Antiswelling and Durable Adhesion Biodegradable Hydrogels for Tissue Repairs and Strain Sensors

Advances in conducting nanocomposite hydrogels for wearable biomonitoring

Recent advancements in wearable biosensors and bioelectronics have led to innovative designs for personalized health management devices, with biocompatible conducting nanocomposite hydrogels emerging as a promising building block for soft electronics engineering. In this review, we provide a comprehensive framework for advancing biosensors using these engineered nanocomposite hydrogels, highlighting their unique properties such as high electrical conductivity, flexibility, self-healing, biocompatibility, biodegradability, and tunable architecture, broadening their biomedical applications. We summarize key properties of nanocomposite hydrogels for thermal, biomechanical, electrophysiological, and biochemical sensing applications on the human body, recent progress in nanocomposite hydrogel design and synthesis, and the latest technologies in developing flexible and wearable devices. This review covers various sensor types, including strain, physiological, and electrochemical sensors, and explores their potential applications in personalized healthcare, from daily activity monitoring to versatile electronic skin applications. Furthermore, we highlight the blueprints of design, working procedures, performance, detection limits, and sensitivity of these soft devices. Finally, we address challenges, prospects, and future outlook for advanced nanocomposite hydrogels in wearable sensors, aiming to provide a comprehensive overview of their current state and future potential in healthcare applications.

Poly(thioctic acid) Hydrogels Integrated with Self-Healing, Bioadhesion, Antioxidation, and Antibiosis for Infected Wound Treatment

Bacterial infections pose significant challenges in wound healing and are a serious threat to human health. Hydrogels have emerged as an ideal wound dressing due to their three-dimensional network, which facilitates exudate absorption and maintains a moist environment conducive to healing. Herein, we developed integrated hydrogels composed of poly(thioctic acid) (PTA), polydopamine (PDA), and curcumin (Cur). The formation of covalent and hydrogen bonds among PTA, PDA, and Cur endowed the hydrogels with excellent self-healing and bioadhesion properties. These hydrogels were utilized as dressings for healing Staphylococcus aureus-infected wounds. The PDA-PTA-Cur 16 hydrogel showed the best overall performance in stability, bioadhesion, antioxidant activity, and antibacterial effectiveness. The in vivo results revealed that the PDA-PTA-Cur 16 hydrogel accelerated infected wound healing by inhibiting bacterial growth, alleviating inflammation, promoting collagen deposition, and inducing angiogenesis. This multifunctional hydrogel not only enhances wound healing but also presents a promising strategy for combating bacterial infections in clinical settings.

Sustainable and Recyclable Acrylate Resins for Liquid-Crystal Display 3D Printing Based on Lipoic Acid

The development of renewable vinyl-based photopolymer resins offers a promising solution to reducing the environmental impact associated with 3D printed materials. This study introduces a bifunctional lipoate cross-linker containing a dynamic disulfide bond, which is combined with acrylic monomers (n-butyl acrylate) and conventional photoinitiators to develop photopolymer resins that are compatible with commercial stereolithography 3D printing. The incorporation of disulfide bonds within the polymer network's backbone imparts the 3D printed objects with self-healing capabilities and complete degradability. Remarkably, the degraded resin can be fully recycled and reused for high-resolution reprinting of complex structures while preserving mechanical properties that are comparable to the original material. This proof-of-concept study not only presents a sustainable strategy for advancing acrylate-based 3D printing materials, but also introduces a novel approach for fabricating fully recyclable 3D-printed structures. This method paves the way for reducing the environmental impact while enhancing material reusability, offering significant potential for the development of eco-friendly additive manufacturing.

