Soft and elastic hydrogel-based microelectronics for localized low-voltage neuromodulation

Deciphering spatiotemporal molecular pattern of traumatic brain injury by resveratrol-engineered two-dimensional-material-based field-effect-transistor biopatch

Traumatic Brain Injury (TBI) is a severe neurological disorder with an incomplete understanding of its underlying mechanisms, primarily due to the lack of effective strategy for in situ spatiotemporal analysis. Biomarkers associated with TBI, such as glial fibrillary acidic protein (GFAP), are typically detected in vitro rather than in situ, with a notable absence of spatiotemporal dynamics analysis. Herein, we developed a resveratrol-functionalized silver nanowires-doped MXene-based field-effect transistor biopatch (Res-Ag-MFETs) for in-situ spatiotemporal GFAP analysis, aiming to elucidate the TBI's biomolecular mechanisms. We employed silver nanowires (AgNWs)-doped two-dimensional MXene as the FET's semiconductor and validated the favorable capability of MXene@AgNWs via morphological, elemental characterization, and DFT simulations. Res-Ag-MFETs demonstrated a favorable capability to suppress neuronal damage and inflammation, as evidenced by histological staining and bioactivity tests. Additionally, Res-Ag-MFETs demonstrated remarkable reproducibility (RSD = 2.12%), stability, and sensitivity for GFAP quantification, achieving a detection limit as low as 0.47 pg/mL. Ultimately, Res-Ag-MFETs enabled efficient in-situ spatiotemporal analysis of GFAP in a Sprague Dawley (SD) rat with TBI, revealing a progressive diffusion of GFAP from the centre to the periphery over time. This advancement provides a novel platform for spatiotemporal dynamics analysis of biochemical markers in brain disorders, potentially laying the groundwork for further exploration of underlying pathogenic mechanisms.

Evolving Therapeutic Landscape of Intracerebral Hemorrhage: Emerging Cutting-Edge Advancements in Surgical Robots, Regenerative Medicine, and Neurorehabilitation Techniques

Intracerebral hemorrhage (ICH) is the most serious form of stroke and has limited available therapeutic options. As knowledge on ICH rapidly develops, cutting-edge techniques in the fields of surgical robots, regenerative medicine, and neurorehabilitation may revolutionize ICH treatment. However, these new advances still must be translated into clinical practice. In this review, we examined several emerging therapeutic strategies and their major challenges in managing ICH, with a particular focus on innovative therapies involving robot-assisted minimally invasive surgery, stem cell transplantation, in situ neuronal reprogramming, and brain-computer interfaces. Despite the limited expansion of the drug armamentarium for ICH over the past few decades, the judicious selection of more efficacious therapeutic modalities and the exploration of multimodal combination therapies represent opportunities to improve patient prognoses after ICH.

Conductive hydrogel luminal filler for peripheral nerve regeneration

Peripheral nerve injuries impair quality of life due to pain and loss of sensory and motor functions. Current treatments like autografts and nerve guidance conduits (NGCs) have limitations in functional restoration. Luminal fillers can enhance the effectiveness of NGCs by providing beneficial intraneural environments. In this study, we devised a novel injectable conductive luminal filler that allows for electrically active environments and efficient electrical stimulation of nerves. We developed injectable conductive hydrogel as a luminal filler for NGCs, composed of pluronic-coated reduced graphene oxide (rGO) and gelatin-based polymers, that gels spontaneously under physiological conditions. This filler combines nerve-like softness (0.31 ± 0.02 kPa), appropriate conductivity (2.7 ± 0.3 mS/cm), quick gelation (<5 min), and in vivo degradability. In a rat peripheral nerve defect model, the conductive hydrogel filler with electrical stimulation showed promising results in nerve regrowth, myelination, and functional recovery, performing comparably to autografts. This study underscores the potential of conductive fillers in enhancing nerve regeneration therapies.

Bioaugmented design and functional evaluation of low damage implantable array electrodes

Implantable neural electrodes are key components of brain-computer interfaces (BCI), but the mismatch in mechanical and biological properties between electrode materials and brain tissue can lead to foreign body reactions and glial scarring, and subsequently compromise the long-term stability of electrical signal transmission. In this study, we proposed a new concept for the design and bioaugmentation of implantable electrodes (bio-array electrodes) featuring a heterogeneous gradient structure. Different composite polyaniline-gelatin-alginate based conductive hydrogel formulations were developed for electrode surface coating. In addition, the design, materials, and performance of the developed electrode was optimized through a combination of numerical simulations and physio-chemical characterizations. The long-term biological performance of the bio-array electrodes were investigated in vivo using a C57 mouse model. It was found that compared to metal array electrodes, the surface charge of the bio-array electrodes increased by 1.74 times, and the impedance at 1 kHz decreased by 63.17 %, with a doubling of the average capacitance. Long-term animal experiments showed that the bio-array electrodes could consistently record 2.5 times more signals than those of the metal array electrodes, and the signal-to-noise ratio based on action potentials was 2.1 times higher. The study investigated the mechanisms of suppressing the scarring effect by the bioaugmented design, revealing reduces brain damage as a result of the interface biocompatibility between the bio-array electrodes and brain tissue, and confirmed the long-term in vivo stability of the bio-array electrodes.

Flexible and low-temperature-resistant double-network hydrogel with a bionic octopus-tentacle-like structure for integrated supercapacitor and nanogenerator sensor fabrication

Flexible and stretchable hydrogels are important components of flexible electronics; however, they are typically easily detached upon repeated high-strain stretching because of their smooth surfaces and cannot be used at subfreezing temperatures because of ice formation. To address these shortcomings, we prepared a low-temperature-resistant and flexible double-network hydrogel with a bionic octopus-tentacle-like structure composed of polyvinyl alcohol and sodium alginate. We also verified its suitability for developing high-performance, flexible, stretchable, and environmentally durable supercapacitors and nanogenerator sensors. The influence of melting temperature on the hydrogel's surface morphology decreased the interfacial resistance. The fabricated supercapacitor demonstrated exceptional performance, with 1326.5 mF cm-2 (areal capacitance) at 1 mA cm-2, a maximum energy and power densities of 172.3 μWh cm-2, and 708.6 mW cm-2, respectively, outperforming most integrated supercapacitors previously reported. The corresponding nanogenerator sensor demonstrated outstanding suitability for energy harvesting and low-temperature sensing, with potential applications in underwater information transmission using international Morse code. The results of this study paves the way for the fabrication of intelligent wearable electronics and solves the problems associated with the fabrication of flexible and low-temperature-resistant hydrogels.

Tuning Network Topology through Polymerization-Induced Entanglements for Tough and Low-Hysteresis Double Network Hydrogels

In conventional double network (CDN) hydrogels, dense chemical cross-linking in the first network frequently induces structural imperfections, resulting in significant energy dissipation and substantial hysteresis under stress. To improve structural uniformity, spatial heterogeneities can be minimized by introducing mobile cross-linking, which facilitates the creation of a more homogeneous network. Herein, we employed a polymerization-induced entanglements (PIEs) strategy to tune the first network from a traditional net-like to a fabric-inspired topology, simultaneously promoting greater chain entanglement with the second network. This innovative approach enables PIEs DN hydrogels with exceptional performance, including significantly reduced hysteresis (0.15), high tensile strength (1.25 MPa), and excellent toughness (5800 J/m2), overcoming the long-standing trade-off between toughness and hysteresis observed in CDN hydrogels and offering insights and avenues for expanding DN hydrogel applications.

