Diabetic ulcer is the most common kind of chronic wound worldwide. Though great efforts have been devoted, diabetic ulcer still remains as a challenge that requires constant monitoring and management. In this work, a multifunctional zwitterionic hydrogel is developed to simultaneously detect two fluctuant wound parameters, pH and glucose level, to monitor the diabetic wound status. A pH indicator dye (phenol red) and two glucose sensing enzymes, glucose oxidase (GOx) and horseradish peroxidase (HRP), are encapsulated in the anti-biofouling and biocompatible zwitterionic poly-carboxybetaine (PCB) hydrogel matrix. The visible images are collected by a smartphone and transformed into RGB signals to quantify the wound parameters. Results show that the activity and stability of both two enzymes are improved within PCB hydrogel, and the K cat /K m value of PCB-HRP is ≈5.5 fold of free HRP in artificial wound exudate. This novel wound dressing can successfully monitor the pH range of 4-8 and glucose level of 0.1-10 × 10 −3 m. Meanwhile, it also provides a moist healing environment that can promote diabetic wound healing. This multifunctional wound dressing may open vistas in chronic wound management and guide the diabetes treatment in clinical applications.

Conductive hydrogels have emerged as fascinating materials applied in flexible electronics because of their integrated conductivity and mechanical flexibility. However, the large amounts of water in conductive hydrogels inevitably freeze at subzero temperature, causing a reduction of their ionic transport ability and elasticity. Herein, the bioinspired antifreezing agents—zwitterionic osmolytes (e.g., betaine, proline) are first proposed to prevent ammonium chloride‐containing Ca‐alginate/polyacrylamide hydrogels from freezing. With a facile one‐pot solvent displacement method, the zwitterionic osmolytes can displace the water molecules inside the hydrogels. Due to the excellent freeze tolerance of zwitterionic osmolytes, the resulting zwitterionic osmolyte‐based hydrogels exhibit outstanding ionic conductivity (up to ≈2.7 S m−1) at −40 °C, which exceeds the conductivities of most reported conductive hydrogels. Meanwhile, they present stable mechanical flexibility over a wide temperature range (−40 to 25 °C). More importantly, two types of the resulting hydrogel‐based flexible electronics, including a capacitive sensor and a resistive sensor, can maintain their response function at −40 °C. This work offers a new solution to fabricate conductive hydrogels with antifreezing ability, which can broaden the working temperature range of flexible electronics.

The term “zwitterionic polymers” refers to polymers that bear a pair of oppositely charged groups in their repeating units. When these oppositely charged groups are equally distributed at the molecular level, the molecules exhibit an overall neutral charge with a strong hydration effect via ionic solvation. The strong hydration effect constitutes the foundation of a series of exceptional properties of zwitterionic materials, including resistance to protein adsorption, lubrication at interfaces, promotion of protein stabilities, antifreezing in solutions, etc. As a result, zwitterionic materials have drawn great attention in biomedical and engineering applications in recent years. In this review, we give a comprehensive and panoramic overview of zwitterionic materials, covering the fundamentals of hydration and nonfouling behaviors, different types of zwitterionic surfaces and polymers, and their biomedical applications.

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Under hyperglycaemic conditions, keratinocytes demonstrate reduced migration and decreased proliferation capacities. These impairments of keratinocyte functions are likely to result in inadequate re-epithelialization. These defective physiological events provide a reasonable explanation for the poor wound healing commonly observed in patients with DM.

Cryoprotectants (CPAs) are critical to successful cryopreservation because they can protect cells from cryoinjuries. Because of the limitations of current CPAs, especially the toxicity, the search for new effective CPAs is attracting increasing attention. In this work, we reported that natural biocompatible osmoprotectants, which could protect cells from osmotic injury in various biological systems, might also be ideal candidates for CPAs. Three representative biocompatible osmoprotectants (proline, glycine, and taurine) were tested and compared. It was found that, aside from presenting a different ability to prevent osmotic injury, these biocompatible osmoprotectants also possessed a different ability to inhibit ice formation and thus mitigate intra-/extracellular ice injury. Because of the strongest ability to prevent the two types of injuries, we found that proline performed the best in cryopreserving five different types of cells. Moreover, the natural osmoprotectants are intrinsically biocompatible with the cells, superior to the current state-of-the-art CPA, dimethyl sulfoxide (DMSO), which is a toxic organic solvent. This work opens a new window of opportunity for DMSO-free cryopreservation, and sheds light on the applications of osmoprotectants in cryoprotection, which may revolutionize the current cryopreservation technologies.

In both artificial electronic and ionic skins, the distinction of multi-stimuli response in a single sensing unit is challenging, due to unavoidable mutual signal interference. Here, a zwitterionic skin sensor system that can continuously monitor and differentiate three-stimuli-responsive information in real-time is designed. This sandwich-structured sensor system is based on a zwitterionic thermo-glucose-sensitive skin-like hydrogel at its upper and lower layers with a middle isolation elastomer layer, enabling monitoring and distinction of temperature, mechanical and glucose information without signal interference: 1) the capacitance of the upper/lower layers as glucosetemperature-insensitive is variable to measure strain; 2) the resistance of the upper hydrogel as glucose-insensitive is variable to measure strain and temperature; and 3) the resistance of the lower hydrogel can detect three indicators. Based on the skin sensor system, a smart wound dressing is developed to pro-heal chronic diabetic wounds and enable continuous realtime monitoring of three indicators-infection, swelling, and blood glucose. This work provides a new method of real-time monitoring and the distinction of multi-stimuli response in a wearable device.

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