Research Appraisals
Evidence-based critical appraisals of the latest medical research, systematically evaluated using Oxford CEBM methodology.
Showing 3 appraisals
Proceedings of the National Academy of Sciences of the United States of America
Mycoelectronics: Bioprinted living fungal bioelectronics for artificial sensation
The intelligence of the human biological system is enabled by the highly distributed sensing receptors on soft skin that can distinguish various stimulations or environmental cues, thus establishing the fundamental logic of sensing and physiological regulation or response. To replicate biological perception, biohybrid systems integrating living organisms with electronics have been developed to sense environmental cues. However, current eukaryote-based biohybrids face slow growth, strict culture needs, and short lifespans, limiting real-world use. Here, we introduce fungi-based printable "Mycoelectronics" which are created by additive bioprinting of living fungal mycelium networks onto stretchable electronics, as a practical living thermoresponsive sensory platform. This mycoelectronics approach leverages fung's capabilities for rapid biological responsiveness, cultivability with exponential growth, stability and self-healing in ambient conditions, bioprintability for scalable manufacturing, and mechanical flexibility for seamless integration with soft electronics. We show that the thermal responsiveness of the fungal network arises from intrinsic cellular processes-specifically, heat-induced vacuole remodeling and fusion, which modulate ionic transport and thus the electrical conductivity of the mycelial cells and networks, enabling a rapid response. By bridging the gap between cell biology and soft electronics, the mycoelectronics device, with a living mycelial network, functions as a thermal sensation system with rapid response and intrinsic self-healing properties, autonomously restoring sensing capabilities after damage and establishing sensing pathways in hard-to-reach locations. Application demonstrations in environmental and agricultural monitoring and wearable sensing systems for humans and robots highlight the versatility of this living fungal sensor platform, suggesting promising opportunities in healthcare and the environment.
30 June 2026
Read appraisal →Analytical methods : advancing methods and applications
Microfluidic-electrochemical sweat patches for athletes: monitoring lactate, electrolytes, and hydration status
Wearable biochemical sensing is shifting sports physiology from intermittent laboratory sampling toward continuous, in situ readouts during training and competition. This review analyzes skin conformal systems that integrate capillary driven fluid routing, flexible sensor arrays, and wireless readout to capture dynamic changes in eccrine secretions relevant to performance management. We compare microchannel layouts that enable controlled filling, time resolved sampling, and evaporation suppression, and we discuss how material selection governs comfort and analytical fidelity, highlighting tradeoffs among polydimethylsiloxane, polyurethane, and polyethylene terephthalate substrates and their compatibility with scalable fabrication. Manufacturing pathways are assessed from soft lithography to laser cutting, three dimensional printing, and roll to roll processing for high throughput multilayer assembly. For transduction, we summarize enzymatic amperometric schemes based on lactate oxidase with hydrogen peroxide detection, including sensitivity, response time, and oxygen dependence, and we contrast these with emerging non enzymatic catalysts. We then detail potentiometric ion selective electrodes for sodium and potassium, focusing on ion selective membrane chemistry, solid state reference electrodes, Nernstian response, and dominant error sources such as drift and biofouling. System integration challenges, including chemical and electrical cross talk in multiplexed layouts, are linked to microfluidic isolation strategies and multiplexed electronics. Finally, we appraise validation practice, emphasizing the debated sweat to blood relationship, the need for synchronized comparative protocols, and the role of data analytics and machine learning for personalization, drift compensation, and prediction of thermoregulatory strain. Remaining barriers include long term stability, adhesion under motion, manufacturability, and regulatory evidence requirements in real world settings. Across these topics, the review emphasizes technology-specific limitations, engineering translation metrics, and realistic breakthrough directions rather than treating wearable sweat patches as a mature plug-and-play platform.
27 June 2026
Read appraisal →Science advances
Bioinspired heliconical auxetic biofibers for intelligent biomechanical surveillance
Wearable bio-based fibers are emerging as platforms for biomechanical sensing and physiological interaction. However, achieving high sensitivity to subtle mechanical cues while maintaining flexibility, self-powered output, and distributed perception remains challenging. Inspired by the helical twining mechanics of climbing plant stems, we design a mechano-adaptive auxetic electronic bio-based fiber as an embodied intelligence sensing unit. The dual-modulus helical confinement, achieved by wrapping rigid aramid fiber/polydimethylsiloxane helices around a flexible collagen aggregate/waterborne polyurethane core, enables programmable deformation and a stable negative Poisson's ratio (ν = -0.47). Nonlinear intercomponent coupling facilitates synergistic axial-radial dynamics, amplifying interfacial contact variation under strain. The optimized fiber exhibits ultrahigh sensitivity (strain factor: 11.75), strong electrical output (8.1 volts), and remarkable power density (8.48 milliwatts per square meter) with excellent cyclic stability. Integrated into fiber-sensing arrays, it decodes microstrain patterns linked to lower-limb function, offering a scalable strategy for self-powered, adaptive, and durable biomechanical monitoring.
21 June 2026
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