Gold Clusterzyme-Engineered Bioelectronic Dressing for Precisely Guiding Scarless Tissue Regeneration
Electrical stimulation (ES) is a powerful strategy to mimic endogenous bioelectricity and accelerate complex tissue regeneration, such as chronic wound healing. However, aligning external stimulation with native bioelectrical and biochemical signals for rapid and scarless tissue regeneration remains challenging. Here, we report a wireless bioelectronic dressing (E-dressing) that establishes stable bioelectronic interfaces and precisely modulates cellular physiological activities. Bioactive allylamine-functionalized gold clusterzymes (AM-AuNCs) with intrinsic superoxide dismutase-like activity were designed as functional modifiers to co-polymerize with acrylic acid (AA), forming conductive p(AA-AuNCs) hydrogels. AM-AuNCs impart the hydrogel with superior antioxidant activity, robust interfacial adhesion, and high conductivity, enabling rapid hemostasis, efficient electrical stimulation transmission, and precise fibroblast regulation. Combined with 1.00 V of electrical stimulation, the p(AA-AuNCs) hydrogel significantly promotes fibroblast proliferation, migration, and alignment by upregulating TGF-β, FGF-2, and EGF. Integrated with a biocompatible, flexible zinc-ion battery delivering sustained and tunable electrical signals for over 7 days, the E-dressing precisely guides collagen remodeling, inhibits myofibroblast activation, and maintains Col I/Col III balance, leading to a 5-fold acceleration of wound closure and a 65.5% reduction in scar formation. This multifunctional E-dressing represents a promising bioelectronic device for precise cellular regulation and multimodal regenerative therapy.