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Advances in Colloid and Interface Science 305 (2022) 102705

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Advances in Colloid and Interface Science


journal homepage: www.elsevier.com/locate/cis

Historical perspective

Nanomaterial based PVA nanocomposite hydrogels for biomedical sensing:


Advances toward designing the ideal flexible/wearable nanoprobes
Zahra Karimzadeh a, b, Mansour Mahmoudpour a, b, Elaheh Rahimpour a, c, *,
Abolghasem Jouyban a, d
a
Pharmaceutical Analysis Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
b
Student Research Committee, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran
c
Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
d
Faculty of Pharmacy, Near East University, PO BOX: 99138 Nicosia, North Cyprus, Mersin 10, Turkey

A R T I C L E I N F O A B S T R A C T

Keywords: In today’s world, the progress of wearable tools has gained increasing momentum. Notably, the demand for
PVA hydrogels stretchable strain sensors has considerably increased owing to various potential and emerging applications like
Nanoparticles human motion monitoring, soft robotics, prosthetics, and electronic skin. Hydrogels possess excellent biocom­
Nanocomposite hydrogels
patibility, flexibility, and stretchability that render them ideal candidates for flexible/wearable substrates.
Flexible sensors
Strain sensors
Among them, enormous efforts were focused on the progress of polyvinyl alcohol (PVA) hydrogels to realize
multifunctional wearable sensing through using additives/nanofillers/functional groups to modify the hydrogel
network. Herein, this review offers an up-to-date and comprehensive summary of the research progress of PVA
hydrogel-based wearable sensors in view of their properties, strain sensory efficiency, and potential applications,
followed by specifically highlighting their probes using metallic/non-metallic, liquid metal (LM), 2D materials,
bio-nanomaterials, and polymer nanofillers. Indeed, flexible electrodes and strain/pressure sensing performance
of designed PVA hydrogels for their effective sensing are described. The representative cases are carefully
selected and discussed regarding the construction, merits and demerits, respectively. Finally, the necessity and
requirements for future advances of conductive and stretchable hydrogels engaged in the wearable strain sensors
are also presented, followed by opportunities and challenges.

1. Introduction nanomaterials with stability, biocompatibility, and superb mechanical


properties has attracted people’s attention [6,7]. In this regard,
Nowadays, highly flexible soft electronics nanoprobes that can hydrogel-based flexible/wearable nanoprobes different from the rigid
monitor health motions and conditions have attracted considerable elastomer-based probes exhibit great potential in the sensory field by
attention for potential applications in soft robotics and wearable tools easily tuning the mechanical properties, network structure, and chem­
due to their comfort and convenient utilization [1,2]. Indeed, these istry of the water-containing hydrogels to match those of bio-tissues,
sensors have capable of converting external stimuli like pressure and laying the foundation of designing of smart skins and implantable de­
tensile to electrical signals such as voltage, capacitance, current, and vices [8,9]. In addition, hydrogels are also one of the most reliable
resistance [3,4]. Skin-like wearable sensors are usually assembled from materials for other applications e.g. wound dressing, tissue engineering,
elastomers and conductive nanomaterials such as inorganic conductive drug delivery, water treatment [10,11], separation filter [12] rather
particles, metal nanowires (NWs), carbon nanotubes (CNTs), and gra­ than sensing [13] due to abundant hydrophilic intermolecular space for
phene, however, uniformly dispersion of fillers in the elastomer is the entrance of other materials [14].
problematic. As well, friction could occur between the conductive filler PVA hydrogel is a synthetic polymer that has sparked great interest
and the elastomer bringing on stress concentration, which significantly in biomedical fields regarding its advantages such as biocompatibility,
damages the mechanical property of the probe [5]. Therefore, intro­ nontoxicity, biodegradability, hydrophilicity, and chemical stability.
ducing intrinsically conductive and flexible polymer-conductive Significantly, the myriad of -OH groups on PVA could result in the

* Corresponding author at: Pharmaceutical Analysis Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
E-mail address: rahimpour_e@yahoo.com (E. Rahimpour).

https://doi.org/10.1016/j.cis.2022.102705
Received in revised form 20 April 2022;
Available online 18 May 2022
0001-8686/© 2022 Elsevier B.V. All rights reserved.
Z. Karimzadeh et al. Advances in Colloid and Interface Science 305 (2022) 102705

development of physical/chemical cross-linked PVA hydrogels in tremendous properties that make them appropriate for sensory appli­
diverse fields [15–18]. There are many weak non-covalent bonds such as cations. These features contain mechanical strength, biodegradability,
van der Waals and hydrogen bonding between molecular chains of PVA biocompatibility, multi-functionality, long-lasting stability, self-
in physical entanglement [19]; meantime, there is a chemical interac­ adhesiveness, and so on as shown in Scheme 1. Then, the key ele­
tion between -OH groups on PVA and active moieties in chemical cross- ments assessing an ideal strain/pressure probe have been highlighted in
linkers. The chemical cross-linkers included in the fabrication of PVA terms of electronic and ionic conductivity, compressibility, stretch­
hydrogels could be glutaraldehyde, acetaldehyde, formaldehyde, and ability, fatigue resistance, response time, strain sensitivity, and recovery
other mono-aldehydes [20]. Physical/chemical cross-linking evolution time. Lastly, we pronounce some challenges and future directions to
of PVA hydrogels in most cases brings about some issues like a lack of enhance the performance of PVA nanocomposite hydrogel-based
elastic modulus, tensile strength, toughness, and high water loss rate sensors.
which should be extensively investigated. Similarly, pure PVA nanofiber
membrane has poor mechanical strength which leads to an easy 2. PVA hydrogel modified NPs in the flexible/wearable sensors
reduction in the filtration performance. Currently, hydrogen bond cross-
linking approaches catch the spotlight as they considerably enhance the PVA hydrogel-based sensors have been smartly designed and widely
mechanical properties of PVA materials with no destruction of its flex­ used for the monitoring of human motion and various target bio­
ibility [21]. The formation of firm inter- and intra-molecular H-bonds molecules in complex matrices in recent years, which has evidenced
interaction by adding fillers into the spinning solution can increase the their potential application in flexible/wearable sensing fields. In this
strength [22,23]. In pursuit of improving their performance, new vari­ context, a significant number of PVA-based nanocomposites were
eties of hydrogels including double network hydrogels [24,25] and established for the highly selective and sensitive determination of
nanocomposite hydrogels [26,27] have been developed. Amongst, several biomolecules. The extensive application of NPs as functional
nanocomposite hydrogel has aroused much scientific interest owing to membranes or substrates to enhance the signal for scaffolds has been
its improved structural properties and expanded the applicability of reported by various researchers in the field of bio-analysis and strain
these heterogeneous materials by amalgamating the properties of nano- sensors [38–41]. Herein, a comprehensive summary of related works has
sized fillers with hydrogels. Hydrogel matrix can provide not only a host been listed below and shown in Table 1.
network for nanoparticles (NPs) as guest nanomaterials; but also act as
nano-reactors for their synthesis due to their inert and semi-wet struc­ 2.1. Non-metallic nanomaterials/PVA hydrogel nanocomposites
tures [28]. Moreover, nanomaterials can donate to the stabilization and
formation of hydrogels, probably functioning as cross-linkers of polymer Carbonaceous nanomaterials including graphene, CNTs, fullerenes
chains to reinforce hydrogels [29,30]. Therefore, the incorporation of (e.g., C60) have been the most significant and abundant non-metallic
nanomaterials into hydrogel matrices results in the formation of PVA substances affording many remarkable merits owing to their biocom­
nanocomposite hydrogels with enhanced practically important me­ patibility, feasible surface functionalization, high stability, high con­
chanical, catalytic activity, electrical conductivity (by transmitting ductivity, extraordinary surface-to-volume ratio, low cost, and strong
either electrons or ions), optical, thermal [31,32], and magnetic prop­ mechanical strength [42,43]. Therefore, they have employed and
erties [26]. Valuably, these customized functionalities can be adjustably designed for various promising biomedical applications. The impurities,
switched ON-OFF via exterior signals which control the sol-gel transition edge-plane-like sites, and reactive surface functional groups of carbon
of PVA hydrogels [33]. Moreover, it has been reported that sensing nanomaterials can be accountable for the promotion of their sensing and
performance and mechanical properties can be tuned by varying the NPs tremendous electrocatalytic performances [44,45]. Lots of de­
concentration in the sensing layer and the concentration of PVA in the velopments have been explored on carbon nanomaterials mainly
supporting substrate [34]. A wide range of NPs introduced into the PVA incorporated into polymers for introducing further functionalities to the
polymeric network can be represented by various materials containing polymers and used in several biomedical applications such as the sensing
non-metallic, metallic/metal oxide NPs (MONPs) [28], polymeric field.
[35,36], and bio-nanomaterials having diverse sizes and shapes. CNTs, as a common nano-filler, have gained considerable attention
Depending on the type of nano-sized species and polymeric matrix, because of consuming fascinating properties. CNTs are cylindrical tubes
nano-species could be embedded into a PVA polymeric hydrogel via comprising sp2 hybridized graphene sheets that exhibit excellent elec­
different experimental mechanisms. Growing nano-species inside trocatalytic ability, electrical conductivity similar to copper, and more
hydrogel matrices from a seed-precursor is one of the approaches for the tensile strength than steel. On account of the number of the graphene
formation of PVA nanocomposite hydrogel. Another is hydrogel for­ layer in the structure of the CNTs, they could be generally classified as
mation in the existence of nanomaterial. Nanomaterial absorption by single-walled (SWNTs), double-walled (DWNTs), and multi-walled
pre-formed hydrogels is lastly the other mechanism of NPs entrapment. CNTs (MWNTs) [46]. In general, their unique physical and chemical
These ex-situ or in-situ incorporations can be physical or chemical cross- (especially, electrical and mechanical) features improve the perfor­
linking. The unique characteristics of PVA nanocomposite hydrogel mance and stiffness of hydrogel-based biosensing platforms [47]. The
have revealed high importance for broad variety of biomedical appli­ excellent mechanical and electrical conductivity properties of the CNTs
cations and strain/pressure sensors [37]. arouse from s-orbital and p-orbitals components in the sp2 hybrid
Currently, searching for high-performance and ideal nanofillers and orbital, respectively. Importantly, the CNTs obstacle is their poor solu­
scheming well-defined structures of hydrogel networks are similarly bility or dispersion in inorganic/organic solvents despite their van Der
essential for the practical design of PVA nanocomposite hydrogel-based Waals interactions [48,49]. Hence, the limited coupling interaction
wearable sensors. Meanwhile, the feasible and facile combination of between hydrophobic CNTs and hydrophilic polymers such as PVA
hydrogels and nanofillers without destructing other features is still ur­ could be addressed by the CNTs surface modification with polar groups
gently desired owing to the incompatibility between the hydrogel such as amine (NH2), hydroxyl (OH), and carboxylic (COOH) groups
network and nanofillers. As well, recyclability, biocompatibility, multi- [50]. In CNTs/PVA hydrogel nanocomposites, CNTs can not only be
sensing capacity, and other interesting properties ought to also be efficiently introduced to the matrix of PVA; but also shorten the inter­
carefully considered. On this basis, the synthesis strategies and design layer distance resulting in significant nonlinear improvement in me­
principles of hydrogel sensors and nanofillers classification are mainly chanical properties [51]. In this regard, Chebil and coworkers [52]
covered in this review. For that, we first describe how to employ nano- fabricated PVA nanocomposite with various weight ratios of COOH-
species such as non-metallic, metallic/MONPs, polymeric, and bio- functionalized MWCNT via solution casting method and characterized
nanomaterials as nano-filler to design PVA polymeric hydrogels with their structural properties. The lowest energy bandgap and a massive

