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Prog. Polym. Sci. 32 (2007) 876–921


www.elsevier.com/locate/ppolysci

Conducting polymers in biomedical engineering


Nathalie K. Guimarda, Natalia Gomezb, Christine E. Schmidtb,c,
a
Chemistry Department, University of Texas at Austin, Austin, TX, USA
b
Chemical Engineering Department, University of Texas at Austin, Austin, TX, USA
c
Biomedical Engineering Department, University of Texas at Austin, Austin, TX, USA
Received 17 April 2007; received in revised form 23 May 2007; accepted 24 May 2007
Available online 11 June 2007

Abstract

Conducting polymers (CPs) were first produced in the mid-1970s as a novel generation of organic materials that have
both electrical and optical properties similar to those of metals and inorganic semiconductors, but which also exhibit the
attractive properties associated with conventional polymers, such as ease of synthesis and flexibility in processing. The fact
that several tissues are responsive to electrical fields and stimuli has made CPs attractive for a number of biological and
medical applications. This review provides information on desirable CP properties specific to biomedical applications and
how CPs have been optimized to generate these properties. The manuscript first introduces different types of CPs, their
unique properties and their synthesis. Then specific information is provided on their modification for use in applications
such as biosensors, tissue engineering, and neural probes. Although there remain many unanswered questions, particularly
regarding the mechanisms by which electrical conduction through CPs affects cells, there is already compelling evidence to
demonstrate the significant impact that CPs are starting to make in the biomedical field.
r 2007 Elsevier Ltd. All rights reserved.

Keywords: Electroactive biomaterial; Neural probes; Biosensors; Tissue engineering; Polypyrrole; Polythiophene

Contents

1. The discovery of conducting polymers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877


2. Synthesis of conducting polymers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877
3. Conductivity and doping of conducting polymers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 879
4. Use and modification of conducting polymers for biomedical applications . . . . . . . . . . . . . . . . . . . . . . . . . 882
4.1. General modification strategies for conducting polymers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 883
4.2. Biosensor applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 885
4.3. Tissue engineering applications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 893
4.3.1. Polypyrrole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 893

Abbreviations: CP, conducting polymer; CV, cyclic voltammetry; DRG, dorsal root ganglion; FN, fibronectin; HA, hyaluronic acid;
NGF, nerve growth factor; PANI, polyaniline; PC12, rat pheochromocytoma cell line; PEDOT, poly(3, 4-ethylenedioxythiophene); PLA,
poly(lactic acid); PLGA, poly(lactic-co-glycolic acid); PPy, polypyrrole; PSS, poly(styrene sulfonate); PT, polythiophene; PVA, poly(vinyl
alcohol); RGD, arginine–glycine–aspartic acid (peptide sequence); TCPS, tissue culture polystyrene
Corresponding author. Biomedical Engineering Department, University of Texas at Austin, Austin, TX, USA.
E-mail address: schmidt@che.utexas.edu (C.E. Schmidt).

0079-6700/$ - see front matter r 2007 Elsevier Ltd. All rights reserved.
doi:10.1016/j.progpolymsci.2007.05.012
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4.3.2. Polyaniline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 900


4.3.3. Polythiophene and novel conducting polymers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 903
4.4. Neural probe applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 903
4.4.1. Polypyrrole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 904
4.4.2. Poly(3,4-ethylenedioxythiophene) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 906
4.5. Other applications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 908
5. Challenges and future directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 910
5.1. Electrical properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 911
5.2. Biological and physical properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 913
6. Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 914
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 914
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 914

1. The discovery of conducting polymers for different applications has received much atten-
tion. Polyheterocycles, such as PPy, polythiophene
The electrically conducting polymer (CP) poly- (PT), polyaniline (PANI), and poly(3,4-ethylenediox-
pyrrole (PPy) dates back to the 1960s, but little was ythiophene) (PEDOT) (Fig. 1B), developed in the
understood about the polymer at this time and the 1980s, have since emerged as another class of
discovery was essentially lost [1]. It was only in 1977, aromatic CPs that exhibit good stabilities, conductiv-
when Alan MacDiarmid, Hideki Shirakawa, and ities, and ease of synthesis [5,6]. Refer to Table 1,
Alan Heeger reported a 10 million-fold increase in which lists a broad range of different CPs and their
the conductivity of polyacetylene doped with iodine conductivities.
(Fig. 1A), that the first inherently conductive
polymer was recognized [2,3]. Although polyacety- 2. Synthesis of conducting polymers
lene, a non-cyclic polyene, is still one of the most
studied polymers in this field, it has significant CPs can be synthesized either chemically or
limitations, such as difficulty with processing and electrochemically, with each having advantages
high instability in air. Unlike polyacetylene, poly- and disadvantages as summarized in Table 2 [7].
phenylenes, which are cyclic polyenes, are known to Different methods of chemical synthesis include
be thermally stable as a result of their aromaticity [4]. either condensation polymerization (i.e., step
Consequently, the development of such aromatic CPs growth polymerization) or addition polymerization

O O

n
N n n S n
S
Polyacetylene H
(PA)
Polypyrrole Polythiophene Poly(3,4-ethylene
(PPy) (PT) dioxythiophene)
(PEDOT)

H H
N N N N
n

Polyaniline
(PANI)

