APA Style
Hrittick Saha, Bonhi Dey, Khan Rajib Hossain. (2025). Hydrogel-Based Biosensors in Biomedical Applications. Biomaterials Connect, 2 (Article ID: 0023). https://doi.org/10.69709/BIOMATC.2025.140011MLA Style
Hrittick Saha, Bonhi Dey, Khan Rajib Hossain. "Hydrogel-Based Biosensors in Biomedical Applications". Biomaterials Connect, vol. 2, 2025, Article ID: 0023, https://doi.org/10.69709/BIOMATC.2025.140011.Chicago Style
Hrittick Saha, Bonhi Dey, Khan Rajib Hossain. 2025. "Hydrogel-Based Biosensors in Biomedical Applications." Biomaterials Connect 2 (2025): 0023. https://doi.org/10.69709/BIOMATC.2025.140011.
ACCESS
Review Article
Volume 2, Article ID: 2025.0023
Hrittick Saha
hrittick0416@student.nstu.edu.bd
Bonhi Dey
bonhi0917@student.nstu.edu.bd
Khan Rajib Hossain
apexlabbd2@mails.ucas.ac.cn
1 Department of Applied Chemistry and Chemical Engineering, Noakhali Science and Technology University, Chattogram 4310, Bangladesh
2 Environmental Science and Disaster Management, Noakhali Science and Technology University, Chattogram 4310, Bangladesh
3 Department of Natural Science, BGMEA University of Fashion and Technology, Dhaka 1230, Bangladesh
4 State Key Laboratory of Solid Lubrication, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou 730000, China
* Author to whom correspondence should be addressed
Received: 18 Jun 2025 Accepted: 09 Dec 2025 Available Online: 10 Dec 2025 Published: 25 Dec 2025
Hydrogels have significant potential for various applications due to their high water content and unique three-dimensional interconnected structure. Due to their excellent biocompatibility, tunable dynamic characteristics, and sensitive responses to environmental stimuli, including temperature, pH, and ions, hydrogels are an ideal material platform for new biosensors. While synthetic hydrogels allow precise control over structure and function through chemical or physical methods to meet the requirements of various applications, natural hydrogels offer advantages such as abundant resources and environmental sustainability. Wearable medical devices have advanced significantly. Antifouling hydrogel interfaces enable electrochemical and optical biosensing of tumor biomarkers, while functionalized conductive hydrogels support emerging strategies for cardiac tissue engineering and nerve repair. The most recent advances in sensor design, material selection, and fabrication techniques have been reviewed, alongside their potential applications across diverse domains and the remaining challenges in achieving stability, sensitivity, and clinical translation.
A biosensor is generally defined as an analytical device that converts a biological response into a measurable and processable signal, thereby serving as a bridge between biochemical reactivity and technology [1]. Biosensors are attracting the attention of many researchers for their diverse applications in the pharmaceutical, clinical, biomedical, and healthcare sectors. These are now being used successfully to detect and monitor diseases, including bacteria, pathogens, and viruses. Also, these sensors can detect chemicals without drawing blood. It also reduces the need for hospital stays to monitor body chemistry, giving us access to information about the chemicals in our bodies from anywhere [2,3]. Biosensors can be applied to a wide range of samples, including body fluids, food samples, cell cultures, and environmental samples [4]. A hydrogel is a three-dimensional, cross-linked polymer that is highly elastic, stable, and capable of absorbing and retaining water. It can soak up hundreds of times its weight in water. These properties further contribute to the efficiency of biosensing. The pore size and the hydrogel’s swelling rate determine the diffusion constant for biomolecules and, to a greater extent, the sensor’s response time. The high degree of biomolecule immobilization increases sensitivity and improves detection limits, as pore size and surface chemistry can be adjusted. Compared with traditional rigid sensor materials, the high elasticity and water-rich properties of hydrogels more closely resemble those of natural tissues, thereby improving biocompatibility and reducing inflammatory responses. Beyond serving as passive matrices, hydrogels function as active facilitators in highly responsive, selective, and biocompatible biosensing systems by directly linking their material properties to biosensor performance metrics. Swelling disrupts the molecular chain structure, weakens material properties, accelerates degradation, and thus reduces its application value. Hydrogels, in contrast, can respond to a variety of stimuli, making them particularly well-suited