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(2018) Protein-Based Electronic Skin Akin To Biological Tissues
(2018) Protein-Based Electronic Skin Akin To Biological Tissues
(2018) Protein-Based Electronic Skin Akin To Biological Tissues
ABSTRACT: Human skin provides an interface that transduces external stimuli into
Downloaded via UNIV OF EDINBURGH on January 29, 2019 at 01:11:53 (UTC).
electrical signals for communication with the brain. There has been considerable
effort to produce soft, flexible, and stretchable electronic skin (E-skin) devices.
However, common polymers cannot imitate human skin perfectly due to their poor
biocompatibility, biofunctionality, and permeability to many chemicals and
biomolecules. Herein, we report on highly flexible, stretchable, conformal,
molecule-permeable, and skin-adhering E-skins that combine a metallic nanowire
(NW) network and silk protein hydrogel. The silk protein hydrogels offer high
stretchability and stability under hydration through the addition of Ca2+ ions and
glycerol. The NW electrodes exhibit stable operation when subjected to large
deformations and hydration. Meanwhile, the hydrogel window provides water and
biomolecules to the electrodes (communication between the environment and the
electrode). These favorable characteristics allow the E-skin to be capable of sensing
strain, electrochemical, and electrophysiological signals.
KEYWORDS: electronic skin, silk protein, hydrogel electronic device, stretchable, water permeability
Figure 1. Skin-adhering, stretchable, conforming silk protein-based hydrogel electronic skin (E-skin). (a) Fabrication process and working
principle of the skin-like hydrogel E-skin. To make the silk film stretchable and stable under hydration, Ca2+ ions and glycerol are added to the
silk aqueous solution. The solidified silk film with the silver nanowire (AgNW) electrode can act as an E-skin device under mechanical strain
and hydration. (b) Silk E-skin adhered to a wrist. No detachment is observed under bending/unbending of the wrist. (c) Polydimethylsiloxane
(PDMS) and silk membranes. A drop of water is trapped between the PDMS membrane and the substrate due to the low water permeability,
whereas the water is absorbed by the silk membrane and subsequently evaporates. (d,e) Light-emitting diode chips integrated into the AgNW
electrode are turned on when the silk E-skin is attached to biological tissue, even when the E-skin is stretched.
state. Although the blending of suitable plasticizers like glycerol with their environments through the silk skin in the same way
is one means of making silk films flexible and water-insoluble, as real human skin. Our protein-based E-skin devices can be
their lack of stretchability still hinders their E-skin applica- used for the continuous monitoring of vital signals under
tions.27,28 Recently, Ling et al. reported on silk films that had normal everyday living conditions.
been made stretchable through the addition of Ca2+ ions, but
these films proved unstable in humid environments and lost RESULTS AND DISCUSSION
their optical transparency, both when immersed in water and
The preparation of stretchable silk E-skin is illustrated in Figure
when subjected to stretching.29
1a. Briefly, an adhesive tape layer with patterns was attached to
In the present study, we successfully fabricated skin-
a silicone-coated polyethylene terephthalate (PET) film to
compatible E-skin that is a stretchable, conforming, molecule-
allow the better release of the silk E-skin. An aqueous NW
permeable, and skin-adhering electronic device fabricated using solution was poured into the patterns, and then the adhesive
silk fibroin protein and a conductive silver nanowire filler tape layer was peeled off, leaving the NW network. The device
(AgNW). The incorporation of glycerol (inducer of the β- was completed by releasing the silk film with the patterned NW
sheets of silk molecules) and Ca2+ ions (bonder of silk network after the assembly of the silk fibroin, Ca2+ ions, and
molecules via chelation and charge interaction) into the silk glycerol. The resulting silk film was optically transparent and
matrix simultaneously offers a useful route to generate highly stretchable when subjected to mechanical strain.