Supramolecular Conductive Hydrogels With Homogeneous Ionic and Electronic Transport

Mechanically resilient hydrogels with ion-electron mixed transport properties effectively bridge biology with electronics. An ideal bioelectronic interface can be realized through introducing electronically conductive polymers into supramolecular hydrogels. However, inhomogeneous morphologies of conducting polymers, such as poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS), have limited mechanical properties and ion-electron interactions. Here, supramolecular conductive hydrogels that possess homogeneous ionic and electronic transport are achieved. The materials demonstrate high toughness (620 kJ m-3), stretchability (>1000%), softness (10.5 kPa), and conductivity (5.8 S cm-1), which surpasses commonly used inhomogeneous PEDOT:PSS-based hydrogels. The homogeneous network leads to higher charge injection capacitance and lower skin impedance compared to commercial electrodes or commonly used inhomogeneous PEDOT:PSS conducting networks. This significant advance arises from the homogeneous incorporation of the hydrophilic self-doped conducting polymer S-PEDOT, which has polymerized within a supramolecular polymer network template mediated by high-binding affinity host-guest crosslinks. Furthermore, the compatibility of S-PEDOT with hydrophilic secondary networks enables the realization of fully dryable and reswellable electronic devices, facilitating reusability and improving their ease of handling. It is anticipated that achieving such material architectures will offer a promising new direction in future synthesis and implementation of conductive hydrogels in the field of bioelectronics.

Material Selection and Device Design of Scalable Flexible Brain-Computer Interfaces: A Balance Between Electrical and Mechanical Performance

Brain-computer interfaces (BCIs) hold the potential to revolutionize brain function restoration, enhance human capability, and advance our understanding of cognitive mechanisms by directly linking neural signals with hardware. However, the mechanical mismatch between conventional rigid BCIs and soft brain tissue limits long-term interface stability. Next-generation BCIs must achieve long-term biocompatibility while maintaining high performance, enabling the integration of millions of sensors within tissue-level flexible and soft, stable neural interfaces. Lithographic fabrication techniques provide scalable thin-film flexible electronics, but traditional electronic materials often fail to meet the unique requirements of BCIs. This review examines the selection of materials and device design for flexible BCIs, starting with an analysis of intrinsic material properties-Young's modulus, electrical conductivity and dielectric constant. It then explores the integration of material selection with electrode design to optimize electrical circuits and assess key mechanical factors. Next, the correlation between electrical and mechanical performance is analyzed to guide material selection and device design. Finally, recent advances in neural probes are reviewed, highlighting improvements in signal quality, recording stability, and scalability. This review focuses on scalable, lithography-based BCIs, aiming to identify optimal materials and designs for long-term, reliable neural recordings.

A porridge-like hydrogel promoted the oral bioavailability of veterinary medicines

The administration of veterinary medicines via drinking water or feed ingredients is a widely adopted method in intensive livestock and poultry farming due to its convenience and cost-effectiveness. Among these drugs, antimicrobials are extensively used, with over 70% of global antimicrobial consumption attributed to veterinary applications. However, the misuse of antimicrobials in livestock has been identified as a significant driver of drug resistance, as well as contributing to other adverse health and environmental impacts. Moreover, certain antimicrobials, such as florfenicol, exhibit limited oral bioavailability due to their low water solubility and permeability, which can compromise their therapeutic efficacy. To address these challenges, this study introduces a novel porridge-like hydrogel designed to enhance the oral absorption of antimicrobials, thereby improving their therapeutic effectiveness. Sodium alginate (SA), a natural polysaccharide polymer, was employed as a protective barrier to shield the antimicrobials from degradation by gastric juices, ensuring drug integrity until release in the intestine. This formulation facilitates excellent mixing with feed, resulting in significantly increased oral bioavailability of the antimicrobials. In a Salmonella-infected chicken model, the orally administered florfenicol-loaded SA hydrogel significantly reduced mortality rates compared to conventional delivery methods. Furthermore, this SA hydrogel can enhance the oral bioavailability of a range of poorly absorbed medications, demonstrating its potential as a versatile oral delivery system. These findings suggest that the porridge-like hydrogel represents a novel promising approach for the oral delivery of veterinary medicines, offering a more effective alternative to traditional formulations.

Highly Stable Polymeric Electrooculography Electrodes for Contactless Human-Machine Interactions

Capturing the electrooculography (EOG) signals is very attractive for assistive devices and user interfaces for virtual reality (VR) systems. However, the current EOG acquisition systems face challenges in ensuring user comfort, particularly in terms of electrode electrical and mechanical performance, long-term usability, thermal effects, and overall system portability. This study presents polymeric dry flexible electrodes, composed of a composite of poly(3,4-ethylenedioxythiophene):polystyrenesulfonate (PEDOT:PSS), poly(vinyl alcohol) (PVA), Gallic acid (GA), and D-sorbitol, forming a dynamic cross-linked network that ensures strong adhesion, stretchability, and electrical stability. These electrodes maintain their performance for up to 72 h, and can be restored through heat reactivation if performance degrades after prolonged storage. This electrode exhibits excellent biocompatibility, causing no skin irritation or thermal effects with continuous use. We have also developed a flexible circuit for real-time signal processing and wireless transmission, which operates in coordination with the EOG electrodes. The system employs a convolutional neural network (CNN) to achieve a 97.1% accuracy in classifying various eye movement patterns. The system enables contactless control of digital interfaces through simple eye movements, offering a solution for long-term, comfortable, and high-fidelity EOG-based human-machine interfaces, particularly for VR integration and assistive technologies for individuals with disabilities.

Boosting Electronic Charge Transport in Conductive Hydrogels via Rapid Ion-Electron Transduction

Traditional design of conductive hydrogels involves embedding conductive components within a hydrated polymeric network to establish interconnected electron pathways. While the hydration shell of the polymeric network is typically considered insulating, we demonstrate that it can enhance electron transport. Using a PEDOT:PSS hydrogel, we propose a hierarchical network with an inhomogeneous topological structure, consisting of entangled PSS chains, dense PSS assemblies, and PEDOT microcrystals. In the hydrated state, the dense PSS assemblies significantly lower the energy barrier for electron hopping between PEDOT microcrystals, thereby promoting electron transport. As a result, the charge transport mechanism in these hydrogels is predominantly electronic rather than ionic, effectively mimicking the behavior of electronic conductors. The charge transport rate reaches up to 2 × 106 m s-1, which is approximately five orders of magnitude higher than that of ion-based processes. This characteristic imparts the hydrogels with kinetically sensitive ion-electron transduction, enabling time-resolved electrochemical analysis of biochemical processes.

Pd@Au Nanoframe Hydrogels for Closed-Loop Wound Therapy

In this work, a multifunctional Pd@Au nanoframe hydrogel was designed to detect uric acid (UA) for in situ monitoring of wound infection and enhance wound healing by a chemo-photothermal strategy. In acidic conditions, the Pd@Au nanoframe hydrogels show high peroxidase-like activity by catalyzing H2O2 to produce reactive oxygen species (ROS) to damage RNAs of bacteria and enhance antibacterial activity. Under Near-infrared (NIR) laser irradiation, the Pd@Au nanoframe hydrogels exhibit photothermal conversion performance; i.e., the color of Pd@Au nanoframe hydrogel solution varies from deep blue (0 s, 25.4 °C) to red (300 s, 50.1 °C) in infrared thermography. After loading the antibacterial mupirocin (M), the as-obtained M Pd@Au nanoframe hydrogels show a maximum cumulative release rate exceeding 90% for mupirocin, as controlled by NIR laser irradiation. In antimicrobial experiments in vitro, M Pd@Au nanoframe hydrogels exhibit NIR laser-driven antibacterial ability; i.e., 98% Escherichia coli are effectively killed in 10 min. After coating rabbit wounds with a UA sensing patch of M Pd@Au nanoframe hydrogels, wound status can be monitored in real time by detecting UA concentration, leading to rapid wound healing in 4 days by a new synergistic effect of chemo-photothermal strategy. This approach successfully confirms a closed-loop strategy, i.e., real-time monitoring the status of a wound and efficiently perform chemo-photothermal wound therapy, for wound healing by combining functional hydrogels, NIR laser irradiation, and pharmaceutical antibacterials.