for sensing applications [5]. Hydrogels are much more advantageous compared with conventional materials for biosensors. Poor biocompatibility, inflammation, and lack of flexibility are common problems with traditional metals, electrodes, and solid high-molecular materials. Hydrogel is more like natural tissue because it contains a lot of water and can bend. This makes it much less responsive to the environment and more sensitive. Furthermore, hydrogels are easily tunable and exhibit strong responsiveness to their environment, maintaining stability across a wide range of physiological conditions. These properties make them excellent candidates for next-generation biosensors. A signal transduction pathway that converts the hydrogel response into a measurable signal enables this [6]. A variety of synthetic polymers, including polyethylene glycol (PEG), poly(N-isopropylacrylamide) (PNIPAM), and poly(2-hydroxyethyl methacrylate) (PHEMA), as well as natural polymers such as chitosan, alginate, dextran, and hyaluronic acid, have been employed to fabricate hydrogels for biosensing applications. Because they are hygroscopic, proteins and cells can’t stick to them. Their unique traits, such as biocompatibility, shape-changing ability, and controllable mechanical and chemical properties, make them useful as biosensors [7]. Photothermal therapy (PTT) typically necessitates sustaining tumor lesions at temperatures exceeding 50 °C, potentially resulting in localized inflammation and tumor metastasis. To mitigate these adverse effects, it is crucial to achieve effective anti-tumor outcomes at relatively low temperatures (42–45 °C) during photothermal therapy (PTT). Ding et al. [8] developed a polydopamine (PDA)-coated nucleic acid nanogel for use as a therapeutic complex for siRNA-mediated low-temperature PTT. Lee et al. [9] described the biomedical applications of alginate-based hydrogels for their biocompatibility, adjustable biological behavior, and resemblance to extracellular matrices. Alginate consists of M and G units that can be cross-linked with divalent cations, such as Ca2+, to form hydrogels. Covalent and light-induced (photon-to-cross-linking) approaches leverage increased stability to enable function. Alginate hydrogels, with their high water content, porosity, and mechanical flexibility, serve as effective matrices for encapsulating biologics and cells. This review presents an overview of recent advances and key findings in hydrogel-based biosensors for biologically relevant applications, including diagnostics, drug delivery, tissue repair and regeneration, and wound healing. This review presents different types of hydrogel materials for biosensors (natural polymers, synthetic polymers, and conductive materials). It discusses the technical limitations encountered during the development, fabrication, and application of hydrogel-based biosensors. Furthermore, this article discusses various hydrogel materials used to prepare biosensors, including natural polymers, synthetic polymers, and conductive materials.
Hydrogels are widely employed in biosensors owing to their high water content, biocompatibility, and responsiveness to environmental changes. Hydrogels can be used as biosensor matrices to immobilize transducers, biomolecules, or responsive components. Biosensors’ three primary types of hydrogels are synthetic, natural, and hybrid/composite. The applications of hydrogel polymers in biosensing technologies, along with their origins, are summarized in Table 1 [9-42], Table 2 [43-79], and Table 3 [80-118]. In this study, as presented in Table 4, the advantages and disadvantages of natural, synthetic, and composite/hybrid hydrogels in biosensors are compared, and their key characteristics in biomedical applications are summarized. Natural hydrogels used in biosensors. Electrochemiluminescence (ECL) based biosensor [10]. For the early detection of liver cancer using a biosensor encapsulated in an alginate polymer film thin layer [11]. Encapsulating Zinc Phthalocyanine Dye-Sensitized Photoelectrochemical Biosensor for Hg2+ detection [12]. Alginate membranes that can be electrodeposited for enzyme-based sensors [13]. Synthetic hydrogels used in biosensors. Composite hydrogels used in biosensors. Comparative summary of natural, synthetic, and composite hydrogels in biosensors.Name
Properties
Applications in Biosensing
Alginate
Biocompatibility, ease of gelation, and retaining ability [9].
Chitosan
Antibacterial effect, biocompatibility, biodegradability, non-toxicity, and high humidity absorption [14].
Agarose
Reversible thermo-gelling behavior, high biocompatibility, structural modularity, and biodegradability [18].