A gelatin-based ionogel with anti-swelling properties for underwater human physiological signal detection

A hydrogel is an ideal matrix material for flexible electronic devices, electronic skin and health detection devices due to its outstanding flexibility and stretchability. However, hydrogel-based flexible electronic devices swell once they are placed in a high humidity or underwater environment. The swelling behavior could damage the internal structure of hydrogels, ultimately leading to the reduction or complete loss of mechanical properties, electrical conductivity and sensing function. In order to resolve the above problems, a double network ionogel with remarkable anti-swelling behavior, stretchability and conductive properties was prepared. The ionogel consisted of gelatin (G) and copolymerization of acrylic acid (AA), 2-hydroxyethyl methacrylate (HEMA), butyl acrylate (BA), dimethylaminoethyl methacrylate maleate (D) and N,N'-methylene-bis-acrylamide (MBAA). Due to the dense crosslinking network and hydrophobic interaction, the ionogel exhibited remarkable anti-swelling properties (7.64% of the 30-day equilibrium swelling ratio in deionized water). D and MBAA were simultaneously introduced into the ionogel system as cross-linking agents to provide a large number of cross-linking points, improving the cross-linking density of the ionogel. Importantly, the introduction of D avoided ionic leakage by free radical copolymerization. Furthermore, the ionogel maintained stable mechanical properties and conductivity after being submerged in deionized water owing to remarkable anti-swelling performance. The mechanical properties of the ionogel retained 89.75% of the initial mechanical properties after a 5-day immersion in deionized water. Therefore, this ionogel could be employed as an underwater flexible wearable sensor for high humidity or underwater motion monitoring.

In Situ Structural Densification of Hydrogel Network and Its Interface with Electrodes for High-Performance Multimodal Artificial Skin

The multisensory responsiveness of hydrogels positions them as promising candidates for artificial skin, whereas the mismatch of modulus between soft hydrogels and hard electrodes as well as the poor adhesion and conductance at the interface greatly impairs the stability of electronics devices. Herein, we propose an in situ postprocessing approach utilizing electrochemical reactions between metals (Zn, etc.) and hydrogels to synergistically achieve strong adhesion of the hydrogel-electrode interface, low interfacial impedance, and local strain isolation due to the structural densification of the hydrogel network. The mechanism is that Zn electrochemically oxidizes to Zn2+ and injects into the hydrogel, gradually forming a mechanically interlocked structure, Zn2+-polymer dual-helix structural nodes, and a high-modulus ZnO from the surface to the interior. Compared to untreated samples, the treated sample displays 8.7 times increased interfacial adhesion energy between the hydrogel and electrode (87 J/m2), 95% decreased interfacial impedance (218.8 Ω), and a high-strain isolation efficiency (εtotal/εisolation > 400). Akin to human skin, the prepared sensor demonstrates multimodal sensing capabilities, encompassing highly sensitive strain perception and simultaneous perception of temperature, humidity, and oxygen content unaffected by strain interference. This easy on-chip preparation of hydrogel-based multimodal sensor array shows great potential for health and environment monitoring as artificial skin.

Biological applications of lipoic acid-based polymers: an old material with new promise

Lipoic acid (LA) is a versatile antioxidant that has been used in the treatment of various oxidation-reduction diseases over the past 70 years. Owing to its large five-membered ring tension, the dynamic disulfide bond of LA is highly active, enabling the formation of poly(lipoic acid) (PLA) via ring-opening polymerization (ROP). Herein, we first summarize disulfide-mediated ROP polymerization strategies, providing basic routes for designing and preparing PLA-based materials. PLA, as a biologically derived, low toxic, and easily modified material, possesses dynamic disulfide bonds and universal non-covalent carboxyl groups. We also shed light on the biomedical applications of PLA-based materials based on their biological and structural features and further divide recent works into six categories: antibacterial, anti-inflammation, anticancer, adhesive, flexible electronics, and 3D-printed tissue scaffolds. Finally, the challenges and future prospects associated with the biomedical applications of PLA are discussed.

A Visible Light Cross-Linked Underwater Hydrogel Adhesive with Biodegradation and Hemostatic Ability

Hydrogel adhesives with integrated functionalities are still required to match their ever-expanding practical applications in the field of tissue repair and regeneration. A simple and effective safety strategy is reported, involving an in situ injectable polymer precursor and visible light-induced cross-linking. This strategy enables the preparation of a hydrogel adhesive in a physiological environment, offering wet adhesion to tissue surfaces, molecular flexibility, biodegradability, biocompatibility, efficient hemostatic performance, and the ability to facilitate liver injury repair. The proposed one-step preparation process of this polymer precursor involves the mixing of gelatin methacryloyl (GelMA), poly(thioctic acid) [P(TA)], poly(acrylic acid)/amorphous calcium phosphate (PAAc/ACP, PA) and FDA-approved photoinitiator solution, and a subsequent visible light irradiation after in situ injection into target tissues that resulted in a chemically-physically cross-linked hybrid hydrogel adhesive. Such a combined strategy shows promise for medical scenarios, such as uncontrollable post-traumatic bleeding.

