Bioinspired and Microgel-Tackified Adhesive Hydrogel with Rapid Self-Healing and High Stretchability

Reversibly Sticking Metals and Graphite to Hydrogels and Tissues

We have discovered that hard, electrical conductors (e.g., metals or graphite) can be adhered to soft, aqueous materials (e.g., hydrogels, fruit, or animal tissue) without the use of an adhesive. The adhesion is induced by a low DC electric field. As an example, when 5 V DC is applied to graphite slabs spanning a tall cylindrical gel of acrylamide (AAm), a strong adhesion develops between the anode (+) and the gel in about 3 min. This adhesion endures after the field is removed, and we term it as hard-soft electroadhesion or EA[HS]. Depending on the material, adhesion occurs at the anode (+), cathode (-), or both electrodes. In many cases, EA[HS] can be reversed by reapplying the field with reversed polarity. Adhesion via EA[HS] to AAm gels follows the electrochemical series: e.g., it occurs with copper, lead, and tin but not nickel, iron, or zinc. We show that EA[HS] arises via electrochemical reactions that generate chemical bonds between the electrode and the polymers in the gel. EA[HS] can create new hybrid materials, thus enabling applications in robotics, energy storage, and biomedical implants. Interestingly, EA[HS] can even be achieved underwater, where typical adhesives cannot be used.

Injectable, Adhesive Albumin Nanoparticle-Incorporated Hydrogel for Sustained Localized Drug Delivery and Efficient Tumor Treatment

Injectable hydrogels are receiving increasing attention as local depots for sustained anticancer drug delivery. However, most current hydrogel-based carriers lack tissue-adhesive ability, a property that is important for the immobilization of drug-loaded systems at tumor sites to increase local drug concentration. In this study, we developed a paclitaxel (PTX)-loaded injectable hydrogel with firm tissue adhesion for localized tumor therapy. PTX-loaded bovine serum albumin (BSA) nanoparticles (PTX@BN) were prepared, and the drug-loaded hydrogel was then fabricated by cross-linking PTX@BN with o-phthalaldehyde (OPA)-terminated 4-armed poly(ethylene glycol) (4aPEG-OPA) via a condensation reaction between OPA and the amines in BSA. The hydrogel showed firm adhesion to various organs and tumor tissues ex vivo due to the condensation reaction of unreacted OPA groups and amines in the tissues. The PTX-loaded nanocomposite hydrogels sustained PTX release over 30 days following the Korsmeyer-Peppas model and exhibited notable inhibition activities against mouse C26 colon and 4T1 breast cancer cells in vitro. Following peritumoral injection into mice with C26 or 4T1 tumors, the PTX@BN-loaded hydrogel significantly enhanced the antitumor efficacy and prolonged animal survival time compared to free PTX solutions with low systemic toxicity. Therefore, the adhesive, PTX-loaded nanocomposite hydrogels have the potential for efficient localized tumor therapy.

Novel Heterogeneous Hydrogel with Dual-Responsive Shape Programmability and Good Biocompatibility

Shape memory polymers (SMPs) responsive to various external stimuli can realize a complex shape transformation process and have attracted extensive attention. However, integrating multiple stimulus-responsive mechanisms in one material often requires a complex molecular design and synthesis procedure. In this work, we designed a novel dual-responsive heterogeneous hydrogel (PU-PAM/Alg/PDA), which was manufactured through in situ free radical polymerization of acrylamide (AM) in the presence of alginate (Alg) and polydopamine (PDA) in a porous polycaprolactone-based polyurethane foam (PU-foam). The PU-PAM/Alg/PDA hydrogel could achieve thermal responsiveness through melting-crystallization transformation of polycaprolactone (PCL), while the metallo-supramolecular interactions between Alg and Fe3+ could provide ion responsiveness for this hydrogel. This dual-programmable feature endowed the heterogeneous hydrogel with a complex shape-morphing behavior and also a reconfiguration ability for the permanent shape. Meanwhile, the strong hydrogen bondings between PDA and polyurethane chains enhanced the interfacial adhesions, resulting in the structural integrity and excellent mechanical property of PU-PAM/Alg/PDA. The in vitro and in vivo tests revealed the good biocompatibility of the heterogeneous hydrogel, and the potential of the heterogeneous hydrogel as an esophageal stent was evaluated in vitro as conceptual proof.

Bioactive citrate-based polyurethane tissue adhesive for fast sealing and promoted wound healing

As a superior alternative to sutures, tissue adhesives have been developed significantly in recent years. However, existing tissue adhesives struggle to form fast and stable adhesion between tissue interfaces, bond weakly in wet environments and lack bioactivity. In this study, a degradable and bioactive citrate-based polyurethane adhesive is constructed to achieve rapid and strong tissue adhesion. The hydrophobic layer was created with polycaprolactone to overcome the bonding failure between tissue and adhesion layer in wet environments, which can effectively improve the wet bonding strength. This citrate-based polyurethane adhesive provides rapid, non-invasive, liquid-tight and seamless closure of skin incisions, overcoming the limitations of sutures and commercial tissue adhesives. In addition, it exhibits biocompatibility, biodegradability and hemostatic properties. The degradation product citrate could promote the process of angiogenesis and accelerate wound healing. This study provides a novel approach to the development of a fast-adhering wet tissue adhesive and provides a valuable contribution to the development of polyurethane-based tissue adhesives.

Neuron-Inspired Sticky Artificial Spider Silk for Signal Transmission

Neurons exhibit excellent signal transmission capacity, which inspire artificial neuron materials for applications in the field of wearable electronics and soft robotics. In addition, the neuron fibers exhibit good mechanical robustness by sticking to the organs, which currently has rarely been studied. Here, a sticky artificial spider silk is developed by employing a proton donor-acceptor (PrDA) hydrogel fiber for application as artificial neuron fibers. Tuning the molecular electrostatic interactions by modulating the sequences of proton donors and acceptors, enables combination of excellent mechanical properties, stickiness, and ion conductivity. In addition, the PrDA hydrogel exhibits high spinning capacity for a wide range of donor-acceptor combinations. The PrDA artificial spider silk would shed light on the design of new generation of artificial neuron materials, bio-electrodes, and artificial synapses.