Gelatin
Water retention, controllable porosity, soft mechanical strength, and stimulus responsiveness [23].
Pectin
Biodegradability, easy gelling ability, and simple control of pectin-based biomaterial [28].
Hyaluronic Acid
Biodegradability, biocompatibility, nontoxicity, and non-immunogenicity [33].
Dextran
Antifouling abilities, high water retention, and flexible structure [38].
Name
Properties
Applications in Biosensing
Polyethylene Glycol (PEG)
Biocompatibility, high hydrophilicity [43].
Polyacrylamide (PAM)
Water solubility, high sensitivity, compression strength, and easy fabrication [48,49].
Polyvinyl Alcohol (PVA)
Flexibility, biocompatibility, adhesion, self-healing, and frost resistance [54].
Poly(2-hydroxyethyl methacrylate) (pHEMA)
Biocompatibility, softness, and transparency [59].
Poly(N-isopropylacrylamide) (PNIPAM)
Stimulus responsiveness, solar water evaporation [64].
Poly(methacrylic acid) (PMAA)
Biocompatibility, pH-Responsiveness, and mechanical properties. [69,70]
Poly(vinylpyrrolidone) (PVP) hydrogel.
Mechanical properties, elastic properties, and non-toxicity [75].
Name
Properties
Applications
Graphene Oxide (GO)
High surface area, hydrophilicity, and biocompatibility [80].
Carbon Nanotube (CNT)
Pore structure, high conductivity, electrochemical stability, one-dimensional structure, low mass density, high mechanical strength, and high specific area [85].
Silica Nanoparticle
Physical, mechanical, thermal properties, and chemical stability [90].
Gold Nanoparticle (AuNP)
Plasmonic effect, bio-functionalization, and large surface area [95,96].
Magnetic Nanoparticle (MNP)
Stimuli responsiveness, biodegradability, and biocompatibility [101,102].
Quantum Dots (QD)
Bioconjugation, photoluminescence, and optical properties [107,108].
Conductive Polymer
Stimuli responsiveness, biocompatibility, and controllable electronic properties [113,114].
Hydrogel Type
Advantage
Limitations
Natural hydrogels (such as alginate, chitosan, gelatin, etc.) [9, 14, 18]
Good biocompatibility, biodegradable, similar to the cell and tissue environment.
Low mechanical strength, large batch variability, and limited stability.
Synthetic hydrogels (such as PEG, PAM, PVA, PNIPAM, etc.) [48,49]
Highly controllable performance, excellent mechanical strength, and easily functionalizable.
Poor biodegradability may present biocompatibility issues.
Composite/hybrid hydrogels (such as GO, CNT, AuNP, MNP, and other composite systems) [80, 85, 96]
Combining the advantages of natural and synthetic materials, diverse functionalities (conductivity, optical properties, etc.), and being suitable for intelligent and multimodal sensing.
Complex preparation, high cost, potential long-term stability, and safety concerns.
Hydrogels can respond to specific compounds, such as biomarkers or bioanalytes, present in their surrounding medium or material. Depending on the biomolecules or bioanalytes incorporated into hydrogels, these conjugated biomaterials can be readily tailored to respond to diverse biological conditions, offering significant potential for biosensor development [116]. Advanced fabrication techniques are employed to precisely control a hydrogel’s structure, properties, and functionality in the development of biosensors, enabling the creation of complex architectures and finely tuned materials with enhanced sensor performance. These techniques are applied in biosensors as follows. 3.1. Photopolymerization Photopolymerization is a stimulus-responsive technique that begins when visible or UV light interacts with light-sensitive compounds known as photoinitiators. These photoinitiators generate free radicals, which initiate polymerization, resulting in the formation of crosslinked hydrogels from monomers or macromers (Figure 1) [119]. Three main classes of photoinitiation exist based on their mechanism: photocleavage reactions, hydrogen abstraction, and cationic reactions [120], providing a plethora of options for traditional polymerization methods to be explored in the field of photopolymerization, both in space and time [121]. 3.2. Electrospinning Electrospinning is a versatile technique that combines elements of electrospray and spinning. In this process, an electric field is applied to a fluid droplet, which serves as one of the electrodes. The electric field deforms the droplet, eventually ejecting a charged jet from the tip of the resulting cone. This jet travels toward the counter electrode, ultimately forming fine, continuous fibers [124]. Hydrogels engineered with electrospinning techniques show excellent performance in biomedical applications and biosensors. The polymeric micro/nanofibers produced by these techniques can mimic the geometries of natural ECM by drawing micro/nanofibers from polymer precursors using electrical forces, followed by structural stabilization (Figure 2) [125,126]. 3.3. 