Electrochemical Wearable Biosensors and Bioelectronic Devices Based on Hydrogels: Mechanical Properties and Electrochemical Behavior

Hydrogel-based wearable electrochemical biosensors (HWEBs) are emerging biomedical devices that have recently received immense interest. The exceptional properties of HWEBs include excellent biocompatibility with hydrophilic nature, high porosity, tailorable permeability, the capability of reliable and accurate detection of disease biomarkers, suitable device-human interface, facile adjustability, and stimuli responsive to the nanofiller materials. Although the biomimetic three-dimensional hydrogels can immobilize bioreceptors, such as enzymes and aptamers, without any loss in their activities. However, most HWEBs suffer from low mechanical strength and electrical conductivity. Many studies have been performed on emerging electroactive nanofillers, including biomacromolecules, carbon-based materials, and inorganic and organic nanomaterials, to tackle these issues. Non-conductive hydrogels and even conductive hydrogels may be modified by nanofillers, as well as redox species. All these modifications have led to the design and development of efficient nanocomposites as electrochemical biosensors. In this review, both conductive-based and non-conductive-based hydrogels derived from natural and synthetic polymers are systematically reviewed. The main synthesis methods and characterization techniques are addressed. The mechanical properties and electrochemical behavior of HWEBs are discussed in detail. Finally, the prospects and potential applications of HWEBs in biosensing, healthcare monitoring, and clinical diagnostics are highlighted.

Synthesis and Evaluation of Metal Lipoate Adhesives

The development of new bioadhesives with integrated properties remains an unmet clinical need to replace staples or sutures. Current bioadhesives do not allow electronic activation, which would allow expansion into laparoscopic and robotic surgeries. To address this deficiency, voltage-activated adhesives have been developed on both carbene- and catechol-based chemical precursors. Herein, a third platform of voltage-activated adhesive is evaluated based on lipoic acid, a non-toxic dithiolane found in aerobic metabolism and capable of ring-opening polymerization. The electro-rheological and adhesive properties of lithium, sodium, and potassium salts of lipoic acid are applied for wet tissue adhesion. At ambient conditions, potassium lipoate displays higher storage modulus than lithium or sodium salt under similar conditions. Voltage stimulation significantly improves gelation kinetics to Na- and K-lipoates, while Li-lipoate is found to not require voltage stimulation for gelation. Lap shear adhesion strength on wetted collagen substrates reveals that the synthetic metal lipoates have comparable adhesion strength to fibrin sealants without viral or ethical risks.

Tendon-Inspired Anisotropic Hydrogels with Excellent Mechanical Properties for Strain Sensors

Anisotropic conductive hydrogels mimicking the natural tissues with high mechanical properties and intelligent sensing have played an important role in the field of flexible electronic devices. Herein, tensile remodeling, drying, and subsequent ion cross-linking methods were used to construct anisotropic hydrogels, which were inspired by the orientation and functionality of tendons. Due to the anisotropic arrangement of the polymer network, the mechanical performance and electrical conductivity were greatly improved in specific directions. The tensile stress and elastic modulus of the hydrogel along the network orientation were 29.82 and 28.53 MPa, which were higher than those along the vertical orientation, 9.63 and 11.7 MPa, respectively. Moreover, the hydrogels exhibited structure-dependent anisotropic sensing. The gauge factors (GFs) parallel to the prestretching direction were greater than the GF along the vertical direction. Thus, the tendon-inspired conductive hydrogels with anisotropy could be used as flexible sensors for joint motion detection and voice recognition. The anisotropic hydrogel-based sensors are highly expected to promote the great development of emerging soft electronics and medical detection.