Polymer nanomaterials for use as adjuvant surgical tools

Materials employed in the treatment of conditions encountered in surgical and clinical practice frequently face barriers in translation to application. Shortcomings can be generalized through their reduced mechanical stability, difficulty in handling, and inability to conform or adhere to complex tissue surfaces. To overcome an amalgam of challenges, research has sought the utilization of polymer-derived nanomaterials deposited in various fashions and formulations to improve the application and outcomes of surgical and clinical interventions. Clinically prevalent applications include topical wound dressings, tissue adhesives, surgical sealants, hemostats, and adhesion barriers, all of which have displayed the potential to act as superior alternatives to current materials used in surgical procedures. In this review, emphasis will be placed not only on applications, but also on various design strategies employed in fabrication. This review is designed to provide a broad and thought-provoking understanding of nanomaterials as adjuvant tools for the assisted treatment of pathologies prevalent in surgery. This article is categorized under: Implantable Materials and Surgical Technologies > Nanomaterials and Implants Implantable Materials and Surgical Technologies > Nanoscale Tools and Techniques in Surgery.

Mussel-Based Biomimetic Strategies in Musculoskeletal Disorder Treatment: From Synthesis Principles to Diverse Applications

Musculoskeletal disorders are the second leading cause of disability worldwide, posing a huge global burden to the public sanitation system. Currently, tissue engineering-based approaches act as effective strategies, which are, however, challenging in limited application scenarios. Mussel-based biomimetic materials, exhibit numerous unique properties such as intense adhesion, biocompatibility, moisture resistance, and injectability, to name only a few, and have attracted extensive research interest. In particular, featuring state-of-the-art properties, mussel-inspired biomaterials have been widely explored in innumerable musculoskeletal disorder treatments including osteochondral defects, osteosarcoma, osteoarthritis, ligament rupture, and osteoporosis. Nevertheless, a comprehensive and timely discussion of their applications in musculoskeletal disorders is insufficient. In this review, we emphasize on (1) the main categories and characteristics of mussel foot proteins and their fundamental mechanisms for the spectacular adhesion in mussels; (2) the diverse synthetic methods and modification of various polymers; and (3) the emerging applications of mussel-biomimetic materials, the future perspectives, and challenges, especially in the area of musculoskeletal disorder. We envision that this review will provide a unique and insightful perspective to improve the development of a new generation of mussel biomimetic strategies.

Robust hydrogel adhesives for emergency rescue and gastric perforation repair

Development of biocompatible hydrogel adhesives with robust tissue adhesion to realize instant hemorrhage control and injury sealing, especially for emergency rescue and tissue repair, is still challenging. Herein, we report a potent hydrogel adhesive by free radical polymerization of N-acryloyl aspartic acid (AASP) in a facile and straightforward way. Through delicate adjustment of steric hindrance, the synergistic effect between interface interactions and cohesion energy can be achieved in PAASP hydrogel verified by X-ray photoelectron spectroscopy (XPS) analysis and simulation calculation compared to poly (N-acryloyl glutamic acid) (PAGLU) and poly (N-acryloyl amidomalonic acid) (PAAMI) hydrogels. The adhesion strength of the PAASP hydrogel could reach 120 kPa to firmly seal the broken organs to withstand the external force with persistent stability under physiological conditions, and rapid hemostasis in different hemorrhage models on mice is achieved using PAASP hydrogel as physical barrier. Furthermore, the paper-based Fe³⁺ transfer printing method is applied to construct PAASP-based Janus hydrogel patch with both adhesive and non-adhesive surfaces, by which simultaneous wound healing and postoperative anti-adhesion can be realized in gastric perforation model on mice. This advanced hydrogel may show vast potential as bio-adhesives for emergency rescue and tissue/organ repair.

•

The hydrogel with good mechanical properties and adhesiveness is designed.

•

The hydrogel adhesive can act as physical barrier for emergency rescue.

•

The Janus hydrogel can realize efficient gastric perforation repair on mice.

A sandwiched patch toward leakage-free and anti-postoperative tissue adhesion sealing of intestinal injuries

Ideal repair of intestinal injury requires a combination of leakage-free sealing and postoperative antiadhesion. However, neither conventional hand-sewn closures nor existing bioglues/patches can achieve such a combination. To this end, we develop a sandwiched patch composed of an inner adhesive and an outer antiadhesive layer that are topologically linked together through a reinforced interlayer. The inner adhesive layer tightly and instantly adheres to the wound sites via -NHS chemistry; the outer antiadhesive layer can inhibit cell and protein fouling based on the zwitterion structure; and the interlayer enhances the bulk resilience of the patch under excessive deformation. This complementary trilayer patch (TLP) possesses a unique combination of instant wet adhesion, high mechanical strength, and biological inertness. Both rat and pig models demonstrate that the sandwiched TLP can effectively seal intestinal injuries and inhibit undesired postoperative tissue adhesion. The study provides valuable insight into the design of multifunctional bioadhesives to enhance the treatment efficacy of intestinal injuries.

