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Stretchable ionic–electronic bilayer hydrogel electronics enable in situ detection of solid-state epidermal biomarkers

  • Ruth Theresia Arwani,
  • Sherwin Chong Li Tan,
  • Archana Sundarapandi,
  • Wei Peng Goh,
  • Yin Liu,
  • Fong Yew Leong,
  • Weifeng Yang,
  • Xin Ting Zheng,
  • Yong Yu,
  • Changyun Jiang,
  • Yuan Ching Ang,
  • Lingxuan Kong,
  • Siew Lang Teo,
  • Peng Chen,
  • Xinyi Su,
  • Hongying Li,
  • Zhuangjian Liu,
  • Xiaodong Chen,
  • Le Yang,
  • Yuxin Liu

摘要

Continuous and in situ detection of biomarkers in biofluids (for example, sweat) can provide critical health data but is limited by biofluid accessibility. Here we report a sensor design that enables in situ detection of solid-state biomarkers ubiquitously present on human skin. We deploy an ionic–electronic bilayer hydrogel to facilitate the sequential dissolution, diffusion and electrochemical reaction of solid-state analytes. We demonstrate continuous monitoring of water-soluble analytes (for example, solid lactate) and water-insoluble analytes (for example, solid cholesterol) with ultralow detection limits of 0.51 and 0.26 nmol cm−2, respectively. Additionally, the bilayer hydrogel electrochemical interface reduces motion artefacts by a factor of three compared with conventional liquid-sensing electrochemical interfaces. In a clinical study, solid-state epidermal biomarkers measured by our stretchable wearable sensors showed a high correlation with biomarkers in human blood and dynamically correlated with physiological activities. These results present routes to universal platforms for biomarker monitoring without the need for biofluid acquisition.