Smart Materials for Bioengineering and Biomedicine

Nucleic acids-based drugs aim to fix the genetic problem at its source and emerge as a promising new class of drugs. Recent advances in this field enabled their approval for the treatment of orphan genetic diseases for which no cure was available.

The treatment of hypertrophic scar (HS) is hindered by the low bioavailability of drugs and the pathological microenvironment. Here the authors report a separating microneedle drug delivery system responsive to high reactive oxygen species levels and overexpression of matrix metalloproteinases to remodel the pathological microenvironment for HS treatment.

Wireless and localized stimulation of neural cells remains challenging. Here, the authors propose piezoelectric magnetic Janus microparticles that can target and stimulate neurons under low-intensity ultrasound through voltage-gated ion channels.

Immune checkpoint blockade-based immunotherapy has shown limited efficacy in patients with glioblastoma (GBM). Here the authors describe the design of redox-responsive micelles for increasing the delivery of paclitaxel and anti-PD-L1 in the brain, showing improved anti-tumor immune response in preclinical GBM models.

Soft robots have potential in carrying out underwater tasks, but achieving the right level of adhesion and shape-changing ability is challenging. Here, the authors report the development of protein-based hydrogels with iron oxide nanoparticles with photothermal and magnetic responsiveness, capable of carrying out complex tasks.

A nutritive hydrogel enhances the survival of human mesenchymal stromal cells by providing physiological glucose levels in a controlled manner, eliciting new blood vessel formation in vivo.

The therapeutic benefits of biomaterials-based treatments for oral ulcer have been limited by the materials’ poor adhesion and short-time retention in oral cavity. Here, the authors report a polymer binary elastomer adhesive patch that allows water-responsive sustainable delivery of bioactive small molecules and durable adhesion to oral mucosal wounds to achieve efficient therapy of oral ulcer.

The treatment of diabetic wounds tends to be hindered by complex wound environments, and the critical role of the microenvironment in the chronic diabetic wounds has not been explored for therapeutic development. Here, the authors develop a wound microenvironment-responsive microneedle bandage to achieve self-enhanced, catabolic and dynamic therapy of chronic wounds.

Reperfusion is a main strategy for restoring blood supply after ischemic stroke, but it induces neuroinflammation that undergoes dynamic progression, hindering the treatment of ischemic stroke. Here, the authors report a pathogenesis-adaptive nanosystem for sequential and on-demand regulation of reperfusion-induced dynamic neuroinflammation for ischemic stroke therapy.

The exogenous excitation requirement and electron-hole pair recombination are the key factors limiting the application of catalytic therapies. Here, the authors address these limitations by designing a tumor microenvironment-specific self-triggered thermoelectric nanoheterojunction with a self-built-in electric field that facilitates charge separation for cancer treatment.

Effective reprogramming of chronic wound healing remains challenging due to the limited drug delivery efficacy hindered by physiological barriers, as well as the inappropriate dosing timing in distinct healing stages. Here, the authors report a core-shell structured microneedle array patch with programmed functions which dynamically modulates the wound immune microenvironment according to the varied healing phases

Platinum nanoparticles are promising candidates for enhancing radiotherapy sensitivity. Here, platinum-based nanomaterials with a multi-core structure show efficient near-infrared photothermal treatment on glioblastoma tumoroids with good biostability.

Wearable sensors have been widely studied, but research has tended to focus on their use in adults. This Review explores skin-interfacing smart health systems that are designed with infants and neonates in mind.

pH alterations are a hallmark of many pathologies including cancer and kidney disease. Here the authors describe [1,5- 13 C2]Z-OMPD as a probe for hyperpolarized 13C-MRI with good pH sensitivity and hyperpolarization properties which combined with tailored MRI protocols allow sub-minute imaging of pH, renal perfusion and filtration simultaneously.

For accurate single cell analyses of glucose uptake ex vivo and in vivo, the authors developed a method using glucose transporter-dependent import of clickable sugars, coupled with fluorescent post-labeling and multicolor flow cytometry.

Mohammad Omid Bagheri and colleagues introduce a metasurface-enhanced millimetre-wave radar system designed for near-field biosensing. Their device adapts to the properties of the skin-device interface, providing heightened diagnostic precision in wearable healthcare monitoring applications.

Bioimaging with photocontrol and multiplexing capability is vital for studying cellular interactions and dynamics, but multiplexed stimulated Raman scattering (SRS) imaging with reversible photocontrol is elusive. Here, the authors report SRS microscopy with Carbow-switch enabling multiplexed SRS imaging and tracking in live cells with reversible photocontrol and high spatiotemporal selectivity.

Biocompatible afterglow materials have potential in imaging applications, but are challenging to prepare. Here the authors report the development of carbon nanodots with near-infrared afterglow, and demonstrate their use in imaging for tumour resection.

There is growing interest in biosensors that detect biomarkers in interstitial fluid. This Review provides an overview of recent developments on interstitial fluid biosensors, including device fabrication and sensing mechanisms, and outstanding challenges faced.