3D Printing and Microfabrication 3D printing, also known as additive manufacturing or rapid prototyping, is a versatile technology for fabricating three-dimensional objects layer by layer through the controlled deposition of ink materials, following a predefined digital model created using Computer-Aided Design (CAD) [129]. Compared to conventional formative and substrate-based technologies, which typically rely on molds, tooling, and machining, 3D printing offers greater versatility by enabling the fabrication of complex and intricate structures. It is widely regarded as the next industrial revolution, with significant contributions to the chemical, pharmaceutical, and biomedical fields [130]. A vital yet limiting part of the design and application of 3D printing is selecting suitable biomaterials for use as inks. 3D printing techniques for biomedical applications can be mainly classified based on their working principles: (i) laser-based systems by photopolymerization pathway, (ii) nozzle-based systems through the extrusion of (pre)polymers, and (iii) printer-based systems by material and binder jetting (Figure 3) [131,132]. Dutta et al. [133] discussed biodegradable 3D-printed hydrogel scaffolds of alginate, gelatin, and cellulose nanocrystals in bone tissue engineering. These scaffolds enhance cell adhesion, proliferation, and osteogenic differentiation, thereby improving bone regeneration. The key properties of these scaffolds, including mechanical strength, biocompatibility, and mineralization efficiency, have been evaluated and indicate their potential as biomaterials for tissue engineering applications. Biosensors can be classified according to their signal transduction method, including optical, electrochemical, thermometric, piezoelectric, and magnetic techniques, among others [135]. Hydrogels’ distinct physicochemical responsiveness enables them to actively participate in signal generation across various biosensor modalities. Analysts modify the hydrogel’s refractive index and light-scattering properties, thereby changing the response of the optical biosensor. This allows them to be detected with high sensitivity using plasmon resonance, absorption, or reflection. In electrochemical systems, hydrogels directly affect conductivity and current responses by controlling how redox species diffuse and how easily ions can pass through. Mechanical biosensors succeed because they can alter shape and size, thereby creating stress and strain that can be measured. Hydrogels exhibit viscoelastic properties and a high water content. This modifies how waves propagate and interact, enabling better acoustic sensing. Lastly, thermal biosensors transduce biochemical reactions into detectable temperature signals by exploiting variations in the heat capacity and phase transitions of hydrogels. These direct connections between transduction and hydrogel properties show that hydrogels can effectively serve as both structural scaffolds and biosensing enhancers. Bio-electrochemical biosensors obtain information from living systems by measuring their electrical properties. The bio-electrochemical sections form the core of data modification. Electrochemical biosensors interface the biochemical recognition agent with an electrode where current, potential, or impedance is measured as a result of the biochemical process [136]. Optical biosensors are essential for quantifying the amount of a substance in a bioassay, the rate at which it binds, and its molecular structure. Aimed at sorting and counting target analysts through transduction for quantitative bioassays, they have been employed for various optical phenomena, including reflection, absorption, fluorescence, and scattering-transmission and intensity [137]. The mechanical biosensor is an analytical method that may serve as a qualitative molecule finder. Mechanical biosensors convert biomolecular interactions into measurable mechanical responses, such as stress-induced deflections, shifts in resonance frequency, or cantilever bending. Recent developments include microfluidic-mechanical hybrids that enable real-time analysis of complex fluids without labeling, hydrogel-integrated mechanical biosensors that convert volume changes into measurable stress/strain signals, and nanocantilever-based devices that detect single-molecule binding events with very high sensitivity. These developments indicate that the field of biological mechanical sensing has matured into quantitative, sensitive, and, in some cases, clinically relevant detection beyond simple yes-or-no binary measurements [138]. Mechanically integrated biological sensing offers a new approach to measuring forces, displacements, and mass during cellular and subcellular processes. Mechanical biosensors are miniature cantilevers capable of detecting specific biomolecules. They can operate in either surface-stress or dynamic modes [139]. Acoustic sensors are an essential tool across numerous scientific and technological domains, as they convert sound waves into electric