polymorphically regenerated protein membranes with desirable To mimic human skin, high conformability, on-skin
physical properties for E-skin application, and this enables the adhesion, and permeability are highly desirable features. Figure
silk E-skin to offer high stretchability (up to 400%) and on-skin 1b shows the silk E-skin attached to a human wrist before and
adhesion in a living environment. A nanowire (NW) network of after wrist bending to demonstrate the high conformability and
an arbitrary pattern was buried in the stretchable silk on-skin adhesion of the device. In addition, when the human
membrane, allowing it to be applied as an electrode for skin was wrinkled, the silk membrane accurately followed the
electrochemical sensing, electrocardiograms (ECGs), radio irregular surface of the skin, whereas the PDMS membrane
frequency (RF) antennas, and the integration of optoelectronic became detached from the skin (Figure S1). The skin adhesion
devices. Even when subjected to mechanical strain and of our silk membrane could be estimated quantitatively by
hydration, the electrodes were able to operate stably. Sensing measuring peel forces for detachment of the silk film from pig
electrodes fabricated in this way proved capable of being skin, the mimic of human skin (Figure S2).30 The obtained peel
activated by analytes/water that permeated through the protein forces (∼10 N/m) were comparable to those of commercial
membrane, indicating that the silk E-skin devices communicate medical-grade adhesives31 and were enhanced with increasing
5638 DOI: 10.1021/acsnano.8b01435
ACS Nano 2018, 12, 5637−5645
ACS Nano Article
Figure 2. Structural and mechanical characterizations of stretchable silk hydrogel membranes. (a) Silk membranes before/after application of
mechanical tension. (b,c) Stress−strain plots of silk membranes at various silk/Ca2+ and silk/glycerol weight ratios at a constant humidity
(50%). (d) Fourier transform infrared spectra of silk membranes from 1750 to 1450 cm−1. This region includes two bands, corresponding to
β-sheet (1630 cm−1) and random coil (1655 cm−1). (e) Optical transmission spectra of the stretched silk membrane. Elongation induces
contraction in the vertical direction (inset), thereby making the membrane more transparent.
humidity. Moisture on an arbitrary surface could sustainably ratio was changed from 83:17 to 75:25, as shown in Figure 2b.
hydrate the silk membrane and infiltrate through the network At a weight ratio of 67:33, the resulting silk membrane was
of silk molecules (which is not possible with PDMS), such that mechanically too weak and soft (like a soft gel cream) to be
the buried or attached electronic devices would be able to used in an E-skin application. Interestingly, the obtained
communicate with the analytes in the body fluid (Figure 1c). Young’s moduli are much lower than those of both PDMS and
Figure 1d,e shows light-emitting diodes (LEDs) that are the human epidermis (140−600 kPa),32,33 indicating that our
integrated into the AgNW network in the silk. All the blue, silk E-skin devices would have less of a feeling of “tightness” as
green, and red LEDs, which were connected in series, were the wearer’s skin naturally deformed. The glycerol content also
successfully turned on by an electric current flowing through influences the mechanical properties of the silk membrane
the AgNW network even when attached to moist tissue subject because glycerol can be hydrogen-bonded to the peptide matrix
to stretching. and then induce β-sheet formation.27 As the glycerol content
The mechanical properties of the stretchable silk membrane increased, the Young’s modulus decreased (Figure 2c). Note
can be tuned by adjusting the Ca2+ ion and glycerol contents. that the stretchability could be tuned by the humidity
We measured the stress−strain relationship of the silk condition, as shown in Figure S3. Additionally, we could
membrane to find the optimum combination of silk protein, observe a hysteresis behavior in the stress−strain curve that
Ca2+ ions, and glycerol (Figure 2a). Figure 2b shows the typical indicated the viscoelasticity of the silk membrane (Figure S4).
stress−strain curves for the silk membranes with different silk/ This provides useful information to estimate the fatigue lifetime
Ca2+ weight ratios when the silk solution was mixed with of the silk E-skin device as the absorbed energy for a cycle is
glycerol at a fixed weight ratio of 10:6 (silk/glycerol). The Ca2+ obtained.34 In the present study, those silk membranes with a
ions in the silk membrane bonded to the silk molecules via silk/CaCl2 weight ratio of 75:25 and silk/glycerol weight ratio
chelation and charge interaction and captured water molecules of 10:6 were used for E-skin applications.