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Scheme 1. PVA nanocomposite hydrogel-based wearable sensors: employed nano-fillers to design PVA polymeric hydrogels with tremendous properties.

electrical conductivity proliferation were obtained by the use of 5 wt% sensors necessitate external fixation assistance on human epidermal
of MWCNT which indicates PVA/CNTs nanocomposite as a promising skin, however, the PVA/MWCNT/PAAm nanocomposite hydrogel
platform in nanotechnology development. Hydrogels can have excessive exhibited high tensile strain and compressibility up to 70 % and a broad
perspective in pressure and strain sensors depending on their tunable sensing range of 500 % without the requirement of any fixation assis­
network structure, chemistry, and mechanical properties that are much tance (Fig. 1C, D). Owing to the wide sensing range, the high sensitivity
similar to the real human skin. Strain sensors could convert mechanical and the ease of fabrication make them be practically used in personal
energy into other types of energy like optical or electrical signals health monitoring or sensors. The most significant concern is probable
compared to actuators [53]. Cheng et al. [54] produced a compressible aggregation of CNTs-hydrogel matrix that limits their efficiency and the
and stretchable nanocomposite hydrogel strain sensor based on PVA/ applications of PVA/CNTs hydrogel. So far, enhancement of the CNTs
MWCNT-COOH/polyacrylamide (PAAm) for detection of human mo­ dispersion in PVA matrix is the main challenge.
tion. In this study, the reinforced mechanical and conductive features of Graphene is an extended two-dimensional (2D) carbon material that
the propounded platform have been assessed in the existence of car­ has been intensively explored because of its high surface area, great
boxylic functionalized MWCNT as a nanofiller. Due to the existence of stability/selectivity/sensitivity, ultra-high electrical and thermal con­
OH groups in PVA chains and abundant COOH groups in MWCNTs, PVA ductivity properties, and excellent electrocatalytic activity [55]. These
chains and MWCNTs were cross-linked via the PAAm chains through sp2 hybridized graphenes could be in different forms of graphene oxide
plentiful hydrogen bonds as shown in Fig. 1A. SEM images were (GO), reduced GO (rGO), graphene nano-ribbons (GNRs), etc. after
considered to further discover the microstructure of the nanocomposite freeing the CNTs. However, few investigations reported pristine
hydrogel. As illustrated in Fig. 1B, the PVA/MWCNT/PAAm in the graphene-based materials for tissue engineering, actuators, and bio­
hydrogel has a porous structure, which contains linked sheets with a sensors applications. Though, their modified forms and important de­
thickness of ~200 nm. The assessment of these synergistic effects results rivatives like GO with strong oxidizing agents have been widely used
in either excellent self-adhesion ability or high sensitivity/stretchability [56]. The presence of abundant hydrophilic oxygenated groups such as
of the sensor platform. Although most of the hydrogel based strain carboxyl, epoxy, and hydroxyl functional groups on the surface of GO

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Table 1
Classification and summary of PVA nanocomposite hydrogel-based flexible/wearable (bio) sensors.
Nanomaterials Hydrogel Stretchability Sensing types Conductivity Signal Gauge Factor or LOD Ref.

CNTs/PVA PVA/CNTs – Strain sensor (50%) 5.13 3.18 (at 50%) [56]
PVA/MWCNT/PAAm 224.5 % Strain sensor – 4.02 at 300–500 % [54]
F-SWCNT-polyPDAPVA >100% Bending and relaxing of walking, chewing, and – – [176]
pulse sensor; Self-healing; self-adhesive
SWCNT/PVA >1000% Bending and relaxing of knee/finger Sensor – 1.51 [177]
(>1000 cycles); Self-healing
GO/PVA PVA/chitosan/GO – Strain sensor – 1.9 (175% < Δε < 300% [60]
CWCC-rGO/PVA 25% Energy storage sensing material 5.7 μA – [63]
AlgPBA/PVA/PAAM/ – Pressure sensor 0.05 0.11 kPa− 1 (0–10 kPa), 0.015 [178]
rGO kPa− 1 (10–100 kPa)
PVA-chitosan/Rgo – Pb sensing – 0.05 ppb [64]
PC/rGO-PVA >5000% Finger bending, smiling, speaking, and wrist – 14.14 [179]
pulse sensor; elf-healing (~3s)
1
AuNPs/PVA poly(ionicliquids)/ 99% Strain sensor 2.0 Sm− 7.28 MPa [78]
PVA/AuNPs
− 1
AuNPs/PVA – Ceftriaxone sensing – 0.33 μg mL [79]
1
AgNPs/PVA AgNWs/PVA 500% Strain Sensors 1.85 Sm− 0.58) [34]
PVA/AgNPs – Finger and wrist bending, swallowing, and – – [83]
nodding sensor
AgNWs/PVA 350% – 1 × 104 Sm− 1 – [85]
PVA/lignin/Ag NP Strain Sensors 7.1 Sm− 1 – [180]
LM/PVA LM/PVA Strain Sensors 1.3 × 105 Sm− 1
– [97]
LM-Fe2O3/PVA Microelectronic sensors – – [94]
MXene/(PVA) PVA/borax/f-MXene – Gas barrier – Oxygen permeability of 0.73 × [120]
10 2 cc•cm/m2•day•atm
MXene/PVA 1200% Strain Sensors – 0.4 [121]
MXene/PVA/PAM Up to 1200% Strain Sensors Up to 4.25 GF:44.85 [122]
Sm− 1
MXene/PVA/PVP – Strain Sensors – – [181]
MXene/(PVA) >3400% Human speaking, writing, – 25 [182]
and smiling sensor; Self-healing; self-adhesive
MO/PVA ZnO/PVA – Dopamine sensing – 5.0 nM [125]
NiO/PVA/GQDs – Sensing applications; Energy storage – – [130]
Natural Polymer/ PVA/PVP/CNCs – Strain Sensors – 0.478 [183]
PVA PVA/Ag-TA@CNCs >4000% Strain sensors (up to 400%) 4.61 – [154]
2
PVA/ up to 869% Motion sensor 1.75 × 10− S – [153]
tannicacid@CNCs-Rgo m–1
PEDOT/PVA PEDOT/PVA – Motion sensor – – [184]
PEDOT: PSS/PVA 239% Strain Sensors (100%) 0.36 S.m− 1 4.4 [173]
PEDOT: PSS/EG/PVA – Strain Sensors (20%) 26±1.5 % – [172]
PEDOT: PSS/cellulose/ – Strain Sensors 0.3 S.cm− 1 – [175]
PVA
PANI/PVA PANI/PVA – human movements – 4.28 [167]
PANI/PVA/PAA – Strain Sensors – – [166]