Stiff and self-healing hydrogels by polymer entanglements in co-planar nanoconfinement

Many biological tissues are mechanically strong and stiff but can still heal from damage. By contrast, synthetic hydrogels have not shown comparable combinations of properties, as current stiffening approaches inevitably suppress the required chain/bond dynamics for self-healing. Here we show a stiff and self-healing hydrogel with a modulus of 50 MPa and tensile strength up to 4.2 MPa by polymer entanglements in co-planar nanoconfinement. This is realized by polymerizing a highly concentrated monomer solution within a scaffold of fully delaminated synthetic hectorite nanosheets, shear oriented into a macroscopic monodomain. The resultant physical gels show self-healing efficiency up to 100% despite the high modulus, and high adhesion shear strength on a broad range of substrates. This nanoconfinement approach allows the incorporation of novel functionalities by embedding colloidal materials such as MXenes and can be generalized to other polymers and solvents to fabricate stiff and self-healing gels for soft robotics, additive manufacturing and biomedical applications.

Thermal Processing Creates Water-Stable PEDOT:PSS Films for Bioelectronics

Organic mixed ionic-electronic conductors have emerged as a key material for the development of bioelectronic devices due to their soft mechanical properties, biocompatibility, and high volumetric capacitance. In particular, PEDOT:PSS has become a choice material because it is highly conductive, easily processible, and commercially available. However, PEDOT:PSS is dispersible in water, leading to delamination of films when exposed to biological environments. For this reason, chemical cross-linking agents such as (3-glycidyloxypropyl)trimethoxysilane (GOPS) are used to stabilize PEDOT:PSS films in water, but at the cost of decreased electrical performance. Here, it is shown that PEDOT:PSS thin films become water-stable by simply baking at high temperatures (>150 °C) for a short time (≈ 2 min). It is shown that heat-treated PEDOT:PSS films are as stable as their chemically-cross-linked counterparts, with their performance maintained for >20 days both in vitro and in vivo. The heat-treated films eliminate electrically insulating cross-linkers, resulting in a 3× increase in volumetric capacitance. Applying thermal energy using a focused femtosecond laser enables direct patterning of 3D PEDOT:PSS microstructures. The thermal treatment method is compatible with a wide range of substrates and is readily substituted into existing workflows for manufacturing devices, enabling its rapid adoption in the field of bioelectronics.

Robustly Repeatable, Permeable, and Multi-Axially Stretchable, Adhesive Bioelectronics With Super-adaptive Conductive Suction Cups for Continuously Deformable Biosurfaces

Skin-integrated wearable bioelectronics offer immense potential for continuous health monitoring, diagnosis, and personalized therapy. However, robustly repeatable and permeable adhesive interfaces with omnidirectional stretchability for adaptability to continuously deforming skin surface remain a critical challenge and often results in issues such as delamination, void, and signal degradation. This study presents a highly adaptable bioelectronic device with a repeatable, robust and biocompatible adhesive interfaces designed for dynamic wet skin surfaces. The device integrates a conductive softened-double-layered octopus-inspired nanocomposites adhesive and kirigami metastructure (cs-OIA_k). The cs-OIA_k achieves skin-like softness, electrical stability (ΔR/R0 < 10, under 10 000 cycles) and omnidirectional stretchability (a maximum of 200%) to accommodate skin deformation. Additionally, the hierarchical structural design of cs-OIA_k enables repeatable robust adhesion (> 10 000 cycles) and vertical alignment to ensure reversible adhesion against dynamically deforming surface (-30% to 100%, depending on skin thickness, site, and age) without skin irritation. Based on these characteristics, the highly adaptable skin-adhesive bioelectronics are demonstrated to achieve reliable electrocardiogram (ECG) and electromyogram (EMG) signal measurements even under shoulder movements with extreme skin deformation. This approach utilizing multi-axially stretchable, repeatable robust adhesives, permeable and biocompatible bioelectronics provides new insights for the development of advanced wearable systems and human-machine interfaces.

Hierarchical Porous Aerogel-Hydrogel Interlocking Bioelectronic Interface for Arrhythmia Management

Carbon aerogels with exceptional electrical properties are considered promising materials for bioelectronics in signal detection and electrical stimulation. To address the mechanical incompatibilities of carbon aerogels with bio-interfaces, particularly for dynamic tissues and organs, the incorporation of hydrogels is an effective strategy. However, achieving excellent electrical performance in carbon aerogel-hydrogel hybrids remains a significant challenge. Two key factors contribute to this difficulty: 1) unrestricted hydrogel infiltration during preparation can lead to complete encapsulation of the conductive aerogel, and 2) the high swelling behavior of hydrogels can cause disconnection of the aerogel. Herein, a stretchable, highly conductive bioelectronic interface is achieved by forming an interlocking network between hierarchical porous carbon aerogel (PA) with polyvinyl alcohol (PVA) hydrogel. Partial exposure of the PA due to confined infiltration of PVA into the porous structure maintains the electrical performance, while the non-swellable PVA ensures mechanical stretchability and stability. The hybrid demonstrates excellent conductivity (370 S·m-1), high charge storage capacity (1.66 mC cm-2), remarkable stretchability (250%), and long-term stability over three months, enabling effective signal recording and electrical stimulation. For the first time, carbon aerogel-hydrogel hybrids enable cardiac pacing both ex vivo and in vivo in rat heart models. Compared to conventional platinum electrodes, the PA-PVA electrodes require lower pacing voltages, suggesting potential advantages in power efficiency and reduced tissue damage. The electrodes can be integrated with a wireless implantable device for in vivo synchronous electrocardiogram monitoring and cardiac pacing, underscoring their potential for arrhythmia management.

Photopatternable PEDOT:PSS Hydrogels for High-Resolution Photolithography

Conducting polymer hydrogels have been extensively explored toward diverse applications like bioelectronics and soft robotics. However, the fabrication resolution of conducting polymer hydrogels by typical techniques, including ink-jet printing, 3D-printing, etc., has been generally limited to >10 µm, significantly restricting rapid innovations and broad applications of conducting polymer hydrogels. To address this issue, a photosensitive biphasic conducting polymer hydrogel (PB-CH) is rationally designed and synthesized, comprising poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) as the conductive phase and a light-sensitive matrix as the mechanical phase. The formation of phase-separated structures within PB-CH preserves the integrity of the conductive channels during the photoinitiated cross-linking. This minimizes the conductivity loss, a common limitation in similar materials. Remarkably, the resultant PB-CH exhibits a combination of excellent electrical conductivity (≈30 S cm-1), robust mechanical performance (tensile strain up to 50%), and high photopatternability. A detailed investigation of the photolithography process identifies key technological parameters that enable high-resolution patterning of 5 µm. By simultaneously maintaining processability, conductivity, and mechanical flexibility, this PB-CH represents an ideal candidate for advanced flexible electronic applications, offering a new technique to fabricating high-performance conducting polymer hydrogels.