Mussel-Inspired, Underwater Self-Healing Ionoelastomers Based on α-Lipoic Acid for Iontronics

Weak adhesion and lack of underwater self-healability hinder advancing soft iontronics particularly in wet environments like sweaty skin and biological fluids. Mussel-inspired, liquid-free ionoelastomers are reported based on seminal thermal ring-opening polymerization of a biomass molecule of α-lipoic acid (LA), followed by sequentially incorporating dopamine methacrylamide as a chain extender, N,N'-bis(acryloyl) cystamine, and lithium bis(trifluoromethanesulphonyl) imide (LiTFSI). The ionoelastomers exhibit universal adhesion to 12 substrates in both dry and wet states, superfast self-healing underwater, sensing capability for monitoring human motion, and flame retardancy. The underwater self-repairabilitiy prolongs over three months without deterioration, and sustains even when mechanical properties greatly increase. The unprecedented underwater self-mendability benefits synergistically from the maximized availability of dynamic disulfide bonds and diverse reversible noncovalent interactions endowed by carboxylic groups, catechols, and LiTFSI, along with the prevented depolymerization by LiTFSI and tunability in mechanical strength. The ionic conductivity reaches 1.4 × 10^-6 -2.7 × 10^-5 S m^-1 because of partial dissociation of LiTFSI. The design rationale offers a new route for creating a wide range of LA- and sulfur-derived supramolecular (bio)polymers with superior adhesion, healability, and other functionalities, and thus has technological implications for coatings, adhesives, binders and sealants, biomedical engineering and drug delivery, wearable and flexible electronics, and human-machine interfaces.

Ultrastretchable, Multihealable, and Highly Sensitive Strain Sensor Based on a Double Cross-Linked MXene Hydrogel

The ability of a flexible strain sensor to directly adapt the complicated human biological motion or combined gestures and remotely control the artificial intelligence robotics could benefit the wearable electronics such as intelligent robotics and patient healthcare. However, it is a challenge for the flexible strain sensor to simultaneously achieve high sensing performances and stretchability and long sustainability under various deformation stress or damage. Herein, a dual-cross-linked poly(acrylic acid-stearyl methacrylate)/MXene [P(AA-SMA)M] hydrogel with enhanced mechanical stretchability and self-healability is fabricated by importing reversible coordination and hydrophobic interaction into polymer networks. As a result, the hydrogel film not only exhibits high tensile strength (525 kPa) and stretchability (∼2600%) but also achieves repetitive healable property with 843% elongation even after the 20th broken/self-healing cycle. More importantly, the resultant strain sensor delivers a low detection limit, wide sensing range, fast response time, and repeatability of 1000 cycles even after repeated self-healing. So, the sensor can monitor subtle human motions and recognize different handwriting and gestures, which reveals potential applications toward health-care devices, flexible electronics, and human-machine interfacing.

Conductive hydrogels for tissue repair

Conductive hydrogels (CHs) combine the biomimetic properties of hydrogels with the physiological and electrochemical properties of conductive materials, and have attracted extensive attention in the past few years. In addition, CHs have high conductivity and electrochemical redox properties and can be used to detect electrical signals generated in biological systems and conduct electrical stimulation to regulate the activities and functions of cells including cell migration, cell proliferation, and cell differentiation. These properties give CHs unique advantages in tissue repair. However, the current review of CHs is mostly focused on their applications as biosensors. Therefore, this article reviewed the new progress of CHs in tissue repair including nerve tissue regeneration, muscle tissue regeneration, skin tissue regeneration and bone tissue regeneration in the past five years. We first introduced the design and synthesis of different types of CHs such as carbon-based CHs, conductive polymer-based CHs, metal-based CHs, ionic CHs, and composite CHs, and the types and mechanisms of tissue repair promoted by CHs including anti-bacterial, antioxidant and anti-inflammatory properties, stimulus response and intelligent delivery, real-time monitoring, and promoted cell proliferation and tissue repair related pathway activation, which provides a useful reference for further preparation of bio-safer and more efficient CHs used in tissue regeneration.