High lignin-containing nanocelluloses prepared via TEMPO-mediated oxidation and polyethylenimine functionalization for antioxidant and antibacterial applications

Lignin-containing nanocelluloses (LNCs) have attracted tremendous research interest in recent years due to less complex extraction processes and more abundant functionality compared to lignin-free nanocelluloses. On the other hand, traditional defibrillation primarily based on bleached pulp would not be readily applied to lignin-containing pulps due to their complex compositions. This study was focused on LNC extraction from lignin-containing pulp via 2,2,6,6-tetramethylpiperidine-1-oxyl radical (TEMPO)-mediated oxidation. Three types of switchgrass pulp with varying composition were prepared using different acid-catalyzed pretreatments. The pulps contained as high as 45.76% lignin but minor/no hemicellulose, corresponding to up to 23.72% lignin removal and 63.75-100% hemicellulose removal. TEMPO-mediated oxidation yielded 52.9-81.9% LNCs from respective pulps. The as-produced LNCs possessed aspect ratios as high as 416.5, and carboxyl contents of 0.442-0.743 mmol g^-1 along with ζ-potential of -50.4 to -38.3 mV. The TEMPO-oxidized LNCs were further modified by polyethylenimine (PEI), which endowed the LNCs with positive charges plus antioxidant and antibacterial activities. Specifically, the PEI-modified LNCs almost fully scavenged 2,2'-azino-bis-3-ethylbenzthiazoline-6-sulphonic acid (ABTS) radicals at 50 mg L^-1 and suppressed the growth of Gram-positive Staphylococcus aureus at 250 μg mL^-1.

Tough, Anti-Swelling Supramolecular Hydrogels Mediated by Surfactant-Polymer Interactions for Underwater Sensors

It is a great challenge for traditional hydrogel-based sensors to be effective underwater due to unsatisfactory water resistance and insufficient wet adhesion. Herein, a tough supramolecular hydrogel aiming at underwater sensing is prepared by the modification of hydrophilic poly(acrylic acid) (PAA) with a small amount of hydrophobic lauryl methacrylate (LMA) in the presence of high concentrations of the cationic surfactant cetyltrimethylammonium bromide (CTAB). Owing to the synergistic effects of the electrostatic interactions and hydrophobic associations of CTAB with the P(AA-co-LMA) copolymer, the hydrogel with a water content of approximately 58.5 wt % demonstrates outstanding anti-swelling feature, superior tensile strength (≈1.6 MPa), large stretchability (>900%), rapid room-temperature self-recovery (≈3 min at 100% strain), and robust wet adhesion to diverse substrates. Moreover, the strain sensor based on the hydrogel displays keen sensitivity in a sensing range of 0-900% (gauge factor is 0.42, 3.44, 5.44, and 7.39 in the strain range of 0-100, 100-300, 300-500, and 500-900%, respectively) and pronounced stability both in air and underwater. Additionally, the hydrogel can be easily recycled by dissolving in anhydrous ethanol. This work provides a facile strategy to fabricate eco-friendly, tough supramolecular hydrogels for underwater sensing.

Bioinspired Cationic-Aromatic Copolymer for Strong and Reversible Underwater Adhesion

Developing new underwater glue adhesives with robust and repeatable adhesion to various surfaces is promising and useful in marine life and medical treatments. In this work, we developed a novel glue based on a copolymer with a cation-co-aromatic sequence where the cationic units contain both catechol and positively charged sites. The glue consists of a crosslinked copolymer of poly(2-hydroxy-3-phenoxypropyl acrylate-co-3-(5-(3,4 dihydroxyphenyl)-4-oxo-3 N-pentyl)imidazolium) bromide in dimethyl sulfoxide. Solidification of the glue, triggered by contact with water, undergoes a coacervation stage and causes a drastic growth of its mechanical properties over time. The glue demonstrates fast-developing, strong, and repeatable underwater adhesion to different materials and can maintain its strength for a long time. The adhesion strength tends to increase with the surface energy of the substrate material, to a maximum value of 160 kPa found in plywood. Experiments conducted in aqueous media with different pH and ionic strengths, including physiological conditions and seawater, showed an even stronger adhesion than that evolved in deionized water. Thus, the developed glue is a promising candidate for use in marine life, tissue adhesives, and other freshwater and saline water applications.

Highly Tough, Stretchable and Self-Healing Polyampholyte Elastomers with Dual Adhesiveness

A new type of polyampholyte with unique viscoelastic properties can be easily synthesized by the copolymerization of butyl acrylate with dimethylaminoethyl methacrylate and acid acrylate in one pot. The elastic modulus of the as-prepared polyampholyte can be easily tuned by adjusting the ratio between the butyl acrylate and ionic monomers. The polyampholyte synthesized by a low proportion of ionic monomer showed low tensile strength and high stretchability, resulting in good conformal compliance with the biological tissues and potent energy dissipation. Due to the existence of high-intensity reversible ionic bonds in the polymer matrix, excellent self-recovery and self-healing properties were achieved on the as-prepared polyampholytes. By combining the high Coulombic interaction and interfacial energy dissipation, tough adhesiveness was obtained for the polyampholyte on various substrates. This new type of polyampholyte may have important applications in adhesives, packaging and tissue engineering.

A Hydrogen Bonds-Crosslinked Hydrogels With Self-Healing and Adhesive Properties for Hemostatic

Hydrogels with adhesive properties have the potential for rapid haemostasis and wound healing in uncontrolled non-pressurized surface bleeding. Herein, a typical hydrogen bond-crosslinked hydrogel with the above functions was constructed by directly mixing solutions of humic acid (HA) and polyvinylpyrrolidone (PVP), in which the HA worked as a crosslinking agent to form hydrogen bonds with the PVP. By altering the concentration of HA, a cluster of stable and uniform hydrogels were prepared within 10 s. The dynamic and reversible nature of the hydrogen bonds gave the HA/PVP complex (HPC) hydrogels injectability and good flexibility, as well as a self-healing ability. Moreover, the numerous functional groups in the hydrogels enhanced the cohesion strength and interaction on the interface between the hydrogel and the substrate, endowing them with good adhesion properties. The unique chemical composition and cross-linking mechanism gave the HPC hydrogel good biocompatibility. Taking advantage of all these features, the HPC hydrogels obtained in this work were broadly applied as haemostatic agents and showed a good therapeutic effect. This work might lead to an improvement in the development of multifunctional non-covalent hydrogels for application to biomaterials.