Fig. 1. Chemical structures of common conductive polymers: (A) polyacetylene, the first documented conducting polymer and (B) most
commonly explored conducting polymers for biomedical applications: polypyrrole, polythiophene, poly(3,4-ethylenedioxythiophene), and
polyaniline.
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Table 1
Conductivity of common CPsa
Reference Electrode Working Electrode
Conducting polymer Maximum Type of (e.g., Ag/AgCl, saturated (e.g., ITO or metal)
calomel electrode)
conductivity doping
(S/cm)b Counter Electrode
(e.g., platinum mesh)
Polyacetylene (PA) 200–1000 n,p
Polyparaphenylene (PPP) 500 n,p
Polyparaphenylene sulfide (PPS) 3–300 p Electrolyte Solution
Polyparavinylene (PPv) 1–1000 p (monomer and dopant)
Polypyrrole (PPy) 40–200 p
Polythiophene (PT) 10–100 p
Fig. 2. Three electrode setup for electrochemical synthesis:
Polyisothionaphthene (PITN) 1–50 p
reference electrode, working electrode (where polymerization
Polyaniline (PANI) 5 n,p
occurs), and counter electrode all submersed in a monomer and
a
Reproduced from [18]. electrolyte solution.
b
S ¼ Siemens.
Electrochemical synthesis is a common alterna-
tive for making CPs, particularly because this
Table 2 synthetic procedure is relatively straightforward
Comparison of chemical and electrochemical CP polymerization [7,8]. Electrochemical preparation of CPs dates
Polymerization Advantages Disadvantages
back to 1968 when ‘‘pyrrole black’’ was formed as
approach a precipitate on a platinum electrode by exposing an
aqueous solution of pyrrole and sulfuric acid to an
Chemical  Larger-scale  Cannot make oxidative potential [9]. Today, electrochemical
polymerization production thin films
polymerization is performed using a three-electrode
possible  Synthesis more
 Post-covalent complicated configuration (working, counter, and reference
modification of electrodes) in a solution of the monomer, appro-
bulk CP possible priate solvent, and electrolyte (dopant) (Fig. 2).
 More options to Current is passed through the solution and electro-
modify CP
deposition occurs at the positively charged working
backbone
covalently electrode or anode. Monomers at the working
electrode surface undergo oxidation to form radical
Electrochemical  Thin film  Difficult to cations that react with other monomers or radical
polymerization synthesis possible remove film from cations, forming insoluble polymer chains on the
 Ease of synthesis electrode surface
 Entrapment of  Post-covalent
electrode surface (Fig. 3). A number of important
molecules in CP modification of variables must be considered, including deposition
 Doping is bulk CP is time and temperature, solvent system (water con-
simultaneous difficult tent), electrolyte, electrode system, and deposition
charge. Each of these parameters has an effect on
film morphology (thickness and topography), me-
chanics, and conductivity, which are properties that
(i.e., chain growth polymerization). Condensation directly impact the utility of the material for
polymerization proceeds via the loss of small biomedical applications. For example, a non-protic,
molecules, such as hydrochloric acid or water. non-nucleophilic solvent generates stronger and
Radical, cation, and anion polymerizations are all more conductive CPs because protic solvents, like
examples of addition polymerization, which are nucleophilic solvents, can generate side reactions
distinguished by the respective radical, cation, or with the growing CP chain, limiting and disrupting
anion intermediate state of the live or reactive end of chain growth.
the polymer chain during synthesis. Chemical The most significant difference between electro-
synthesis not only provides many different possible chemical and chemical methods of CP synthesis is
routes to synthesize a variety of CPs, but also that very thin CP films on the order of 20 nm can be
permits the scale-up of these materials, which is produced using the electrochemical technique,
currently not possible with electrochemical synthesis. whereas powders or very thick films are typically
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-e
X = NH, S, O
X X X

H H
X
-2H+
X X X
H X X

-e X
-2H+ H H
X X X X X
n

X X X X X X
n n

Fig. 3. Mechanism for heterocycle polymerization via electrochemical synthesis. X ¼ NH, S, or O. This pathway is initiated by the
oxidation of a monomer at the working electrode to give a cation species, which can react with a neutral monomer species or radical cation
oligomeric species to generate the polymer. Adapted from [10].

produced with chemical polymerization. All CPs charge mobility along the polymer backbone and
can be synthesized chemically, but electrochemical between adjacent chains, but delocalization is
synthesis is limited to those systems in which the limited by both disorder and Coulombic interac-
monomer can be oxidized in the presence of a tions between electrons and holes. Prior to doping,
potential to form reactive radical ion intermediates these systems are insulative (1010 S/cm; S ¼ 1/O);
for polymerization. The standard CPs (i.e., PPy, PT, however, the electrical conductivity of polyhetero-
PANI, PEDOT) can be polymerized both chemi- cyclic films, for instance, can be augmented up to 12
cally and electrochemically; however, several novel orders of magnitude (102 S/cm) depending on the
CPs with modified monomers are only amenable to polymer system and the type and extent of doping,
chemical polymerization. as described later [10].
Conductivity is a measure of electrical conduction
3. Conductivity and doping of conducting polymers and thus a measure of the ability of a material to
pass a current. Generally, materials with conductiv-
CPs are unique in that they are organic chains of ities less than 108 S/cm are considered insulators,
alternating double- and single-bonded sp2 hybri- materials with conductivities between 108 and
dized atoms, which endow the polymer with metal- 103 S/cm are considered semiconductors, and mate-
like semiconductive properties. The series of alter- rials with conductivities greater than 103 S/cm are
nating single and double bonds, which is generated considered conductors. Conductivity (s) is the
by electron cloud overlap of p-orbitals to form p inverse of resistivity (r) and therefore has the units
molecular orbitals, is referred to as a conjugated of inverse ohms (O1), also known as Siemens (S),
system. Studies have demonstrated that planar per unit of distance, generally centimeters (i.e.,
conformation of the alternating double-bond sys- S/cm). Resistivity is determined from a material’s
tem, which maximizes sideways overlap between the resistance (R), which is often measured using the
p molecular orbitals, is critical for conductivity. 4-point probe technique [11].
This p-bonded system is further described in terms The 4-point-probe technique involves applying a
of electronic wave functions that are delocalized constant current (I) across two electrodes at the
over the entire chain. This delocalization allows surface of a material and then measuring the change
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880 N.K. Guimard et al. / Prog. Polym. Sci. 32 (2007) 876–921

in potential (V), where V ¼ IR, between another


pair of electrodes. The following equations then
apply: *
X X X X X
*
n
r ¼ ðR  AÞ=l (1)
electron acceptor

rs ¼ ðR  wÞ=l (2)
where r is the bulk or volume resistivity, rs is the
surface resistivity, R is the resistance of a uniform *
X X X X X
*
specimen (also called sheet or surface resistance, Polaron
n
Rs), A is the cross-sectional area, l is the length
between electrodes measuring current, and w the
electron acceptor
sample width. Bulk resistivity takes into account
film thickness whereas surface resistivity does not.
For a film having the same width and length (i.e., a
square), surface resistivity is equal to surface * *
X X X X X
resistance and is usually reported in units of n
O/square, simply in reference to the square surface Bipolaron