signals [140]. Sensors, which are a category of transducers, typically measure a physical or chemical characteristic of an environment (e.g., temperature, pressure, biological/chemical concentration) and convert that measurement into an electrical, magnetic-optic, or acoustic signal. Biosensors convert biological data into numerical values [141]. Acoustic wave devices can serve as sensors since they exhibit sensitivity to electrical, chemical, mechanical, or optical perturbations on their surfaces [142]. These sensors are used to detect minute traces of biomolecules by binding to biomarkers for pathogen and virus detection, as well as for early-stage cancer diagnosis [143]. Thermal biosensors are a type of biosensing technology that measures heat energy information released or absorbed during biochemical reactions using quantitative methods. They enable quantitative monitoring of metabolic activity and enzymatic processes by converting the minute heat changes produced during biochemical reactions into quantifiable signals. Recent advancements, including hydrogel-based microcalorimetric platforms for sensitive detection of microbial growth and nanomaterial-enhanced thermal transducers that markedly improve sensitivity and response time, have helped transition this modality from theoretical demonstration to practical biomedical applications [144]. This biosensing device detects temperature changes associated with biological processes and has proven applications in monitoring microbial growth. Additional fabrication techniques for hydrogel-based biosensors include physical cross-linking and self-assembly via ionic or hydrogen bonding to produce biocompatible, reversible matrices; chemical cross-linking (e.g., with glutaraldehyde or genipin) to form stable covalent networks; and freeze-thaw cycling, particularly for PVA hydrogels, to enhance mechanical strength. Sol–gel processing can be used to incorporate nanomaterials for optical and electrochemical sensing. For lab-on-a-chip applications, microfluidic-assisted fabrication enables precise control over the size and geometry of hydrogel droplets. These methods can synergize with photopolymerization, electrospinning, or 3D printing to complement the toolbox of strategies available for tuning hydrogel properties and biosensor activity [145].
The intensive exploration of the chemical, mechanical, and biocompatible properties of stimuli-sensitive hydrogels has led to limitless applications in biological signal sensing across various medical/biological disciplines. Although accuracy is a significant problem, monitoring physiochemical changes using biosensors has facilitated the way towards early disease detection and its management [146]. Use of hydrogels in the development of innovative biosensors has expanded their utility to a variety of biomedical areas [147], as described below: 4.1. Clinical Diagnostics In recent years, hydrogel-based biosensing devices have emerged as valuable and sensitive tools for clinical diagnostics, owing to their high sensitivity, biocompatibility, and facile functionalization with other molecules. Commercial glucose monitoring systems are limited by glucose’s inability to diffuse deeply into the thick sensing layer, the lack of control over glucose oxidase leakage, and their susceptibility to mechanical damage. In the meantime, self-healing enzyme-functionalized hydrogel-integrated biosensors based on chitosan and oxidized dextran may also be applied for glucose determination in electrochemical or optical mode in an OSN assay, such as for glucose management in diabetes. The high sensitivity, biocompatibility, and flexibility of hydrogel biosensors have rendered them invaluable tools with great potential for clinical diagnostics. For example, mechanical instability, enzyme leakage, and glucose penetration into thick sensing coatings are problems for commercial glucose monitoring systems. As a promising polymer material, hyaluronic acid hydrogels have demonstrated significant potential for biosensor applications due to their tunable sensitivity, low cost, and excellent biocompatibility, particularly in areas such as continuous glucose monitoring and real-time health assessment. These problems have been addressed by incorporating self-healing matrices and by improving the analysis of diffusion pathways with hydrogel-based designs [148,149]. Early cancer diagnosis is critical for effective disease management, yet current methods remain suboptimal. New biomaterials, including hydrogels, have promising potential for biosensor development in cancer detection [150]. Indeed, the development of anti-biofouling hydrogel-based biosensors for the early non-invasive detection of oral cancer in body fluids (such as saliva) is becoming increasingly popular [151]. Comprising functional hydrogels, these biosensors are combined with electrochemical or optical measurement techniques to detect biomarkers, including