The term “zwitterionic polymers” refers
to polymers
that bear a pair of oppositely charged groups in their repeating units.
When these oppositely charged groups are equally distributed at the
molecular level, the molecules exhibit an overall neutral charge with
a strong hydration effect via ionic solvation. The strong hydration
effect constitutes the foundation of a series of exceptional properties
of zwitterionic materials, including resistance to protein adsorption,
lubrication at interfaces, promotion of protein stabilities, antifreezing
in solutions, etc. As a result, zwitterionic materials have drawn
great attention in biomedical and engineering applications in recent
years. In this review, we give a comprehensive and panoramic overview
of zwitterionic materials, covering the fundamentals of hydration
and nonfouling behaviors, different types of zwitterionic surfaces
and polymers, and their biomedical applications.