dimensions. Resistance in O/square (l ¼ w) can be Fig. 4. Introduction of polaron and bipolaron lattice deforma-
converted to bulk resistivity by multiplying by tion upon oxidation (p-type doping) in heterocyclic polymers.
sample thickness. Eqs. (1) and (2) are limited to X ¼ S, N, or O. A polaron or radical cation is introduced into the
square or rectangular films and apply only to thin conjugated backbone after the loss of an electron. When
oxidation of the same segment of the conjugated backbone
films (thickness 5 spacing between electrodes). For occurs the unpaired electron of the polaron is lost and a dication
arbitrary-shaped films, the van der Pauw equation (i.e., bipolaron) is formed.
can be used to more accurately calculate bulk
resistivity from measured resistance [11]. Cyclic
voltammetry (CV) is a technique often used in
conjunction with the 4-point probe method to neighboring units yields charge mobility along the
characterize a material’s redox properties. The setup chains and between chains, often referred to as
for generating a cyclic voltammogram is similar to ‘‘electron hopping’’. The ordered movement of these
the three-electrode configuration for electrochemi- charge carriers along the conjugated CP backbone
cal synthesis of CPs, where a CP sample is deposited produces electrical conductivity. The smaller the
on the working electrode. CV cannot be used to band gap (i.e., distance between conducting band
quantitatively measure conductivity, as with the and valence band) energy for a CP the more
4-point probe technique, but can be used to assess conductive it is considered to be. Fig. 5 illustrates
whether a material is in fact conductive; this the change in band structure of PPy and PT
technique can also provide information on stability subsequent to doping. There are many factors that
of electroactivity as well as oxidation/reduction influence this band gap and thus conductivity,
potential and reversibility. CV is also more sensitive including dopant, oxidation level/doping percen-
and thus can be used to gauge electroactivity of less tage, and synthesis method and temperature, there-
conductive materials. fore there are often discrepancies among results
Doping is the process of oxidizing (p-doping) or presented by different research groups [10,12–14].
reducing (n-doping) a neutral polymer and provid- The reader is referred to Heeger [15,16] and Bredas
ing a counter anion or cation (i.e., dopant), [17] for detailed explanations of conductivity
respectively. Upon doping, a CP system with a net mechanisms.
charge of zero is produced due to the close Doping can be performed chemically or electro-
association of the counter ions with the charged chemically and is dependent on oxidation potential.
CP backbone. This process introduces charge The oxidation potential of oligomers decreases as
carriers, in the form of charged polarons (i.e., the number of monomers in the chain increases;
radical ions) or bipolarons (i.e., dications or therefore during electrochemical synthesis doping
dianions), into the polymer (Fig. 4). The attraction occurs as polymerization proceeds because the
of electrons in one repeat-unit to the nuclei in oxidation potential for doping the CP polymer is
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Fig. 5. The valence-effective Hamiltonian band structure evolution of PPy (top) and PT (bottom) upon doping. PPy (top): (A) undoped
and (B) intermediate doping level. Formation of non-interacting bipolarons at 0.45 eV above the valence band (VB) and 0.9 eV below the
conductive band (CB). (C) 33% doping level (experimentally obtained with electrochemical doping). Formation of bipolaron bands with
width of 0.25 eV. (D) 100% doping level per monomer. Merging of bipolaron bands with VB and CB. Note the decrease in band gap from
4 to 1.4 eV. Adapted from [17]. PT (bottom): (A) undoped. (B) 0.1% doping level with polaron states in the gap. (C) Few (1–20%)
percent doping level, with the formation of non-interacting bipolarons at 0.61 eV above VB and 0.71 eV below CB. (D) 30% doping level,
where the bipolaron states overlap and form two bands. (E) Hypothetical 100% doping level, with quasi-metallic behavior. Adapted
from [10].

lower than that required for polymerizing the CP. affect characteristics such as surface topography
Conductivity can be augmented by increasing and physical handling properties [18].
the doping percentage and varying the dopant When CPs are doped, the reactive species used to
(Table 3). The chemical nature of the dopant not dope the CP oxidizes or reduces the CP and leaves
only affects electroactivity, but also affects surface behind an anion or cation, respectively. The reactive
and bulk structural properties. In addition, small species is sometimes, but not always, the same as the
and large dopants can both modulate electrical dopant counter ion left behind. For instance, in the
conductivities and surface structural properties, but case of doping with I2, the dopant is I 
3 or I5 and
larger dopants, such as hyaluronic acid (HA), can when FeCl3 is used as a reactive species, Cl or
change polymer density and more dramatically FeCl4 is the dopant, whereas doping with BF4
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Table 3
Doping levels and conductivities of a variety of CPsa

Polymer Dopant (X) Structure Conductivity (S/cm)

Polypyrrole (PPy) CF3SO


3 (C4H3N)X0.3 150 (film)
10 (pp)
ClO
4 (C4H3N)X0.3 100 (film)
Polythiophene (PT) SO3CF
3 (C4H2S)X0.3 10–20 (pp)
None (C4H2S)X0.01 1.5  107 (pp)
BF 
4 or PF6 (C4H2S)X0.06 0.02 (pp)
Poly(3-methylthiophene) SO3CF
3 (C5H4S)X0.3 30–50 (pp)
SO3CF
3 (C5H4S)X0.5 100 (pp)
None (C5H4S)X0.005 107 (pp)

PF6 (C5H4S)X0.12 1 (pp)
Poly(3,4-dimethylthiophene) SO3CF
3 (C6H6S)X0.3 10–50 (pp)
Polyfuran SO3CF
3 (C4H2O)X0.3 20–50 (pp)

Polyazulene ClO4 (C10H6)X0.25 102–101 (pp)

Film: electrochemically polymerized films; pp: pressed pellet from chemically synthesized powder.
a
Adapted from [9].