Self-healing, self-adhesive, and stretchable conductive hydrogel for multifunctional sensor prepared by catechol modified nanocellulose stabilized poly(α-thioctic acid)

Self-healing, self-adhesive, and stretchable bio-based conductive hydrogels exhibit properties similar to those of biological tissues, making them an urgent requirement for emerging wearable devices. The primary challenge lies in devising straightforward strategies to accomplish all the aforementioned performances and achieve equilibrium among them. This study used the natural compound thioctic acid (TA) and modified cellulose to prepare conductive hydrogels with stretchability, healing, and self-adhesion through a simple one-step strategy. Metastable poly(TA) was obtained through ring-opening polymerization of lithiated TA, followed by the introduction of dopamine-grafted cellulose nanofibers (DCNF) to stabilize poly(TA) and prepare PTALi/DCNF hydrogels with the aforementioned properties. The hydrogels demonstrated remarkable conductivity, attributed to the existence of Li + ions, with a maximum conductivity of 17.36 mS/cm. The self-healing capacity of the hydrogels was achieved owing to the presence of disulfide bond in TA. The introduction of DCNF can effectively stabilize poly(TA), endow the hydrogel with self-adhesion ability, improve the mechanical properties, and further enhance the formability of hydrogels. Generally, bio-based PTALi/DCNF hydrogels with stretchability, self-healing, self-adhesion, and conductivity are obtained through a simple strategy and used as a sensor with a wide response range and high sensitivity. Hydrogels have significant potential for application in wearable electronic devices, electronic skins, and soft robots.

Chitosan Sponge/Cu-WO3-x Composite for Photodynamic Therapy of Wound Infection

One of the potential treatments for bacterial wound infections is photodynamic therapy. WO_3-x semiconductor materials can generate reactive oxygen species when exposed to light, which can inactivate bacteria. In this work, we improved their photocatalytic performance by doping WO_3-x with Cu. The wound dressing was prepared by loading Cu-WO_3-x into a highly biocompatible chitosan sponge. The composite sponge dressing showed significant inactivation of Escherichia coli and Staphylococcus aureus, and in vitro toxicity assays on L929 cells demonstrated the biosafety of the dressing. Through in vivo wound healing trials, composite sponge dressings have been shown to accelerate wound healing, and this composite chitosan sponge can be possibly used for photodynamic therapy of bacterial wound infections.

Cellulose nanocrystals boosted hydrophobic association in dual network polymer hydrogels as advanced flexible strain sensor for human motion detection

Conductive hydrogels attract the attention of researchers worldwide, especially in the field of flexible sensors like strain and pressure. These flexible materials have potential applications in the field of electronic skin, soft robotics, energy storage, and human motion detection. However, its practical application is limited due to low stretchability, high hysteresis energy, low conductivity, long-range strain sensitivity, and high response time. It's still a challenging job to endow all these properties in a single hydrogel network. In the present work, cellulose nano crystals (CNCs) reinforced hydrophobically associated gels were developed using APS as a source of radical polymerization, acrylamide and lauryl methacrylate were used as a monomer. CNCs reinforced the hydrophobically associated hydrogels through hydrogen bonding to retain the hydrogel's network structure. Hydrogels consist of dual crosslinking, which demonstrate exceptional mechanical performance (fracture stress and strain, toughness, and Young's modulus). The low hysteresis energy (10.9 kJm^-3) and high conductivity (22.97 mS/cm) make the hydrogels a strong candidate for strain sensors with high sensitivity (GF = 19.25 at 700% strain) and a fast response time of 200 ms. Cyclic performance was also investigated up to 300 continuous cycles. After 300 cycles, the hydrogels were still stable and no considerable change was observed. These hydrogels are capable of sensing different human motions like wrist, finger bending, and neck (up-down and straight and right/left motion of neck). The hydrogels also demonstrate changes in current in response to swallowing, different speaking words, and writing different alphabets. These results suggest that our prepared materials can sense different small and large human motions, and also could be used in any electronic device where strain sensing is required.

Design of epoxidized natural rubber/poly(lipoic acid) elastomer with fast and efficient self-healing under a mild temperature

Most of the dynamic covalent bonds (DCBs) for self-healing rubber must be activated at relatively high temperatures due to the requirement of high energy during the exchange of dynamic bonds, which may lead to unexpected degradation or excessive crosslinking of rubber. Herein, we designed and fabricated a highly stretchable, self-healable and reprocessable rubber by introducing dynamic disulfide bonds into the crosslink network of epoxidized natural rubber (ENR). Lipoic acid (LA) was firstly uniformly dispersed into ENR via a latex film formation technique, and then underwent a dynamic covalent ring-opening self-polymerization during hot pressing process, during which the carboxyl group of poly(LA) attacked the epoxy group of ENR to form β-hydroxyl ester bond crosslinks. As a result, a revisable covalently crosslinked network without rigid steric hindrance groups was constructed, which exhibited a super self-healing efficiency of 99 % after self-healing at 80 °C for only 3 h. The elongation at break of the elastomer could reach 1115 % and the recovery rate of reprocessing was as high as 91 %.

