Reliable functions of medical implants highly depend
on biocompatible,
conformal, and stable biointerfaces for seamless biointegration with
biological tissues. Though flexible biointerfaces based on synthetic
hydrogels have shown promise in optimizing implant biointegration
via surgical suturing, physical attachment, or manual preshaping,
they still suffer from poor adaptability, such as tissue damage by
surgical suturing, low bioactivity, and difficulties in conformal
contact and stable fixation, especially for specific tissues of large
surface curvatures. Here, we report a bilayer hydrogel-based adaptive
biointerface (HAB) made of two polysaccharide derivates, N-hydroxysuccinimide (NHS) ester-activated alginate and chitosan,
harnessing dual advantages of their different swelling and active
groups. Leveraging on the differential swelling between the two hydrogel
layers and covalent linkages with active groups at hydrogel interfaces,
HABs can be programmed into sealed tubes with tunable diameters via
water-induced compliable shape morphing and instant interfacial adhesion.
We further demonstrate that the polysaccharide-based morphing-to-adhesion
HAB possesses outstanding bioactivity in directing cellular focal
adhesion and intercellular junction, versatile geometrical adaptability
to diverse tubular tissues with a wide range of surface curvatures
(2.8 × 102–1.3 × 103 m–1), and excellent mechanical stability in high load-/shear-bearing
physiological environments (blood flow volume: 85 mm·s–1). HABs overcome the limitations of existing biointerfaces in terms
of poor bioactivity and difficult biointegration with biological tissues
of large surface curvatures, holding promise to open new avenues for
adaptive biointerfaces and reliable medical implants.