generates BF 4 counter anions. CPs can be doped acteristics of CPs, including their synthesis and
with a variety of molecules, such as small salt ions, electroactive properties.
peptides, or polymers, including polysaccharides
and proteins. Chloride anions are commonly used 4. Use and modification of conducting polymers for
to dope CPs because of their biological compat- biomedical applications
ibility, generating, for example, oxidized PPy doped
with chloride (i.e., PPyCl). To incorporate mole- CPs have electrical and optical properties similar
cules that are not capable of redox chemistry, such to those of metals and inorganic semiconductors,
as most biological dopants, it is necessary to but also exhibit the attractive properties associated
synthesize/dope CPs electrochemically. The biolo- with conventional polymers, such as ease of synth-
gical molecule to be used as a dopant must be esis and processing [16]. This unique combination of
charged and present in solution with the CP properties has given these polymers a wide range of
monomer as electrochemical polymerization occurs. applications in the microelectronics industry, in-
Alternatively, the biological molecule can simply be cluding battery technology, photovoltaic devices,
entrapped in the presence of another dopant during light emitting diodes, and electrochromic displays
synthesis. (reviewed in [19]), and more recently in the
It should be noted that large molecule dopants biological field. Research on CPs for biomedical
(e.g., poly(styrene sulfonate) (PSS), high-molecular- applications expanded greatly with the discovery in
weight HA) are to some extent physically trapped the 1980s that these materials were compatible with
and thus more stably integrated in the CP. These many biological molecules such as those used in
large biomolecules are not as readily leached out or biosensors. By the mid-1990s CPs were also shown,
exchanged under normal conditions or under via electrical stimulation, to modulate cellular
application of an electrical potential. Small dopants, activities, including cell adhesion, migration, DNA
however, can more easily diffuse out of the CP and synthesis, and protein secretion [20–23]. Specifically,
can be exchanged with other ions within the many of these studies involved nerve, bone, muscle,
surrounding environment. Thus, CP properties and cardiac cells, which respond to electrical
(e.g., volume) can be regulated via the dynamic impulses. Most CPs present a number of important
doping and de-doping process which occurs during advantages for biomedical applications, including
oxidation and reduction of the CP. biocompatibility, ability to entrap and controllably
The reader is referred to the two-volume Hand- release biological molecules (i.e., reversible doping),
book of Conducting Polymers [15], which provides ability to transfer charge from a biochemical
a comprehensive review of the fundamental char- reaction, and the potential to easily alter the
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electrical, chemical, physical, and other properties of binding events. For tissue engineering, CP
of the CPs to better suit the nature of the properties including biomolecule functionalization,
specific application. These unique characteristics surface roughness, hydrophobicity, three-dimen-
are useful in many biomedical applications, such as sional geometry, redox stability, and degradability
biosensors, tissue-engineering scaffolds, neural are critical. Neural probe applications require
probes, drug-delivery devices, and bio-actuators materials with high surface area, hydrophobicity,
(Table 4). and cell specificity to improve and maintain good
Other electroactive materials, in addition to CPs, signal-to-noise ratio for detection of neuron signals.
have been used in biological applications. For A popular strategy for optimizing the biological
example, electrets (materials with a quasi-perma- properties of a CP is the incorporation of bioactive
nent surface charge provided by trapped charge molecules. This can be achieved through a number
carriers) and piezoelectric materials (materials of techniques, including physical adsorption, en-
which generate transient electrical charges under trapment, doping, and covalent attachment of
mechanical deformation) have been used in tissue desired biomolecules (Fig. 6). Physical adsorption
engineering as nerve conduits [24,25]. Metals and is straightforward, but the adsorbed molecule can
semiconductors such as gold, iridium, and silicon dissociate and render the material ‘‘inactive’’.
have been used in neural probes and sensors [26,27]. Another non-covalent method is entrapment, which
However, CPs exhibit many advantages over these can be achieved by having the desired molecule
materials. In comparison, CPs are inexpensive, easy present in the monomer/electrolyte solution during
to synthesize, and versatile because their properties synthesis. The process of doping CPs, necessary to
can be readily modulated by the wide range of induce conductivity, can also be exploited to modify
molecules that can be entrapped or used as dopants. CPs non-covalently and to introduce new properties
In addition, CPs permit control over the level and for a desired application. The range of possible
duration of electrical stimulation for tissue engi- dopants is vast as long as the selected dopant is
neering applications, a limitation of electrets. CPs charged. Alternatively, covalent methods can be
can also be tailored to create substrates with high used to more permanently functionalize CPs. The
surface area, a key aspect to decreasing impedance monomer can be synthesized with desired functional
in neural probes. In particular, CPs can have as groups and then polymerized. Post-polymerization
much as 50 times the surface area of bare iridium covalent modification is also possible, but is more
electrodes [28]. Furthermore, CPs can be precisely challenging for insoluble polymers. It is important
deposited on metal electrodes for biosensors, and to note that the steric effects of any incorporated
can be intimately interfaced with biomolecules for a functional group may disrupt the planarity of the
more effective transduction mechanism [29]. conjugated system, which could in turn decrease
conductivity. Functionalization of CPs with differ-
4.1. General modification strategies for conducting ent biomolecules has allowed biomedical engineers
polymers to modify CPs with biological sensing elements,
and to turn on and off different signaling pathways
As already mentioned, CPs offer many advan- to create CPs that enhance adhesion and prolifera-
tages over other materials, with electrical activity tion of a variety of cell types and improve their
being the most attractive property. However, there biocompatibility.
is always the desire to further optimize a material It is just as important to consider physical and
when targeting a specific application. The two electrical properties of CPs as their chemical
common properties desired for all biomedical composition. For example, many CPs are crystalline
applications, aside from conductivity, are biocom- and have limited porosity. To overcome the draw-
patibility and redox stability, but beyond these backs associated with crystalline materials there
needs, CP modification tends to be specific for the have been efforts to coat some CPs with or
application. In particular, most research has covalently tether CPs to a more malleable material,
focused on biological and physical modification of such as a polyester (e.g., poly(lactic-co-glycolic acid)
CPs. For biosensors, it is important to tune the (PLGA)). In general, manipulation of CP properties
hydrophobicity, conductivity, and reactive function- (e.g., roughness/topography, porosity, hydrophobi-
alities for modification of CPs to successfully city, mechanical strength, malleability, degradabil-
incorporate biomolecules and to improve detection ity, redox stability, conductivity) can be achieved
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Table 4
Conducting polymers in biological applications

Application Description of Advantages of Limitations of Polymers currently explored [Ref]


application conducting conducting
polymers polymers

Tissue engineering Biocompatible,  Biocompatibility  Not  PPy and derivatives


biodegradable  Good biodegradable [18,22,23,106,129,130,131,133–140,
scaffolds containing conductivity  Not highly 146,147,151–154,159-162]
stimuli to enhance  Possible porous  PANI [171–175]
tissue regeneration modification to  Hydrophobicity  PT and derivatives [176]
include chemical  Novel CPs [177]
cues

Neural probes Implantable  Biocompatibility  Decreased  PPy [28,132,178–181]


electrodes for  Good electrical contact  PEDOT [183–186]
recording or conductivity at interface
stimulating neurons,  Good stability
primarily in the brain  Electrochemical
synthesis on
metal electrodes
 Increased surface
area (decreased
impedance)

Biosensors Devices containing  Ability to entrap  Hydrophobicity See Table 5


biomolecules as biomolecules in can denature
sensing elements, films entrapped
integrated with  Possible surface proteins
electrical transducers modification  Diffusion barriers
 Efficient electric for entrapped
charge transfer enzymes
from bio-
reactions
 Electrochemical
synthesis on
metal electrodes