from the air. Therefore, as the number of Ca2+ ions in the silk Unlike the as-cast silk membrane prepared from a pure silk
membrane increased, more water molecules could be solution, the redesigned stretchable silk membranes were highly
captured.29 This resulted in a much softer and stretchable stable and robust even after soaking in water. Fourier transform
membrane. The addition of Ca2+ ions reduces the Young’s infrared (FTIR) spectroscopy was performed to investigate
modulus from 69.5 to 10.5 kPa when the silk/CaCl2 weight their molecular structures. Figure 2d shows that our silk
5639 DOI: 10.1021/acsnano.8b01435
ACS Nano 2018, 12, 5637−5645
ACS Nano Article
Figure 3. Electronic characterization of permeable silk E-skin. (a) Resistance of rectangular AgNW electrodes of various widths buried in a silk
film under tensile strain. Tensile strain induces an increase in the length of the electrode and therefore increases the resistance. (b)
Measurements of water vapor transmission rates (WVTRs) for PDMS membranes (black), silk membranes (red), and silk membranes
incorporating AgNW (blue). WVTRs were measured at 23 °C/40% RH. (c) Short-circuit current of a rectangular electrode as a function of
time. No change in the current is observed when a drop of water (at 50 s) and saline (at 1600 s) infiltrated to the AgNW/silk layer. (d)
Schematic of permeable silk E-skin device. (e) Short-circuit resistance between the two buried electrodes as a function of time. The permeated
water bridges the gap between the electrodes and reduces the resistance. After racking the electrode by electrolysis reaction, the resistance is
recovered. (f) Schematic of dopamine (DA) sensor using two disconnected electrodes. DA molecules combined with permeated water induce
current flow. (g) Electrical current responses upon addition of DA solutions with increasing concentrations as a function of time.
membranes contained extensive β-sheets, a secondary protein- and stable in solvents.35 The β-sheet formation in the
based structure, indicating that silk molecules were cross-linked stretchable silk was induced by the addition of glycerol,27,28
5640 DOI: 10.1021/acsnano.8b01435
ACS Nano 2018, 12, 5637−5645
ACS Nano Article
whereas the random coil was the dominant protein structure in Figure 3b, we investigated the water vapor transmission rate
the self-assembled silk. In addition, there was no significant (WVTR) of three types of membranes: silk (660 μm
difference between the spectra before and after stretching. This thickness), silk incorporating AgNW (700 μm thickness), and
proved that the unstretched silk membrane already had the PDMS (630 μm thickness). All the WVTRs were measured at
maximum β-sheet content, and therefore, the high stretchability 23 °C/40% RH. The water was heated on a hot plate at 50 °C.
originated from the interplay between the highly cross-linked The bulk silk and AgNW-buried silk membranes were found to
silk molecules and the captured water molecules.29 As shown in have WVTRs ranging from a high of 4046 g·m−2·day−1 to a low
Figure 2e, the silk films exhibited good optical transparency of 1720 g·m−2·day−1. These values are comparable to those of
(75% at 550 nm for the unstretched film and 90% for the common bandages and wound dressings.44 On the other hand,
stretched film) over a broad spectral range. The transmission the WVTR of a PDMS membrane was negligible, which would
increases as the thickness of the silk film decreases as a result of be detrimental to epidermal and biological tissues over
the elongation of the film (thus obeying the Beer−Lambert law prolonged usage. The electrode also exhibited a stable
T = exp(−αt), where α is the absorption coefficient and t is the resistance when smeared with water and saline, indicating
thickness of the silk film). In addition, we could obtain a that it would operate reliably on wet skin and tissue, even in
Poisson ratio (ν) = 0.33, which is comparable to those of humid environments (Figure 3c). Even if the wettability of the
rubbery materials, using the equation εz = −νεx, where εz (εx) is electrode surface worsened due to the presence of the buried
the strain along the direction normal to the film surface AgNWs (Figure S8), the droplets of water and saline could fully
(elongation). infiltrate the membrane in a few minutes. Additionally, we
The percolated network of metal NWs provides a continuous examined the diffusion properties of the silk hydrogel by using
electron transport pathway with high conductivity and good rhodamine B dye solution (Figure S9). Based on a
mechanical flexibility.36−40 In particular, the infiltrated silk simplification of Fick’s law, diffusion coefficients of 9.7 ×
protein can strongly anchor the NWs and bury the NW 10−3 mm2·s−1 for the silk membrane and 7.1 × 10−3 mm2·s−1
network, thus forming mechanically robust and flexible for the silk membrane incorporating AgNW, both of which are
electrodes in the silk protein (Figure S5). To understand the comparable to those of porous silica gel,45 were obtained.