Soft, stretchable conductive hydrogels for high-performance electronic implants

Conductive hydrogels are emerging as promising materials for electronic implants owing to their favorable mechanical and electrical properties. Poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) hydrogels are particularly attractive, but their preparation often requires toxic additives. Here, we introduced a nutritive sweetener, d-sorbitol, as a nontoxic additive to create soft and stretchable PEDOT:PSS conductive hydrogels. These hydrogels exhibit mechanical properties comparable with biological tissues, reducing adverse immune responses. The hydrogels can be patterned on elastic substrates using a simple, low-cost micromolding technique to fabricate soft and stretchable implantable devices for electrical stimulation and recording. The hydrogel electrodes show much lower electrochemical impedance and higher charge storage and injection capacity compared to platinum electrodes. In addition, the properties of hydrogels and devices remain stable after long-term storage and exposure to extreme conditions. We demonstrate the use of soft hydrogel-based electronic devices for effective electrical stimulation and high-quality electrical recordings in live animal models.

Combined treatment strategy of hydrogel dressing and physiotherapy for rapid wound healing

Wound care for open wounds is essential for reducing pain, protecting open wounds, speeding up the healing process and avoiding scar formation. Among the various three-dimensional (3D) carrier biomaterials such as films, sponges, and hydrogels, hydrogels are chemically and physically most similar to the natural extracellular matrix (ECM). Meanwhile, hydrogels are also common 3D carriers that can be efficiently loaded with drugs or cells. In addition, it forms a protective barrier on the wound surface to prevent secondary external infections and has the effect of directing skin cell expansion, tissue infiltration, and wound closure. However, the role of functional drugs in wound healing also faces a number of issues such as resistance, dosage, activity, and stability; therefore, a richer array of therapies is needed for wound repair and other areas of development. Physiotherapy, also known as nonpharmacological therapy, is a commonly used clinical treatment. Recently, more and more physiotherapy have been used for wound repair due to their high efficiency and low irritation. In recent reports, many researchers have tended to use hydrogel dressings in combination with physiotherapy, and this combination therapy is beneficial because it can both protect the wound microenvironment and accelerates wound healing. Therefore, this paper reviews the combined use of hydrogel dressings and physiotherapy in wound healing. We present the characteristics of hydrogel and physiotherapy and focus on the progress and problems of these two combined therapies in recent years.

Vertically Phase-Separated PEDOT:PSS Film via Solid-Liquid Interface Doping for Flexible Organic Electrochemical Transistors

Organic electrochemical transistors (OECTs) are seen as some of the most promising devices in organic bioelectronics. Recent interest in OECTs is sparked by the high performance of an organic semiconductor channel material, i.e., poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS). The capability of ion penetration and charge transport of the channel determines the performance of the OECTs. However, the uniform structure of the PEDOT:PSS channel always makes it difficult to achieve a well-balanced between the two functions. Here, we report a novel PEDOT:PSS film with a vertical phase separation structure (VPSS-P), where PSS accumulates at the surface, and PEDOT enriches at the bottom of the film. Such a unique structure improves the electrochemical stability and reduces the contact resistance, significantly enhancing OECT performance with high transconductance (70.5 mS), product of mobility (μ) and volumetric capacitance (C*) (μC* ∼ 479 F cm-1 V-1 s-1), and ultralow contact resistance (∼0.79 Ω cm). Flexible OECT devices with VPSS-P show robust performance against deformation. Our findings highlight a new class of high-performance transistors and provide guidelines for designing state-of-the-art channel materials.

Implantable hydrogels as pioneering materials for next-generation brain-computer interfaces

Use of brain-computer interfaces (BCIs) is rapidly becoming a transformative approach for diagnosing and treating various brain disorders. By facilitating direct communication between the brain and external devices, BCIs have the potential to revolutionize neural activity monitoring, targeted neuromodulation strategies, and the restoration of brain functions. However, BCI technology faces significant challenges in achieving long-term, stable, high-quality recordings and accurately modulating neural activity. Traditional implantable electrodes, primarily made from rigid materials like metal, silicon, and carbon, provide excellent conductivity but encounter serious issues such as foreign body rejection, neural signal attenuation, and micromotion with brain tissue. To address these limitations, hydrogels are emerging as promising candidates for BCIs, given their mechanical and chemical similarities to brain tissues. These hydrogels are particularly suitable for implantable neural electrodes due to their three-dimensional water-rich structures, soft elastomeric properties, biocompatibility, and enhanced electrochemical characteristics. These exceptional features make them ideal for signal recording, neural modulation, and effective therapies for neurological conditions. This review highlights the current advancements in implantable hydrogel electrodes, focusing on their unique properties for neural signal recording and neuromodulation technologies, with the ultimate aim of treating brain disorders. A comprehensive overview is provided to encourage future progress in this field. Implantable hydrogel electrodes for BCIs have enormous potential to influence the broader scientific landscape and drive groundbreaking innovations across various sectors.

Organic Artificial Nerves: Neuromorphic Robotics and Bioelectronics

Neuromorphic electronics are inspired by the human brain's compact, energy-efficient nature and its parallel-processing capabilities. Beyond the brain, the entire human nervous system, with its hierarchical structure, efficiently preprocesses complex sensory information to support high-level neural functions such as perception and memory. Emulating these biological processes, artificial nerve electronics have been developed to replicate the energy-efficient preprocessing observed in human nerves. These systems integrate sensors, artificial neurons, artificial synapses, and actuators to mimic sensory and motor functions, surpassing conventional circuits in sensor-integrated electronics. Organic synaptic transistors (OSTs) are key components in constructing artificial nerves, offering tunable synaptic plasticity for complex sensory processing and the mechanical flexibility required for applications in soft robotics and bioelectronics. Compared to traditional sensor-integrated electronics, early implementations of organic artificial nerves (OANs) incorporating OSTs have demonstrated a higher signal-to-noise ratio, lower power consumption, and simpler circuit designs along with on-device processing capabilities and precise control of actuators and biological limbs, driving progress in neuromorphic robotics and bioelectronics. This paper reviews the materials, device engineering, and system integration of the OAN design, highlights recent advancements in neuromorphic robotics and bioelectronics utilizing the OANs, and discusses current challenges and future research directions.

A Paste-like Polymeric Resist with High Thermal Endurance for Vapor-Phase Bottom-Up Fabrication

Bottom-up microfabrication based on vapor-phase depositions (e.g., sputtering and atomic layer deposition) requires patterning resists that can endure the parasitic thermal treatment during deposition. Conventional polymeric resists encounter removability issues due to thermally induced carbonization at the interface, while emerging molecular resists face challenges of hermeticity and shape retention in bulk. Here, we introduce a paste-like patterning resist with high interfacial and bulk thermal stability, which leads to multifaceted processing characteristics: this resist is hermetic and shape-preservable during the deposition and easily removable after the deposition. Based on a wetting-driven self-assembly process, we develop a nonphotolithographic patterning procedure for this paste resist and demonstrate high-accuracy and defect-free bottom-up patterning of dielectrics, semiconductors, and conductors. Beyond vapor-phase depositions, this resist is compatible with most manufacturing techniques, providing fruitful implications for bottom-up microfabrication.

