coating, and three-dimensional printing of fabricating functional layers of nanodevices. In addition, its importance in thermal management devices, telemedicine and monitoring, assistance for the disabled and mental health and sleep monitoring is analyzed. Finally, the current challenges and future directions of the field are discussed. This review will be of great interest and inspiration for developing and improving novel nanomaterials and advanced wearable nanodevices.

Omnidirectionally Stretchable High-Performance Microbatteries Based on Nanocomposite Current Collectors

Stretchable electronics are transforming next-generation wearables and robotics, creating a significant demand for compatible energy storage devices. Microbatteries, known for their compact and flat design, hold great promise but often face limitations of low strain tolerance and unidirectional stretchability. Here, we introduce omnidirectionally stretchable Zn-MnO2 microbatteries featuring innovative nanocomposite current collectors. These current collectors comprise serpentine-patterned silver nanowire and carbon nanotube nanocomposites embedded in a soft elastomer, which effectively dissipate strain across all directions. The resulting microbattery achieves impressive performance, including a high capacity (>1.5 mAh cm-2), excellent rate capability (up to 5.0 mA cm-2), and robust operation under omnidirectional/biaxial strains. Additionally, multiple microbattery cells are successfully integrated with a wireless charging circuit and a soft LED array, forming a wearable system that seamlessly conforms to body movements. This work establishes a novel design framework for deformable energy storage devices, merging superior electrochemical performance with multidirectional stretchability.

Stretchable multifunctional wearable system for real-time and on-demand thermotherapy of arthritis

Thermotherapy is a conventional and effective physiotherapy for arthritis. However, the current thermotherapy devices are often bulky and lack real-time temperature feedback and self-adjustment functions. Here, we developed a multifunctional wearable system for real-time thermotherapy of arthritic joints based on a multilayered flexible electronic device consisting of homomorphic hollow thin-film sensors and heater. The kirigami-serpentine thin-film sensors provide stretchability and rapid response to changes in environmental temperature and humidity, and the homomorphic design offers easy de-coupling of dual-modal sensing signals. Based on a closed-loop control, the thin-film Joule heater exhibits rapid and stable temperature regulation capability, with thermal response time < 1 s and maximum deviation < 0.4 °C at 45 °C. Based on the multifunctional wearable system, we developed a series of user-friendly gears and demonstrated programmable on-demand thermotherapy, real-time personal thermal management, thermal dehumidification, and relief of the pain via increasing blood perfusion. Our innovation offers a promising solution for arthritis management and has the potential to benefit the well-being of thousands of patients.

Recent progress in topical and transdermal approaches for melanoma treatment

The global incidence of melanoma, the most lethal form of skin cancer, continues to escalate, emphasizing the urgent need for more effective therapeutic strategies. This review assesses the latest advancements in topical and transdermal drug delivery systems, positioning them as promising alternatives. These systems allow for the direct application of therapeutic agents to tumor sites, enhancing drug effectiveness, improving patient compliance, and reducing systemic toxicity. Specifically, innovations such as nanoparticles, microneedles, and vesicular systems are explored for their potential to optimize topical and localized drug delivery. By incorporating a graphical overview of these drug delivery vehicles, we visually underscore their roles in enhancing therapeutic outcomes across various treatment categories such as chemotherapy, immunotherapy, phototherapy, phytotherapy, and targeted therapy. This article critically evaluates recent breakthroughs, addresses the current challenges faced by researchers, and explores the future directions of topical and transdermal approaches in melanoma management. By presenting a summary of the latest research and predicting future trends, this review aims to inform ongoing developments and encourage further innovation in strategies for treating melanoma.