electrical properties of the NW electrodes in the stretchable silk These results indicate that the silk hydrogel membrane provides
membranes, we generated rectangular electrodes of different a reliable and speedy hydrogel window between the E-skin
widths (3, 5, and 7 mm) but a fixed length (10 mm) using device and the environment.
AgNWs, which had an average diameter of 40 nm and an Using the skin-like traits of the silk protein membrane, the
average length of 20 μm. Figure 3a shows the measured buried electrode and device can communicate with the
resistances as a function of the strain. At zero strain, as shown environment via the transportation of molecules through the
in Figure S6, the AgNW/silk electrodes, regardless of their silk hydrogel window (Figure 3d). As a proof-of-concept
width, all exhibited a similar electrical resistivity ρ of around 3 × experiment (Figure 3e), we investigated the resistance between
10−6 Ω·m (200 times greater than that of bulk Ag but two separated line electrodes when a small amount of water was
comparable to that of AgNW/elastomer electrodes),41 as dropped onto the opposite surface of the hydrogel
L
obtained from Pouillet’s law R = ρ A , where R is the resistance, window.12,46,47 Upon reaching the electrodes, the infiltrated
L is the length, and A is the cross-sectional area of the water induces a decrease in the resistance, such that water
electrode. This indicates that the topology of the percolating electrolysis can start. Due to the high surface-area-to-volume
AgNW network is homogeneous. Under strain, the number of ratio of the AgNW network, the bubbling of the electrolysis
junctions maintaining contact in the stretched AgNW network rapidly damages the AgNW electrode such that the resistance
decreased, and the distance between the NWs increased, level is restored. Meanwhile, the bulk electrodes exhibited only
thereby increasing the value of ρ.36 Hence, the value of R for all a low level of electrolysis (Figure S10), and the same
the electrodes increased significantly as a result of the strain electrolysis reaction occurred when a small amount of saline
caused by the increased ρ and L, as well as the decreased A. was dropped instead of water (Figure S11). It should be noted
Additionally, we obtained the tunable gauge factors, defined as that the small amount of ions in the permeated liquid (water or
ΔR / R 0 saline) had an even weak influence on the electrical
, where ΔR/R0 is the fraction change in the resistance conductivity of the AgNW electrode, as already shown in
ε
and ε is the strain, over a range of 1−15, which were larger than Figure 3c. This concept could be applied to the electrochemical
those of conventional strain sensors. As such, we can recording of dopamine (DA) levels, which is an electroactive
confidently state that the membrane could be used for strain and critical neurotransmitter enabling neuronal communica-
sensor applications.33,42,43 The mechanical robustness of the tion.48−50 We generated a silk insulating gap (around 500 μm
AgNW networks buried in the silk film can also expand the in width) between the electrodes such that the electrical current
applicability of our approach. Our previous study showed that could not flow in the dry state. As shown in Figure 3f,g, a
the AgNW/silk electrodes was very stable under cyclic bending droplet of DA aqueous solution infiltrated the silk insulating
tests.40 As shown in Figure S7, cyclic loading and unloading gap, making it conductive. The current flow increased with the
tests exhibited that resistances of the AgNW/silk electrodes DA concentration, indicating that this configuration could be
were increased as increasing the number of cycles. Never- used as an electrochemical sensor. It should be noted, however,
theless, high electrical conductivity was maintained during that even pure water in the silk gap would induce a current due
cycles of strains up to 20%. to the presence of ions. In this case, however, the current
To induce communication at the biological−electrical continuously decayed, while there was no current flow once the
interface and prevent tissue damage, the on-skin (or implanted) device had stabilized. A stable current flowed when the gap was
devices must permit the transmission of water vapor, oxygen, bridged by the infiltrated DA.