Functional-hydrogel-based electronic-skin patch for accelerated healing and monitoring of skin wounds

Conductive hydrogels feature reasonable electrical performance as well as tissue-like mechanical softness, thus positioning them as promising material candidates for soft bio-integrated electronics. Despite recent advances in materials and their processing technologies, however, facile patterning and monolithic integration of functional hydrogels (e.g., conductive, low-impedance, adhesive, and insulative hydrogels) for all-hydrogel-based soft bioelectronics still poses significant challenges. Here, we report material design, fabrication, and integration strategies for an electronic-skin (e-skin) patch based on functional hydrogels. The e-skin patch was fabricated by using photolithography-compatible functional hydrogels, such as poly(2-hydroxyethyl acrylate) (PHEA) hydrogel (substrate), Ag flake hydrogel (interconnection; conductivity: ∼571.43 S/cm), poly(3,4-ethylenedioxythiophene:polystyrene) (PEDOT:PSS) hydrogel (working electrode; impedance: ∼69.84 Ω @ 1 Hz), polydopamine (PDA) hydrogel (tissue adhesive; shear strength: ∼725.1 kPa), and poly(vinyl alcohol) (PVA) hydrogel (encapsulation). The properties of these functional hydrogels closely resemble those of human tissues in terms of water content and Young's modulus, enabling stable tissue-device interfacing in dynamically changing physiological environments. We demonstrated the efficacy of the e-skin patch through its application to accelerated healing and monitoring of skin wounds in mouse models - efficient fibroblast migration, proliferation, and differentiation promoted by electric field (EF) stimulation and iontophoretic drug delivery, and monitoring of the accelerated healing process through impedance mapping. The all-hydrogel-based e-skin patch is expected to create new opportunities for various clinically-relevant tissue interfacing applications.

An Efficient MEMS Microelectrode Array with Reliable Interelectrode Insulation Processes for In Vivo Neural Recording

Microelectrode arrays, particularly Utah arrays, offer irreplaceable advantages in clinical applications and play a crucial role in advancing brain-computer interactions. However, the glass-fused monolithic structure of Utah arrays limits functional expansion, and the glass insulation process is complex, costly, and time-intensive. This paper presents a microelectrode array with a simple and time-saving fabrication process, utilizing low-resistance silicon and borosilicate glass wafers as electrodes and insulation substrates, respectively. The utilization of the anodic bonding process improves production efficiency and enhances process compatibility. A one-step static wet etching process is used to form microneedle morphology to further simplify the fabrication process. Sputtered iridium oxide, as the electrode interface material, significantly reduces electrochemical impedance, and cellular experiments have confirmed its non-cytotoxicity. Moreover, the implantation into the primary visual cortex of mice has demonstrated the ability of the electrode to record in vivo electrical signals within 15 days. Movement trajectory experiments demonstrate that the mice exhibit good behavior activities following electrode implantation. The bonded microelectrode array (BMEA) presented in this work provides a universal and effective tool for neural recording, with prospective applications in multi-physiological monitoring and microelectromechanical system integration.

A biodegradable and restorative peripheral neural interface for the interrogation of neuropathic injuries

Monitoring the early-stage healing of severe traumatic nerve injuries is essential to gather physiological and pathological information for timely interventions and optimal clinical outcomes. Traditional diagnostic methods relying on physical examinations, imaging tools, and intraoperative electrophysiological testing present great challenges in continuous and remote monitoring. While implantable peripheral nerve interfaces provide direct access to nerve fibers for precise interrogation and modulation, conventional non-degradable designs pose limited utilization in nerve injury rehabilitation. Here, we introduce a biodegradable and restorative neural interface for wireless real-time tracking and recovery of long-gap nerve injuries. Leveraging machine learning techniques, this electronic platform deciphers nerve recovery status and identifies traumatic neuroma formation at the early phase, enabling timely intervention and significantly improved therapeutic outcomes. The biodegradable nature of the device eliminates the need for retrieval procedures, reducing infection risks and secondary tissue damage. This research sheds light on bioresorbable multifunctional peripheral nerve interfaces for probing neuropathic injuries, offering vital information for early diagnosis and therapeutic intervention.

Advances in hydrogel for diagnosis and treatment for Parkinson's disease

Currently, few symptomatic and palliative care options are available for patients with Parkinson's disease (PD). Interdisciplinary research in materials engineering and regenerative medicine has stimulated the development of innovative therapeutic strategy for patients with PD. Hydrogels, which are versatile and accessible to modify, have garnered considerable interests. Hydrogels are a kind of three-dimensional hydrophilic network structure gels that are widely employed in biological materials. Hydrogels are conspicuous in many therapeutic applications, including neuron regeneration, neuroprotection, and diagnosis. This review focuses on the advantageous applications of hydrogel-based biomaterials in diagnosing and treating the patients with PD, including cell culture, disease modeling, carriers for cells, medications and proteins, as well as diagnostic and monitoring biosensors.

Self-calibrating multiplexed microneedle electrode array for continuous mapping of subcutaneous multi-analytes in diabetes

Monitoring multiplexed biochemical markers is beneficial for the comprehensive evaluation of diabetes-associated complications. Techniques for multiplexed analyses in interstitial fluids have often been restricted by the difficulties of electrode materials in accurately detecting chemicals in complex subcutaneous spaces. In particular, the signal stability of enzyme-based sensing electrodes often inevitably decreases due to enzyme degradation or interference in vivo. In this study, we developed a self-calibrating multiplexed microneedle (MN) electrode array (SC-MMNEA) capable of continuous, real-time monitoring of multiple types of bioanalytes (glucose, cholesterol, uric acid, lactate, reactive oxygen species [ROSs], Na+, K+, Ca2+, and pH) in the subcutaneous space. Each type of analyte was detected by a discrete MN electrode assembled in an integrated array with single-MN resolution. Moreover, this device utilized an MN-delivery-mediated self-calibration technique to address the inherent problem of decreased accuracy of implantable electrodes caused by long-term tissue variation and enzyme degradation, and this technique might increase the reliability of the MN sensors. Our results indicated that SC-MMNEA could provide real-time monitoring of multiplexed analyte concentrations in a rat model with good accuracy, especially after self-calibration. SC-MMNEA has the advantages of in situ and minimally invasive monitoring of physiological states and the potential to promote wearable devices for long-term monitoring of chemical species in vivo.

Establishment of a novel method for differentiating into dopaminergic neurons using charged hydrogels

Parkinson's disease (PD) is a neurodegenerative disease primarily affecting the central nervous system and impacting both the motor system and non-motor systems. Although administration of L-DOPA is effective, it is not a fundamental treatment and has side effects such as diurnal fluctuation and dyskinesia, highlighting the need for new treatment methods. There is a growing interest in dopaminergic neuron transplantation as a potential treatment. Dopaminergic neurons derived from pluripotent stem (iPS) cells provide a valuable source for transplantation therapies. Developing an efficient method to differentiate iPS cells into dopaminergic cells is essential for cell transplantation therapy. While Cell differentiation is typically controlled by the addition of specific reagents, the physical characteristics of culture substrate, especially in the charge and stiffness, are also crucial factors in regulating differentiation. In this research, we show that two newly developed electrically charged polymeric hydrogels composed of cationic (C) and anionic (A) monomers inratio of 1-9 and 2 to 8 can significantly promote Dopaminergic neuron differentiation. Our findings emphasize the importance of culture substrates in effective dopaminergic cell differentiation.

