An Anisotropic and Stable-Conductance Patch for Mechanical–Electrical Coupling With Infarcted Myocardium

Yimeng Li , Yuchen Miao , Leqian Wei , Wenxin Li , Mengqi Shan , Qianqian Jiang , Fujun Wang , Lu Wang , Ze Zhang , Jizhou Song , Yang Zhu , Jifu Mao

Exploration ›› 2025, Vol. 5 ›› Issue (6) : 20250021

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Exploration ›› 2025, Vol. 5 ›› Issue (6) :20250021 DOI: 10.1002/EXP.20250021
RESEARCH ARTICLE
An Anisotropic and Stable-Conductance Patch for Mechanical–Electrical Coupling With Infarcted Myocardium
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Abstract

Polymeric conductive patches have conventionally been employed to facilitate the repair of infarcted myocardium by enhancing myocardial electrical conduction and providing mechanical support. However, it remains a challenge to restore the electrical conduction and diastolic–systolic functions with stable and anisotropic mechanical and electrical cues in the dynamic physiological environment. Herein, inspired by the hierarchical myocardial fiber microscopic striated structure, we established a weaving-based processing method to compound a striated polypyrrole conductive coating on the surface of highly oriented elastic fiber bundles. This unique design endows the patch with exceptional stretchability (elongation at break > 400%), stable conductance (ΔR/R0 = 0.04 within 20% strain), and excellent fatigue resistance (ΔR/R0 = 0.01 after 1,000,000 cycles). In addition, the precision process grounded on woven molding accomplished the tunable mechanical and electrical properties of the patch, which facilitates the achievement of long-term, stable, and anisotropic mechanical–electrical coupling with the infarcted myocardium. The rat MI model experiments demonstrated that this anisotropic conductive patch can not only improve cardiac function and electrical activity over an extended period, but also effectively inhibit myocardial inflammation and fibrosis and promote angiogenesis. This study proposes a promising MI-treatment patch and highlights the potential of woven technology in processing biomaterials composed of both rigid and elastic materials.

Keywords

anisotropic / bionic hierarchical structure / cardiac repair / mechanical–electrical coupling / stretchable

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Yimeng Li, Yuchen Miao, Leqian Wei, Wenxin Li, Mengqi Shan, Qianqian Jiang, Fujun Wang, Lu Wang, Ze Zhang, Jizhou Song, Yang Zhu, Jifu Mao. An Anisotropic and Stable-Conductance Patch for Mechanical–Electrical Coupling With Infarcted Myocardium. Exploration, 2025, 5(6): 20250021 DOI:10.1002/EXP.20250021

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References

[1]

L. Zhang, T. Li, Y. Yu, et al., “An Injectable Conductive Hydrogel Restores Electrical Transmission at Myocardial Infarct Site to Preserve Cardiac Function and Enhance Repair,” Bioactive Materials20 (2023): 339-354, https://doi.org/10.1016/j.bioactmat.2022.06.001.

[2]

J. Yang, L. Li, Y. Hu, Z. Li, and W. Hua, “Novel Electroactive Therapeutic Platforms for Cardiac Arrhythmia Management,” Advanced Science12 (2025): 2500061, https://doi.org/10.1002/advs.202500061.

[3]

Y. Li, L. Wei, L. Lan, et al., “Conductive Biomaterials for Cardiac Repair: A Review,” Acta Biomaterialia139 (2022): 157-178, https://doi.org/10.1016/j.actbio.2021.04.018.

[4]

J. Zhan, X. Liao, X. Fan, et al., “An Injectable and Conductive Tempol/Polypyrrole Integrated Peptide Co-Assembly Hydrogel Promotes Functional Maturation of Cardiomyocytes for Myocardial Infarction Repair,” Composites Part B-Engineering236 (2022): 109794, https://doi.org/10.1016/j.compositesb.2022.109794.

[5]

S. Wang, Y. Yao, T. Zhou, et al., “Preservation of Cardiac Functions Post Myocardial Infarction In Vivo by a Phenylboric Acid-Grafted Hyaluronic Hydrogel With Anti-Oxidation and Accelerated Degradation Under Oxidative Microenvironment,” Composites Part B-Engineering238 (2022): 109941, https://doi.org/10.1016/j.compositesb.2022.109941.

[6]

X. Jia, W. Liu, Y. Ai, et al., “A Multifunctional Anisotropic Patch Manufactured by Microfluidic Manipulation for the Repair of Infarcted Myocardium,” Advanced Materials36, no. 44 (2024): 2404071, https://doi.org/10.1002/adma.202404071.

[7]

G. Zhao, Y. Feng, L. Xue, et al., “Anisotropic Conductive Reduced Graphene Oxide/Silk Matrices Promote Post-Infarction Myocardial Function by Restoring Electrical Integrity,” Acta Biomaterialia139 (2022): 190-203, https://doi.org/10.1016/j.actbio.2021.03.073.