and other chemical compounds. These properties are often Our electrode is capable of conformal and intimate contact
overlooked for bioelectronic devices. Accordingly, as shown in with human skin, making it a viable alternative to conventional
5641 DOI: 10.1021/acsnano.8b01435
ACS Nano 2018, 12, 5637−5645
ACS Nano Article
Figure 4. Wearable AgNW/silk electrodes for electrocardiograms (ECGs). (a) Schematic diagram of fabrication of AgNW/silk electrode. (b)
ECG recording with commercial Ag/AgCl and AgNW/silk electrodes. In the case of the AgNW/silk electrode, ECGs were captured before
and after the subject exercised. The records show that the heart rate increased after exercising. (c) Enlarged ECG signal traces, comparing P,
Q, R, S, and T waves obtained by commercial Ag/AgCl and AgNW/silk electrodes. (d) Schematics and photos of conformal attachment of
AgNW/silk electrode. (e) ECG signals captured by electrodes attached to bump of the wrist. The nonconforming nature of the commercial
electrode induces a large amount of noise in the signal.
Ag/AgCl wet electrodes for the recording of electrophysio- silk hydrogel film could be better adhered to the hydrated or
logical signals. Although Ag/AgCl wet electrodes are of high moistened skin (Figure S2), which led to reduction of the
quality and suitable for short-term clinical use, they cannot be skin−silk interface impedance. Therefore, the noise of the ECG
used for long-term wearable applications due to need for an signal from the sweaty skin after exercise was reduced.
electrolytic gel layer, which irritates the skin and causes signal Meanwhile, the commercial electrode lost its adhesion (Figure
degradation.51 By adding a metal cap to the patterned AgNW S12).
network and performing silk curing, a wearable silk protein A device that is incapable of conformal contact cannot
electrode for measuring ECG signals was produced (Figure 4a). acquire a clear ECG signal on highly curvilinear skin surfaces
Figure 4b shows the ECG signals captured with a commercial (e.g., the skin covering protruding bones). Figure 4d shows
Ag/AgCl electrode and the silk/AgNW electrode, both being electrodes attached to the bump of the wrist. We attempted to
applied to a forearm. Although the ECG signal from the silk/ apply a commercial electrode to the skin, but it was inevitable
AgNW electrode is slightly noisier and weaker, each wave (P, that some part of the electrode was released from the skin. This
QRS complex, and T) is clearly defined, and the absence of a led to there being a higher signal-to-noise ratio and a weaker
wandering baseline shows that our electrode is well-attached to voltage of the ECG signal (Figure 4e). The silk/AgNW
the skin, as shown in Figure 4c. The noise can be reduced by electrode perfectly conformed to the protrusion and therefore
adding a postprocess filter to the Arduino-based signal was able to capture a relatively clear ECG signal. These results
processing circuit used here. For long-term and daily use, the show the remarkable potential of the silk/AgNW electrode as a
capture of ECG signals must be possible despite increasing skin-compatible, skin-conforming, and skin-adhering electrode
degrees of movement. The conformally attached silk/AgNW for long-term daily health monitoring.
electrode could record ECG signals even when attached to the A useful component that could be incorporated into a
sweaty skin of a subject who had been running, producing functional E-skin device is an RF antenna for wireless
clearly visible P, QRS complex, and T signals (Figure 4b). The communications. For telemedicine applications, mechanically
5642 DOI: 10.1021/acsnano.8b01435
ACS Nano 2018, 12, 5637−5645
ACS Nano Article
deformable RF antennas are incorporated into wearable network, which was accompanied by a shift in the resonant
systems.52 Using our method, a stretchable loop RF antenna frequency. Additionally, at large strains of over 100%, resonant
was successfully fabricated (Figure 5a). At zero strain, the behavior was successfully obtained from the stretched RF
fabricated RF antenna exhibited resonance at the frequency of antenna (Figure 5c).