Drug Delivery Devices for storage  Ability to entrap  Hydrophobicity  PPy [190]
and controlled biomolecules can denature  PEDOT [189]
release of drugs  Controlled entrapped
release with proteins
reduction  Rapid release

Bio-actuators Devices to create  Biocompatibility  Short-term redox  PPy [193–195,197,198]


mechanical force that  Good stability  PANI [196,198,199]
could be used as conductivity  Delamination of  Polymer-carbon nanotube
‘‘artificial muscle’’-  Can control CP films composites [196,198]
type actuators dopant uptake/  Response limited
release (control by ion mobility
volume)
 Lightweight
 Work at body
temp. and with
body fluids

via previously mentioned chemical means, such as functional groups into the CP backbone that
the incorporation of molecules as dopants or via may, for example, increase conductivity or permit
entrapment, or through covalent insertion of degradation. Micropatterning and modification of
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Fig. 6. Examples of modification strategies used with conducting polymers. CPs have been modified chemically and physically using a
number of approaches as a means to change conductivity, bioactivity, and physical topography/geometry. A few common modification
approaches are depicted, including non-covalent chemical methods (molecule entrapment and adsorption), covalent chemical conjugation,
and micropatterning using standard lithography techniques.

synthesis parameters, such as using surfactants and Analyte


regulating temperature and deposition charge for
electrochemical synthesis of CPs, are strategies that
have also been used to successfully manipulate Sensing
element
several physical properties. Biochemical
CPs have thus far proven straightforward to Transducer Signal
modify, like other polymers. However, it is difficult (CP) Electronic
to compare modified CPs from different research signal
groups because of the large number of techniques
Electronics
available for modifying CPs, which result in little
consistency from one investigation to the next. Fig. 7. Schematic of a biosensor. A biological sensing element
Although a wide range of CP variants has been (e.g., enzyme, antibody) detects a specific analyte producing a
explored for a number of applications, as described biochemical signal that is transferred to the transducer (e.g.,
conducting polymer), which ultimately produces a digital
in more detail below, considerable research remains electronic signal that is proportional to the amount of analyte
to be performed. present.

4.2. Biosensor applications


elements such as enzymes (Table 5). Depending on
The first biosensing device was created by how the chemical signal is sensed and transmitted,
integrating an enzyme into an electrode [30], and biosensors can be divided into several categories:
since that time, much progress has been made in amperometric (measures current), potentiometric
monitoring and diagnosing metabolites (e.g., glu- (measures potential), conductometric (measures
cose, hormones, neurotransmitters, antibodies, anti- change in conductivity), optical (measures light
gens) for clinical purposes. A biosensor is composed absorbance or emission), calorimetric (measures
of a sensing element (i.e., biomolecule) and a change in enthalpy), and piezoelectric (measures
transducer [29]. The sensing element interacts with mechanical stress) (reviewed in [29]).
the analyte of interest producing a chemical signal The most common types of transducers are
that is transmitted to the transducer, which ulti- amperometric and potentiometric. An ampero-
mately transforms the input into an electrical signal metric biosensor measures the current produced
(Fig. 7). CPs are extensively used as transducers that when a specific product is oxidized or reduced (e.g.,
integrate the signals produced by biological sensing redox reaction of a substrate in an enzyme) at a
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Table 5
Examples of biosensors using conducting polymersa

Analyte (sensing element) Types of sensor Polymers explored [Ref.]

Glucose (glucose oxidase) Amperometric  PPy [20,21,49,51–54,56,105]


Potentiometric  PANI [68,216,217]
 PT [68,87]

Cholesterol (cholesterol oxidase/esterase) Amperometric  PPy [63,218,219]


 PANI [104]

L-lactate (lactate oxidase/dehydrogenase) Amperometric  PPy [220]


 PANI [221,222]
 PT [88]
Urea (urease) Amperometric  PPy [40,41,223]
Potentiometric
Conductometric
DNA (DNA hybridization) Amperometric  PPy [50,64–67,78,79,81–84]
Gravimetric  PT [90,91]

a
Modified from [28].

Substrate Product of NH3, which interacts with PPy to produce an


Enzyme
electrical signal. This signal could be a product of a
change in pH and the subsequent ion mobility in the
Conducting Conducting polymer matrix triggered by an equilibration of the
Polymer Polymer dopants with the free ions in solution [40,41].
(oxidized) (reduced) A key aspect in biosensor applications is the
electrons integration of the electrical component (i.e., CP)
Measures
current with the biological recognition components. The
immobilization of bioactive macromolecules in or
Fig. 8. Schematic of electron transfer in an amperometric on electrically conductive polymers has been exten-
biosensor. An enzyme catalyzes a redox reaction of a specific
analyte, which results in the reduction of the conducting polymer
sively explored in an effort to provide intimate
(transducer) and the measurement of a current. contact between these two elements [29,42–46]. This
section focuses on describing the different available
techniques for the immobilization of biologically
constant applied potential [29] (Fig. 8). The CP active molecules on CPs. For this immobilization, it
mediates the electron transfer (e.g., via hydrogen is critical to maintain the activity of the molecules,
peroxide) between an enzyme, such as an oxidase or increase stability, and ensure accessibility of the
dehydrogenase, and the final electrode; however, the analyte to perform biological events such as
exact mechanism is not completely understood [29]. hybridization of complementary oligonucleotides,
Redox mediators such as ferrocene, viologen, antigen–antibody binding, or enzyme-catalyzed
Prussian Blue, or their derivatives are used to reactions.
improve electron transfer from the biochemical Table 6 summarizes the main categories of
reaction to the CP and therefore improve sensor immobilization techniques of biological sensing
sensitivity and selectivity. These redox mediators elements on CPs. Two main classes are distin-
can be entrapped, incorporated as dopants, or guished: non-covalent and covalent modifications.
chemically conjugated to the monomer [31–39]. Non-covalent modifications include adsorption,
Potentiometric biosensors use ion-selective electro- physical entrapment, and affinity binding. Covalent
des as physical transducers. For example, detection immobilization includes all techniques that create a
of urea by ureases is performed via the production covalent bond between the conducting substrate
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Table 6
Immobilization techniques of biomolecules on conducting polymers for biosensing devices

Immobilization Principles of Advantages Limitations


technique immobilization

Non-covalent techniques
Adsorption Electrostatic forces,  Simple  Biomolecule loss (desorption)
hydrogen bonding, Van over time
der Waal’s forces, etc.  Limited control over
immobilization
 Random orientation on surface
Entrapment Molecule incorporation  Simple  Potential loss of biomolecule
during  Good proximity between activity
electropolymerization elements  Steric and diffusion constraints
 Requires high biomolecule
concentration

