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Electrically conducting hydrogels for health care: Concept, fabrication methods, and applications
           in collagen led to enhanced conductivity  and       The  synthesized  composite  demonstrated  high
           flexibility. It is argued that adding CNTs in collagen   mechanical  performance  with  low  percolation
           has many advantages compared to pure CNT or         threshold of electrical conductivity at 0.4% with
           only  collagen  scaffolds.  First,  CNTs  enhances   added feature of pH sensitivity [30] . Graphene was
           the structural integrity of the fabricated scaffold.   also  added  to  PANI  and  PPy [31,32] .  Most  of  the
           Second,  such  composites  reduce  the  mismatch    other  work  on  graphene-based  hydrogels  was
           between Young’s modulus of human tissues and        targeted  toward  electro-chemical  and  electrical
           rigid electrodes. Third, collagen matrix is effective   applications [33,34] .
           in confining CNTs and thus reducing harmful effect
           due  to  migration.  Khademhosseini’s  research     2.3 Conducting hydrogels with polymers
           group developed conducting cardiac patches by       Concerns on biocompatibility of metal nanoparticles
           mixing  CNT  in  gelatin  methacrylate  (GelMA)     and carbon-based materials have led to increased
           hydrogel . The composite material not only had      interest  in  replacing  them  with  polymeric
                   [22]
           excellent  mechanical  integrity  but  also  showed   materials. Polymeric materials are used in various
           advanced  electrophysiological  functions.  In  a   forms  namely  particles,  core-shells,  micelles,
           similar work, to construct heart patches, Pok et al.   and  dendrimers [35-38] .  There  are  two  common
           added CNTs to chitosan . The resulting scaffold     routes through which polymers are added into the
                                  [23]
           supported  cardiomyocyte  functionalization  and    hydrogels, (i) electro- or chemical polymerization
           speeded up conduction velocity to achieve beating   of conducting monomer in prefabricated hydrogel
           heart functionality of a rat. CNTs have been added   and (ii) mixing the precursor monomer followed
           repeatedly to various hydrogels such as chitosan,   by polymerization. The main idea is to entrap the
           poly(3,4-ethylenedioxythiophene)  doped  with       conducting polymer chains in the hydrogel matrix.
           poly(4-styrenesulfonate)   (PEDOT:PSS),     and     Polyaniline  (PANI)  and  cellulose  composite
           poly  (N-Isopropylacrylamide)  (PNIPAM)  for        hydrogel  exhibited  a continuous and linear
           electrocatalysis,  battery electrode,  and fuel     crawling  motion  under  a  low  applied  electric
           cell [24-26] . A different morphology of core-shell of    field,  apart  from  high  compressive  strength .
                                                                                                            [39]
           hydrogel composite was synthesized using PANI       Cellulose was also mixed with polypyrrole (PPy)
           and CNT .                                           in  an  ionic  liquid,  giving  rise  to  high  electrical
                    [27]
             CNTs  were  replaced  with  graphene in           conductivity  of  7.83  ×  10   S.cm −1[40] .  Gilmore
                                                                                         −3
           chitosan  for  tissue  engineering  application.  It   et al. demonstrated the fabrication  of hybrid
           showed similar swelling mechanism and yielded       composite composed of PPy and PAAM. PPy was
           higher mechanical strength of the final composite   directly  electropolymerized  on  the  hydrogel .
                                                                                                            [41]
           material [28] . Biological scaffold made of graphene   The  work  has  since  led  to  plethora  of  polymer-
           oxide and PAAM composite hydrogel displayed         hydrogel  combinations  for  various  applications.
           muscle such as stiffness apart (Young’s modulus     Most common  tissue engineering  application  is
           of approximately 50 kPa) from conductivity   [29] .   for  cardiac  tissues.  Poly(triaryl  amine)  (PTAA)
           Enhanced      proliferation   and     myogenic      was homogeneously combined with methacrylate
           differentiation  were  observed  in  the  scaffold.   hydrogel  achieving  conductivity  similar  to
           Graphene oxide shows good suspension in water       myocardial  tissues .  High-quality  conductive
                                                                                 [42]
           but aggregates in acidic medium. In a modified      composite  hydrogels  composed  of  single-walled
           approach, Alam  et al. tailored the oxidation       carbon  nanotubes  (SWNTs),  polypyrrole  (PPy)
           degree of  graphene sheets by controlling the       and  poly(ethylene  glycol)  diacrylate  (PEGDA)
           sonication time and acid concentration       [30] .   hydrogel  were  successfully  fabricated  through
           Graphene/polyacrylic acid hydrogel was formed       interfacial polymerization (IP) . PEDOT:PSS is
                                                                                            [43]
           using  in situ  polymerization  process,  where     a high conductivity polymer and heavily used in
           graphene  sheets  are  mixed  with  acrylic  acid  in   organic electronic applications. PEDOT:PSS was
           the  presence  of  a  cross-linker  and  an  initiator.   mixed  with  polyethylene  glycol  (PEG)  to  make

           4                           International Journal of Bioprinting (2020)–Volume 6, Issue 2
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