3.6 GHz (corresponding to a half-wavelength) with a return
loss (S11) of −16.1 dB, indicating that more than 97.3% power
CONCLUSION
could be transmitted at the resonant frequency, as shown in In summary, we have successfully fabricated stretchable,
Figure 5b. As the applied strain increased, S11 increased due to conformal, and water-permeable E-skins by using silk protein
the deterioration in the electrical conductivity of the AgNW and a conductive nanomesh. The NW electrodes buried in the
protein membranes exhibited high and stable conductivity
despite the application of mechanical forces and the infiltration
of water/saline in the environments in which E-skin devices are
applied and could be designed to sense strain, electrochemical,
and electrophysiological signals by recording the changes in the
electrical conductivity. Like real skin, the stretchable silk
hydrogel membranes provided a communicating channel to
interface with vital biological signals from the soft tissues, while
also having other biofriendly traits. Our approach has opened
up the possibility of implementing skin-like E-skin devices in
important applications such as the monitoring of human health
and environmental conditions, and the treatment and
prevention of diseases.
METHODS
Silk Fibroin Solution Preparation. The Bombyx mori cocoon
fibers were boiled in 0.02 M Na2CO3 solution for 30 min to remove all
sericin protein. The remaining fibroin fibers were rinsed with distilled
water more than three times and then dried in air for 24 h. To prepare
silk solutions with the required silk/Ca2+/glycerol ratios for fabricating
the stretchable silk films, the degummed silk fibers were dissolved in
CaCl2/glycerol/formic acid solution. In a typical experiment, 1 g of
CaCl2 (Sigma-Aldrich, C1016-100G) was first dissolved into 20 g of
formic acid (Sigma-Aldrich, F0507-1L), and then 3 g of fibroin fibers
was also dissolved into the solution. After these processes, glycerol
(Sigma-Aldrich, A16205) was added at a ratio of 60% by weight to
make the silk films highly stable in water.
Fabrication Process. To generate a patterned AgNW electrode in
a silk film, a stencil mask of an arbitrary pattern was prepared using
commercial adhesive tape and then attached to a silicone-coated PET
substrate (silicone release film, i-ONE FILM). The patterns in the tape
mask were generated using a medical scalpel and razor blade. Next, a
AgNW aqueous solution (Nanopyxis Co., Ltd., 0.3 wt %, I27D-
KNS6KL) was poured onto the PET film with the patterned mask and
then dried at 50 °C on a hot plate. After the adhesive tape mask was
released to yield the patterned AgNW on the PET substrate, the
prepared silk solution was poured onto the PET substrate with the
AgNW pattern and then dried under ambient conditions for >24 h. To
connect the silk E-skin to other electronics, fine copper wires (Nilaco,
CU-111267) were attached to the buried AgNWs using Ag paste. Red
LEDs (WELED, 1000001407), green LEDs (WELED, 1000001408),
and blue LEDs (WELED, 1000001410) were applied to the silk E-
skin, again using Ag paste.
Tensile Strain Measurement. Stretchable silk films measuring 20
mm (W) × 30 mm (L) × 0.5 mm (H) were prepared. The films were
suspended vertically relative to the ground. Then, force was applied by
hanging weights from the films, and the stretched length was
measured.
Optical Characterization of Silk Films. Fourier transform
infrared spectroscopy (Thermo Scientific, Nicolet iS50) was used to
analyze the molecular structure of the chemically cross-linked silk. To
measure the transmission, white light from a halogen lamp was used to
illuminate the silk films. The transmitted light was captured by the tip
of a multimode fiber with a 200 μm core diameter placed on the
Figure 5. Stretchable radio frequency (RF) antenna. (a) Loop RF opposite side of the film and sent to a spectrometer (Ocean Optics,
antenna before (top) and after (bottom) stretching. (b,c) Return USB-2000). A reference signal was collected using an aluminum
loss (S11) of antenna for different strains. For (b) small and (c) mirror. The silk film was mounted in a holder and stretched while the
large strains, the resonant frequency increases with the strain. transmission was being measured.
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