nanosheets enable their feasible and uniform dispersion in water and application. In this regard, Yang et al. [60] fabricated a physically
many other solvents using physical interactions and hydrogen bonds cross-linked shape memory hydrogel sensor with the integration of PVA,
[57]. Noticeably, these superb properties make graphene an ideal chitosan, and GO and employed as a wearable strain sensor. As shown in
candidate to be used in either flexible electronic devices for attaining Fig. 2A, PVA bonded with glycerol through hydrogen bonding, whereas
high-performance sensors and actuators in biomedical applications or GO and chitosan were cross-linked over electrostatic interactions
negative permittivity (i.e., the ε-negative materials) [58]. To date, gra­ forming a hydrogel network. The hydrogen bonds in PVA molecular
phene has been widely considered as an efficient filler, physical cross- chain provide the thermo-responsive shape memory sensor that regains
linker, energy converter, and efficient enforcement not only in high- its orientation after heating. Following Fig. 2B, these great properties of
performance sensors based on nanocomposite hydrogel [59]; but also shape memory hydrogel sensors triggered this nanocomposite hydrogel
in shape memory hydrogels [60]. In shape memory hydrogels, the to be integrated into temperature measurement devices. The hydrogels
deformed shape could be fixed then its original shape is restored under can efficiently dissipate energy and rebuild the network on account of
external stimuli such as solvent, ultrasound, pH, and temperature. In the dual physical cross-linking that finally reached remolding properties
addition, the distinctive stretching hydrogel platform with controllable and excellent strength. Likewise, the chitosan introduction grants the
shape memory properties demonstrates promising potential in biolog­ outstanding electrical conductivity of the platform to be involved in
ical devices and wearable/flexible electronics by efficiently prolonging strain sensors. Additionally, the stress-strain curves with different
the service life [61]. However, the oxidized form of graphene strictly weight ratios of cationic chitosan (increasing from 5 to 15 wt%) indi­
reduces the electrical conductivity and disrupts the conjugated struc­ cated an increase from 1.0 to 1.6 MPa, as shown in Fig. 2C. However, the
ture. GO could be integrated into hydrophilic polymers chemically or decrease in toughness and tensile strength at a higher ratio of chitosan
physically to form cross-linking networks. In the place of PVA polymer, could originate from the formation of the less stable structure due to
the preparation of GO/PVA hydrogel nanocomposites is through inhomogeneity caused by introducing high content of cationic chitosan
hydrogen bonding with improved conductivity, tensile fracture and a physically cross-linked network of PVA. Inspired by the results, the
strength, self-healing ability, and mechanical performance capabilities designed PVA/chitosan/GO nanocomposite hydrogel perfectly explored
[62]. Recently, the development of PVA hydrogel sensor with remolding its application in subtle motion (vibration of the throat) and large mo­
performance and shape memory is still essential for the multi-field tion (joint movements) of humans (Fig. 2D).

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Fig. 1. Represented illustration for the preparation process of the PVA/MWCNT/PAAm nanocomposite hydrogel (A); SEM images of the nanocomposite hydrogel in
which MWCNTs are designated by the red arrows (B); Stretching, compressing, and high toughness of nanocomposite hydrogel (C and D). Reproduced with
permission from [54].

Additionally, Xiong et al. [63] have designed carbonized wood cell on the abundant free protons in PVA (Fig. 3B). Since the prepared hybrid
chamber-rGO/PVA (CWCC-rGO/PVA) nanocomposite hydrogel with holds many hydrophilic groups such as -OH, it is represented that
high sensitivity, reasonable stress resistance, shapeable structure, high hydrogen bonds are formed between water and nanocomposite hydrogel
flexibility, and high specific capacitance. As shown in Fig. 3A, briefly, when contact with moisture. As depicted in Fig. 3C, the movement of H+
the rGO-CWCC composite was prepared by mixing the GO with from the high-concentration region to the low-concentration one
carbonized CWCC. Then, the PVA-based nanocomposite hydrogel was generated the electrical current. Also, the introduction of GO as inter­
obtained through a spin coating procedure and ultimately used in the mediate material was for C-C binding to CWCC and hydrogen binding
moisture-electric generation, strain sensing, and energy storage appli­ with PVA. In terms of sensing, the resultant features endow the CWCC-
cations. PVA contributes to either sensitive sensing properties for rGO/PVA nanocomposite hydrogel to be used as portable or wearable
detecting physiological signals of human movement or the high electronic equipment to discover physiological signals of human motion.
deformability and flexibility of the nanocomposite hydrogel depending In another work, Nguyen and coworkers [64] fabricated an eco-

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Fig. 2. Schematic mechanism of the hydrogel formation (A); The temperature-responsive shape memory behavior of PVA/chitosan/GO nanocomposite hydrogel (B);
The stress-strain curves for the different ratio chitosan in nanocomposite hydrogel (C) and function of the strain hydrogels, cyclic test, relative resistance changes on
the neck and finger (D). Reproduced with permission from [60].

friendly and effective platform based on PVA-chitosan and rGO nano­ in an aqueous solution. This issue could be well addressed by the
composite hydrogel for electrochemical determination of lead (Pb) in development of two main synthesis methods. First is the growth of nano-
real water samples. For that, the GO was synthesized from an eco- species inside the hydrogel network from a seed-precursor. The second is
friendly thermal exfoliation-reduction process that exhibited increased producing hydrogel with free-radical polymerization using reactive
electron transfer benefiting from their outstanding electronic properties. metallic NPs as cross-linkers [75]. The second method results in
Besides, the high amount of loading target was a result of their large hydrogel nanocomposite with high mechanical strength due to strong
surface area. For further improvement of chemical and mechanical interfacial interactions compared to the first method.
properties, chitosan as a common copolymer [65,66] was blended with Specifically, AuNPs offer outstanding sensing and biosensing pros­
PVA in which the enhanced properties are possibly attributed to the pects due to beneficial aspects of great catalytic activity, widespread
PVA-chitosan interaction through intermolecular, intramolecular, or electrochemical potential range, high biocompatibility, high chemical
hydrophobic side-chain hydrogen bonds. The obtained well-dispersed stability, easy fabrication, and surface modification process [76]. Based
and homogeneous nanocomposite hydrogel platform demonstrated a on the aforementioned properties, AuNPs can serve as the miniaturized
low limit of detection (LOD) of 0.05 ppb and linear detection range sensing devices to the nanometer scale, which proposes exceptional
(LDR) of 1–50 ppb. prospects for chemical sensing [77]. For improving the reproducibility
and stability of the sensor platform, they are incorporated into the
2.2. Metallic nanomaterial/PVA hydrogel nanocomposites hydrogel matrix. The AuNPs as conductive material explored their
application in the fields of sensors benefitting from synergic key prop­
Metallic NPs including palladium (Pd), platinum (Pt), silver (Ag), erties of polymers and NPs. In this regard, He et al. [78] have reported a
gold (Au), and their core-shell NPs or bi/trimetallic alloys are essentially facile way of fabricating AuNPs-embedded PVA nanocomposite hydro­
fascinated by numerous biosensing or bioimaging applications by virtue gel with excellent electrical and mechanical self-healing properties
of their several intriguing electrochemical, chemical or physical (shape/ making it potentially suitable for a variety of applications. For that, dual
size) merits such as enhanced electron transfer, catalytic properties, ease network hydrogel was prepared using physical and chemical cross-
of surface functionalization and facile synthesis [67–70]. Currently, linking as shown in Fig. 4A. To increase the conductivity of the com­
biosensor platforms based on metal NPs afford great potential for posite, AuNPs have been selected and reduced in-situ as conductive
enhancing selectivity and sensitivity through adjusted signal amplifi­ fillers without the presence of any reductant. Both 1-methyl-3-(4-vinyl
cations [71–73]. Regarding the beneficial advances in their design, bio- benzyl) imidazolium chloride P(VBIm-Cl) and sodium p-styrene sulfo­
functionalized NPs and effective nanocomposites such as hydrogel nate hydrate (NaSS) as poly (ionic liquids) were incorporated into the
nanocomposites are extensively investigated in several analytical ap­ PVA network in the presence of N, N′ -methylene bis acrylamide as a
proaches, drug delivery, conductive scaffolds, and biosensors applica­ cross-linking agent. The coordination effect between the hydroxyl group
tions. Incidentally, metal NPs are embedded in the polymeric networks and AuNPs and hydrogen bonds between -OH sides groups lead to the
for further diverse characteristics derived from loading different kinds of self-healing ability of the developed hydrogel. Conductive behavior and
NPs [74]. Nevertheless, strong dipole-dipole attractions and the high conductive function self-healing behavior of the nanocomposite hydro­
surface energy among metallic NPs prevent reaching a stable dispersion gel were investigated using conducting electronic circuit of LED at room

