Increased Susceptibility to Mechanical Stretch Drives the Persistence of Keloid Fibroblasts: An Investigation Using a Stretchable PDMS Platform.

BACKGROUND: Keloids are a common fibrotic disease of the skin, with the pathological hallmark of excessive extracellular matrix synthesis due to abnormal fibroblast activity. Since keloids clinically arise in areas of high mechanical tension, the mechanotransductory pathway may be attributed to its pathogenesis. We aimed to establish a preclinical platform to elucidate the underlying mechanism of keloid development and its clinical persistence. METHODS: We fabricated a mechanically stretchable polydimethylsiloxane cell culture platform; with its mimicry of the in vivo cyclic stretch of skeletal muscles, cells showed higher proliferation compared with conventional modalities. RESULTS: In response to mechanical strain, TGF-ß and type 1 collagen showed significant increases, suggesting possible TGF-ß/Smad pathway activation via mechanical stimulation. Protein candidates selected by proteomic analysis were evaluated, indicating that key molecules involved in cell signaling and oxidative stress were significantly altered. Additionally, the cytoskeletal network of keloid fibroblasts showed increased expression of its components after periodic mechanical stimulation. CONCLUSIONS: Herein, we demonstrated and validated the existing body of knowledge regarding profibrotic mechanotransduction signaling pathways in keloid fibroblasts. Cyclic stretch, as a driving force, could help to decipher the tension-mediated biomechanical processes, leading to the development of optimized therapeutic targets.

Strain-Driven Negative Resistance Switching of Conductive Fibers with Adjustable Sensitivity for Wearable Healthcare Monitoring Systems with Near-Zero Standby Power.

Recently, one of the primary concerns in e-textile-based healthcare monitoring systems for chronic illness patients has been reducing wasted power consumption, as the system should be always-on to capture diverse biochemical and physiological characteristics. However, the general conductive fibers, a major component of the existing wearable monitoring systems, have a positive gauge-factor (GF) that increases electrical resistance when stretched, so that the systems have no choice but to consume power continuously. Herein, a twisted conductive-fiber-based negatively responsive switch-type (NRS) strain-sensor with an extremely high negative GF (resistance change ratio ≈ 3.9 × 108 ) that can significantly increase its conductivity from insulating to conducting properties is developed. To this end, a precision cracking technology is devised, which could induce a difference in the Young's modulus of the encapsulated layer on the fiber through selective ultraviolet-irradiation treatment. Owing to this technology, the NRS strain-sensors can allow for effective regulation of the mutual contact resistance under tensile strain while maintaining superior durability for over 5000 stretching cycles. For further practical demonstrations, three healthcare monitoring systems (E-fitness pants, smart-masks, and posture correction T-shirts) with near-zero standby power are also developed, which opens up advancements in electronic textiles by expanding the utilization range of fiber strain-sensors.

Strain-Insensitive Stretchable Fiber Conductors Based on Highly Conductive Buckled Shells for Wearable Electronics.

Based on their high applicability to wearable electronics, fiber-based stretchable electronics have been developed via different strategies. However, the electrical conductivity of a fiber electrode is severely degraded, following deformation upon stretching. Despite the introduction of conductive buckled structures to resolve this issue, there still exist limitations regarding the simultaneous realizations of high conductivity and stretchability. Here, we exploit the dense distribution of the Ag nanoparticle (AgNP) network in polyurethane (PU) to fabricate a strain-insensitive stretchable fiber conductor comprising highly conductive buckled shells via a facile chemical process. These buckled AgNPs/PU fibers exhibit stable and reliable electrical responses across a wide range (tensile strain = ∼200%), in addition to their high electrical conductivity (26,128 S/m) and quality factor (Q = 2.29). Particularly, the negligible electrical hysteresis and excellent durability (>10,000 stretching-releasing cycles) of the fibers demonstrate their high applicability to wearable electronics. Furthermore, we develop buckled fiber-based pH sensors exhibiting stable, repeatable, and highly distinguishable responses (changing pH is from 4 to 8, response time is 5-6 s) even under 100% tensile strain. The buckled AgNPs/PU fibers represent a facile strategy for maintaining the stable electrical performances of fiber electrodes across the strain range of human motion for wearable applications.

Tailored Self-Assembled Monolayer using Chemical Coupling for Indium-Gallium-Zinc Oxide Thin-Film Transistors: Multifunctional Copper Diffusion Barrier.