Affinity binding High affinity interactions  Control over molecule  Requires pre-immobilization of
such as avidin-biotin orientation one of the affinity molecules
 High accessibility of analytes (e.g., biotin)
 Minimal loss of biomolecule
activity

Covalent techniques
Chemical conjugation Surface chemical reaction  Tighter control over  Complex
between functional immobilization  Conditions are not always
groups  High accessibility of analytes appropriate for biomolecules
 Minimal biomolecule loss over  Potential loss of biomolecule
time activity
 Control over biomolecule
orientation

and the biomolecule via functional moieties. Recent monolayer, which limits the quantity of sensing
reviews provide multiple examples of these methods element.
[47,48], in addition to the ones described below. An alternative to adsorption is physical entrap-
Physical adsorption is the simplest method of ment of the desired biomolecule during electropo-
immobilization and one of the first approaches used lymerization, which is one of the most extensively
for biosensors. As an example, glucose oxidase has used techniques. During this process monomer,
been adsorbed onto PPy for an amperometric dopant, and biomolecules are mixed in a single
sensor and was shown to detect glucose over a wide solution used for electrochemical polymerization.
range of concentrations (2.5–30 mM) using di- This process is usually performed under mild
methylferrocene as an electron transfer mediator conditions (i.e., neutral pH, aqueous, low oxidation
[49]. DNA biosensors have also been created using potentials) without chemical reactions that could
adsorption techniques. To achieve this, DNA has alter the activity of proteins, and only requires a
been indirectly adsorbed to PPy surfaces via single step for both polymerization and molecule
mercapto-oligonucleotide probe immobilization immobilization. For this reason CPs, such as PPy,
onto Au–Ag nanocomposites adsorbed onto PPy are frequently used to entrap biomolecules [46].
[50]. Although adsorption is simple, controlling the Many early applications successfully entrapped
concentration of the immobilized compound is glucose oxidase (GOx) in PPy films [20,21,51,52].
difficult and immobilization is not stable because Improvements continue to be made on glucose
of the weak non-covalent forces involved, which biosensors, which also serve as models for other
decrease the lifetime of the biosensor [48]. Another biosensors. Recent advancements include the GOx-
drawback is that compound adsorption occurs as a initiated polymerization of pyrrole to form sensitive
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PPy-coated GOx nanoparticles that act as glucose determination [71,72], which could eventually be
biosensors [53], and a PPy-coated ultramicroelec- used by the medical profession to transfuse human
trode glucose sensor fabricated using photolitho- blood and blood products to patients.
graphy with nA/(mmol L) sensitivity [54]. Wang and Although entrapment is a popular immobilization
coworkers [55] discovered that the sensitivity of technique, it has some important limitations. For
biosensors utilizing entrapped enzymes is enhanced example, the hydrophobic nature of the polymer
with increasing microscopic roughness of the compromises the quaternary structure of proteins,
electrode’s surface; therefore these authors have decreasing their biological activity. To overcome
targeted high surface area PPy-coated platinum this limitation, new alternatives have focused on
electrodes. Other enzymes such as horseradish creating more hydrophilic polymers using modified
peroxidase, phosphorylases, polyphenol oxidase monomers, such as pyrrole rings with long hydro-
lactate dehydrogenase, and deaminases have also philic chains [73,74]. Also, entrapment methods
been entrapped in CP films for biosensors [56–61]. require a high concentration of the biomolecule
For example, a PANI-derivative polymer was mixed (0.2–3.5 mg/mL), which is not always available
with polylysine to render it water-insoluble for and increases the cost of the process. Finally, the
aqueous-based biosensors and then subsequently entrapment procedure diminishes the accessibility of
modified with horseradish peroxidase (via entrap- analytes to the sensing element and thus affects
ment) [58]. PEDOT has also been used to entrap affinity complex formation (e.g., antibody–antigen,
enzymes. For instance, the ability of PEDOT hybridization of nucleotides). As a result, other
(synthesized by chemical vapor-phase polymeriza- immobilization techniques, such as affinity binding
tion) to shrink to 5% of its original thickness once and covalent modification, have been explored to
washed with ethanol has been exploited to entrap overcome these limitations.
horseradish peroxidase [62]. Detection of cholester- Affinity binding methods are based on immobi-
ol has been performed in amperometric biosensors lizing molecules on the surface of CPs via strong
by entrapment of cholesterol oxidase/esterase in non-covalent interactions. As a conventional ap-
derivatives of PPy and polynaphthalene [63]. proach in this category, the use of the avidin–biotin
Entrapment methods have also been used for complex presents advantages over other immobili-
immobilization of antibodies [64] and DNA zation techniques because of the extremely specific
[64–67]. Most entrapment methods involve co- and high-affinity interactions between biotin and
deposition during electrochemical synthesis. An the glycoprotein avidin (Ka ¼ 1015 mol–1 L) [75].
alternative to this is sol–gel encapsulation, which This technique allows control over orientation of
has been performed using silica and PT or silica the immobilized molecules by adjusting the location
and PANI to entrap glucose oxidase for glucose of the binding elements, which increases the activity
sensing [68]. and accessibility of the biological sensing elements.
Entrapment of living cells within CPs has also In contrast with conventional grafting, this ap-
been reported in an effort to create novel biosen- proach can also be applied to prepare assemblies
sors. Detection of dopamine was achieved by containing multilayers of biological molecules. The
entrapment of cells extracted from banana pulp in use of an avidin-immobilized biotin association was
PPy films in which the enzyme polyphenol oxidase achieved by copolymerizing pyrrole monomers with
catalyzes the conversion of dopamine to quinine biotinylated hydrophilic pyrrole monomers with
with a corresponding consumption of oxygen [69]. different poly(ethylene glycol) (PEG) lengths as
This study was based on the finding that the spacer arms (Fig. 9) [76]. The amount of anchored
browning reaction of the banana tissue was avidin on the hydrophilic PPy was modulated by the
produced by the conversion of dopamine to quinine immobilized biotin density and by the length of
by polyphenol oxidase [70]. In a different study, the PEG spacer arm linking the biotin moiety to
whole intact human erythrocytes containing viable the PPy backbone. Recently, the biotin–avidin
antigens were entrapped within a poly(vinyl sulfo- affinity immobilization technique was utilized in
nate)- and heparin sulfate-doped PPy electroactive combination with scanning electrochemical micro-
matrix from which signals were induced directly scopy technology to deposit and functionalize
using resistometry techniques. These composites of biotinylated PPy to create biologically active micro-
cells and conductive matrices served as proof-of- spot biosensors [77]. The design of complex
principle for potential biosensors for blood group biological architectures was further demonstrated in
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O
HN NH

S
N-(CH2)3-(O-CH2-CH2)2-O-(CH2)3-NH-CO-(CH2)4

O
HN NH

S
N-(CH2)3-(O-CH2-CH2)2-O-(CH2)3-NH-CO-(CH2)5-NH-CO-(CH2)4

Fig. 9. Hydrophilic pyrrole-biotin monomers with different lengths of the spacer arms: 1 (13 atoms) and 2 (20 atoms) [76]. Reproduced
from Torres-Rodriguez et al. by permission of Elsevier Science Ltd.