Unraveling the hidden complexity of cancer through long-read sequencing

Cancer is fundamentally a disease of the genome, characterized by extensive genomic, transcriptomic, and epigenomic alterations. Most current studies predominantly use short-read sequencing, gene panels, or microarrays to explore these alterations; however, these technologies can systematically miss or misrepresent certain types of alterations, especially structural variants, complex rearrangements, and alterations within repetitive regions. Long-read sequencing is rapidly emerging as a transformative technology for cancer research by providing a comprehensive view across the genome, transcriptome, and epigenome, including the ability to detect alterations that previous technologies have overlooked. In this Perspective, we explore the current applications of long-read sequencing for both germline and somatic cancer analysis. We provide an overview of the computational methodologies tailored to long-read data and highlight key discoveries and resources within cancer genomics that were previously inaccessible with prior technologies. We also address future opportunities and persistent challenges, including the experimental and computational requirements needed to scale to larger sample sizes, the hurdles in sequencing and analyzing complex cancer genomes, and opportunities for leveraging machine learning and artificial intelligence technologies for cancer informatics. We further discuss how the telomere-to-telomere genome and the emerging human pangenome could enhance the resolution of cancer genome analysis, potentially revolutionizing early detection and disease monitoring in patients. Finally, we outline strategies for transitioning long-read sequencing from research applications to routine clinical practice.

A Review of Developments in Carbon-Based Nanocomposite Electrodes for Noninvasive Electroencephalography

Wearable biosensors have been of interest for their wide range of uses, varying from recording biological signals to measuring strain of bending joints. Carbon nanoparticles have been utilized in biocompatible polymers to create nanocomposites with highly tunable mechanical and electrical properties. These nanocomposites have been demonstrated to be highly effective as wearable sensors for recording physiological signals such as electroencephalography (EEG), offering advantages in mechanical and electrical properties and signal quality over commercially available sensors while maintaining feasibility and scalability in manufacturing. This review aims to provide a critical summary of the recent literature on the properties, design, fabrication, and performance of carbon-based nanocomposites for EEG electrodes. The goal of this review is to highlight the various design configurations and properties thereof, manufacturing methods, performance measurements, and related challenges associated with these promising noninvasive dry soft electrodes. While this technology offers many advantages over either other noninvasive or their invasive counterparts, there are still various challenges and opportunities for improvements and innovation. For example, the investigation of gradient composite structures, hybrid nanocomposite/composite materials, hierarchical contact surfaces, and the influence of loading and alignment of the dispersal phase in the performance of these electrodes could lead to novel and better designs. Finally, current practices for evaluating the performance of novel EEG electrodes are discussed and challenged, emphasizing the critical need for the development of standardized assessment protocols, which could provide reliability in the field, enable benchmarking, and hence promote innovation.

Stretchable and Permeable Liquid Metal Micromeshes Featuring Strain-Insensitive Resistance Through In Situ Structural Transformations

Gallium-based liquid metals hold promises for applications in stretchable electronics and beyond. However, these materials often encounter notable resistance increases during stretching and have negligible permeability to gases and liquids. This study presents an in situ structural transformation mechanism to create stretchable and permeable liquid metal micromeshes with strain-insensitive resistance. These micromeshes are fabricated by spin-coating liquid metal onto microfiber textiles and subjecting them to several stretching cycles. Consequently, the micromeshes transform from a smooth finish to wrinkled textures due to the growth in their oxide nanoskins. The distinct microstructure alters the stretching-relaxing mode to folding-unfolding, thereby minimizing fluctuations in resistance. The practical significance of this development is demonstrated through the fabrication of wearable heaters and LED matrices using transformed liquid metal micromeshes. Moreover, when integrated into Janus textiles featuring unidirectional water transport, these micromesh conductors act as sensing electrodes capable of acquiring high-fidelity biopotentials, even during intense sweating. These advancements highlight the capability of ambient air as a powerful reactive environment for tailoring the properties of microscale liquid metals.

Highly Self-Adhesive and Biodegradable Silk Bioelectronics for All-In-One Imperceptible Long-Term Electrophysiological Biosignals Monitoring