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Fig. 3. Illustration of the formation process of the CWCC-rGO@PVA composite and chemical bond between rGO and PVA in CWCC-rGO@PVA (A); Human signal
strain sensing test (B); The mechanism, by which moisture generates electricity (C). Reproduced with permission from [63].

temperature. The electrical performance of the original hydrogel, AuNPs. The reducing -OH groups in PVA hydrogel reduce the Au3+ ions
broken hydrogel and self-healed hydrogel obviously indicated that to AuNPs in alkaline media. Importantly, the obtained hydrogel network
intrinsic conductivity was restored after the broken hydrogel was self- could possibly avoid the aggregation of AuNPs during the reduction
healed (Fig. 4Ba–c). The obtained poly (ionic liquids)/PVA/AuNPs process. Finally, at ambient conditions, the low LOD of 0.33 μg mL− 1 and
nanocomposite hydrogel exhibited repeatedly restoring in which con­ wide LDR of 1–90 μg mL− 1 were obtained for ceftriaxone. Therefore, the
ductivity and self-healing properties were almost unchanged. The results results for the performance of the platform were satisfactory.
illustrated that the designed PVA hydrogel could experience gel-to-sol Alternatively, AgNPs have aroused scientific interest owing to high
transition due to the reversibility of Au-OH coordination that is appro­ biocompatibility, amplified electrochemical signals, and excellent con­
priate to form a gel with different shapes. ductivity. Moreover, AgNPs exhibited tremendous antibacterial activity
In another effort, Pourreza et al. [79] fabricated a nanoprobe based against Gram-negative and Gram-positive strains making them essential
on AuNPs/PVA nanocomposite hydrogel for colorimetric determination for sensing biomedical platforms. This antibacterial activity could be
of ceftriaxone in spiked urine and plasma samples. Briefly, PVA polymer, originated from the interactions of -S groups of bacterial proteins with
borax, and HAuCl4 were mixed and the final nanocomposite hydrogel Ag ions causing protein damage and electron transport interrupt [81].
was prepared in one-pot and in a short time. In this study, the presented To date, massive efforts have been made toward the construction of Ag-
PVA template has the advantage of its similarity to the biological matrix based nanocomposite with polymers such as PVA leading to enhanced
to be used in analytical chemistry and biological fields. The borax-cross- stability, electrical conductivity, high swelling/deswelling rates, and
linked PVA hydrogel network act not only as a reducing agent for biosensing performance despite the comprehensive utilization of the
simultaneous loading and synthesis of the AuNPs; but also as a sensing materials [82,83]. The dispersion manner and preventing aggregation
platform. This PVA-AuNPs hydrogel was adequately used for selective are two processes that outline the stability and sensitivity of the AgNPs
and sensitive determination of ceftriaxone. Since the AuNPs have the in the PVA network. AgNPs could be stabilized through electrostatic and
ability to attach the -SH than -NH functional groups, this platform could steric repulsion of the stabilizing agents with the polymeric matrix.
be explored for ceftriaxone monitoring possessing -SH groups. A two- Since PVA high concentration is essential for achieving high mechanical
step cross-linking mechanism (mono-diol and di-diol complex) has strength, conductive NPs could be well dispersed in PVA solution with
been proposed for the formation of hydrogel between PVA and borax as low concentration [84]. For addressing this issue, Azadi and coworkers
illustrated in Fig. 5. The forming or expansion of hydrogel was due to [34] designed highly stretchable and biocompatible Ag based PVA
electrostatic repulsion among these two stages [80]. Furthermore, the hydrogel strain sensors for the detection of human motion. The proposed
obtained PVA-borax network was responsible for the in-situ formation of bilayer platform had a highly conductive layer of AgNWs/PVA that was

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Fig. 4. Preparation procedure of the PVA@Au nanocomposite hydrogel (A); Conductive function and self-healing behavior (B) of original hydrogel (a), broken
hydrogel (b), and self-healed hydrogel (c) at room temperature. Reproduced with permission from [78].

supported by a tough PVA substrate layer as shown in Fig. 6A. The high over the dispersion and loading control has frequently prohibited
mechanical property assigned from the viscose layer of PVA, meantime, nanocomposites from achieving multi-functional necessities. This mat­
their high electrical conductivity could be obtained from better disper­ ter has been accentuated in the field of wearable and flexible soft sensors
sion of AgNWs in the low viscose PVA layer. The main piezoresistivity such as skin or epidermal sensors. Generally, epidermal wearable sen­
mechanism including the disconnection between AgNWs and increased sors suffer from tearing and puncturing which leads to poor electrical
interparticle distance upon stretching in Fig. 6B demonstrated high and mechanical performance [86]. Using conductive hydrogel with
stretchability up to 500% strain for PVA nanocomposite. To analyze different rigid conductive fillers such as non-metallic, metallic/MONPs,
attachment and spread of fibroblast on the PVA based substrates, cell polymeric, and bio-nano materials has been explored its application in
morphology was considered. According to Fig. 6C, a successful attach­ constructing wearable epidermal sensors [87]. However, the rigid
ment and well-spread morphology were observed for immunostained property of the aforementioned conductive fillers could bring about
fibroblasts in control (polystyrene), PVA, and PVA/AgNWs substrates. mechanical resistance with the soft hydrogel leading to internal stress
Also, the high electrical conductivity of 1.85 Sm− 1 and mechanical concentration. Among these rigid materials, liquid metal (LM) NPs have
strength of 900 kPa were obtained with excellent LDR. These features particularly sparked a new class of soft fillers with a tunable and unique
have unlocked up the opportunity of the proposed sensor as a wearable set of features.
sensor for monitoring human motion (Fig. 6D).
Furthermore, Wang et al. [85] incorporated porous and stretchable 2.3. LMs/PVA hydrogel nanocomposites
AgNWs/PVA nanocomposite hydrogel with CNTs electrodes and devel­
oped flexible tactile sensors. Various human motions were determined LMs are multifunctional flexible and soft metals or metal alloys that
with an eco-friendly wearable sensor with significant stability of 10 000 are liquid at room temperature. LMs offer amazing potential for elec­
loading/unloading cycles, a quick response time of 25 ms, a wide tronic, sensing, and catalytic applications because of their high electrical
detection range of 250 kPa, and high sensitivity of 1.9 kPa− 1. These conductivity and fluidic compliance that possess an interface with access
PVA-based nanocomposite hydrogels have been directed toward the to electrons and free ions [88,89]. LMs could be incorporated inside
development of small sensor devices with desired shapes. sense strain and polymeric materials by calculating resistance change
In the light of the manufacturing of nanocomposite hydrogels, a arising from the LM deformation during the bending, twisting, and
contradiction occurs between the degree of dispersion and nanofiller stretching. Seminal efforts have focused on nanosized LM that indicate
loading due to Coulomb and van der Waals attractions that affect their high surface tension, leading to improvement in dispersibility inside a
performance. Thus, the homogeneous dispersion and amalgamation of polymer matrix [90]. Particularly, LM fillers possess tunable and unique
fillers in the polymeric matrix are extremely challenging. The difficulty sets of properties attained via selective alloying of LMs with metallic or

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Fig. 5. Schematic presentation of nanoprobe based on AuNPs/PVA nanocomposite hydrogel and their corresponding TEM images for colorimetric determination of
ceftriaxone. Reproduced with permission from [79].

other elements [91,92]. These NPs perform as a resistance-less liquid a volume ratio of 10:1 has been fabricated via a simple method of
that could bend and deform under stress with no mechanical damage or dispersing PVA solution in LM for 5 min. Surface wettability was
delamination in composite matrix compared with traditional conducting improved since PVA solution performed as a bridge between substrates
materials [93]. In terms of strain and digital electronics, these circuits and the surface oxide film. Moreover, it has been proven that PVA hel­
show lower electromechanical hysteresis and smaller gauge factor (GF) ped the bulk LMs disperse into uniform nanosized particles under high-
than conductive rigid filler. Alloys of indium (In), gallium (Ga), and speed dispersion. At this state, the achieved PVA/LM ink holds enhanced
eutectic Ga-In (EGaIn) are the most popular conducting LM alloys for the processability than the pure LMs facilitating their recovery without
expansion of soft and flexible electronics. However, their poor surface aggregation. The admirable conductivity and electrical properties of
wettability and excessive surface tension limit the large-scale applica­ PVA/LM ink are favorable for designing flexible sensors, alarm systems,
tion of LMs. To overcome these shortcomings, various schemes have or object locators to monitor human motions as illustrated in Fig. 7B. In
been proposed. Mixing LM NPs with various elastomers such as silicone, strain sensors, the obtained eco-friendly composite had super stability
agarose gel, PVA, and polydimethylsiloxane is one of the approaches to and high sensitivity which can sense the signal from stretching, bending,
improve the uniform dispersion and recyclability of LMs [94]. In most of and pressing. Also, LMs in printed products could be recovered and
these inert elastomer materials, the incorporation of LM NPs results in a reused under alkaline conditions making them an eco-friendly system to
loss of electrical conductivity due to both typical nonconductive poly­ be used in flexible electronics.
mer matrices and the construction of a thin oxide layer on the NPs To broaden its wide application, Merhebi and coworkers [94]
surface [95]. Among them, PVA-based hydrogels present the advantage fabricated conductive and magnetic LM/PVA gels that were potential for
of electrochemical/electronic improvement and LM NPs stabilization. flexible electronic system design. The schematic presentation of the
The PVA network can mitigate the loss of electrical conductivity of the cross-linking mechanism was illustrated in Fig. 8. Herein, EGaIn alloy
LM filler due to the unavoidable alignment of a surface oxide layer. was integrated into the magnetic solution of Fe3O4 particles and finally,
Furthermore, the surface interaction between the functional -OH group PVA was processed into NPs with an average size of 140 nm followed by
on the PVA and the surface oxide skin layer of LM NPs can also form a sonication which indicated cubic to octagonal symmetries, as exposed in
conductive ionic junction that stabilizes the LM NPs [96]. Considering the SEM images (Fig. 8A). The degree of hydrolysis and molecular
these belongings, Xu et al. [97] developed a recyclable compounding weight of the PVA chains that are produced from the hydrolysis of poly
strategy based on PVA/LM composite with improved surface wettability (vinyl acetate) (PVAc) can affect their microstructure and physical
and low surface tension of the LMs (Fig. 7A). Here, PVA/LMs matric with characteristics. In this work, the PVA with a 99% degree of hydrolysis