A Body-Temperature-Triggered In Situ Softening Peripheral Nerve Electrode for Chronic Robust Neuromodulation

Implantable peripheral nerve electrodes are crucial for monitoring health and alleviating symptoms of chronic diseases. Advanced compliant electrodes have been developed because of their biomechanical compatibility. However, these mechanically tissue-like electrodes suffer from unmanageable operating forces, leading to high risks of nerve injury and fragile electrode-tissue interfaces. Here, a peripheral nerve electrode is developed that simultaneously fulfills the criteria of body temperature softening and tissue-like modulus (less than 0.8 MPa at 37 °C) after implantation. The central core is altered from the tri-arm crosslinker to the star-branched monomer to kill two birds (close the translation temperature to 37 °C and decrease the modulus after implantation) with one stone. Furthermore, the decreased interfacial impedance (325.1 ± 46.9 Ω at 1 kHz) and increased charge storage capacity (111.2 ± 5.8 mC cm-2) are achieved by an in situ electrografted conductive polymer on the strain-insensitive conductive network of Au nanotubes. The electrodes are readily wrapped around nerves and applied for long-term stimulation in vivo with minimal inflammation. Neuromodulation experiments demonstrate their potential clinical utility, including vagus nerve stimulation in rats to suppress seizures and alleviation of cardiac remodeling in a canine model of myocardial infarction.

Acid-Induced in Situ Phase Separation and Percolation for Constructing Bi-Continuous Phase Hydrogel Electrodes With Motion-Insensitive Property

Conducting polymer hydrogels have gained attention in the bioelectronics field due to their unique combination of biocompatibility and customizable mechanical properties. However, achieving both excellent conductivity and mechanical strength in a hydrogel remains a significant challenge, primarily because of the inherent conflict between the hydrophobic nature of conducting polymers and the hydrophilic characteristics of hydrogels. To address this issue, this work proposes a simple one-step acid-induced approach that not only promotes the gelation of hydrophilic polymers but also facilitates the in situ phase separation of hydrophobic conducting polymers under mild conditions. This results in a distinctive bi-continuous phase structure with exceptional electrical property (906 mS cm-1) and mechanical performance (fracture strain of 1103%). The hydrogel forms robust percolating networks that maintain structural integrity under mechanical stress due to their entropic elasticity, providing remarkable strain insensitivity, low mechanical hysteresis, and an impressive resilience (95%). Electrodes fabricated from the conductive hydrogel exhibit stable and minimal interfacial contact impedance with skin (1-6 kilohms at 1-100 Hz) and significantly lower noise power (4.9 µV2). This work believes that the motion-insensitive characteristics and mechanical robustness of this hydrogel will enable efficient and reliable monitoring of biological signals, establishing a new benchmark in the bioelectronics.

Electrochemically mutable soft metasurfaces

Active optical metasurfaces, capable of dynamically manipulating light in ultrathin form factors, enable novel interfaces between humans and technology. In such interfaces, soft materials bring many advantages based on their flexibility, compliance and large stimulus-driven responses. Here, we create electrochemically mutable, soft metasurfaces that capitalize on the swelling of soft conducting polymers to alter the shape and associated resonant response of metasurface elements. Such geometric tuning overcomes the typical trade-off between achieving substantial tuning and low optical loss that is intrinsic to dynamic metasurfaces relying on index tuning of materials. Using the commercial polymer PEDOT:PSS, we demonstrate dynamic, high-resolution colour tuning and high-diffraction-efficiency (>19%) beam-steering devices that operate at CMOS-compatible voltages (~1.5 V). These results highlight how the deformability of soft materials can enable a class of high-performance metasurfaces that are suitable for body-worn technologies.

A soft, ultra-tough and multifunctional artificial muscle for volumetric muscle loss treatment

The escalating prevalence of skeletal muscle disorders highlights the critical need for innovative treatments for severe injuries such as volumetric muscle loss. Traditional treatments, such as autologous transplants, are constrained by limited availability and current scaffolds often fail to meet complex clinical needs. This study introduces a new approach to volumetric muscle loss treatment by using a shape-memory polymer (SMP) based on block copolymers of perfluoropolyether and polycaprolactone diol. This SMP mimics the biomechanical properties of natural muscle, exhibiting a low elastic modulus (2-6 MPa), high tensile strength (72.67 ± 3.19 MPa), exceptional toughness (742.02 ± 23.98 MJ m-3) and superior biocompatibility, thereby enhancing skeletal muscle tissue integration and regeneration within 4 weeks. Moreover, the polymer's shape-memory behavior and ability to lift >5000 times its weight showcase significant potential in both severe muscle disorder treatment and prosthetic applications, surpassing existing scaffold technologies. This advancement marks a pivotal step in the development of artificial muscles for clinical use.

Sign-Switchable Poisson's Ratio Design for Bimodal Strain-to-Electrical Signal Transducing Device

Stretchable electronic devices that conduct strain-related electronic performances have drawn extensive attention, functioning as mechanical sensors, actuators, and stretchable conductors. Although strain-insensitive or strain-responsive nature is well-achieved separately, it remains challenging to combine these two characteristics in one single device, which will offer versatile adaptability in various working situations. Herein, a hybrid material with sign-switchable Poisson's ratio (SSPR) is developed by combining a phase-change gel based reentrantreentrant honeycomb pattern and a polydimethylsiloxane film. The phase-change gel featuring thermally-regulated Young's modulus enables the hybrid material to switch between negative and positive Poisson's ratios. After integrating with a pre-stretched silver nanowires film, the obtained stretchable device performs bimodal strain-to-electrical signal transducing (Bi-SET) functions, in which the SSPR-dominated strain-resistance response switches between strain-dependent and strain-insensitive behaviors. As a proof of concept, a mode-switchable grasping system is constructed using a Bi-SET device-based controller, enabling the adaptation of grasping behaviors to various target objects.

Emerging Combination of Hydrogel and Electrochemical Biosensors

Electrochemical sensors are among the most promising technologies for biomarker research, with outstanding sensitivity, selectivity, and rapid response capabilities that make them important in medical diagnostics and prognosis. Recently, hydrogels have gained attention in the domain of electrochemical biosensors because of their superior biocompatibility, excellent adhesion, and ability to form conformal contact with diverse surfaces. These features provide distinct advantages, particularly in the advancement of wearable biosensors. This review examines the contemporary utilization of hydrogels in electrochemical sensing, explores strategies for optimization and prospective development trajectories, and highlights their distinctive advantages. The objective is to provide an exhaustive overview of the foundational principles of electrochemical sensing systems, analyze the compatibility of hydrogel properties with electrochemical methodologies, and propose potential healthcare applications to further illustrate their applicability. Despite significant advances in the development of hydrogel-based electrochemical biosensors, challenges persist, such as improving material fatigue resistance, interfacial adhesion, and maintaining balanced water content across various environments. Overall, hydrogels have immense potential in flexible biosensors and provide exciting opportunities. However, resolving the current obstacles will necessitate additional research and development efforts.

Multifunctional Porous Soft Bioelectronics

Soft bioelectronics, seamlessly interfacing with the human body to enable both recording and modulation of curvilinear biological tissues and organs, have significantly driven fields such as digital healthcare, human-machine interfaces, and robotics. Nonetheless, intractable challenges persist due to the onerous demand for imperceptible, burden-free, and user-centric comfortable bioelectronics. Porous soft bioelectronics is a new way to a library of imperceptible bioelectronic systems, that form natural interfaces with the human body. In this review, we provide an overview of the development and recent advances in multifunctional porous engineered soft bioelectronics, aiming to bridge the gap between living biotic and stiff abiotic systems. We first discuss strategies for fabricating porous, soft, and stretchable bioelectronic materials, emphasizing the concept of materials-level porous engineering for breathable and imperceptible bioelectronics. Next, we summarize wearable bioelectronics devices and multimodal systems with porous configurations designed for on-skin healthcare applications. Moving beneath the skin, we discuss implantable devices and systems enabled by porous bioelectronics with tissue-like compliance. Finally, existing challenges and translational gaps are also proposed to usher further research efforts towards realizing practical and clinical applications of porous bioelectronic systems; thus, revolutionizing conventional healthcare and medical practices and opening up unprecedented opportunities for long-term, imperceptible, non-invasive, and human-centric healthcare networks.