tumor necrosis factor-α (TNF-α), a key biomarker for oral cancer detection (Figure 4). Hydrogel biosensors have also been demonstrated in recent research for early cancer detection. Tumor necrosis factor-α (TNF-α), an essential inflammatory biomarker for oral cancer, has been successfully detected in saliva using electrochemical hydrogel-based biosensors with a limit of detection (LOD) of ~1 pg/mL, which is lower than the physiological levels required for clinical screening. Furthermore, hyaluronic acid hydrogel biosensors have been shown to detect hyaluronidase activity in serum samples with sensitivity as low as sub-ng/mL, demonstrating their utility for non-invasive cancer diagnosis. These examples show that hydrogel matrices are not only ideal microenvironments for the immobilization of biomolecules but also improve analytical accessibility by incorporating readily adjustable porosity, which, along with swelling, results in detection that is similar or even better than that of traditional biosensing platforms. However, a significant challenge in translating these advances from the laboratory to medical practice is biofouling (particularly in complex biofluids such as serum and saliva) that persists during technology deployment at the bedside. Transport of proteins to sensor surfaces, such as protein adsorption, non-specific binding, and enzymatic digestion, is often a limiting factor in sensor performance, leading to significant reductions in lifetime, sensitivity, and reproducibility. For example, the antifouling strategies reported include PEGylated hydrogels, zwitterion hydrogel coating, and nanocomposite hydrogel systems to mitigate these issues. These methods of non-specific interaction inhibition lack biological compatibility. It will be essential to continue advancing the integration of these antifouling strategies to further bridge the gap between clinical translation and optimal performance in tissue models [152]. 4.2. Drug Delivery and Monitoring The system can regulate drug release rates, dosages, and site-specific delivery of agents to achieve optimal therapeutic effects [153,154]. TDM (Therapeutic Drug Monitoring) has been used to assess whether drug concentrations are within an optimal therapeutic range [155]. Over the past few years, hydrogels have been marketed as one of the most promising and tunable materials in these domains. Glucose-responsive hydrogel biosensors, including glucose oxidase-integrated hydrogels (GOx), can sense glucose and release insulin via hysteresis. Release of the drug leads to an observable biochemical or physical change in hydrogel-based drug delivery systems via stimuli-responsive sensing. Glucose-responsive hydrogels that conjugate glucose oxidase (GOx) can detect high glucose levels via an oxidation reaction that produces hydrogen peroxide and gluconic acid. The resulting redox shift or local pH drop triggers hydrogel swelling and/or electrochemical signals that can be linked to insulin release [156,157]. Tumors sometimes exhibit an acidic microenvironment (TME), making pH-sensitive hydrogels particularly effective under certain conditions. These hydrogels can release drugs in a controlled manner when exposed to the acidic conditions of the tumor site, thereby reducing side effects in cancer treatment [158]. pH-sensitive hydrogels take advantage of the acidic tumor microenvironment by altering their charge density, swelling behavior, and drug diffusion rate through the ionization of carboxyl or amine side groups. These changes can be observed optically or electrochemically. When bacteria secrete enzymes (such as proteases) or antigenic byproducts, hydrogel biosensors respond. Enzymatic cleavage of cross-links releases incorporated dyes or alters conductivity, which signals changes in the microenvironment caused by infection. Particular hydrogel-based biosensors respond to bacteria-induced micro-environmental changes (pH, enzymes, and antigens). In addition to targeting direct or indirect bacterial surface receptors, hydrogel biosensors can be employed for the early detection of bacterial infections in point-of-care monitoring. Additionally, by utilizing changes in fluorescence or color intensity, integrated reporter molecules, such as fluorophores or quantum dots, enable real-time visualization of drug release kinetics. These hydrogel systems enable simultaneous therapeutic drug monitoring (TDM) and controlled drug release by translating biochemical stimuli into measurable physical or optical signals [159]. 4.3. Tissue Engineering and Regenerative Medicine Hydrogels are increasingly employed as artificial extracellular matrices to better replicate the physiological and pathological features of human tissues [161]. 