Highly Conformal Polymers for Ambulatory Electrophysiological Sensing

Stable ambulatory electrophysiological sensing is widely utilized for smart e-healthcare monitoring, clinical diagnosis of cardiovascular diseases, treatment of neurological diseases, and intelligent human-machine interaction. As the favorable signal interaction platform of electrophysiological sensing, the conformal property of on-skin electrodes is an extremely crucial factor that can affect the stability of long-term ambulatory electrophysiological sensing. From the perspective of materials, to realize conformal contact between electrodes and skin for stable sensing, highly conformal polymers are strongly demanding and attracting ever-growing attention. In this review, we focused on the recent progress of highly conformal polymers for ambulatory electrophysiological sensing, including their synthetic methods, conformal property, and potential applications. Specifically, three main types of highly conformal polymers for stable long-term electrophysiological signals monitoring were proposed, including nature silk fibroin based conformal polymers, marine mussels bio-inspired conformal polymers, and other conformal polymers such as zwitterionic polymers and polyacrylamide. Furthermore, the future challenges and opportunities of preparing highly conformal polymers for on-skin electrodes were also highlighted. This article is protected by copyright. All rights reserved.

Highly Adhesive, Stretchable and Breathable Gelatin Methacryloyl-based Nanofibrous Hydrogels for Wound Dressings

Adhesive and stretchable nanofibrous hydrogels have attracted extensive attraction in wound dressings, especially for joint wound treatment. However, adhesive hydrogels tend to display poor stretchable behavior. It is still a significant challenge to integrate excellent adhesiveness and stretchability in a nanofibrous hydrogel. Herein, a highly adhesive, stretchable, and breathable nanofibrous hydrogel was developed via an in situ hybrid cross-linking strategy of electrospun nanofibers comprising dopamine (DA) and gelatin methacryloyl (GelMA). Benefiting from the balance of cohesion and adhesion based on photocross-linking of methacryloyl (MA) groups in GelMA and the chemical/physical reaction between GelMA and DA, the nanofibrous hydrogels exhibited tunable adhesive and mechanical properties through varying MA substitution degrees of GelMA. The optimized GelMA60-DA exhibited 2.0 times larger tensile strength (2.4 MPa) with an elongation of about 200%, 2.3 times greater adhesive strength (9.1 kPa) on porcine skin, and 3.1 times higher water vapor transmission rate (10.9 kg m^-2 d^-1) compared with gelatin nanofibrous hydrogels. In parallel, the GelMA60-DA nanofibrous hydrogels could facilitate cell growth and accelerate wound healing. This work presented a type of breathable nanofibrous hydrogels with excellent adhesive and stretchable capacities, showing great promise as wound dressings.

An antibacterial biomimetic adhesive with strong adhesion in both dry and underwater situations

Adhesives have attracted extensive attention in biomedical applications in recent years. However, the development of adhesives with strong adhesion in both dry and underwater conditions and antibacterial properties is still a challenge. Herein, a biomimetic adhesive (DP@TA/Gel) was developed based on the adhesion mechanism of mussel in water, from adhesion and solidification to avoiding excessive oxidization processes. DP@TA/Gel exhibited rapid strong nonspecific adhesiveness to diverse materials including wood (485 kPa) metal (507 kPa), plastic (74 kPa), and even fresh biological tissue (39 kPa) in dry conditions. Specially, owing to its biomimetic design, DP@TA/Gel could imitate the mussel adhesion mechanism underwater, endowing it with robust (38 kPa), highly repeatable (at least 15 times) and long-term (at least 120 h) stable adhesion even in underwater conditions. Remarkably, DP@TA/Gel also exhibited high adhesiveness in various water environments, including seawater, and a wide range of pH (3-11) and NaCl concentration (0.9-10%) solutions without any stimulus. In addition, DP@TA/Gel showed excellent biocompatibility and antibacterial properties. Thus, the DP@TA/Gel adhesive has appealing potential biomedical applications such as sutureless wound closure and as a tissue adhesive.

Fabrication of adhesive hydrogels based on poly (acrylic acid) and modified hyaluronic acid

Hydrogel wound dressings with good flexibility and adhesiveness to resist deformation during wound movement are urgently needed in clinical application. In this work, the hydrogels based on poly (acrylic acid) and N-hydroxysuccinimide grafted hyaluronic acid (PAA/HA_-NHS) with good elasticity and adhesiveness were prepared by chemical cross-linking and hydrogen bonding. The elastic and adhesive properties within the PAA hydrogels could reach a balance by adjusting the concentration of potassium persulfate (KPS) and N, N'-methylenebisacrylamide (MBA). Subsequently, HA_-NHS was incorporated into the PAA hydrogel system. The mechanical test revealed that the elongation at break and interfacial toughness of the PAA/HA_-NHS hydrogels could reach 265.79 ± 21.93% and 52.88 ± 3.51 J/m², respectively. In addition, the hydrogels possess a connected porous network and well water absorption ability (with porosity of 51.90 ± 0.11% and swelling ratio in wet state of 122.17 ± 2.78%). In vitro experiment demonstrates that the PAA/HA_-NHS hydrogels exhibit nontoxic and cell in-adhesive properties. The PAA/HA_-NHS hydrogels could cover the wound spots directly, stretch with the skin movement and gently remove from the wound tissue due to the suitable adhesiveness and poor cell adhesion. In conclusion, the PAA/HA_-NHS hydrogels show great application value in the field of wound dressing.

An in situ catechol functionalized ε-polylysine/polyacrylamide hydrogel formed by hydrogen bonding recombination with high mechanical property for hemostasis

In situ hydrogel has attracted widely attention in hemostasis due to its ability to match irregular defects, but its application is limited by insufficient mechanical strength and long gelation time. Although some specifical in situ chemically cross-linked hydrogels could be fast formed and exhibit high mechanical strength, they unable to absorb blood. Hence their applications were further limited in emergency hemostasis usage. In this study, a robust hydrogel formed by hydration of powders was developed using multiple hydrogen bonds crosslinking. Here, catechol groups modified ε-polylysine (PL-CAT) and polyacrylamide (PAAM) were used to construct the PL-CAT/PAAM hydrogel. This hydrogel could be formed within 7 s to adhere and seal bleeding sites. The catechol groups endowed the hydrogel outstanding adhesive strength, which was 3.5 times of fibrin glue. Besides, the mechanical performance of in-situ PL-CAT/PAAM hydrogel was explored and the results showed that the hydrogel exhibited high compressive strength (0.47 MPa at 85% strain). Most importantly, the blood loss of wound treated with PL-CAT/PAAM hydrogel powders was 1/7 of untreated group, indicating the hydrogel's excellent hemostatic effect. And the cytotoxicity studies indicated that the PL-CAT/PAAM hydrogel had low toxicity. To summarize, this hydrogel could be a potential hemostatic material in emergency situations.