BRET-based biosensors allow the quantitative live-cell monitoring of RTKmediated signaling, revealing ligand-specific spatiotemporal and mutation-specific signaling biases, advancing the understanding of RTK functional selectivity.

Bacteriophages displaying amyloidogenic peptides are able to identify amyloid-beta oligomers in post-mortem brain tissue of APP/PS1-transgenic mice and of Alzheimer patients.

Current techniques for visualizing cell generated forces suffer from throughput limitations. Here, Gu et al. introduced photonic crystal cellular force microscopy, inspired by chameleons, enabling visualization and quantification of vertically directed cell forces, well-suited for drug screening.

Metabolic dynamics within the small intestine are difficult to study due to the lack of in situ access. Here, the authors report an ingestible, self-powered, and wireless biosensing system, demonstrating proof-of-principle real-time glucose monitoring in the small intestines of pigs.

3D printing has potential in designing personalised scaffolds, but minimally invasive implantation is still challenging. Here, the authors report the development of a polyurethane material with temperature triggered shape memory and water triggered deformation that allows for transcatheter delivery.

Neural circuitry is important for comprehending computational mechanisms and physiology of the brain but controlling neuronal connectivity and response in 3D is challenging. Here, titanium carbide MXene-coated 3D polycaprolactone scaffolds are demonstrated to effectively control neuronal interconnection.

Poor material biocompatibility of implanted medical devices endangers patient safety and impairs device functionality. Here, durable zwitterion grafts attached onto polymeric surfaces via plasma functionalization lead to superhydrophilic materials for safer and more durable devices.

The regeneration of critical-size bone defects, especially those with irregular shapes, remains a clinical challenge. Here, the authors report a shape-memory, tailorable, self-adaptive and bioactive silk fibroin/magnesium composite scaffold that can quickly match irregular defects by simple trimming and lead to good interface integration.

Urethral repair can be carried out using hydrogels, but the harsh microenvironment hinders the repair. Here, the authors report the development of a 4D hydrogel dressing that can provide an early-vascularised and later-antifibrogenic microenvironment to assist in scarless reconstruction.

Flexible electronic hydrogels that allow conformal tissue integration, online precision diagnosis, and simultaneous tissue regeneration are desired for advancing the treatment of myocardial infarction. Here, the authors report a chronological adhesive hydrogel patch integrating diagnostic and therapeutic functions through mechanophysiological monitoring and electrocoupling therapy.

Highly localized mechanical forces that shape in vivo tissue development remain challenging to recapitulate in vitro. Here the authors use magnetically actuated nanoparticles to generate spatially defined forces within organoids, which guide the spatial organization of tissue patterning and growth.

Light penetration and overheating are major issues facing the application of photothermal therapy. Here, the authors develop a temperature responsive hydrogel optical waveguide for controlled delivery of light to deep tumours and demonstrate biocompatibility and temperature responsive phototherapy in vivo

Integrating self-healing capabilities into skin-like stretchable transistors presents a persistent challenge. Here, by using a supramolecular polymer matrix, the authors develop autonomous self-healing transistors and skin-like logic circuits.

Current ultrasound transducers are bulky and rigid. Here, the authors describe a new way to realize large-area and mechanically flexible ultrasound arrays on polymer foils suited for wearable ultrasound applications

Smart devices for wound management combine biosensing with drug release. Here, a smart theranostic bandage is reported that can detect pH and uric acid levels and release antibiotics as necessary, all of which can be done remotely.

Developing piezoelectric biocrystals that are stretchable while maintaining structure and stable piezoelectricity is challenging. Here, Li et al. report an amino acid-based piezoelectric biocrystal with omnidirectional stretchability enabled by a truss-like network, for wearable and implantable devices.

The soft fluidic robots designed so far are lacking intelligent self-protection and present poor fluidic power source. Here, the authors report soft fluidic robots that integrate soft electrohydrodynamic pumps, healing electrofluids, actuators and E-skins endowing them with self-sensing, self-judgment, and self-heating behaviours for rapid self-healing.

Untethered soft robots developed to date display limited functionalities beyond locomotion and cargo delivery. Here, the authors present a pangolin-inspired robotic design which enables heating > 70 °C at distances > 5 cm without compromising their compliance, for biomedical applications.

The cornea is susceptible to various injuries with a complicated repair process. Here, the authors propose a snowflake-inspired, blink-driven flexible piezoelectric contact lens for corneal injury repair.

Stretchable and degradable elastomers are crucial for developing transient and bioresorbable electronics. Herein, Han et al. tuned the diverse properties of biodegradable PLCL elastomers and demonstrated their application in soft, perceptive robotic grippers and transient, suture-free cardiac jackets.

Minimizing patient risk to thermal failure in wearable electronics typically requires complex circuit control, sensors, or passive materials. Here, Yoo et al. present an active materials system with a self-inflating bladder that delaminates upon excessive heat, mitigating the risk of thermal injury.

This state-of-the-art Review highlights the evolution of neuromodulation and neuroprosthetic systems from sensorimotor to cognitive disorders.