3D bio-printed hydrogel-based tissue models are emerging as an approach due to their ability to mimic native ECM (Extracellular Matrix) and to encapsulate cells. Hydrogel-based biosensors enable real-time monitoring of cellular and microenvironmental processes and have become indispensable tools in tissue engineering and regenerative medicine. The addition of bio-sensing capabilities to hydrogel scaffolds enables dynamic feedback that can direct tissue regeneration and simulate the extracellular matrix (ECM) [162,163]. Hydrogels can more closely mimic the mechanical and biochemical characteristics of human tissues due to their high water content, softness, reticulated structure, and, importantly, their molecular diffusion properties, which resemble those of native tissues [164,165]. For this reason, hydrogel-based biosensing tools are now being used to regenerate bone, cartilage, skin, and neural tissues widely (Figure 5) [166]. Additionally, 3D-printed electrically conductive hydrogels are utilized in cardiac tissue engineering, which seeks to repair cardiovascular damage. The low immunogenicity of the hydrogels in vivo may be beneficial for cardiac tissue engineering (Figure 6). Hydrogels with integrated biosensors enable continuous monitoring of pH, oxygen concentrations, and enzymatic activity at the wound site during skin and wound healing. To hasten healing, this real-time feedback can help optimize therapeutic interventions, such as electrical stimulation or controlled drug release. Intelligent hydrogel biosensors integrated into organ-on-a-chip platforms allow physiological simulation and tissue response monitoring, supporting transplantation research and drug screening applications [167-169]. Hydrogel-based biosensors hold great potential for applications in neurodegenerative disorders (Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS)). Hydrogel–biosensor composites can detect alkaline phosphatase (ALP) activity and calcium ion deposition, making them valuable tools for bone tissue engineering. Inflammatory markers such as TNF-α and other cytokines are critical indicators of tissue integration and repair. Biosensor-embedded hydrogels have been used to detect them in cartilage regeneration. Cellulose and its derivatives-based biosensors show great promise for applications in sensing technology due to their renewability, biocompatibility, and chemical tunability. Similarly, conductive hydrogel-based biosensors in neural tissue engineering can monitor neurotransmitter activity and record electrical impulses, aiding the evaluation of neural network reconstruction and functional recovery [170-172]. These biosensing tools based on hydrogels also have regenerative medicinal implications due to their uniquely tailored properties, including wound healing [173], skin regeneration (skin grafting) [174], and organ regeneration and transplantation [175]. 4.4. Wearable and Implantable Devices Applications of micro-biosensing devices in linking technology with personalized medicine are rapidly expanding, and the integration of hydrogels into these devices has introduced a novel approach in the field [176]. Despite the challenges of being an all-in-one sensor, hydrogel-fused devices that integrate long-term biological functions, multimodal responsiveness, and therapeutic capabilities have attracted growing interest as wearable and implantable devices [177]. Although wearable and implantable hydrogel-based devices have considerable potential, several significant obstacles stand in the way of their clinical translation. Hydrogels are susceptible to degradation, structural fatigue, and biofouling from protein adsorption or fibrotic encapsulation, all of which can impair signal accuracy, making long-term in vivo stability a major challenge. As miniaturized systems must guarantee safe, continuous operation without heat generation or signal loss through tissue, where attenuation and scattering can reduce fidelity, dependable wireless power and data transmission are additional constraints. Since chronic implantation frequently causes inflammation, immunological reactions, or mechanical mismatches with host tissue, maintaining proper biocompatibility is challenging after short-term tolerance. Innovations such as mechanically reinforced composites, immune-responsive materials, antifouling hydrogel coatings, and low-power wireless communication techniques are necessary to overcome these obstacles and ensure reliable, long-lasting, and clinically feasible device performance. Various wearable devices have been designed to implement hydrogel-integrated biosensors, including hydrogel smart patches [178], electronic tattoos (e-Tattoos) [179], hydrogel foot insoles [180], and hydrogel neckbands [181]. Moreover, implantable devices, including wearables, are being developed to support the human body through real-time monitoring, wireless connectivity, and minimally invasive designs. Examples include hydrogel-based glucose monitors for continuous glucose monitoring [182], drug delivery implants [183], neural implants [184], hydrogel ocular implants [185], and wound healing implants [186].