A conductive polyacrylamide hydrogel enabled by dispersion-enhanced MXene@chitosan assembly for highly stretchable and sensitive wearable skin

MXene is recognized as an ideal material for sensitive wearable strain sensors because of its unique advantages of conductivity, hydrophilicity and mechanical properties. However, conventional hydrogel sensors utilizing MXene as a conductive material inevitably encounter the excessive accumulation of MXene nanosheets during the process of synthesis, which limits the electron transmission, reduces the conductivity, and concurrently weakens the mechanical capability and sensitivity of sensors. Herein, we construct a dispersion-enhanced MXene hydrogel (DEMH) through a chitosan-induced self-assembly strategy for the first time. Charge transfer is carried out through the flow of a material or a collection of material microstructures, and thus the highly interconnected 3D MXene@Chitosan network provides fast transport channels for electrons, and the DEMH exhibits excellent conductivity and sensibility simultaneously. Besides, the electrostatic self-assembly between MXene and chitosan, and the supramolecular interactions between MXene, chitosan and polyacrylamide chain segment result in excellent mechanical strength (of up to 1900%) and flexibility of DEMH. Furthermore, the introduction of chitosan which possesses a high density of positively charged groups and MXene with semiconducting properties also endows sensor versatility, such as self-adhesion properties and antibacterial activity. This work develops a simple and cut-price strategy for combining MXene unaggregated into a hydrogel as a sensor with high conductivity, sensibility and flexibility. A simple and inexpensive strategy for avoiding self-stacking of two-dimensional conductive materials is proposed, which paves the way for a broad range of applications in electronic skin, human motion detection and intelligent devices.

Self-Healing Hydrogels: Preparation, Mechanism and Advancement in Biomedical Applications

Polymeric hydrogels are widely explored materials for biomedical applications. However, they have inherent limitations like poor resistance to stimuli and low mechanical strength. This drawback of hydrogels gave rise to ''smart self-healing hydrogels'' which autonomously repair themselves when ruptured or traumatized. It is superior in terms of durability and stability due to its capacity to reform its shape, injectability, and stretchability thereby regaining back the original mechanical property. This review focuses on various self-healing mechanisms (covalent and non-covalent interactions) of these hydrogels, methods used to evaluate their self-healing properties, and their applications in wound healing, drug delivery, cell encapsulation, and tissue engineering systems. Furthermore, composite materials are used to enhance the hydrogel's mechanical properties. Hence, findings of research with various composite materials are briefly discussed in order to emphasize the healing capacity of such hydrogels. Additionally, various methods to evaluate the self-healing properties of hydrogels and their recent advancements towards 3D bioprinting are also reviewed. The review is concluded by proposing several pertinent challenges encountered at present as well as some prominent future perspectives.

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.

A tough, adhesive, self-healable, and antibacterial plant-inspired hydrogel based on pyrogallol-borax dynamic cross-linking

Multifunctional hydrogels that integrate stretchability, adhesion, self-healing, and antibacterial properties may find use in a variety of fields including electronic skin, wound dressings, and wearable devices; however, traditional hydrogels often exhibit short-term adhesiveness, poor mechanical properties, and a lack of antibacterial activity. Herein, a plant-inspired polyacrylamide-soybean protein isolate-pyrogallol/borax (PAM-SPI-P/B) hydrogel has been developed using a facile green method based on dynamic coordination cross-linking between pyrogallol (PG) and borax. The PG-borax dynamic bonds adjusted the network structure of the hydrogels to provide greater structural integrity to the PAM-SPI double network. This hydrogel possessed a high mechanical strength (large elongation up to 760% and compressive strength up to 1.25 MPa at 80% strain), low swelling ratio, and self-healing properties. Inspired by natural polyphenols that contain adhesive molecules, the addition of pyrogallol provided the hydrogel excellent adhesion to various hydrophilic and hydrophobic substrates. And with the inhibition of pyrogallol autoxidation due to the borax protection, the hydrogel showed repeatable and durable adhesion over 20 cycles. The obtained hydrogels also exhibited good antibacterial activities against Escherichia coli and Staphylococcus aureus because they were based on pyrogallol and borax, which have antibacterial properties. Accordingly, we envision that the PAM-SPI-P/B hydrogels have great potential for use in biomimetic tissues and biosensors.

Dynamic Covalent Bonds of Si-OR and Si-OSi Enabled A Stiff Polymer to Heal and Recycle at Room Temperature

As stiff polymers are difficult to self-heal, the balance between polymers' self-healing ability and mechanical properties is always a big challenge. Herein, we have developed a novel healable stiff polymer based on the Si-OR and Si-OSi dynamic covalent bonds. The self-healing mechanism was tested and proved by the small molecule model experiments and the contrast experiments of polymers. This polymer possesses excellent tensile, bending properties as well as room temperature self-healing abilities. Moreover, due to the sticky and shapeable properties under wetting conditions, the polymer could be used as an adhesive. Besides, even after four cycles of recycling, the polymer maintains its original properties, which meets the requirements of recyclable materials. It was demonstrated that the polymer exhibits potential application in some fields, such as recyclable materials and healable adhesives.