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Fig. 6. Design and fabrication process of AgNWs/PVA hydrogel bilayer strain sensor (A); piezoresistivity mechanism indicating disconnection of AgNWs and
increased interparticle distance (B); Fluorescent images of PVA, and PVA/AgNWs substrates captured by fluorescent and confocal microscope (upper and lower
panel) (C); Monitoring the human motions and relative change in their resistance (D). Reproduced with permission from [34].

which was the reason for mechanical properties provides enhanced complexes into multifunctional ones and fully translating the
compatibility with the inorganic additives via hydrogen bonding. For outstanding properties of 2D nanofillers into composite constructions
producing multifunctional self-healing and flexible gel, the dynamic are the two ultimate goals. At this state, rational assembly techniques of
borax cross-linking reaction was performed within inter and intra- 2D fillers through altered length scales facilitate their controllable
molecular domains as clarified in Fig. 8B, C. Moreover, molecular alignment, interconnection, and dispersion in a polymer matrix [112].
chains were further linked together via diol complexation reactions and Such assembly methods bring about inspiring transformative nano­
weak hydrogen bonds by -OH groups on the PVA microstructure. composites with promising electromagnetic, optical, mechanical, and
Complexation and oxidation reactions between the LMs and Fe3O4 transport features. At the nanoscale, synthesis techniques including CVD
particles were assessed by FT-IR, XRD, and Raman studies. The obtained growth on metal templates and liquid-phase exfoliation of bulk crystals
LM/PVA gel was applied as an electrical switch, in which the electronic play crucial roles in the inherent properties of 2D fillers [113]. Among
circuit was remotely closed by the magnetic field. This progress has various 2D counterparts, MXene and TMDs as two so-called materials
unlocked up the opportunity for the design of soft electronic systems. have aroused much scientific interest in fabricating nanocomposites
[114,115]. 2D MXene (Ti3C2Tx) was introduced by Gogotsi’s group in
2.4. 2D materials/PVA hydrogel nanocomposites 2011 for the first time [116]. 2D MXene-based sensors are nanosheets
with a wide sensing range and great flexibility resulting in fabrication on
2D nanomaterials could be alienated from bulk solids consisting of a large scale and decoration of various shapes. On account of
atomically thin layers in the out-of-plane direction by van der Waals manufacturing ideal sensors, realizing mechanical performance well-
forces. Thin and few-layer nanosheets are characterized by active, large matched with sensitivity, stability, conductivity, rapid and on-site
surface area and diverse electronic character that is favorable for sensor analysis in the extensive range is the most prominent matter for
applications [98–100]. The booming 2D materials, signified by gra­ MXene-based sensors. To solve these challenges, seminal efforts have
phene, resulted in a number of prospects to construct multifunctional been applied. For green and economical synthesis fluorine-free reaction
composites [101–104]. Recently, novel 2D nanofillers beyond graphene systems are interested to be used in order to yield large-scale production.
have been introduced including transition metal dichalcogenides From the point of performance stability, the antioxidant ability of
(TMDs) [105], transition metal carbides and nitrides (MXene) MXene is not ideal in a water and oxygen environment. To date, diverse
[106–108], metal-organic frameworks (MOFs) [109,110], and hexago­ functional substrates are considered to incorporate with conductive
nal boron nitride (h-BN) with distinct robustness and mechanical flexi­ MXene to attain admirable sensing proficiency preferred in the
bility. Polymer nanocomposites composed of 2D nanofiller and polymer controllable multidimensional sensors. Benefiting from the high con­
matrix are pivotal materials for various developing technological fields ductivity, MXene could be integrated into a water-rich cross-linking
of sensors arising from the 2D material properties. Nevertheless, using hydrogel for the development of compatible sensors and implantable
conventional synthesis design and approaches to the assembly of 2D devices with tremendous elastic modulus analogous to real human skin
materials with spatial distributions and controllable orientations in [117]. Such high content of water enables good dispersibility of MXene
polymers is challenging [111]. These 2D nanomaterials are also limited in hydrogel matrix because of their hydrophilic surface groups (-F, -Cl,
in high content to attain homogeneous dispersions without accumula­ -Ti, -O, and -OH) [118]. Furthermore, the structural design MXene/
tion in a polymer matrix. Therefore, transforming the conventional hydrogel is beneficial for high sensitivity though avoiding the possible

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Fig. 7. Fabrication, printing, and recycling process of the LM/PVA and diverse patterns printed using LM/PVA ink (A); Applications of the LM/PVA based flexible
electronics in motion monitoring (B). Reproduced with permission from [97].

aggregation of MXene flakes during the preparation process achieve MXene nanocomposite films with improved mechanical properties,
through hydrogen bonding and Van der Waals attractions [119]. PVA as thermal stability, and oxygen permeability. In optimum conditions, an
a flexible substrate catches the spotlight because of its tensile strength increase in initial thermal decomposition temperature from 257.4 to
and excellent stretchability. Woo et al. [120] fabricated PVA/borax/ 288.2 ◦ C was exhibited. Also, tensile strength and modulus were
MXene nanocomposite hydrogel and investigated the effects of borax improved by 67% and 49%, respectively. These outcomes obviously
addition on their physical properties. In this study, MXene reinforcing propose a practical platform with improved properties in proficient gas
filler was functionalized with the sulfanilic acid group (f-MXene) via barrier film applications.
diazonium salt reaction. As shown in Fig. 9A, Ti3AlC2 was dispersed in In another work, Zhang et al. [121] utilized almost the same protocol
HF solution followed by washing and drying at room temperature. After as Woo group [120] for the fabrication of capacitive strain sensors using
obtaining DMSO-intercalated MXene, f-MXene was prepared using sul­ PVA/MXene hydrogel. The prepared nanocomposite demonstrated
fanilic acid addition. According to Fig. 9B, such functionalization linearity up to 200%, great electrical conductivity, a sensitivity of 0.4,
induced homogeneous dispersion. Afterward, PVA functionalized and a high break elongation of 1200% because of its excellently
MXene nanocomposite hydrogel was fabricated by directly mixing stretchable capability that is feasible for wearable intelligent devices. In
MXene, borax, and PVA solution. The borax cross-linkers in Fig. 9C this regard, the developed sensor is not only used to determine
created strong interfacial covalent bonds between the hydrophile PVA epidermal movements but also large-strain movements. Nevertheless,
matrix and the f-MXene reducing the surface tightness of a single-layer the low response time of 190 ms needs to be enhanced in upcoming
MXene sheet. Furthermore, Fig. 9D illustrates the mechanical properties investigations.
for f-MXene loading which indicates increase in tensile strength by On the other hand, the conventional conductive hydrogels partici­
increasing the filler content. Indeed, f-MXene acts as a promising rein­ pate in the unavoidable freeze at subzero temperatures and loss of water
forcing filler to increase the mechanical properties of the PVA nano­ at room temperature; because they are composed of lots of water. This
composites. This strategy helps the formation of robust PVA/boric acid/ limited the electron transference in the network leading to a decline in

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Fig. 8. Preparation procedure of the conductive and magnetic LM/PVA nanocomposite hydrogel: illustration of PVA, Fe3O4 nanopaticles (220 nm), and EGaIn and
sonication process to micronize LM into nanosized particles (A), gel formation by borax cross-linking reaction (B), and mechanism of cross-linking (C) with mono-diol
(i), di-diol complexation (ii), and hydrogen bonding (iii). Reproduced with permission from [94].