[8]

Q. Lei, J. He, and D. Li, “Electrohydrodynamic 3D Printing of Layer-Specifically Oriented, Multiscale Conductive Scaffolds for Cardiac Tissue Engineering,” Nanoscale11, no. 32 (2019): 15195-15205, https://doi.org/10.1039/C9NR04989D.

[9]

W. Xiong, X. Wang, H. Guan, et al., “A Vascularized Conductive Elastic Patch for the Repair of Infarcted Myocardium Through Functional Vascular Anastomoses and Electrical Integration,” Advanced Functional Materials32, no. 19 (2022): 2111273, https://doi.org/10.1002/adfm.202111273.

[10]

C. Yu, Z. Yue, M. Shi, et al., “An Intrapericardial Injectable Hydrogel Patch for Mechanical–Electrical Coupling With Infarcted Myocardium,” ACS Nano16, no. 10 (2022): 16234-16248, https://doi.org/10.1021/acsnano.2c05168.

[11]

Y. Li, Y. Gao, L. Lan, et al., “Ultrastretchable and Wearable Conductive Multifilament Enabled by Buckled Polypyrrole Structure in Parallel,” npj Flexible Electronics6, no. 1 (2022): 42, https://doi.org/10.1038/s41528-022-00176-6.

[12]

W. Li, Y. Li, M. Shan, et al., “Durable Flexible Conductive Fiber Based on Cross-Linking Network Tannic Acid/Polypyrrole for Wearable Thermotherapy Monitoring System,” ACS Applied Materials & Interfaces16, no. 36 (2024): 48329-48341, https://doi.org/10.1021/acsami.4c10302.

[13]

Y. Li, C. Li, M. Shan, et al., “Injectable, Stretchable, and Conductance-Stable Fiber for Myocardial Infarction Repair,” Composites Part B-Engineering273 (2024): 111242, https://doi.org/10.1016/j.compositesb.2024.111242.

[14]

M. Castilho, A. van Mil, M. Maher, et al., “Melt Electrowriting Allows Tailored Microstructural and Mechanical Design of Scaffolds to Advance Functional Human Myocardial Tissue Formation,” Advanced Functional Materials28, no. 40 (2018): 1803151, https://doi.org/10.1002/adfm.201803151.

[15]

D. Olvera, M. S. Molina, G. Hendy, and M. G. Monaghan, “Electroconductive Melt Electrowritten Patches Matching the Mechanical Anisotropy of Human Myocardium,” Advanced Functional Materials30, no. 44 (2020): 1909880, https://doi.org/10.1002/adfm.201909880.

[16]

L. Wei, S. Wang, M. Shan, et al., “Conductive Fibers for Biomedical Applications,” Bioactive Materials22 (2023): 343-364, https://doi.org/10.1016/j.bioactmat.2022.10.014.

[17]

J. M. Nerbonne and R. S. Kass, “Molecular Physiology of Cardiac Repolarization,” Physiological Reviews85, no. 4 (2005): 1205-1253, https://doi.org/10.1152/physrev.00002.2005.

[18]

G. Macchiarelli, O. Ohtani, S. A. Nottola, et al., “A Micro-Anatomical Model of the Distribution of Myocardial Endomysial Collagen,” Histology and Histopathology17, no. 3 (2002): 699-706.

[19]

J. A. Cyr, M. Colzani, S. Bayraktar, et al., “Extracellular Macrostructure Anisotropy Improves Cardiac Tissue-Like Construct Function and Phenotypic Cellular Maturation,” Biomaterials Advances155 (2023): 213680, https://doi.org/10.1016/j.bioadv.2023.213680.

[20]

L. M. Monteiro, F. Vasques-Novoa, L. Ferreira, P. Pinto-do-O, and D. S. Nascimento, “Restoring Heart Function and Electrical Integrity: Closing the Circuit,” Npj Regenerative Medicine2 (2017): 9, https://doi.org/10.1038/s41536-017-0015-2.

[21]

T. Chen, J. Cai, X. Cheng, S. Cui, D. Zhang, and D. Gong, “Bio-Inspired Flexible Versatile Textiles for Excellent Absorption-Dominated Electromagnetic Interference Shielding, Thermal Management, and Strain Sensing,” Chemical Engineering Journal477 (2023): 147116, https://doi.org/10.1016/j.cej.2023.147116.

[22]

X. Cheng, J. Cai, J. Xu, and D. Gong, “High-Performance Strain Sensors Based on Au/Graphene Composite Films With Hierarchical Cracks for Wide Linear-Range Motion Monitoring,” ACS Applied Materials & Interfaces14, no. 34 (2022): 39230-39239, https://doi.org/10.1021/acsami.2c10226.

