Injectable tissue prosthesis for instantaneous closed-loop rehabilitation

Nature. 2023 Nov;623(7985):58-65. doi: 10.1038/s41586-023-06628-x. Epub 2023 Nov 1.

Abstract

To construct tissue-like prosthetic materials, soft electroactive hydrogels are the best candidate owing to their physiological mechanical modulus, low electrical resistance and bidirectional stimulating and recording capability of electrophysiological signals from biological tissues1,2. Nevertheless, until now, bioelectronic devices for such prostheses have been patch type, which cannot be applied onto rough, narrow or deep tissue surfaces3-5. Here we present an injectable tissue prosthesis with instantaneous bidirectional electrical conduction in the neuromuscular system. The soft and injectable prosthesis is composed of a biocompatible hydrogel with unique phenylborate-mediated multiple crosslinking, such as irreversible yet freely rearrangeable biphenyl bonds and reversible coordinate bonds with conductive gold nanoparticles formed in situ by cross-coupling. Closed-loop robot-assisted rehabilitation by injecting this prosthetic material is successfully demonstrated in the early stage of severe muscle injury in rats, and accelerated tissue repair is achieved in the later stage.

MeSH terms

  • Animals
  • Biocompatible Materials* / administration & dosage
  • Biocompatible Materials* / chemistry
  • Biocompatible Materials* / therapeutic use
  • Electric Conductivity
  • Gold / chemistry
  • Hydrogels* / administration & dosage
  • Hydrogels* / chemistry
  • Hydrogels* / therapeutic use
  • Metal Nanoparticles / chemistry
  • Muscles / injuries
  • Muscles / innervation
  • Prostheses and Implants*
  • Rats
  • Robotics
  • Wounds and Injuries* / rehabilitation
  • Wounds and Injuries* / surgery

Substances

  • Biocompatible Materials
  • Gold
  • Hydrogels