mechanical and conductivity properties. To avoid this, Liao and co­ for promoting their efficiency. In this regard, the fabrication of PVA
workers [122] designed PVA/MXene/PAAm-based strain sensors with hydrogels with MONPs has been widely interested.
high stretchability, elasticity, sensitivity, and low-temperature toler­ ZnO NPs found in whitish appearance and wurtzite structure play a
ance. In this study, borax cross-linkers were added to the completely prominent role in various sensory applications because of their low cost
dissolved and initiated PVA, MXene, and PAAm solution. For achieving and belonging to the semiconductor group (II-VI). ZnO NPs as electrical
durable retention ability and excellent frost residency at low tempera­ conductors are suitable materials for manufacturing ultrasonic trans­
tures, MXene-based PVA hydrogel was immersed in ethylene glycol (EG) ducers through owing huge piezoelectric constant. Equipping this
solution to substitute a part of water content. Fig. 10A represents the semiconductor with special electrical, optical, thermal, and chemical
replacement of water molecules in the hydrogel by EG molecules and the properties make them a multifunctional material to be used in various
formation of hydrogen bonds between PVA, EG, and MXene. Also, the electronic appliances [124]. ZnO NPs need to be modified as their dis­
well-exfoliated ultrathin MXene nanosheets and a three-dimensional persions are prone to aggregate in solution or composite matrix. One
(3D) interconnected porous microstructure in nanocomposite hydrogel strategy for stabilizing the particle dispersion is the modification of their
were represented in SEM images represented in Fig. 10B–D. The pro­ surfaces by tethering polymeric chains due to the compatibilization ef­
posed method represented excellent mechanical and chemical proper­ fect provided by polymeric ligands. The synthetic techniques for the
ties with the accurate, sensitive, and durability-sensing ability with a fabrication of polymer-MO nanocomposites can be divided into two
detection sensitivity of GF = 44.85 and a wide range of sensing (350%) aspects of surface functionalization and preparation of MO/polymer
at low temperatures. Here, the addition of a brittle PAAm network had a hybrids. The concept of surface functionalization mainly focused on the
positive effect on increasing the elastic modulus. Moreover, the obtained ready modification of ZnO by different efficient anchoring molecules
hydrogel possessed a self-healing capability owing to the supramolec­ such as polymer ligands and coupling agents through their slow disso­
ular interaction among MXene, PVA, and EG and dynamic cross-linking lution in both basic and acidic media. For the preparation of MO/
between borax ions and the -OH groups of PVA. Therefore, the emerging polymer hybrids, three methods of grafting-onto, grafting-from, and
MXene-based hydrogel sensor suitably meets the required properties of polymer template are applied. In this regard, ZnO-dispersed PVA com­
hydrogels in the fields of human-machine interfaces and artificial skin. posites are the better choice in electronics that brings forth excellent
physiochemical properties. Emadoddin et al. [125] developed a func­
2.5. MONPs/PVA hydrogel nanocomposites tional pH-inducible ZnO/PVA composite via an electrochemical depo­
sition method for selective dopamine determination in the existence of
MONPs as marvelous materials in materials science could be formed ascorbic acid as an interference. As shown in Fig. 11, functional groups
from metal elements by chemical methods. The high density of edge of PVA provide a substrate for functionalization with ZnO, which was
surface sites or corners and limited size of MONPs can extensively result utilized for electrocatalytic dopamine oxidation, and minimization in
in distinctive chemical and physical properties. Thanks to their large surface interactions with fouling agents or interferences. The pH-
surface area, tremendously reduced dimension, and specific facet inducible property of the ZnO/PVA composite hydrogel provides
exposure, MONPs may considerably improve selectivity and sensitivity fouling-free effects under controlled conditions. Impedimetric assess­
[123]. The integration of MONPs into polar organic polymers inspires ments of the designed recognition element indicated a low LOD of 5.0
many alterations in polymer catalysis, electronic and optic perfor­ nM and a broad linear range of 20.0 nM-3.0 mM for the determination of
mances. Based on, various MONPs such as iron oxide (Fe2O3) NPs, nickel dopamine in real serum samples. The ZnO/PVA composite hydrogel
oxide (NiO) NPs, titanium oxide (TiO2), zinc oxide (ZnO), manganese provides potential goals for sensitive and selective determination in the
oxide (MnO2), and copper oxide (CuO) have been employed in polymers presence of ascorbic acid interference besides preventing surface

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Fig. 9. Schematic synthesizing of f-MXene using diazonium salt reaction (A); Dispersion stability of f-MXene and e-MXene with 1 mg/mL concentration (B); PVA,
boric acid, and f-MXene cross-linking reaction by a di-diol complexation reaction (C); The mechanical properties of f-MXene based nanocomposite hydrogel with
different amounts of f-MXene (D). Reproduced with permission from [120].

fouling. Additionally, the employment of the nondestructive impedi­ sensitivity of 11.14 pm/◦ C and − 0.02539 dB/%RH, individually.
metric evaluation method afforded small signal amplitude and a wide Compared with fiber sensor using a PVA film alone, nearly four times
frequency range that is suitable for the investigation of interfacial redox enhancement was exhibited in sensor sensitivity by the addition of ZnO
reactions. to the PVA film. On the other hand, Fe2O3 NPs and NiO NPs are proper
With recent advances in the design of sensors, it is proven that sen­ MONPs for producing the film, magnetic nanomaterial, and poly­
sors can be influenced not only by sensing structure but also depends morphism study which aim for attractive applications in various sensors.
largely on the sensing film employed on the surface of optical fiber The large band gap of both NiO (3.6–4.0 eV) and Fe2O3 (2.0–2.2 eV) NPs
sensors, mainly for humidity sensing. For that, optical fiber surfaces are make them potential materials to be doped in PVA polymers which is a
often coated with humidity sensing film to distinguish environmental fixable insulator with a wide band gap. NiO NPs are p-type semi­
factors [126]. Electrospinning is a coating method for nanofiber films conducting materials with outstanding properties of optical, electrical,
different from traditional ones including physical vapor deposition and chemical stability. The variation in NiO NPs charge carriers could
(PVD), chemical vapor deposition (CVD), layer-by-layer, and dip- change the electrical conductivity. The non-stoichiometric effect of NiO
coating techniques [127]. To produce micro/nano-scale nanofibers by NPs originated from variation in NiO structures making them prospec­
electrospinning, high voltages are applied to polymer solutions which tive for sensing applications [129]. In this state, Kumar and coworkers
then can form nanofiber film with a great specific surface. Inspired by [130] studied morphology and structure of the NiO/PVA nanocomposite
that, Deng et al. [128] recently proposed optical ZnO/PVA nanofiber hydrogel which was modified with graphene quantum dots (GQDs) by
film using an electrospinning technique for temperature and humidity the solution casting technique. The synthesis protocol of the nano­
sensing. For guaranteeing the sensitivity and mechanical strength, the composite is presented in Fig. 12A. The incorporation of NiO NPs in the
proposed nanofiber was attached to the peanut-shaped structure. As the polymer network enhanced both thermal stability and tensile strength.
thickness and refractive index of sensing film were affected by the hu­ To analyze the interaction between different molecules of the composite,
midity changes causing variations in the transmitted light, temperature an Independent Gradient Model (IGM) analysis was carried out, and the
and humidity were monitored by evaluating these spectrum changes. obtained results are presented in Fig. 12B, C. Studying their electronic
Experimental results exhibited high temperature and humidity structure reveals that the PVA interacts with GQDs indirectly through

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Fig. 10. Fabrication methodology of a self-healing, anti-freezing, and conductive MXene nanocomposite organohydrogel (A). SEM images (B) of delaminated MXene
sheet (a), and the freeze-dried MXene nanocomposite hydrogel (b, c). Reproduced with permission from [122].

the NiO (Fig. 12C) which is favored in interaction energy terms gelation process. Among, physical entanglement could simply respond
compared with the direct interaction of PVA with GQDs (Fig. 12B). to the external environment like temperature and pH, which have
Therefore, the enhancement in the mobility of electrons within NiO/ certain benefits [133]. DNA hydrogels have been effectively adopted as
PVA nanocomposites makes them the most promising materials. two kinds of pure DNA hydrogels and hybrid DNA hydrogels which are
formed by the cross-linking of DNA backbones itself and in combination
2.6. Bio-nanomaterials/PVA hydrogel nanocomposites with different materials, respectively. One of the simple procedures to
fabricate DNA hydrogels via cross-linking or self-assembly is the poly­
DNA as functional materials have demonstrated excellent potential merization of DNA motifs such as a three/four-way junction. Moreover,
for fabricating artificial constructions owing to their programmable and other diverse methods namely hybridization or polymerase chain reac­
predictable sequence-specific hybridization with their complementary tion can enhance the process [134]. In light of the featuring DNA
sequences (CS) [131]. Among several functional DNA structures, DNA hydrogel with the additional capability, various functional components
hydrogels merging the properties of hydrogel and DNA building blocks and DNA entities such as nanomaterials, peptides, DNAzymes, or
have been particularly developed in extensive biomedical and bio­ aptamers could be introduced into the hydrogels [135]. The recognition
sensing applications [132]. To construct DNA hydrogels, functional of analytes using these surface motifs on hydrogels stimulates the
DNA is either entangle physically or link chemically within the hydro­ response and physiochemical sensing characteristics of DNA hydrogels
philic polymer networks. In the process of fabricating chemical gels, such as optical, mechanical, volume, and cross-linking density proper­
cross-linking agents and other substances are typically required to be ties. Endowed with modifiable mechanical properties, controlled
introduced due to a time-consuming process. Meanwhile, it usually has biodegradability, great biocompatibility, and stimuli-responsive
no need for external substances in physical gels owing to the simple behavior, DNA hydrogels have been adapted as promising platforms in