Controlling the contact properties of a copper (Cu) electrode is an important process for improving the performance of an amorphous indium-gallium-zinc oxide (a-IGZO) thin-film transistor (TFT) for high-speed applications, owing to the low resistance-capacitance product constant of Cu. One of the many challenges in Cu application to a-IGZO is inhibiting high diffusivity, which causes degradation in the performance of a-IGZO TFT by forming electron trap states. A self-assembled monolayer (SAM) can perfectly act as a Cu diffusion barrier (DB) and passivation layer that prevents moisture and oxygen, which can deteriorate the TFT on-off performance. However, traditional SAM materials have high contact resistance and low mechanical-adhesion properties. In this study, we demonstrate that tailoring the SAM using the chemical coupling method can enhance the electrical and mechanical properties of a-IGZO TFTs. The doping effects from the dipole moment of the tailored SAMs enhance the electrical properties of a-IGZO TFTs, resulting in a field-effect mobility of 13.87 cm2/V·s, an on-off ratio above 107, and a low contact resistance of 612 Ω. Because of the high electrical performance of tailored SAMs, they function as a Cu DB and a passivation layer. Moreover, a selectively tailored functional group can improve the adhesion properties between Cu and a-IGZO. These multifunctionally tailored SAMs can be a promising candidate for a very thin Cu DB in future electronic technology.

Electronic Drugs: Spatial and Temporal Medical Treatment of Human Diseases.

Recent advances in diagnostics and medicines emphasize the spatial and temporal aspects of monitoring and treating diseases. However, conventional therapeutics, including oral administration and injection, have difficulties meeting these aspects due to physiological and technological limitations, such as long-term implantation and a narrow therapeutic window. As an innovative approach to overcome these limitations, electronic devices known as electronic drugs (e-drugs) have been developed to monitor real-time body signals and deliver specific treatments to targeted tissues or organs. For example, ingestible and patch-type e-drugs could detect changes in biomarkers at the target sites, including the gastrointestinal (GI) tract and the skin, and deliver therapeutics to enhance healing in a spatiotemporal manner. However, medical treatments often require invasive surgical procedures and implantation of medical equipment for either short or long-term use. Therefore, approaches that could minimize implantation-associated side effects, such as inflammation and scar tissue formation, while maintaining high functionality of e-drugs, are highly needed. Herein, the importance of the spatial and temporal aspects of medical treatment is thoroughly reviewed along with how e-drugs use cutting-edge technological innovations to deal with unresolved medical challenges. Furthermore, diverse uses of e-drugs in clinical applications and the future perspectives of e-drugs are discussed.

Increased aortic augmentation index is associated with reduced exercise capacity after heart transplantation.

OBJECTIVE: Exercise capacity is often reduced after heart transplantation. We aimed to investigate the association between aortic stiffness and exercise capacity after heart transplantation. METHODS: We retrospectively analyzed the data of patients who underwent a cardiopulmonary exercise test and central hemodynamic measurements over 1 year following heart transplantation, from Janary 2011 to June 2018. RESULTS: A total of 54 patients (mean age, 49 years; 72% men) were analyzed. The median peak oxygen uptake level was 21.1 ml/kg per min at a median time of 13 months after heart transplantation. In univariate linear regression, recipient age, pulmonary arterial pressure, pulmonary capillary wedge pressure, hemoglobin level, estimated glomerular filtration rate, aortic augmentation index, and pulse wave velocity were significant predictors for peak oxygen uptake level. After adjustment for other confounding variables, heart rate-corrected aortic augmentation index was a significant predictor for peak oxygen uptake (ß = -0.141, 95% confidence interval, -0.263 to -0.058, P = 0.003). CONCLUSION: In the present study, increased aortic augmentation index was associated with reduced exercise capacity after heart transplantation. Therefore, this simple measurement of aortic stiffness should be periodically used for the evaluation of exercise capacity after heart transplantation.

Ultrasensitive and Stretchable Conductive Fibers Using Percolated Pd Nanoparticle Networks for Multisensing Wearable Electronics: Crack-Based Strain and H2 Sensors.

The need for wearable electronic devices continues to grow, and the research is under way for stretchable fiber-type sensors that are sensitive to the surrounding atmosphere and will provide proficient measurement capabilities. Currently, one-dimensional fiber sensors have several limitations for their extensive use because of the complex structures of the sensing mechanisms. Thus, it is essential to miniaturize these materials with durability while integrating multiple sensing capabilities. Herein, we present an ultrasensitive and stretchable conductive fiber sensor using PdNP networks embedded in elastomeric polymers for crack-based strain and H2 sensing. The fiber multimodal sensors show a gauge factor of ∼2040 under 70% strain and reliable mechanical deformation tolerance (10,000 stretching cycles) in the strain-sensor mode. For H2 sensing, the fiber multimodal sensors exhibit a wide sensing range of high sensitivity: -0.43% response at 5 ppm (0.0005%) H2 gas and -27.3% response at 10% H2 gas. For the first time, we demonstrate highly stretchable H2 sensors that can detect H2 gas under 110% strain with mechanical durability. As demonstrated, their stable performance allows them to be used in wearable applications that integrate fiber multimodal sensors into industrial safety clothing along with a microinorganic light-emitting diode for visual indication, which exhibits proper activation upon H2 gas exposure.