Polydopamine Biomaterials for Skin Regeneration

Designing biomaterials capable of biomimicking wound healing and skin regeneration has been receiving increasing attention recently. Some biopolymers behave similarly to the extracellular matrix (ECM), supporting biointerfacial adhesion and intrinsic cellular interactions. Polydopamine (PDA) is a natural bioadhesive and bioactive polymer that endows high chemical versatility, making it an exciting candidate for a wide range of biomedical applications. Moreover, biomaterials based on PDA and its derivatives have near-infrared (NIR) absorption, excellent biocompatibility, intrinsic antioxidative activity, antibacterial activity, and cell affinity. PDA can regulate cell behavior by controlling signal transduction pathways. It governs the focal adhesion behavior of cells at the biomaterials interface. These features make melanin-like PDA a fascinating biomaterial for wound healing and skin regeneration. This paper overviews PDA-based biomaterials' synthesis, properties, and interactions with biological entities. Furthermore, the utilization of PDA nano- and microstructures as a constituent of wound-dressing formulations is highlighted.

Antibacterial, wearable, transparent tannic acid-thioctic acid-phytic acid hydrogel for adhesive bandages

Making a hydrogel-based first-aid bandage with green resources, desirable biocompatibility, universal adhesive properties, low cost and simple production is a long-standing research aspiration. Considering this, three naturally existing organic acids, namely tannic acid, thioctic acid and phytic acid, were used to construct a novel adhesive gel (TATAPA hydrogel) for epidermal tissue bandage applications. This hydrogel could be synthesized under mild conditions with no need for a freeze-thawing shaping procedure, and was transparent, moldable and stretchable with good stability under continuous water immersion. In lap-shear tests, the TATAPA hydrogel could adhere to various hydrophilic and hydrophobic surfaces. Moreover, in the case of skin tissue adhesion, the hydrogel could be easily peeled off from the skin, meeting wearability requirements. Rheological tests showed that the hydrogel possessed thermal sensitive properties derived from multi-supramolecular interactions. The methicillin-resistant Staphylococcus aureus (MRSA)-infected burn wound test demonstrated that the hydrogel had desirable antibacterial activity and was beneficial for wound healing. A femoral artery bleeding assay was also used to reveal that the TATAPA hydrogel could be directly pasted onto the bleeding site for hemostasis. Overall, this hydrogel demonstrates potential as a surgical bioadhesive for a broad range of medical applications.

Disulfide-Mediated Reversible Polymerization toward Intrinsically Dynamic Smart Materials

The development of a dynamic chemistry toolbox to endow materials dynamic behavior has been key to the rational design of future smart materials. The rise of supramolecular and dynamic covalent chemistry offers many approaches to the construction of dynamic polymers and materials that can adapt, respond, repair, and recycle. Within this toolbox, the building blocks based on 1,2-dithiolanes have become an important scaffold, featuring their reversible polymerization mediated by dynamic covalent disulfide bonds, which enables a unique class of dynamic materials at the intersection of supramolecular polymers and adaptable covalent networks. This Perspective aims to explore the dynamic chemistry of 1,2-dithiolanes as a versatile structural unit for the design of smart materials by summarizing the state of the art as well as providing an overview of the fundamental challenges involved in this research area and its potential future directions.