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Fig. 11. Illustration of the fabrication process of ZnO/PVA nanoplatelets. Reproduced with permission from [125].

biosensing applications [136]. As far as their applications, hydrogel illustrated in Fig. 13C. This study gathered the advantages of aptamers,
cross-linked with aptamer is mostly developed for qualitative and NPs, and hydrogels which are favorable in sensing applications. To
quantitative detection of various targets. Aptamer as a short single- broaden the wide application of PVA-based aptasensor with structural
stranded RNA or DNA has grown rapidly because of its prosperous ad­ similarity to the biological matrix, different aptamers could be labeled
vantages. In the presence of targets, aptamers can not only bind to them on the AuNPs surface for detection of other analytes.
by specificity and high affinity but also fold into secondary and tertiary Generally, recent advances on aptamer functionalized DNA hydrogel
structures. Generally, aptamers can integrate into both pure and hybrid have explored their applications in clinical trials with the concerted
DNA hydrogels by acting as cross-linker or as part of branched DNA efforts of the researchers on their approval, quality control, effective
molecules [137]. More in deep, Wang et al. [138] fabricated a PVA/ treatment, and design process. Although enormous efforts have been
polyaniline (PANI)/aptamer-based sensor for thrombin detection with made toward the applications of DNA hydrogels functionalized with
excellent electrochemical and mechanical properties. In this study, the aptamer, there are still some challenges to be noted. The first one is the
platform was prepared by the electrochemical copolymerization of 3- lack of specific aptamers for their corresponding targets and their high
aminophenyl boronic (ABA) and aniline on a PANI modified electrode costs that limit the selection of effective methods for the construction of
followed by dipping in PVA solution. Benefitting from the characteristic aptamer/hydrogels. The lack of pharmacokinetic studies on aptamer
of PVA/PANI hydrogel, PANI was used as a rigid polymer to enhance functionalized DNA hydrogel, which is essential for corresponding
either the antifouling performance of the platform or the conductivity. guidance of rational applications, is the second challenge that limits the
Obviously, gelation of PVA as a soft polymer was caused by boric acid rational design of hydrogel. The investigation of mechanical properties
groups on PANI yielding a hydrophilic and electrical neutrality plat­ is the other one that is significant in damage repair and artificial cell
form. Benefiting from double aptamers sandwich structure, aptasensor construction.
probes have been designed for amplification of signal and sensitivity. In
this pursuit, the solution of thrombin signal aptamer and activated 2.7. Polymer nanomaterials/PVA hydrogel nanocomposites
magnetic NPs was incubated on PVA/PANI modified electrode
(Fig. 13A). The results indicated a satisfying high selectivity and sensi­ Seminal efforts have focused on the concept of polymeric nano­
tivity with a LOD of 0.64 pM and linearity in the range of 1 pM-10 nM for materials including homo/co-polymers, polymeric structures with
the determination of thrombin in real serum samples which reveals planned construction, formulated materials, and molecular shape
potential application in clinical diagnostics and bioanalysis. Another recognition materials in the sensitive sensors and biosensors field
group [139] simply designed a new platform based on borax-reduced [140,141]. Polymeric nanomaterials deliver a desirable application in
AuNPs/PVA/thiolated aptamer for the determination of thrombin. The the biomedical endowed with distinctive properties [142–144]. A series
designed platform exhibited specific and sensitive determination of of polymeric NPs including conductive polymer (CP), dendrimers, li­
thrombin protein with a linearity range of 0.70 pM-0.02 mM. Comparing posomes, micelles, core-shell NPs, and nano-gels have been mostly
the morphology characterization of PANI and the corresponding exploited in sensors due to ease of manufacturability, selectivity, line­
hydrogel with the bare electrode in Fig. 13B revealed the successful arity, and sensitivity [145,146]. By tuning bio-functionalization, dura­
deposition of PANI and hydrogel on the electrode. Moreover, the anti­ bility, and signal transduction, the sensing performance of the polymer
fouling performance was evaluated using fluorescent microscopy as NPs-based sensors could be enhanced [147]. By highlighting the

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Fig. 12. schematic synthesizing of NiO/PVA/GQDs nanocomposite film using a solution casting process (A). Iso-surface maps for the intermolecular interaction
between PVA, NiO and GQD in two different configurations (B, C). Reproduced with permission from [130].

essential successes in the design of sensor platforms, the amalgamation platforms with good foldability and flexibility [151,152]. Based on this,
of the nanofiller and matrix contributions is pronounced to further Liu et al. [153] investigated wearable electronic sensors based on
improvement [148]. Their integration into hydrogels via covalent or conductive composite hydrogel by combining the tannic acid decorated
non-covalent interactions imparts multi-functionality into the nano­ CNCs, rGO, and homogeneous PVA network. Briefly, CNCs were deco­
composite system because of multiple functional groups on the poly­ rated with catechol groups of tannic acid to enhance the mechanical
meric NPs [149]. performances of the hydrogel. According to Fig. 14A, B, hydrogen bonds
Cellulose nanocrystals (CNCs) are insulating materials and a low- and reversible dynamic borate bonds in the construction of the 3D hi­
weight binder, commonly used with conductive materials to construct erarchical structure inside the hydrogel impart the platform with elec­
flexible substrates [150]. Abundant -OH groups on the surface of CNCs trical and mechanical self-healing, robust and self-adhesive capability.
induce their feasible surface functionalization and design novel Furthermore, the formation of hydrogen bonds between oxygen groups

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Fig. 13. A) working principle of antifouling electrochemical aptasensor. B) SEM image of bare electrode (a), PANI/electrode (b), and nanocomposite hydrogel/
electrode (c). C) Representative fluorescence microscopy after incubation in fluoresceinisothiocyanate labeled bovine serum albumin (FITC-BSA) solution for 2 h.
Reproduced with permission from [138].

of rGO with the PVA network brings about the hydrogel with electrical reduction capacity resulting in a color change of suspension (Fig. 15A).
conductivity and mechanical strength as shown in Fig. 14C. Notably, The incorporation of Ag/tannic acid/CNCs into the PVA 3D network
these mechanical and conductive behaviors were essential for real-time hydrogel via dynamic borate ester bond cross-linking provides efficient
and precise healthcare recording. The obtained platform holds prom­ conductivity and super stretchability over 4000% (Fig. 15B). The dy­
ising applications in the detection of both large (e.g. joint bending) and namic borate ester bonds including didiol-borate bonds and catechol-
subtle (e.g. voice detection) human motions by variation of resistance borate bonds, chain entanglement of PVA and Ag/tannic acid/CNCs
changes. nanohybrids, along with the intra- and inter-molecular H-bonds syner­
Besides, an artificial skin-like soft hydrogel has been developed gistically able the PB-Ag/TA@CNC hydrogels with an incorporated 3D
based on tannic acid-coated CNCs/AgNPs and PVA hydrogels by Lin network (Fig. 15C and D). In the aqueous solution, borax easily disso­
et al. [154]. Herein, CNCs extracted from bleached bamboo pulp were ciated into tetrahedral borate ions and boric acid which could experi­
consistently dispersed in the aqueous solution. The abundant catechol ence swift interchange between these two species as shown in Fig. 15E.
functional groups on tannic acid-coated CNCs not only absorbed Ag+ To sum up, the proposed platform demonstrated great potential in
ions via chelation but also accelerate the formation of AgNPs via its high constructing switches, repairing circuits, and electronic skin to monitor

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Fig. 14. Schematic illustration of the fabrication process for the A)TA@CNC, B) PB-TA@CNC-pRGO nanocomposite hydrogels, and C) the chemical structures inside
the hydrogel. (D) SEM image of the PB-TA@CNC-pRGO4 hydrogel. Reproduced with permission from [153].

human body motions through its facilitated electrons movements. along with the sp2-hybridized conjugation. The inclusion of CP moieties
into hydrogels has received considerable attraction recently because of
2.7.1. Conducting polymers their tunable 3D matrix, swelling disposition, adjustable mechanical
Among polymer NPs, conducting polymers (CPs) have been proved properties, and high conduction. Two approaches have generally been
an encouraging impact on the fabrication of conductive hydrogels to be established for preparing CP-based hydrogels: First, aromatic monomers
used in biosensing, chemical sensing, gas sensing, etc. thanks to their are polymerized in insulating polymer solution as physical frameworks
unique electronic properties [155]. The concept of CPs includes poly- which make the hydrogels with weak electrochemical activities and low
3,4-ethylene dioxythiophene (PEDOT), PANI, polypyrrole (PPy) [156], electrical conductivities [159]. Second, the CP chain is polymerized
polyacetylene (PA), and polythiophene (PTP) which are π-conjugated along with the cross-linking process by adding cross-linkers. For bulk
polymers with alternating single and double covalent bonds for con­ scale, conductivity can occur by intramolecular hopping of adjacent
ducting electrons [157]. The associated delocalized π-bonding and polymer chains via charge carriers which enhances the compatibility
conjugated backbone structure define the characteristics of CPs [158]. between CPs and hydrogel network [160]. At this state, enormous efforts
The intrinsic conduction mechanism is caused by electron movement have been made in investigating the biocompatibility of PEDOT and

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Z. Karimzadeh et al. Advances in Colloid and Interface Science 305 (2022) 102705

Fig. 15. Chemical structures of TA and CNC and schematic mechanism of TA@CNCs formation and AgNPs incorporation (A); Formation of nanocomposite hydrogel
(B); The possible chemical cross-linking reaction within hydrogels (C); SEM image of nanocomposite hydrogel (D); Multicomplexation between borax PVA and Ag/
TA@CNC (E). Reproduced with permission from [154].