[23]

Z. Sun, Q. Ou, C. Dong, et al., “Conducting Polymer Hydrogels Based on Supramolecular Strategies for Wearable Sensors,” Exploration4, no. 5 (2024): 20220167, https://doi.org/10.1002/EXP.20220167.

[24]

Y. Li, M. Shan, J. Peng, et al., “A Highly Stretchable and Conductive Continuous Composite Filament With Buckled Polypyrrole Coating for Stretchy Electronic Textiles,” Applied Surface Science610 (2023): 155515, https://doi.org/10.1016/j.apsusc.2022.155515.

[25]

D. Mawad, C. Mansfield, A. Lauto, et al., “A Conducting Polymer With Enhanced Electronic Stability Applied in Cardiac Models,” Science Advances2, no. 11 (2016): e1601007, https://doi.org/10.1126/sciadv.1601007.

[26]

Z. Dai, M. Lei, S. Ding, Q. Zhou, B. Ji, and M. Wang, “Durable Superhydrophobic Surface in Wearable Sensors: From Nature to Application,” Exploration4, no. 2 (2023): 20230046, https://doi.org/10.1002/EXP.20230046.

[27]

Y. Wang, W. Qin, X. Hu, et al., “Hierarchically Buckled Ti3C2Tx Mxene/Carbon Nanotubes Strain Sensor With Improved Linearity, Sensitivity, and Strain Range for Soft Robotics and Epidermal Monitoring,” Sensors and Actuators B-Chemical368 (2022): 132228, https://doi.org/10.1016/j.snb.2022.132228.

[28]

X. Cheng, J. Cai, P. Liu, T. Chen, B. Chen, and D. Gong, “Multifunctional Flexible MXene/AgNW Composite Thin Film With Ultrahigh Conductivity Enabled by a Sandwich-Structured Assembly Strategy,” Small20, no. 3 (2023): 2304327, https://doi.org/10.1002/smll.202304327.

[29]

Y. Li, X. Liu, S. Wang, et al., “Dopamine-Induced High Fiber Wetness for Improved Conductive Fiber Bundles With Striated Polypyrrole Coating Toward Wearable Healthcare Electronics,” Chemical Engineering Journal485 (2024): 149888, https://doi.org/10.1016/j.cej.2024.149888.

[30]

G. Tang, Z. Li, C. Ding, et al., “A Cigarette Filter-Derived Biomimetic Cardiac Niche for Myocardial Infarction Repair,” Bioactive Materials35 (2024): 362-381, https://doi.org/10.1016/j.bioactmat.2024.02.012.

[31]

C. Wang, Y. Chai, X. Wen, et al., “Stretchable and Anisotropic Conductive Composite Hydrogel as Therapeutic Cardiac Patches,” ACS Materials Letters3, no. 8 (2021): 1238-1248, https://doi.org/10.1021/acsmaterialslett.1c00146.

[32]

Y. Lu, T. Ren, H. Zhang, Q. Jin, L. Shen, and M. Shan, “A Honeybee Stinger-Inspired Self-Interlocking Microneedle Patch and Its Application in Myocardial Infarction Treatment,” Acta Biomaterialia153 (2022): 386-398, https://doi.org/10.1016/j.actbio.2022.09.015.

[33]

M. Kapnisi, C. Mansfield, C. Marijon, et al., “Auxetic Cardiac Patches With Tunable Mechanical and Conductive Properties Toward Treating Myocardial Infarction,” Advanced Functional Materials28, no. 21 (2018): 1800618, https://doi.org/10.1002/adfm.201800618.

[34]

M. Montgomery, S. Ahadian, L. D. Huyer, M. Lo Rito, R. A. Civitarese, and R. D. Vanderlaan, “Flexible Shape-Memory Scaffold for Minimally Invasive Delivery of Functional Tissues,” Nature Materials16, no. 10 (2017): 1038-1046, https://doi.org/10.1038/nmat4956.

[35]

Y. Zhu, X. Niu, T. Wu, et al., “Metal-Phenolic Nanocatalyst Rewires Metabolic Vulnerability for Catalytically Amplified Ferroptosis,” Chemical Engineering Journal 485 (2024): 150126.

[36]

L. Zhang, Z. Bei, T. Li, and Z. Qian, “An Injectable Conductive Hydrogel With Dual Responsive Release of Rosmarinic Acid Improves Cardiac Function and Promotes Repair After Myocardial Infarction,” Bioactive Materials29 (2023): 132-150, https://doi.org/10.1016/j.bioactmat.2023.07.007.