-1

polypyrrole-biotin polypyrrole-biotin/avidin

4 2

Cpbio

-3

Cpbio
Detection - Hybridization Biosensor

polypyrrole-biotin/avidin/ODN-probe Cpbio polypyrrole-biotin/avidin/ODN-probe Cpbio


ODN-target Cpbio

Fig. 10. Schematic of the oligonucleotide (ODN) sensor, ODN sensing and sensor regeneration, where Cpbio and Cp*bio represent the
biotinylated DNA probe and complementary biotinylated DNA probe, respectively [78]. Reproduced from Dupont-Filliard et al. by
permission of Elsevier Science Ltd.

the fabrication of PPy chips (Fig. 10) [78] and PPy allowed the detection of hybridization events. Thio-
nanowires [79], in which the successive immobiliza- phenes have also been biotinylated and incorporated
tion of avidin and biotinylated oligonucleotides into CPs used for biosensors, which rely on a
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transduction mechanism induced by the binding of to functionalize CP monomers prior to polymeriza-


avidin to produce a change in polymer electroactivity. tion. For example, copolymers of PPy and oligo-
In particular, avidin has been detected by drastic nucleotides bearing a pyrrole group have been
changes in the cyclic voltammograms of the polymer, reported for DNA sensors [83,84]. Other copoly-
which is attributed to the bound protein blocking ion mers have been formed with monomers functiona-
motion [80]. lized with amine or carboxylic acid groups, which
There are other affinity binding molecular com- subsequently react with functional groups on the
plexes, similar to the avidin–biotin complex, that biomolecules to be immobilized. As an example,
have been explored for the immobilization of DNA immunosensors for detecting Listeria monocyto-
to CP surfaces. Cosnier et al. [81] developed a genes were created by covalently binding the
unique intercalator (i.e., a molecule that inserts itself Listeria monoclonal antibody to a copolymer of
into double-stranded DNA)-based immobilization carboxylic acid-functionalized PPy and regular
technique to amperometrically detect single- PPy [85,86]. Carboxylic acid-functionalized PT has
stranded DNA. Target DNA strands are detected also been developed and used for glucose oxidase
when they form DNA duplexes with labeled DNA and lactate oxidase immobilization [87,88]. A novel
probes and are subsequently immobilized by the use for carboxylic acid substituted PT is P-amino-
affinity binding of the intercalator, which is phenyl-a-D-mannopyranose immobilization, which
covalently bound to PPy. Not only can these PPy binds selectively to several viruses. Therefore this
surfaces be used for the detection of any single- novel glycoPT can be used to detect viruses [89].
stranded DNA, but detection limits are very low Protection of electron withdrawing functional
(1 pg/mL). Alternately, a label-free DNA biosensor groups, (e.g., carboxylic acid), on monomers is not
detects hybridization based on the electrostatic uncommon because they hinder polymerization.
changes in the ion-exchange kinetics at a PPy- For example, the protection of carboxylic acid
coated microelectrode surface. Pyrroles functiona- functionalized thiophene with substituted benzyl
lized with a phosphonic acid group are grafted groups facilitated the electrochemical synthesis of a
to the PPy surface so that DNA probes can be PT derivative, which later could be used for DNA
immobilized via electrostatic complexation of the immobilization to detect DNA [90]. DNA immobi-
DNA phosphate group with phosphonic acid lization on PT has also been achieved via covalent
groups via magnesium cations. In addition to linkage to sulfonyl chloride functionalized PT,
having low detection limits, these sensors offer synthesized through the co-polymerization of
label-free detection and can be regenerated for methylthiophene and sulfonamide (protected sulfo-
repeated use [82]. nyl chloride) functionalized thiophene [91].
An attractive alternative to affinity binding for Other procedures incorporate activated esters such
biomolecule attachment involves the introduction of as N-hydroxysuccinimide by functionalizing thio-
appropriate functional groups into CP backbones phene or pyrrole monomers [81,92–94] (Fig. 11). This
or the surface modification of the polymers, functional group reacts with amines in proteins and
followed by covalent bonding (i.e., grafting) of other biomolecules under mild conditions. An inter-
bioactive macromolecules to the surfaces. In com- esting extension of this type of functionalization was
parison to adsorption, entrapment, and affinity reported for the formation of PPy nanoparticles for
binding immobilization, this approach is typically visual diagnostic assays [95]. In this investigation,
more robust and stable to external environmental pyrrole and N-succinimidyl ester pyrrole were poly-
factors, allows high loading, and increases biosensor merized in the presence of silica nanoparticles, which
lifetime; however, it is usually more complex and were subsequently used for immobilization of human
sometimes requires reaction conditions not suitable serum albumin. A more recent approach for chemical
for biomolecules. Compared to entrapment meth- grafting is the use of photo-activated chemistries. For
ods, surface chemical conjugation increases the example, electropolymerization of pyrrole–benzophe-
accessibility of the analytes and enhances the none polymers has been reported. The benzophenone
formation of affinity interactions. group can be activated with UV irradiation after
Conducting copolymers containing covalently polymerization for reaction with groups present in
substituted monomers have been fabricated as a biomolecules (Fig. 12) [96,97].
means to facilitate the immobilization of biomole- Another conjugation method is chemical grafting
cules. One strategy for this type of immobilization is after polymerization of unmodified CPs. One common
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Fig. 11. Immobilization of DNA on PPy derivatives with N-hydroxysuccinimide groups. Polypyrrole copolymers functionalized with
ferrocenyl groups and an activated ester reacted with oligonucleotides with a terminal amino group. Upon addition of complementary
oligonucleotide sequences and hybridization, a large modification of redox activity of ferrocenyl groups occurs, which is determined by
amperometric methods [93]. Reproduced from Korri-Youssouri et al. by permission of Elsevier Science Ltd.