PANI as two important polymers [161,162]. -OH groups are typically accepted as soft molecular chains for the cor­
poration with PANI [165]. Benefitting from that, Hu et al. [166] pro­
2.7.2. PANI posed a facile approach for the preparation of self-healing and
PANI is one of the greatest and most important CPs that harbors its stretchable PANI composite gel with superior mechanical properties. In
application in a number of sensing and biosensing systems. Cross-linking their rational design, polyacrylic acid (PAA) and PVA were used as soft
of PANI with soft molecular chains by molecular interaction combines chains in PANI gel. Intended for providing multiple hydrogen-bonding
the conducting paths of PANI with the mechanical merits of soft polymer networks between materials, phytic acid with P=O/P-O groups were
chains for the preparation of multicomponent or bicomponent hydrogels employed in gel composite. Not only can -OH groups of PVA or -COOH of
[163,164]. In light of improving the elongation at the break of the PANI, PAA interact with P=O/P-O groups of phytic acid but also can -NH of
hydrogen bonding interaction plays a prominent role. PVA possessing PANI. Therefore, the mechanical performance of rigid PANI is

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Z. Karimzadeh et al. Advances in Colloid and Interface Science 305 (2022) 102705

impressively enhanced by the physical cross-link of hydrogen bonds with polar solvents as secondary dopants to weaken the coulombic
with PVA or PAA in the composite gel. Additionally, the extraordinary interaction between PSS and PEDOT and facilitate the electron trans­
performance of self-healing (around 100%) and stretchability were porting of PEDOT [168–170]. Lots of biosensors and strain sensors based
assessed for PANI/PVA/PAA composite gel application in strain sensors. on PEDOT/PVA hydrogel have been successfully investigated owing to
All in all, this meaningful and practical insight explored its application the properties of the two polymer networks, mainly hydrogel distribu­
toward flexible sensors and energy storage devices. To broaden its wide tion and mesh size [171]. As a pioneering attempt, Gao et al. [172]
investigation, Wang et al. [167] synthesized PANI/PVA solution- prepared a flexible PEDOT: PSS/PVA hydrogel via a wet-spinning
processable hybrid hydrogels for sensory electronic skins. The PANI/ method as a potential platform in wearable sensors. Herein, the
PVA hybrid hydrogels were constructed by an oxidation procedure fol­ electro-conductive, mechanical and structural properties of PEDOT: PSS
lowed by a cyclic freeze-thaw process. During the freeze-thaw process, were induced by the introduction of water-soluble PVA with high
cross-linking was occurred by ionic interactions and crystal domains modulus and EG treatment. PEDOT: PSS/EG/PVA hydrogel exhibited an
generated. On account of the entirely physically cross-linked construc­ enhanced tensile strength of 210±5 MPa and breaking elongation of 26
tion, the hydrogels in sensory electronic skins were completely regen­ ± 1.5 % compared with pristine PEDOT: PSS fibers. Within the strain of
erating and solution-processable. In this study, PANI and PVA were 20%, a respectable durability and recovery performance of electro­
selected as conductive and flexible components, individually. Further conductivity and the strain have been obtained for the proposed
enhancement in the flexibility of the PANI/PVA hybrid hydrogel was hydrogel. Benefiting from all these advantages, it is indicated that this
obtained using water-glycerol binary solvents. Based on the results, the composite conductive hydrogel not only improves the spinnability but
flexibility and sensing ability was well retained at least for 7 days at also endows it with more excellent applicability in functional textiles
room temperature. Also, the elastic modulus of the hybrid hydrogels was and flexible sensors. More in deep, Zhang et al. [173] designed
regulated from range of 15.7 to 154.4 kPa by tuning the PANI/PVA conductive, stretchable, and flexible PEDOT: PSS/PVA hydrogel by a
contents. Additional studies revealed high stability up to 41000 cycles, facile two-step strategy as illustrated in Fig. 16. In this study, PEDOT:
great sensitivity with GF of 4.28, excellent recyclability, and fast PSS conductive chains were penetrated in the PVA network through
response speed (250 ms). Hence, the proposed platform exhibit reliable simple mixing and cross-linking with glutaraldehyde. The chemical in­
results for sensing representative human movements like joint bending. teractions and cross-linking network between PEDOT: PSS and PVA in
hydrogel matrix endowed them with excellent compression and tensile
2.7.3. PEDOT properties for large-scale production. The designed PEDOT: PSS/PVA
PEDOT with a similar heterocyclic structure has drawn massive composite hydrogel exhibited that the swelling ratio of hydrogels was
consideration due to its high conductivity, small energy gap, and simple reduced by increasing the PEDOT: PSS content meantime, the electrical
molecular structure. The electron-rich oxyethylene of PEDOT leading to conductivity of the hydrogels increased. According to the results, the
lower reduction potential is considerably more stable. Nonetheless, the tensile strength of 70 KPa, elongation at breakage of 239%, and GF up to
low solubility and difficult dispersibility of PEDOT in water limit its 4.4 (strain: 100%) were obtained for the composite hydrogels with 0.14
practical application. To improve the solubility in water, dopants such as wt.% PEDOT: PSS. Inspired by all these attractive features, the designed
water-soluble polymer electrolyte polystyrene sulfonic acid (PSS) are PEDOT: PSS/PVA composite hydrogel demonstrate great potential for
often used as a charge balancing dopant during the PEDOT polymeri­ applications in wearable devices.
zation process [168]. However, the most intractable limitation for pure Substantial progress has been made in preparing PEDOT/PVA
PEDOT: PSS is the low electrical conductivity and mechanical proper­ hydrogels to develop electrodes for collecting the bioelectrical signals
ties, impeding their widespread applications. To solve the problems of using electrocardiogram (ECG) sensing technologies because of their
PEDOT: PSS-based hydrogel, they either blend with other polymers satisfying elasticity, toughness, and conductivity [174]. Inspired by the
including PVA to create stretchably and conducting systems or are used water-rich content of the hydrogel electrode, not only can seamlessly

Fig. 16. Fabrication process of the SIPN PVA/PEDOT:PSS hydrogel (A); flexibility (B), stretchability (C), bendability (D) and electro-conductivity (E) properties of
the obtained hydrogels. Reproduced with permission from [173].

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Z. Karimzadeh et al. Advances in Colloid and Interface Science 305 (2022) 102705

stick to the skin in the detection process but also promote the reception such as the viscosity/melting point of the material, the photocurable
of the ion current generated in the cells through the hydrating cuticle of material features, and their capability to maintain the shape after
the skin epidermis. At this state, Wang and coworkers [175] fabricated a extrusion. To sum up, we believe that with the continued improvement
flexible conductive electrode using PVA-based PEDOT: PSS/cellulose of procedures from the design to production of PVA/NPs based hydro­
hydrogel to monitor the ECG signals. For that, PEDOT: PSS was formed gel, novel kinds of these hydrogels with arranged buildings, new re­
in the process of oxidative polymerization of PVA and cellulose sub­ sponses to stimuli, and brilliant mechanical characteristics can come
strates. The fibers with micron-level and linear at the beginning of true in the near future for use in the fields of (bio)sensors, actuators,
dissolution had a uniform thickness and was orderly arranged. Also, the biomedicine, and biomimetic materials.
change in gel film from white to black during the oxidation process over
time has been observed. By controlling the PEDOT content, it has been
Declaration of Competing Interest
revealed that the conductivity of the composite hydrogel could be
accurately optimized. Also, no skin irritation was detected during the
The authors declare no conflict of interest.
signal measurement. This strategy could promisingly explore the
application of PEDOT: PSS/cellulose/PVA film in constructing eco-
Acknowledgements
friendly conductive electrodes for ECG monitoring due to admirable
features of stability, comfortable contact with skin, low skin contact
This report is a part of Z. Karimzadeh’s Ph.D. thesis submitted to the
impedance, and flexibility.
Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz,
Iran. The work is financially supported by the Pharmaceutical Analysis
3. Conclusions and outlook
Research Center under grant number of 68133.

Recently, the progress of nanocomposite hydrogel as an effective


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