Myocardial infarction (MI) is a major cause of death
worldwide.
After the occurrence of MI, the heart frequently undergoes serious
pathological remodeling, leading to excessive dilation, electrical
disconnection between cardiac cells, and fatal functional damage.
Hence, extensive efforts have been made to suppress pathological remodeling
and promote the repair of the infarcted heart. In this study, we developed
a hydrogel cardiac patch that can provide mechanical support, electrical
conduction, and tissue adhesiveness to aid in the recovery of an infarcted
heart function. Specifically, we developed a conductive and adhesive
hydrogel (CAH) by combining the two-dimensional titanium carbide (Ti3C2Tx) MXene with natural biocompatible
polymers [i.e., gelatin and dextran aldehyde (dex-ald)]. The CAH was
formed within 250 s of mixing the precursor solution and could be
painted. The hydrogel containing 3.0 mg/mL MXene, 10% gelatin, and
5% dex-ald exhibited appropriate material characteristics for cardiac
patch applications, including a uniform distribution of MXene, a high
electrical conductivity (18.3 mS/cm), cardiac tissue-like elasticity
(30.4 kPa), strong tissue adhesion (6.8 kPa), and resistance to various
mechanical deformations. The CAH was cytocompatible and induced cardiomyocyte
(CM) maturation in vitro, as indicated by the upregulation of connexin
43 expression and a faster beating rate. Furthermore, CAH could be
painted onto the heart tissue and remained stably adhered to the beating
epicardium. In vivo animal studies revealed that CAH cardiac patch
treatment significantly improved cardiac function and alleviated the
pathological remodeling of an infarcted heart. Thus, we believe that
our MXene-based CAH can potentially serve as a promising platform
for the effective repair of various electroactive tissues including
the heart, muscle, and nerve tissues.