A review on the features, performance and potential applications of hydrogel-based wearable strain/pressure sensors

Over the past few years, development of wearable devices has gained increasing momentum. Notably, the demand for stretchable strain sensors has significantly increased due to many potential and emerging applications such as human motion monitoring, prosthetics, robotic systems, and touch panels. Recently, hydrogels have been developed to overcome the drawbacks of the elastomer-based wearable strain sensors, caused by insufficient biocompatibility, brittle mechanical properties, complicated fabrication process, as the hydrogels can provide a combination of various exciting properties such as intrinsic electrical conductivity, suitable mechanical properties, and biocompatibility. There are numerous research works reported in the literature which consider various aspects as preparation approaches, design strategies, properties control, and applications of hydrogel-based strain sensors. This article aims to present a review on this exciting topic with a new insight on the hydrogel-based wearable strain sensors in terms of their features, strain sensory performance, and prospective applications. In this respect, we first briefly review recent advances related to designing the materials and the methods for promoting hydrogels' intrinsic features. Then, strain (both tensile and pressure) sensing performance of prepared hydrogels is critically studied, and alternative approaches for their high-performance sensing are proposed. Subsequently, this review provides several promising applications of hydrogel-based strain sensors, including bioapplications and human-machine interface devices. Finally, challenges and future outlooks of conductive and stretchable hydrogels employed in the wearable strain sensors are discussed.

Performance of Polydopamine Complex and Mechanisms in Wound Healing

Polydopamine (PDA) has been gradually applied in wound healing of various types in the last three years. Due to its rich phenol groups and unique structure, it can be combined with a variety of materials to form wound dressings that can be used for chronic infection, tissue repair in vivo and serious wound healing. PDA complex has excellent mechanical properties and self-healing properties, and it is a stable material that can be used for a long period of time. Unlike other dressings, PDA complexes can achieve both photothermal therapy and electro activity. In this paper, wound healing is divided into four stages: antibacterial, anti-inflammatory, cell adhesion and proliferation, and re-epithelialization. Photothermal therapy can improve the bacteriostatic rate and remove reactive oxygen species to inhibit inflammation. Electrical signals can stimulate cell proliferation and directional migration. With low reactive oxygen species (ROS) levels, inflammatory factors are down-regulated and growth factors are up-regulated, forming regular collagen fibers and accelerating wound healing. Finally, five potential development directions are proposed, including increasing drug loading capacity, optimization of drug delivery platforms, improvement of photothermal conversion efficiency, intelligent electroactive materials and combined 3D printing.

Ultra-Sensitive and Ultra-Stretchable Strain Sensors Based on Emulsion Gels with Broad Operating Temperature

Hydrogels with mechanical elasticity and conductivity are ideal materials in wearable devices. However, traditional hydrogels are fragile upon mechanical loading and lose functions in climate change because the internal water undergoes freeze and dehydration. Herein, we synthesize stable emulsions at high and low temperatures by introducing glycerol into the W/W emulsions. Then the high-stable emulsions are used as templates to produce the freestanding emulsion gels with enhanced mechanical strength and conductivity. The introduction of glycerol endows emulsions and emulsion gels with high and low temperature resistance (-20 to 90 °C). The fabricated strain sensors based on emulsion gels show high sensitivity (gauge factor=6.240), high stretchability (1081 %), fatigue resistance, self-healing and adhesion properties, realizing the repeatable and accurate detection of various human motions. These high-performance and eco-friendly emulsion gels can be promising candidates for next-generation artificial skin and human-machine interface.

Tunable, conductive, self-healing, adhesive and injectable hydrogels for bioelectronics and tissue regeneration applications

Conductive hydrogels are attracting considerable interest in view of their potential in a wide range of applications that include healthcare and electronics. Such hydrogels are generally incorporated with conductive materials/polymers. Herein, we present a series of conductive hydrogels (Ch-CMC-PDA), prepared with no additional conductive material. The hydrogels were synthesized using a combination of chitosan, cellulose (CMC) and dopamine (DA). The conductivity (0.01-3.4 × 10^-3 S cm^-1) in these gels is attributed to ionic conductivity. Very few conductive hydrogels are endowed with additional properties like injectability, adhesiveness and self-healing, which would help to widen their scope for applications. While the dynamic Schiff base coupling in our hydrogels facilitated self-healing and injectable properties, polydopamine imparted tissue adhesiveness. The porosity, rheological, mechanical and conductive properties of the hydrogels are regulated by the CMC-dialdehyde-polydopamine (CMC-D-PDA) content. The hydrogel was evaluated in various bioelectronics applications like ECG monitoring and triboelectric nanogenerators (TENG). The ability of the hydrogel to support cell growth and serve as a template for tissue regeneration was confirmed using in vitro and in vivo studies. In summary, the integration of such remarkable features in the ionic-conductive hydrogel would enable its usage in bioelectronics and biomedical applications.