Wound Dressing Hydrogel of Enteromorpha prolifera Polysaccharide-Polyacrylamide Composite: A Facile Transformation of Marine Blooming into Biomedical Material

Great endeavors have been dedicated to the development of wound dressing materials. However, there is still a demand for developing a wound dressing hydrogel that integrates natural macromolecules without requiring extra chemical modifications, so as to enable a facile transformation and practical application in wound healing. Herein, a composite hydrogel was prepared with water-soluble polysaccharides from Enteromorpha prolifera (PEP) cross-linked with boric acid and polyacrylamide cross-linked via polymerization (PAM) using a one-pot method. The dual-network of this hydrogel enabled it to have an ultratough mechanical strength. Moreover, interfacial characterizations reflected that the hydrogen bonds and dynamic hydroxyl-borate bonds contributed to the self-healing ability of the PEP-PAM hydrogel, and the surface groups on the hydrogel allowed for tissue adhesiveness and natural antioxidant properties. Additionally, human epidermal growth factor-loaded PEP-PAM hydrogel promoted cell proliferation and migration in vitro and significantly accelerated wound healing in vivo on model rats. These progresses suggested a prospect for the PEP-PAM hydrogel as an effective and easily available wound dressing material. Remarkably, this work showcases that a wound dressing hydrogel can be facially developed by using natural polysaccharides as a one component and offers a new route for the high-value utilization of disastrous marine blooming biomass by transforming it into a biomedical material.

Bioinspired tissue-compliant hydrogels with multifunctions for synergistic surgery-photothermal therapy

Operation therapy is a common treatment for many cancers, but malignant tumors likely recur and metastasize after surgery, resulting in treatment failure. In this study, we aimed at synthesizing a multifunctional hydrogel patch that features multifunctions for synergistic surgery-photothermal therapy. Our polydopamine nanoparticle (PDA NP)-crosslinked poly(acrylamide-co-N-(3-aminopropyl)methacrylamide) hydrogels undergo several dynamic interactions (e.g., hydrogen bonds, π-π interactions, and imine bonds), which confer high stretchability (∼3430%) and adhesive strength to porcine skin (∼75 kPa) that mimics soft wound tissues. Furthermore, PDA NP incorporation into the hydrogel matrix endows it with photothermal responsivity under 808 nm irradiation. As a proof of concept, our hydrogel system was used to ablate residual tumors in 4T1 tumor-bearing mice models after surgery via photothermal therapy. We find that synergistic operation-photothermal therapy effectively eradicates solid tumors and prevents cancer recurrence in mice. We envision that our work provides an effective synergistic strategy for cancer treatment and offers great potential for clinical applications.

Tough hybrid microgel-reinforced hydrogels dependent on the size and modulus of the microgels

Microgel-reinforced (MR) hydrogels are tough hydrogels with dispersed rigid microgels embedded in a continuous soft matrix. MR gels have the great potential to provide not only mechanical toughness but also the desired functional matrix by incorporation of various functional microgels. Understanding the toughening mechanism of the MR hydrogels is critical for the rational design of the desired functionally tough MR gels. However, our current knowledge of the toughening mechanism of MR gels mainly comes from the MR hydrogels with both chemically crosslinked dispersed microgels and a continuous matrix. Little is known about the hybrid MR gels with physically crosslinked microgels embedded in a chemically crosslinked matrix. Herein, we synthesize such hybrid MR hydrogels with the ionic crosslinked calcium alginate microgels incorporated into the chemically crosslinked polyacrylamide (PAAm) matrix. The alginate microgels show strong size and modulus effects on the toughening enhancement: the larger microgels could toughen the MR gels more than the small ones, and the microgels with medium modulus could maximize the toughness of the MR gels. By comparison of the mechanical performances of the MR and the corresponding double network (DN) hydrogels, we have proposed that the hybrid MR gels may have the same toughening mechanism as the bulk DN gel. This work tries to better understand the structure-property relationships of both MR and DN gels and help in the design of more functionally tough MR gels with the desired properties.

Polypyrrole-Doped Conductive Self-Healing Composite Hydrogels with High Toughness and Stretchability

In recent years, hydrogels with self-healing capability and conductivity have become ideal materials for the design of electrodes, soft robotics, electronic skin, and flexible wearable devices. However, it is still a critical challenge to achieve the synergistic characteristics of high conductivity, excellent self-healing efficiency without any stimulations, and decent mechanical properties. Herein, we developed a ferric-ion (Fe³⁺) crosslinked acrylic acid and chitosan polymer hydrogel using embedded polypyrrole particles with features of high conductivity (2.61S·m^-1) and good mechanical performances (a tensile strength of 628%, a stress of 0.33 MPa, an elastic modulus of 0.146 MPa, and a toughness of 1.14 MJ·m^-3). In addition, the self-healing efficiency achieved 93% in tensile strength after healing in the air for 9 h without any external stimuli. Therefore, with these outstanding mechanical, self-healing, and conductive abilities all in one, it is possible to fabricate a new kind of soft material with wide applications.

An Antifreezing/Antiheating Hydrogel Containing Catechol Derivative Urushiol for Strong Wet Adhesion to Various Substrates

Tough adhesive hydrogels that can tightly bond to wet tissue/polymer/ceramic/metal surfaces have great potentials in various fields. However, conventional adhesive hydrogels usually show short-term and nonreversible adhesion ability, as the water component in a hydrogel readily transforms to vapor or ice in response to fluctuation of environment temperature, hindering their applications in extreme conditions such as in freezing Arctic and roasting Africa. For the first time, urushiol (UH), a natural catechol derivative with a long alkyl side chain, is used as a starting material to copolymerize with acrylamide for fabricating adhesive hydrogels, which contain hydrophobic/hydrophilic moieties, antifreezing agent, and adhesive catechol groups. The antifreezer/moisturizer glycerol/water binary solvent dispersed in the hydrogel endows it with antifreezing/antiheating property. The hydrophobic association and π-π interaction from UH moieties of the copolymer greatly improve its mechanical strength (tensile stress: ∼0.12 MPa with strain of ∼1100%, toughness: ∼72 kJ/m³, compression stress: ∼6.72 MPa at strain of 90%). The hydrogel can strongly adhere to various dry/wet biological/polymeric/ceramic/metallic substrates at temperatures ranging from -45 to 50 °C. Under ambient conditions, its adhesion force to porcine skin, glass, and tinplate may reach up to 160, 425, and 275 N/m, respectively. Even stored at -45 or 50 °C for 30 d, the hydrogel still maintains good flexibility and robust adhesion force. It also shows repeatable underwater adhesion to biological tissue, glass, ceramic, plastic, and rubber. This novel antifreezing/antiheating adhesive hydrogel may be applied in extremely cold or hot environments and in underwater conditions.