Skin-like bioelectronics offer a transformative technological frontier, catering to continuous and real-time yet highly imperceptible and socially discreet digital healthcare. The key technological breakthrough enabling these innovations stems from advancements in novel material synthesis, with unparalleled possibilities such as conformability, miniature footprint, and elasticity. However, existing solutions still lack desirable properties like self-adhesivity, breathability, biodegradability, transparency, and fail to offer a streamlined and scalable fabrication process. By addressing these challenges, inkjet-patterned protein-based skin-like silk bioelectronics (Silk-BioE) are presented, that integrate all the desirable material features that have been individually present in existing devices but never combined into a single embodiment. The all-in-one solution possesses excellent self-adhesiveness (300 N m-1) without synthetic adhesives, high breathability (1263 g h-1 m-2) as well as swift biodegradability in soil within a mere 2 days. In addition, with an elastic modulus of ≈5 kPa and a stretchability surpassing 600%, the soft electronics seamlessly replicate the mechanics of epidermis and form a conformal skin/electrode interface even on hairy regions of the body under severe perspiration. Therefore, coupled with a flexible readout circuitry, Silk-BioE can non-invasively monitor biosignals (i.e., ECG, EEG, EOG) in real-time for up to 12 h with benchmarking results against Ag/AgCl electrodes.

Liquid Metal-Enabled Epidermal Interfaces

Soft materials are crucial for epidermal interfaces in biomedical devices due to their capability to conform to the body compared to rigid inorganic materials. Gels, liquids, and polymers have been extensively explored, but they lack sufficient electrical and thermal conductivity required for many application settings. Gallium-based alloys are molten metals at room temperature with exceptional electrical and thermal conductivity. These liquid metals and their composites can be directly applied onto the skin as interface materials. In this Spotlight on Applications, we focus on the rapidly evolving field of liquid metal-enabled epidermal interfaces featuring unique physical properties beyond traditional gels and polymers. We delve into the role of liquid metal in electrical and thermal biointerfaces in various epidermal applications. Current challenges and future directions in this active area are also discussed.

Controllable and Facile Metallization of Polymer Surface with Biphasic Liquid Metals toward Soft Circuits

Chemical metallization (e.g., chemical/electrical plating) of the polymer surface is an extremely important, convenient, cost-effective, and broadly applied strategy to realize combined advantages of functional metals and polymers for today's industry. However, traditional chemical and electrical metallization of polymer surfaces requires the participation of physical methods, which greatly constrains the utilization of versatile metals in modern electronics. This work successfully utilized a traditional chemical strategy to address the challenging preliminary conductivity and subsequent liquid metal (LM) metallization of insulated polymer surfaces. Through the facile strategy, an ultrathin (6 μm) LM film could be conveniently coated on both the external and internal surface of polymers to fabricate large-area flexible circuits with fine line width (15 μm) at low-cost (9.5 $·dm-2). A detailed reaction mechanism of the LMs was reported, and various chemical parameters of the metallization were thoroughly investigated. Interestingly, the metallized polymer surface showed a distinguished CuGa2/Ga biphasic structure of the LMs, which enabled the polymer as an extraordinarily soft conductor with ultrahigh uniaxial strain (>1200%), extremely low resistance variation (R/R0 < 7), strong metal-polymer adhesion (1.5 N·mm-1), and excellent electrical durability. Furthermore, with the benefit of the photolithography technique, precisely designed circuits could be achieved, and wireless transmission/control soft electronic devices were easily fabricated.

Smart Green Cotton Textiles with Hierarchically Responsive Conductive Network for Personal Healthcare and Thermal Management

Whereas cotton as an abundant natural cellulose has been widely used for sustainable and skin-friendly textiles and clothes, developing cotton fabrics with smart functions that could respond to various stimuli is still eagerly desired while remaining a great challenge. Herein, smart multiresponsive cotton fabric with hierarchically copper nanowire interwoven MXene conductive networks that are seamlessly assembled along a 3D woven fabric template for efficient personal healthcare and thermal comfort regulation is successfully developed. The robust hierarchically interwoven conductive network was "glued" and protected by organic conductive polymer poly(3,4-ethylenedioxythiophene) along a 3D interconnected fabric template to enhance interfacial adherent and environmental stability. Benefiting from the robust multiresponsive hierarchically interwoven conductive network, smart cotton fabric exhibits real-time response to various external stimuli (light/electrical/heat/temperature/stress), and the details of human activities can be accurately recognized and monitored. Furthermore, the porous structure of 3D smart fabric induced strong capillary force and confinement to phase change materials PEG, which exhibits a wide range of phase transition temperatures for efficient thermal comfort regulation. After further encapsulation with transparent fluorosilicone resin, the smart cotton fabric exhibits excellent self-cleaning performance with water/oil repellent. The smart multiresponsive cotton fabrics hold great promise in next-generation wearable systems for efficient personal healthcare and thermal management.