Stimulation Modulates Adhesion and Mechanics of Hydrogel Adhesives

The ability to modulate the adhesion of soft materials on-demand is desired for broad applications ranging from tissue repair to soft robotics. Research effort has been focused on the chemistry and architecture of interfaces, leaving the mechanics of soft adhesives overlooked. Stimuli-responsive mechanisms of smart hydrogels could be leveraged for achieving stimuli-responsive hydrogel adhesives that respond mechanically to external stimuli. Such stimuli-responsive hydrogel adhesives involve complex chemomechanical coupling and interfacial fracture phenomena, calling for mechanistic understanding to enable rational design. Here, we combine experimental, computational, and analytical approaches to study a thermo-responsive hydrogel adhesive. Experimentally, we show that the adhesion and mechanical properties of a stimuli-responsive hydrogel adhesive are both enhanced by the application of a stimulus. Our analysis further reveals that the enhanced adhesion stems from the increased fracture energy of the bulk hydrogel and the insignificant residual stress on the adhesive-tissue interface. This study presents a framework for designing stimuli-responsive hydrogel adhesives based on the modulation of bulk properties and sheds light on the development of smart adhesives with tunable mechanics.

Silica Aerogels with Self-Reinforced Microstructure for Bioinspired Hydrogels

Aerogel is a kind of high-performance lightweight open-porous solids with ultralow density, high specific surface area, and broad application in many emerging fields including biotechnology, energy, environment, aerospace, etc. A giant challenge remains in preventing of the hydrophilic aerogel framework shrinkage when replacing of solvent with air in its extremely abundant nanosized pores during its fabrication process in ambient conditions. In this work, started from a linear polymeric precursor with further condensation reaction, superhydrophilic silica aerogels with self-reinforced microstructure and the least volume shrinkage have been successfully obtained via ambient pressure drying process without use of any additives in the presence of a low surface tension solvent. The resulting superhydrophilic silica aerogels possess specific surface area up to 1065 m²/g, pore volume up to 2.17 cm³/g and density down to 84 mg/cm³, and these values are comparable to those of their counterparts obtained by supercritical CO₂ drying process. Moreover, as an application demonstration, the bioinspired hydrogels with desirable mechanical flexibility and adhesive performance at extremely harsh environment (e.g., below -50 °C) have been successfully synthesized by mimicking carrier of a functional bioagent with the resulting superhydrophilic silica aerogel microparticles. Our work has made a significant step forward for future high-performance hydrophilic aerogels with self-enhanced microstructures and the resulting superhydrophilic aerogels have shown great potentials in making functional hydrogels with bionic properties.

An injectable double cross-linked hydrogel adhesive inspired by synergistic effects of mussel foot proteins for biomedical application

Hydrogel adhesives with high tissue adhesion, biodegradability and biocompatibility are benefit for promoting surgical procedures and minimizing the pain and post-surgical complications of patients. In this paper, an injectable mussel inspired double cross-linked hydrogel adhesive composed of thiolated mussel inspired chitosan (CSDS) and tetra-succinimidyl carbonate polyethylene glycol (PEG-4S) was designed and developed. CSDS was synthesized with thiol and catechol groups inspired by the synergistic effect of mussel foot proteins (mfps). The double cross-linked hydrogel was first formed by the addition of sodium periodate (or Fe³⁺) and then double cross-linked with PEG-4S. The results showed that the mechanical and adhesion properties of the double cross-linked hydrogels were significantly improved by the synergistic effects of the functional groups. And the prepared hydrogels showed good cytocompatibility which evaluated by determining the viability of L929 cells and human umbilical vein endothelial cells (HUVECs). Additionally, the biodegradability and biocompatibility in vivo were further confirmed by subcutaneous implantation in mice model, and the histological analysis results identified that the prepared hydrogels were in vivo biocompatible. This work presents an injectable mussel inspired double cross-linked hydrogels that can use as a potential hydrogel adhesive for biomedical application.