Hydrogels in wearable neural interfaces

The integration of wearable neural interfaces (WNIs) with the human nervous system has marked a significant progression, enabling progress in medical treatments and technology integration. Hydrogels, distinguished by their high-water content, low interfacial impedance, conductivity, adhesion, and mechanical compliance, effectively address the rigidity and biocompatibility issues common in traditional materials. This review highlights their important parameters-biocompatibility, interfacial impedance, conductivity, and adhesiveness-that are integral to their function in WNIs. The applications of hydrogels in wearable neural recording and neurostimulation are discussed in detail. Finally, the opportunities and challenges faced by hydrogels for WNIs are summarized and prospected. This review aims to offer a thorough examination of hydrogel technology's present landscape and to encourage continued exploration and innovation. As developments progress, hydrogels are poised to revolutionize wearable neural interfaces, offering significant enhancements in healthcare and technological applications.

Graphical Abstract

A Metalgel with Liquid Metal Continuum Immobilized in Polymer Network

Gels are formed by fluids that expand throughout the whole volume of 3D polymer networks. To unlock unprecedented properties, exploring new fluids immobilized in polymer networks is crucial. Here, a new liquid metal-polymer gel material termed "metalgel" is introduced via fluid replacement strategy, featuring 92.40% vol liquid metal fluid as a continuum immobilized by interconnected nanoscale polymer network. The unique structure endows metalgel with high electrical conductivity (up to 3.18 × 106 S·m‒1), tissue-like softness (Young's modulus as low as 70 kPa), and low gas permeability (4.50 × 10‒22 m2·s‒1·Pa‒1). Besides, metalgel demonstrates electrical stability under extreme deformations, such as being run over by a 4.5-metric-tonne truck, and maintains its integrity in various environments for up to 180 days. The immobilization of high-volume-fraction liquid metal fluid is realized by electrostatic interactions is further revealed. Potential applications for metalgel are diverse and include soft electromagnetic shielding, hermetic sealing, and stimulating/sensing electrodes in implantable bioelectronics, underscoring its broad applicability.

Biopolymeric Ionotronics Based on Biodegradable Wool Keratin

The advent of ionotronics has revealed significant potential in flexible transistors, energy harvesting, and unconventional circuits. However, most ionotronic devices, often centered around synthetic polymers, involve complex grafting or synthesis that raise legitimate concerns about their environmental sustainability. Herein, a simple yet versatile approach for developing single-composition ionotronic devices using wool keratin (WK), a biodegradable and pH-responsive natural polymer is presented. By employing facile pH regulation processes, WK molecules with opposing polarities are successfully modified, which are combined to form an ionic heterojunction through entropically driven depletion. This ionic heterojunction functions as an ionic diode, enabling efficient rectification of alternating current signals (with a rectification ratio of up to 199). Furthermore, the application of this biopolymeric ionotronic device is extended to mechanical energy harvesting, self-powered sensing, and ionic logic circuit. The biodegradability and renewability of WK offer a viable alternative to synthetic materials, highlighting its potential for sustainable applications.

Multifunctional hydrogel electronics for closed-loop antiepileptic treatment

Closed-loop strategies offer advanced therapeutic potential through intelligent disease management. Here, we develop a hydrogel-based, single-component, organic electronic device for closed-loop neurotherapy. Fabricated out of conductive hydrogels, the device consists of a flexible array of microneedle electrodes, each of which can be individually addressed to perform electrical recording and control chemical release with sophisticated spatiotemporal control, thus pioneering a smart antiseizure therapeutic system by combining electrical and pharmacological interventions. The recorded neural signal acts as the trigger for a voltage-driven drug release in detected pathological conditions predicted by real-time electrophysiology analysis. When implanted into epileptic animals, the device enables autonomous antiseizure management, where the dosing of antiepileptic drug is controlled in a time-sensitive, region-selective, and dose-adaptive manner, allowing the inhibition of seizure outbursts through the delivery of just-necessary drug dosages. The side effects are minimized with dosages three orders of magnitude lower than the usage in approaches simulating existing clinical treatments.

Mechanical and Dimensional Stability of Gelatin-Based Hydrogels Through 3D Printing-Facilitated Confined Space Assembly

Hydrogels have emerged as promising biomaterials for tissue regeneration; yet, their inherent swelling can cause deformation and reduced mechanical properties, posing challenges for practical applications in biomedical engineering. Traditional methods to reduce hydrogel swelling often involve complex synthesis procedures with limited flexibility. Inspired by nature's efficient designs, we present here the approach to improve hydrogel performance using 3D printing-assisted microstructure engineering. By utilizing polymerization-induced phase separation of hydrogel from copolymerization of gelatin methacrylate and hydroxyethyl methacrylate (poly(GelMA-co-HEMA)) in the confined space during vat photopolymerization (VPP) 3D printing, we replicate the cuttlebone-like microstructure of hydrogels with enhanced mechanical properties and swelling resistance. We demonstrate here a 4-fold increase in elastic modulus compared to bulk polymerization of poly(GelMA-co-HEMA), together with improved mechanical and dimensional stability. This method offers promising opportunities for practical biomedical and tissue engineering applications, overcoming previous limitations in the design and performance.

Advanced neuroprosthetic electrode design optimized by electromagnetic finite element simulation: innovations and applications

Based on electrophysiological activity, neuroprostheses can effectively monitor and control neural activity. Currently, electrophysiological neuroprostheses are widely utilized in treating neurological disorders, particularly in restoring motor, visual, auditory, and somatosensory functions after nervous system injuries. They also help alleviate inflammation, regulate blood pressure, provide analgesia, and treat conditions such as epilepsy and Alzheimer's disease, offering significant research, economic, and social value. Enhancing the targeting capabilities of neuroprostheses remains a key objective for researchers. Modeling and simulation techniques facilitate the theoretical analysis of interactions between neuroprostheses and the nervous system, allowing for quantitative assessments of targeting efficiency. Throughout the development of neuroprostheses, these modeling and simulation methods can save time, materials, and labor costs, thereby accelerating the rapid development of highly targeted neuroprostheses. This article introduces the fundamental principles of neuroprosthesis simulation technology and reviews how various simulation techniques assist in the design and performance enhancement of neuroprostheses. Finally, it discusses the limitations of modeling and simulation and outlines future directions for utilizing these approaches to guide neuroprosthesis design.

Electrical stimulation and conductive materials: electrophysiology-based treatment for spinal cord injury

Spinal cord injury is a serious disease of the central nervous system. The electrophysiological properties of the spinal cord that are essential to maintaining neurotransmission can be impaired after the injury. Therefore, electrophysiological evaluation is becoming an important indicator of the injury extent or the therapeutic outcomes by reflecting the potential propagation of neural pathways. On the other hand, the repair of damaged nerves is one of the main goals of spinal cord injury treatment. Growing research interest has been concentrated on developing effective therapeutic solutions to restore the normal electrophysiological function of the injured spinal cord by using conductive materials and/or exerting the merits of electrical stimulation. Accordingly, this review introduces the current common electrophysiological evaluation in spinal cord injury. Then the cutting-edge therapeutic strategies aiming at electrophysiological improvement in spinal cord injury are summarized. Finally, the challenges and future prospects of neural restoration after spinal cord injury are presented.