[37]

K. Raniga, A. Nasir, N. T. N. Vo, et al., “Strengthening Cardiac Therapy Pipelines Using Human Pluripotent Stem Cell-Derived Cardiomyocytes,” Cell Stem Cell31, no. 3 (2024): 292-311, https://doi.org/10.1016/j.stem.2024.01.007.

[38]

S. Zhu, C. Yu, N. Liu, et al., “Injectable Conductive Gelatin Methacrylate/Oxidized Dextran Hydrogel Encapsulating Umbilical Cord Mesenchymal Stem Cells for Myocardial Infarction Treatment,” Bioactive Materials13 (2022): 119-134, https://doi.org/10.1016/j.bioactmat.2021.11.011.

[39]

E. Romano, I. Rosa, B. S. Fioretto, and M. Manetti, “The Contribution of Endothelial Cells to Tissue Fibrosis,” Current Opinion in Rheumatology36, no. 1 (2024): 52-60, https://doi.org/10.1097/BOR.0000000000000963.

[40]

S. Apostolakis, G. Y. H. Lip, and E. Shantsila, “Monocytes in Heart Failure: Relationship to a Deteriorating Immune Overreaction or a Desperate Attempt for Tissue Repair?,” Cardiovascular Research85, no. 4 (2010): 649-660, https://doi.org/10.1093/cvr/cvp327.

[41]

Y. Shao, C. Xu, S. Zhu, et al., “One Endothelium-Targeted Combined Nucleic Acid Delivery System for Myocardial Infarction Therapy,” ACS Nano18, no. 11 (2024): 8107-8124, https://doi.org/10.1021/acsnano.3c11661.

[42]

C. Song, X. Zhang, L. Wang, et al., “An Injectable Conductive Three-Dimensional Elastic Network by Tangled Surgical-Suture Spring for Heart Repair,” ACS Nano13, no. 12 (2019): 14122-14137, https://doi.org/10.1021/acsnano.9b06761.

[43]

Y. Que, J. Shi, Z. Zhang, et al., “Ion Cocktail Therapy for Myocardial Infarction by Synergistic Regulation of Both Structural and Electrical Remodeling,” Exploration4, no. 3 (2023): 20230067, https://doi.org/10.1002/EXP.20230067.

[44]

S. Yan, M. Zhou, X. Zheng, et al., “Anti-Inflammatory Effect of Curcumin on the Mouse Model of Myocardial Infarction Through Regulating Macrophage Polarization,” Mediators of Inflammation2021 (2021): 9976912, https://doi.org/10.1155/2021/9976912.

[45]

W. Huang, Y. Tian, J. Ma, et al., “Neutrophil Membrane-Based Biomimetic Metal-Polyphenol Self-Assembled Nanozyme for the Targeting Treatment of Early Brain Injury Following Subarachnoid Hemorrhage,” Chemical Engineering Journal498 (2024): 155643, https://doi.org/10.1016/j.cej.2024.155643.

[46]

Y. Zhu, Y. Matsumura, and W. R. Wagner, “Ventricular Wall Biomaterial Injection Therapy After Myocardial Infarction: Advances in Material Design, Mechanistic Insight and Early Clinical Experiences,” Biomaterials129 (2017): 37-53, https://doi.org/10.1016/j.biomaterials.2017.02.032.

[47]

A. J. Engler, S. Sen, H. L. Sweeney, and D. E. Discher, “Matrix Elasticity Directs Stem Cell Lineage Specification,” Cell126, no. 4 (2006): 677-689, https://doi.org/10.1016/j.cell.2006.06.044.

[48]

T. Zhou, L. Yan, C. Xie, et al., “A Mussel-Inspired Persistent ROS-Scavenging, Electroactive, and Osteoinductive Scaffold Based on Electrochemical-Driven In Situ Nanoassembly,” Small15, no. 25 (2019): 1805440, https://doi.org/10.1002/smll.201805440.

[49]

Y. Wu, L. Wang, B. Guo, and P. X. Ma, “Interwoven Aligned Conductive Nanofiber Yarn/Hydrogel Composite Scaffolds for Engineered 3D Cardiac Anisotropy,” ACS Nano11, no. 6 (2017): 5646-5659, https://doi.org/10.1021/acsnano.7b01062.

[50]

L. Wang, Y. Wu, T. Hu, B. Guo, and P. X. Ma, “Electrospun Conductive Nanofibrous Scaffolds for Engineering Cardiac Tissue and 3D Bioactuators,” Acta Biomaterialia59 (2017): 68-81, https://doi.org/10.1016/j.actbio.2017.06.036.

[51]

M. Alonzo, S. Anilkumar, B. Roman, N. Tasnim, and B. Joddar, “3D Bioprinting of Cardiac Tissue and Cardiac Stem Cell Therapy,” Translational Research211 (2019): 64-83, https://doi.org/10.1016/j.trsl.2019.04.004.

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