3D Stretchable Electronics with Stretchable Interlayer Connectors

The unique mechanical characteristics of stretchable electronics has significantly expanded applications by overcoming the limitations (rigid, planar) of conventional electronics. However, most reported stretchable electronics are two dimensionally stretchable (laterally stretchable in the xy-axis) in a single layer or even in multiple layers. In this report, we present three dimensionally (3D) stretchable electronics (laterally and vertically stretchable in the xyz-axes) in multilayered 3D electronic circuits. Computational and experimental studies indicate that the approach is reliable in three-dimensional deformations. The base units, stretchable interlayer connectors, can be applied to form various electronic circuit designs in 3D stretchable forms. We demonstrated the efficacy of the approach by designing and fabricating a 3D stretchable light emitting diode (LED) matrix display (125 LEDs).

Application of triboelectric nanogenerator (TENG) in cancer prevention and adjuvant therapy

Cancer is a malignant tumor that kills about 940,000 people worldwide each year. In addition, about 30-77 % of cancer patients will experience cancer metastasis and recurrence, which can increase the cancer mortality rate without prompt treatment. According to the US Food and Drug Administration, wearable devices can detect several physiological indicators of patients to reflect their health status and adjuvant cancer treatment. Based on the triboelectric effect and electrostatic induction phenomenon, triboelectric nanopower generation (TENG) technology can convert mechanical energy into electricity and drive small electronic devices. This article reviewed the research status of TENG in the areas of cancer prevention and adjuvant therapy. TENG can be used for cancer prevention with advanced sensors. At the same time, electrical stimulation generated by TENG can also be used to help inhibit the growth of cancer cells to reduce the proliferation, recurrence, and metastasis of cancer cells. This review will promote the practical application of TENG in healthcare and provide clean and sustainable energy solutions for wearable bioelectronic systems.

High-Performance Wearable Joule Heater Derived from Sea-Island Microfiber Nonwoven Fabric

A three-dimensional (3D) hierarchical microfiber bundle-based scaffold integrated with silver nanowires (AgNWs) and porous polyurethane (PU) was designed for the Joule heater via a facile dip-coating method. The interconnected micrometer-sized voids and unique hierarchical structure benefit uniform AgNWs anchored and the formation of a high-efficiency 3D conductive network. As expected, this composite exhibits a superior electrical conductivity of 1586.4 S/m and the best electrothermal conversion performance of 118.6 °C at 2.0 V compared to reported wearable Joule heaters to date. Moreover, the durable microfiber bundle-PU network provides strong mechanical properties, allowing for the stable and durable electrothermal performance of such a composite to resist twisting, bending, abrasion, and washing. Application studies show that this kind of Joule heater is suitable for a wide range of applications, such as seat heating, a heating jacket, personal thermal management, etc.

Soft and Flexible Bioelectronic Micro-Systems for Electronically Controlled Drug Delivery

The concept of targeted and controlled drug delivery, which directs treatment to precise anatomical sites, offers benefits such as fewer side effects, reduced toxicity, optimized dosages, and quicker responses. However, challenges remain to engineer dependable systems and materials that can modulate host tissue interactions and overcome biological barriers. To stay aligned with advancements in healthcare and precision medicine, novel approaches and materials are imperative to improve effectiveness, biocompatibility, and tissue compliance. Electronically controlled drug delivery (ECDD) has recently emerged as a promising approach to calibrated drug delivery with spatial and temporal precision. This article covers recent breakthroughs in soft, flexible, and adaptable bioelectronic micro-systems designed for ECDD. It overviews the most widely reported operational modes, materials engineering strategies, electronic interfaces, and characterization techniques associated with ECDD systems. Further, it delves into the pivotal applications of ECDD in wearable, ingestible, and implantable medical devices. Finally, the discourse extends to future prospects and challenges for ECDD.