Chondroitin sulfate hydrogels based on electrostatic interactions with enhanced adhesive properties: exploring the bulk and interfacial contributions

Adhesive polysaccharide gels have highlighted their potential in biomedicine, tissue engineering, and wearable/implantable devices due to their tissue adhesive nature and excellent biocompatibility. However, the weak adhesive strength caused by the unclear relationship between the structure and the adhesive properties seriously hinders their further practical application. Here, a facile one-step synthesis method for adhesive and self-healing hydrogels with chondroitin sulfate (CS) and poly (methyl chloride quarternized N,N-dimethylamino ethylacrylate) (PDMAEA-Q) by ultraviolet light irradiation has been presented. We investigate the mechanism of the adhesion enhancement including improving the mechanical strength of gels (cohesion) and gel/substrate interfacial interactions (interfacial adhesion) by tailoring the compliance and cohesive energy density of the gel. The resultant soft and viscoelastic hydrogels displayed favorable adhesion ability on various substrates, and the adhesive strength to the iron substrate and porcine skin can reach 49.4 kPa and 15.4 kPa, respectively. Additionally, the gels also exhibited rapid self-healing properties and good cytocompatibility. We believe that the adhesive PDMAEA-Q/CS gel would be an ideal candidate for hydrogel glues for human-machine interfaces and biological tissues, and this design idea can open a new path for the preparation of adhesive polysaccharide hydrogels.

Highly Transparent, Self-Healable, and Adhesive Organogels for Bio-Inspired Intelligent Ionic Skins

Development of intelligent adaptable materials with unprecedented sensitivity that can mimic the tactile sensing functions of natural skin is a major driving force in the realization of artificial intelligence. Herein, we judiciously designed and synthesized a series of lauryl acrylate-based polymeric organogels with high transparency, mechanical adaptability, self-healing properties, and adhesive capability. Moreover, a robust capacitive sensor with high sensitivity (0.293 kPa^-1) was developed by sandwiching the prepared soft, adaptable organogels between two tough conductive hydrogels and then used to monitor various human motions such as finger stretching, wrist bending, and throat movement during chewing. Interestingly, the resulting capacitive sensor could also function as prosthetic skin on a pneumatic soft artificial hand, enabling intelligent haptic perception. The research disclosed herein is expected to provide insights into the rational design of artificial human-like skins with unprecedented functionalities.

Cellulose-based self-healing hydrogel through boronic ester bonds with excellent biocompatibility and conductivity

Self-healing hydrogels based on degradable resources have developed rapidly in the past decade due to their extensive bioapplications with biosecurity. In this research, a new kind of cellulose-based self-healing hydrogel with bio-degradability is constructed through boronic ester linkage. The carboxyethyl cellulose-graft-phenylboronic acid (CMC-B(OH)2) was synthesized through condensation reaction conveniently and then hydrogels were prepared with dynamic boronic ester cross-linking. The chemical structures, microscopic morphologies, mechanical and self-healing properties of the hydrogels were investigated intensively through Fourier transform infrared (FT-IR) spectroscopy, rheological, SEM and tensile testing. The hydrogels formed instantly without any additional catalyst and exhibit excellent self-healing ability with good mechanical properties. Moreover, the hydrogels were applied for controlled release of doxorubicin (DOX·HCl) and showed a successive slow release profile. Importantly, the hydrogel exhibited excellent biocompatibility and show potential applications in controlled drug delivery, 3D cell culture and tissue engineering.

A self-healing, robust adhesion, multiple stimuli-response hydrogel for flexible sensors

Ionic hydrogels have great application potential in human index monitoring and wound treatment, such as in wearable sensors, wound dressings, and ionic skin. However, the design of a hydrogel achieving the synergistic characteristics of excellent mechanical properties, robust adhesion, and multiple stimuli-responses remains a critical challenge. Herein, by introducing negatively charged clay nanosheets, we report a smart ionic Gelatin/PAAm/Clay hydrogel (GPNs gel) with a high conductivity of 10.87 mS cm-1. The as-prepared gel exhibits excellent self-healing properties, robust adhesion (interfacial toughness of up to 485 J m-2 with pigskin), and multiple stimuli-responses driven by salt ions, pH, and stress. Based on this hydrogel, a capacitive sensor has also been designed, which provides linear responses over a wide range (applied pressure up to 2 kPa) and sensitively monitors human motion. In addition, the gel also displays good biocompatibility with human lung embryonic (MRC-5) cells. These characteristics demonstrate that the GPNs gel is an ideal candidate for developing flexible sensor devices.

Incorporation of dumbbell-shaped and Y-shaped cross-linkers in adjustable pullulan/polydopamine hydrogels for selective adsorption of cationic dyes

Hydrogel adsorbents have attracted considerable attention due to their sludge minimization, good water permeability and renewable performance. Here, a promising strategy for the one-step preparation of pullulan/polydopamine hybird hydrogels (PPGels) was presented. Dumbbell-shaped cross-linker neopentyl glycol diglycidyl ether (NGDE, 2 arms) and Y-shaped cross-linker trimethylolpropane triglycidyl ether (TTE, 3 arms) were selected to study the relationship between cross-linker structure and hydrogel performances. The NGDE possessing less molecular repulsive force and higher reactivity demonstrated more effective cross-linking with the pullulan, which leaded to a decrease in pore size of the hydrogel. Meanwhile, the introduction of polydopamine significantly enhanced the adsorption ability and gave the resulting hybrid gel the specific selectivity toward cationic dyes (96 mg/g for crystal violet, 25.8 mg/g for methylene blue and barely not adsorption for azophloxine). Our data suggested that the electrostatic interaction played a vital role in the dye adsorption process, and the adsorption data could be explained by pseudo-second-order model and Langmuir isotherm model. Furthermore, the obtained PPGel could be easily separated after adsorption. This study describes the relationship between cross-linker structure and properties of pullulan/polydopamine hybrid gels, which provides a new strategy to create polysaccharide-based adsorbents for wastewater remediation.