All-Metal Flexible Fiber by Continuously Assembling Nanowires for High Electrical Conductivity

Fiber electronics booms as a new important field but is currently limited by the challenge of finding both highly flexible and conductive fiber electrodes. Here, all-metal fibers based on nanowires are discovered. Silver nanowires are continuously assembled into robust fibers by salt-induced aggregation and then firmly stabilized by plasmonic welding. The nanowire network structures provide them both high flexibility with moduli at the level of MPa and conductivities up to 106 S m-1. They also show excellent electrochemical properties such as low impedance and high electrochemically active surface area. Their stable chronic single-neuron recording is further demonstrated with good biocompatibility in vivo. These new fiber materials may provide more opportunities for the future development of fiber electronics.

Fully Implantable Wireless Cardiac Pacing and Sensing System Integrated with Hydrogel Electrodes

Cardiac pacemakers play a crucial role in arrhythmia treatment. Existing devices typically rely on rigid electrode components, leading to potential issues such as heart damage and detachment during prolonged cardiac motion due to the mechanical mismatch with cardiac tissue. Additionally, traditional pacemakers, with their batteries and percutaneous leads, introduce infection risks and limit freedom of movement. A wireless, battery-free multifunctional bioelectronic device for cardiac pacing is developed. This device integrates highly conductive (160 S m-1), flexible (Young's modulus of 80 kPa is similar to that of mammalian heart tissue), and stretchable (270%) soft hydrogel electrodes, providing high signal-to-noise ratio (≈28 dB) electrocardiogram (ECG) recordings and effective pacing of the beating heart. The versatile device detects physiological and biochemical signals in the cardiac environment and allows for adjustable pacing in vivo studies. Remarkably, it maintained recording and pacing capabilities 31 days post-implantation in rats. Additionally, the wireless bioelectronic device can be fully implanted in rabbits for pacing. By addressing a major shortcoming of conventional pacemakers, this device paves the way for implantable flexible bioelectronics, which offers promising opportunities for advanced cardiac therapies.

Surface-Grafted Biocompatible Polymer Conductors for Stable and Compliant Electrodes for Brain Interfaces

Durable and conductive interfaces that enable chronic and high-resolution recording of neural activity are essential for understanding and treating neurodegenerative disorders. These chronic implants require long-term stability and small contact areas. Consequently, they are often coated with a blend of conductive polymers and are crosslinked to enhance durability despite the potentially deleterious effect of crosslinking on the mechanical and electrical properties. Here the grafting of the poly(3,4 ethylenedioxythiophene) scaffold, poly(styrenesulfonate)-b-poly(poly(ethylene glycol) methyl ether methacrylate block copolymer brush to gold, in a controlled and tunable manner, by surface-initiated atom-transfer radical polymerization (SI-ATRP) is described. This "block-brush" provides high volumetric capacitance (120 F cm─3), strong adhesion to the metal (4 h ultrasonication), improved surface hydrophilicity, and stability against 10 000 charge-discharge voltage sweeps on a multiarray neural electrode. In addition, the block-brush film showed 33% improved stability against current pulsing. This approach can open numerous avenues for exploring specialized polymer brushes for bioelectronics research and application.

Advances of conductive hydrogel designed for flexible electronics: A review

In recent years, there has been considerable attention devoted to flexible electronic devices within the realm of biomedical engineering. These devices demonstrate the capability to accurately capture human physiological signals, thereby facilitating efficient human-computer interaction, and providing a novel approach of flexible electronics for monitoring and treating related diseases. A notable contribution to this domain is the emergence of conductive hydrogels as a novel flexible electronic material. Renowned for their exceptional flexibility, adjustable electrical conductivity, and facile processing, conductive hydrogels have emerged as the preferred material for designing and fabricating innovative flexible electronic devices. This paper provides a comprehensive review of the recent advancements in flexible electronic devices rooted in conductive hydrogels. It offers an in-depth exploration of existing synthesis strategies for conductive hydrogels and subsequently examines the latest progress in their applications, including flexible neural electrodes, sensors, energy storage devices and soft robots. The analysis extends to the identification of technological challenges and developmental opportunities in both the synthesis of new conductive hydrogels and their application in the dynamic field of flexible electronics.

PEDOT-based stretchable optoelectronic materials and devices for bioelectronic interfaces

The rapid development of wearable and implantable electronics has enabled the real-time transmission of electrophysiological signals in situ, thus allowing the precise monitoring and regulation of biological functions. Devices based on organic materials tend to have low moduli and intrinsic stretchability, making them ideal choices for the construction of seamless bioelectronic interfaces. In this case, as an organic ionic-electronic conductor, poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) has low impedance to offer a high signal-to-noise ratio for monitoring bioelectrical signals, which has become one of the most promising conductive polymers. However, the initial conductivity and stretchability of pristine PEDOT:PSS are insufficient to meet the application requirements, and there is a trade-off between their improvement. In addition, PEDOT:PSS has poor stability in aqueous environments due to the hygroscopicity of the PSS chains, which severely limits its long-term applications in water-rich bioelectronic interfaces. Considering the growing demands of multi-function integration, the high-resolution fabrication of electronic devices is urgent. It is a great challenge to maintain both electrical and mechanical performance after miniaturization, particularly at feature sizes below 100 μm. In this review, we focus on the combined improvement in the conductivity and stretchability of PEDOT:PSS, as well as the corresponding mechanisms in detail. Also, we summarize the effective strategies to improve the stability of PEDOT:PSS in aqueous environments, which plays a vital role in long-term applications. Finally, we introduce the reliable micropatterning technologies and PEDOT:PSS-based stretchable optoelectronic devices applied at bio-interfaces.

Nanoscale Strategies for Enhancing the Performance of Adhesive Dry Electrodes for the Skin

High-quality electrophysiological monitoring requires electrodes to maintain a compliant and stable skin contact. This necessitates low impedance, good skin compliance, and strong adhesion to ensure continuous and stable contact under dynamic conditions. In this context, adhesive epidermal dry electrodes are advancing rapidly, which is promising for long-term applications in clinical diagnosis, wearable health monitoring, and human-machine interfaces. However, challenges persist, as conventional technologies usually fall short of meeting the high standards required for electrophysiological electrodes. This Perspective discusses four key aspects for high-performance epidermal electrodes from an adhesive perspective: initial adhesion, water resistance, dynamic stability, and removal simplicity. We review recent nanoscale strategies addressing these issues, providing a comprehensive guideline to enhance the application performance of epidermal dry electrodes. Additionally, we explore key nanoscale strategies and their associated functions, future technology roadmaps, and prospects for dry adhesive epidermal electrodes.

From lab to wearables: Innovations in multifunctional hydrogel chemistry for next-generation bioelectronic devices

Functional hydrogels have emerged as foundational materials in diagnostics, therapy, and wearable devices, owing to their high stretchability, flexibility, sensing, and outstanding biocompatibility. Their significance stems from their resemblance to biological tissue and their exceptional versatility in electrical, mechanical, and biofunctional engineering, positioning themselves as a bridge between living organisms and electronic systems, paving the way for the development of highly compatible, efficient, and stable interfaces. These multifaceted capability revolutionizes the essence of hydrogel-based wearable devices, distinguishing them from conventional biomedical devices in real-world practical applications. In this comprehensive review, we first discuss the fundamental chemistry of hydrogels, elucidating their distinct properties and functionalities. Subsequently, we examine the applications of these bioelectronics within the human body, unveiling their transformative potential in diagnostics, therapy, and human-machine interfaces (HMI) in real wearable bioelectronics. This exploration serves as a scientific compass for researchers navigating the interdisciplinary landscape of chemistry, materials science, and bioelectronics.