Core-Sheath Heterogeneous Interlocked Conductive Fiber Enables Smart Textile for Personalized Healthcare and Thermal Management

Whereas thermal comfort and healthcare management during long-term wear are essentially required for wearable system, simultaneously achieving them remains challenge. Herein, a highly comfortable and breathable smart textile for personal healthcare and thermal management is developed, via assembling stimuli-responsive core-sheath dual network that silver nanowires(AgNWs) core interlocked graphene sheath induced by MXene. Small MXene nanosheets with abundant groups is proposed as a novel "dispersant" to graphene according to "like dissolves like" theory, while simultaneously acting as "cross-linker" between AgNWs and graphene networks by filling the voids between them. The core-sheath heterogeneous interlocked conductive fiber induced by MXene "cross-linking" exhibits a reliable response to various mechanical/electrical/light stimuli, even under large mechanical deformations(100%). The core-sheath conductive fiber-enabled smart textile can adapt to movements of human body seamlessly, and convert these mechanical deformations into character signals for accurate healthcare monitoring with rapid response(440 ms). Moreover, smart textile with excellent Joule heating and photothermal effect exhibits instant thermal energy harvesting/storage during the stimuli-response process, which can be developed as self-powered thermal management and dynamic camouflage when integrated with phase change and thermochromic layer. The smart fibers/textiles with core-sheath heterogeneous interlocked structures hold great promise in personalized healthcare and thermal management.

Thermally Conductive and UV-EMI Shielding Electronic Textiles for Unrestricted and Multifaceted Health Monitoring

Skin-attachable electronics have garnered considerable research attention in health monitoring and artificial intelligence domains, whereas susceptibility to electromagnetic interference (EMI), heat accumulation issues, and ultraviolet (UV)-induced aging problems pose significant constraints on their potential applications. Here, an ultra-elastic, highly breathable, and thermal-comfortable epidermal sensor with exceptional UV-EMI shielding performance and remarkable thermal conductivity is developed for high-fidelity monitoring of multiple human electrophysiological signals. Via filling the elastomeric microfibers with thermally conductive boron nitride nanoparticles and bridging the insulating fiber interfaces by plating Ag nanoparticles (NPs), an interwoven thermal conducting fiber network (0.72 W m-1 K-1) is constructed benefiting from the seamless thermal interfaces, facilitating unimpeded heat dissipation for comfort skin wearing. More excitingly, the elastomeric fiber substrates simultaneously achieve outstanding UV protection (UPF = 143.1) and EMI shielding (SET > 65, X-band) capabilities owing to the high electrical conductivity and surface plasmon resonance of Ag NPs. Furthermore, an electronic textile prepared by printing liquid metal on the UV-EMI shielding and thermally conductive nonwoven textile is finally utilized as an advanced epidermal sensor, which succeeds in monitoring different electrophysiological signals under vigorous electromagnetic interference. This research paves the way for developing protective and environmentally adaptive epidermal electronics for next-generation health regulation.

Recent Research on Preparation and Application of Smart Joule Heating Fabrics

Multifunctional wearable heaters have attracted much attention for their effective applications in personal thermal management and medical therapy. Compared to passive heating, Joule heating offers significant advantages in terms of reusability, reliable temperature control, and versatile coupling. Joule-heated fabrics make wearable electronics smarter. This review critically discusses recent advances in Joule-heated smart fabrics, focusing on various fabrication strategies based on material-structure synergy. Specifically, various applicable conductive materials with Joule heating effect are first summarized. Subsequently, different preparation methods for Joule heating fabrics are compared, and then their various applications in smart clothing, healthcare, and visual indication are discussed. Finally, the challenges faced in developing these smart Joule heating fabrics and their possible solutions are discussed.