This paper provides a systematic summary of the various hydrogel properties and their applications in biosensors, including strategies for hydrogel design and fabrication. In the future, researchers envision that hydrogels will function intelligently and autonomously according to environmental changes. Over the last century, the understanding and engineering of the human body have advanced through interdisciplinary efforts in modern medicine, biology, and biomedical engineering. In particular, the double-crosslinked polymer hydrogel composite exhibits excellent mechanical and self-healing properties. It has enormous potential in the biomedical field, especially in tissue engineering and wound dressings. At the same time, polymer hydrogel complexes also have significant application value for the delivery of hydrophobic drugs or for co-delivery. As hydrogels continue to develop, their biosensor applications will become increasingly widespread while continually adapting to biomedical needs. Future research on hydrogel-based biosensors is expected to provide more inspiration and support for the development and innovation of related fields. The most promising candidates for near-term commercialization in biosensing are synthetic and composite hydrogels, particularly PEG-based systems for their tunable chemistry, and hybrid nanocomposite hydrogels (e.g., incorporating graphene oxide, gold nanoparticles, or conductive polymers) for their multifunctionality. This is due to their combination of stability, scalability, and biocompatibility. Key challenges include scalable, reproducible manufacturing of clinical-grade devices, assurance of long-term in vivo stability and antifouling performance, and enabling reliable multi-analytic detection under intricate physiological conditions. The development of intelligent self-healing and stimuli-responsive materials, the use of modern computational approaches such as machine learning for predictive hydrogel design, and the integration with flexible and wireless bioelectronics for real-time monitoring are therefore likely to be key drivers of future advancements. Interdisciplinary strategies to address these restrictions may advance hydrogel-based biosensors from the laboratory-prototype stage toward practical clinical hemostatic control, personalized drugs, and diagnostics. Hydrogel-based biosensors are highly attractive due to their biocompatibility, flexibility, and tunability. However, many problems with such an approach remain unsolved, including long-term stability, fabrication variation, and electronics integration. In the future, efficient tissue regeneration must be realized using smart hydrogel and composite scaffolds fabricated through advanced preparation technologies, such as three-dimensional printing, with large-scale production capacity and reproducibility ensured through multidisciplinary collaboration, to facilitate validation in clinical research. These strategies provide hydrogel biosensors with reliable and sensitive platforms for future biomedical applications, including treatments and therapeutic interventions.
AD
Alzheimer’s Disease
ALP
Alkaline Phosphatase
ALS
Amyotrophic Lateral Sclerosis
AuNP
Gold Nanoparticle
CAD
Computer-Aided Design
CaGP
Calcium Glycerophosphate
CNT
Carbon Nanotube
DLP
Digital Light Processing
DIW
Direct Ink Writing
ECL
Electrochemiluminescence
ECM
Extracellular Matrix
GelMA
Gelatin Methacrylate
GO
Graphene Oxide
GOx
Glucose Oxidase
HSA
Human Serum Albumin
LSPR
Localized Surface Plasmon Resonance
MNP
Magnetic Nanoparticle
NF
Nanofiber
PAAm
Polyacrylamide
PD
Parkinson’s Disease
PEG
Polyethylene Glycol
PHEMA/pHEMA
Poly(2-hydroxyethyl methacrylate)
PNIPAM
Poly(N-isopropylacrylamide)
PMAA
Poly(methacrylic acid)
PVP
Polyvinylpyrrolidone
QD
Quantum Dot
QCM
Quartz Crystal Microbalance
SLA
Stereolithography
TDM
Therapeutic Drug Monitoring
TME
Tumor Microenvironment
TNF-α
Tumor Necrosis Factor-alpha
Conceptualization, methodology, resources: H.S., B.D., and K.R.H.; Software, implementation, validation, formal analysis, investigation, data curation, visualization, writing—original draft preparation: H.S. and B.D.; Writing—review and editing, supervision, project administration: K.R.H. All authors have read and agreed to the published version of the manuscript.
The authors declare no conflicts of interest.
The study did not receive any external funding and was conducted using only institutional resources.
The authors gratefully acknowledge the institutional support and research facilities provided by the Department of Natural Sciences, BGMEA University of Fashion and Technology (BUFT), Dhaka 1230, Bangladesh, which contributed to the completion of this study.
The authors confirm that no AI tools were used to generate any content of this manuscript.
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