NIR/Thermoresponsive Injectable Self-Healing Hydrogels Containing Polydopamine Nanoparticles for Efficient Synergistic Cancer Thermochemotherapy

Injectable and self-healing hydrogels with thermoresponsiveness as smart hydrogels displayed injectability, automatic healing, and phase and volume changes as well. Here, the thermoresponsive self-healing hydrogel was prepared via the formation of dynamic covalent enamine bonds between the amino groups in polyetherimide (PEI) and the acetoacetate groups in the four-armed star-shaped poly(2-(dimethylamino)ethyl methacrylate-co-2-hydroxyethyl methacrylate) modified with tert-butyl acetoacetate (t-BAA), SP(DMAEMA-co-HEMA-AA). After adding polydopamine nanoparticles (PDA NPs), the SP(DMAEMA-co-HEMA-AA)/PEI/PDA-NP nanocomposite hydrogel presented phase change and volume shrinkage under near-infrared (NIR) irradiation. The thermoresponsive nanocomposite hydrogel loaded with the anticancer drug doxorubicin (DOX) could be injected into the 4T1 tumor by intratumoral injection. After NIR laser irradiation, the temperature of the hydrogel increased because of the photothermal effect of PDA NPs inducing local hyperthermia. Because the hydrophilicity-hydrophobicity transition of the hydrogel occurred, DOX molecules were squeezed out from the hydrogel at temperatures higher than its lower critical solution temperature (LCST) and the tumor cells suffered from internal stress from the shrunk hydrogel. The injectable nanocomposite hydrogel not only demonstrated the synergism of highly efficient thermochemotherapy but also showed the function of improving drug utilization and precise treatment to reduce the side effects of drugs.

Multifunctional composite hydrogel bolus with combined self-healing, antibacterial and adhesive functions for radiotherapy

TPU/PAAm hydrogel with excellent mechanical, adhesive, self-healing and antibacterial properties has been successfully prepared as a desirable bolus for radiotherapy.

Mussel-inspired hydrogels: from design principles to promising applications

This review presents the recent progress of mussel-inspired hydrogels from fundamental interaction mechanisms and design principles to promising applications.

Mussel inspired bio-adhesive with multi-interactions for tissue repair

Bio-adhesives based on biopolymers have been widely researched for tissue repair. However, the adhesive properties are still insufficient to meet the practical applications. Introducing functional groups into the polymer chains that have multi-interactions among inter/intra-molecules and with substrates is an efficient way to increase cohesion force and further improve the adhesive properties. In this study, 3,4-dihydroxyphenyl propionic acid (DPA) and dopamine (DA) containing adhesion functional catechol groups were employed to modify chitosan (CS) and γ-polyglutamic acid (γPGA), respectively. The substituted degrees of the catechol groups were controlled by the catechol compositions. DPA modified chitosan/DA modified γPGA (CS-DPA/γPGA-DA) adhesives prepared by mixing CS-DPA and γPGA-DA. Effects of the substituted degrees and substrates on the adhesion strength were measured by tensile testing machine. The results showed good adhesion property of the CS-DPA/γPGA-DA adhesive on many surfaces of the substrates. Especially on the arthrodial cartilage, the adhesive strength reached around 150 kPa, much higher than commercially available tissue adhesives. The high adhesion property might be due to the adhesion interactions between the catechol groups and substrates and the high cohesion forces induced by the crosslinking interactions formation among the catechol groups and the electrostatic interactions between the CS and γPGA polymers. In vitro experiments demonstrated that the adhesive had good biocompatibility. These results suggested the catechol-based adhesive is a very suitable and promising biomaterial in the clinical medicine field.

Water-Triggered Hyperbranched Polymer Universal Adhesives: From Strong Underwater Adhesion to Rapid Sealing Hemostasis

Despite recent advance in bioinspired adhesives, achieving strong adhesion and sealing hemostasis in aqueous and blood environments is challenging. A hyperbranched polymer (HBP) with a hydrophobic backbone and hydrophilic adhesive catechol side branches is designed and synthesized based on Michael addition reaction of multi-vinyl monomers with dopamine. It is demonstrated that upon contacting water, the hydrophobic chains self-aggregate to form coacervates quickly, displacing water molecules on the adherent surface to trigger increased exposure of catechol groups and thus rapidly strong adhesion to diverse materials from low surface energy to high energy in various environments, such as deionized water, sea water, PBS, and a wide range of pH solutions (pH = 3 to 11) without use of any oxidant. Also, this HBP adhesive (HBPA) exhibits a robust adhesion to fractured bone, precluding the problem of mismatched surface energy and mechanical properties. The HBPA's adhesion is repeatable in a wet condition. Intriguingly, the HBPA is capable of gluing dissimilar materials with distinct properties. Importantly, introducing long alkylamine into this modular hyperbranched architecture contributes to formation of an injectable hemostatic sealant that can rapidly stop visceral bleeding, especially hemorrhage from deep wound.

Applications of Highly Stretchable and Tough Hydrogels

Stretchable and tough hydrogels have drawn a lot of attention recently. Due to their unique properties, they have great potential in the application in areas such as mechanical sensing, wound healing, and drug delivery. In this review, we will summarize recent developments of stretchable and tough hydrogels in these areas.