Liquid Metal-Polymer Conductor-Based Conformal Cyborg Devices

Gallium-based liquid metal (LM) exhibits exceptional properties such as high conductivity and biocompatibility, rendering it highly valuable for the development of conformal bioelectronics. When combined with polymers, liquid metal-polymer conductors (MPC) offer a versatile platform for fabricating conformal cyborg devices, enabling functions such as sensing, restoration, and augmentation within the human body. This review focuses on the synthesis, fabrication, and application of MPC-based cyborg devices. The synthesis of functional materials based on LM and the fabrication techniques for MPC-based devices are elucidated. The review provides a comprehensive overview of MPC-based cyborg devices, encompassing their applications in sensing diverse signals, therapeutic interventions, and augmentation. The objective of this review is to serve as a valuable resource that bridges the gap between the fabrication of MPC-based conformal devices and their potential biomedical applications.

Liquid metal biomaterials: translational medicines, challenges and perspectives

Until now, significant healthcare challenges and growing urgent clinical requirements remain incompletely addressed by presently available biomedical materials. This is due to their inadequate mechanical compatibility, suboptimal physical and chemical properties, susceptibility to immune rejection, and concerns about long-term biological safety. As an alternative, liquid metal (LM) opens up a promising class of biomaterials with unique advantages like biocompatibility, flexibility, excellent electrical conductivity, and ease of functionalization. However, despite the unique advantages and successful explorations of LM in biomedical fields, widespread clinical translations and applications of LM-based medical products remain limited. This article summarizes the current status and future prospects of LM biomaterials, interprets their applications in healthcare, medical imaging, bone repair, nerve interface, and tumor therapy, etc. Opportunities to translate LM materials into medicine and obstacles encountered in practices are discussed. Following that, we outline a blueprint for LM clinics, emphasizing their potential in making new-generation artificial organs. Last, the core challenges of LM biomaterials in clinical translation, including bio-safety, material stability, and ethical concerns are also discussed. Overall, the current progress, translational medicine bottlenecks, and perspectives of LM biomaterials signify their immense potential to drive future medical breakthroughs and thus open up novel avenues for upcoming clinical practices.

Wearable Safeguarding Leather Composite with Excellent Sensing, Thermal Management, and Electromagnetic Interference Shielding

This work illustrates a "soft-toughness" coupling design method to integrate the shear stiffening gel (SSG), natural leather, and nonwoven fabrics (NWF) for preparing leather/MXene/SSG/NWF (LMSN) composite with high anti-impact protecting, piezoresistive sensing, electromagnetic interference (EMI) shielding, and human thermal management performance. Owing to the porous fiber structure of the leather, the MXene nanosheets can penetrate leather to construct a stable 3D conductive network; thus both the LM and LMSN composites exhibit superior conductivity, high Joule heating temperature, and an efficient EMI shielding effectiveness. Due to the excellent energy absorption of the SSG, the LMSN composites possess a huge force-buffering (about 65.5%), superior energy dissipation (above 50%), and a high limit penetration velocity of 91 m s-1 , showing extraordinary anti-impact performance. Interestingly, LMSN composites possess an unconventional opposite sensing behavior to piezoresistive sensing (resistance reduction) and impact stimulation (resistance growing), thus they can distinguish the low and high energy stimulus. Ultimately, a soft protective vest with thermal management and impact monitoring performance is further fabricated, and it shows a typical wireless impact-sensing performance. This method is expected to have broad application potential in the next-generation wearable electronic devices for human safeguarding.

Pattern design of a liquid metal-based wearable heater for constant heat generation under biaxial strain

As the wearable heater is increasingly popular due to its versatile applications, there is a growing need to improve the tensile stability of the wearable heater. However, maintaining the stability and precise control of heating in resistive heaters for wearable electronics remains challenging due to multiaxial dynamic deformation with human motion. Here, we propose a pattern study for a circuit control system without complex structure or deep learning of the liquid metal (LM)-based wearable heater. The LM direct ink writing (DIW) method was used to fabricate the wearable heaters in various designs. Through the study about the pattern, the significance of input power per unit area for steady average temperature with tension was proven, and the directionality of the pattern was shown to be a factor that makes feedback control difficult due to the difference in resistance change according to strain direction. For this issue, a wearable heater with the same minimal resistance change regardless of the tension direction was developed using Peano curves and sinuous pattern structure. Lastly, by attaching to a human body model, the wearable heater with the circuit control system shows stable heating (52.64°C, with a standard deviation of 0.91°C) in actual motion.