the insertion of acrylic acid residues on the surface


of PPy, which introduced carboxylic acid functional
BM
groups used for the subsequent immobilization of
C O C
hv OH glucose oxidase (Fig. 13). CPs modified in this
fashion retained relatively high conductivity (only
BM
10–50% decrease). These surface-modified poly-
mers typically have higher conductivities compared
C O C O
to most bulk-modified polymers. For example,
O O
polymers with substituted monomers exhibit a
significant decrease in conductivity (3–5 orders of
N
magnitude) [106].
N
POLYMER Regardless of the immobilization technique em-
ployed there have been efforts to miniaturize
n n
biosensors in the last few years. A couple of
ELECTRODE examples of microelectrode biosensors employing
affinity or entrapment immobilization techniques
Fig. 12. Immobilization of biomolecules (BM) on polypyrrole– have been previously discussed. Often these micro-
benzophenone substrates. The biomolecule is grafted to the
polymer upon UV irradiation [96]. Reproduced from Cosnier and
electrode biosensors are made with surface micro-
Senillou et al. by permission of Royal Society of Chemistry. machining techniques, but a novel technique
developed by Liu et al. [107] involves consecutive
platinization and pyrrole polymerization on a
method for post-CP modification is the use of silicone substrate. Biomolecules can be immobilized
glutaraldehyde (often in conjunction with bovine in a number of ways; however, covalent immobili-
serum albumin). Glutaraldehyde crosslinking tech- zation was easier and produced better results. The
niques have been used to immobilize enzymes, such advantages of this biosensor fabricated with bulk
as glucose oxidase, glutamate oxidase, lactate micromachining technology include its compatibil-
oxidase, xanthine oxidase, choline oxidase, alcohol ity with complementary metal oxide semiconductor
oxidase, uricase, trypsin, and acetylcholinesterase (CMOS) technology, smaller sensitive surface area,
on PPy [34,36–38,98–103]. Cholesterol esterase, lower detection limit, and larger sensitivity per
cholesterol oxidase, and peroxidase have all been unit area.
immobilized on PANI using glutaraldehyde cross- In addition to the methods described above, there
linking as well [104]. Another good example of post- are other novel modifications of CPs for sensing
polymerization covalent modification is the immo- applications. A recent study described the use of
bilization of glucose oxidase and viologen on PPy caffeine-imprinted PPy for a piezoelectric caffeine
via acrylic acid grafting [105]. Regular PPy sub- sensor [108]. Molecular imprinting techniques were
strates were immersed in acrylic acid solutions and used by electropolymerizing PPy in the presence
irradiated with UV light. This reaction facilitated of caffeine and removing the template caffeine
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PPy
C N R1

UV COOH COOH N R (WSC)


+ AAc O

A 40min, 25°C COOH


1 h, 4 °C

O O
H
COOH C N E H2N E C COOH C O C N R1
O O
HN R
COOH 24 h, 4 °C, pH = 7.4 COOH

Fig. 13. Post-polymerization covalent immobilization of enzymes, E, on PPy. (A) Graft copolymerization of acrylic acid (AAc) on PPy
film surface. (B) Preactivation with water-soluble carbodiimide (WSC). (C) Glucose oxidase immobilization on polypyrrole matrix [105].
Reproduced from Cen et al. by permission of Elsevier Science Ltd.

molecules at the end of the polymerization via PPy–alginate gels have also been reported for the
washing. This allowed the formation of unique entrapment of algal Chlorella vulgaris cells to detect
three-dimensional sites used for the selective recog- algal alkaline phosphatase activity. The alginate
nition of caffeine, a process applicable to the food component of the matrix serves to create a more
and pharmaceutical industries. Following the same cell-compatible environment, while pyrrole in-
concept of imprinting, polythiophene polymers creased the overall stability of the biosensor [115].
modified with zwitterionic, peptide-like side chains PPy–methacrylate/tetraethylene glycol-based hy-
have been used in sensors by imprinting biomole- drogels have also been explored for potential
cules via electrostatic and hydrogen binding. These application in vivo as subcutaneous implantable
sensors have been tested for both DNA and protein biochips to monitor biomolecules, such as glucose
detection [109]. Another unique biosensor technique and lactate [102].
involves coating gold electrodes, upon which Recent advances in carbon nanotubes (CNTs)
aptamers have been covalently immobilized, with include the incorporation of CNTs into a number of
ferrocene-modified PT. In this instance, the bioac- CP-based biosensors. For example, preliminary
tive molecule (the aptamer) is not immobilized studies have been performed exploring the proper-
directly to the CP; however, the CP surrounds ties of both PPy/CNT and PANI/CNT devices as
the bioactive molecule allowing the CP to act as pH sensors [116]. One application used DNA-doped
an electrical transducer [110]. A similar strategy PPy in conjunction with CNTs for label-free
was used for the detection of double-stranded detection of DNA. In particular, the unique proper-
DNA [111]. ties of the PPy–CNTs allowed the detection of
In other studies, PPy has been polymerized in the hybridization reactions with complementary DNA
interstitial spaces of a hydrogel containing immobi- sequences via a decrease in impedance [117].
lized enzymes. Because of the highly hydrophilic Alternatively, similar DNA sensors have been
environment provided by the hydrogel, the perfor- created from a composite of PPy and CNTs
mance and characteristics of the biosensor were functionalized with carboxylic groups to covalently
greatly improved [112]. More specifically, PPy immobilize DNA onto CNTs [118,119]. CNTs have
hydrogels, such as PPy–alginate [113] and PPy–po- also been incorporated into biosensors as nanotube
lyacrylamide [114], have recently been explored to arrays onto which enzymes, such as GOx, can be
optimize GOx entrapment, retention, and function. immobilized along with a CP [120] and as a PPy
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dopant [121,122]. In general, the presence of CNTs example [138–130]. Because the advantage of using
tends to increase the overall sensitivity and selectiv- CPs in tissue-engineering applications is the ability
ity of biosensors. to subject cells to an electrical field, studies have
also addressed cell compatibility when a current or
4.3. Tissue engineering applications voltage is applied to PPy [129,137]. Although there
is some evidence of cytotoxicity after long time
The development of biosensors has created a exposure to current (e.g., 96 h exposure to 1 mA),
foundation for using CPs in many biological shorter periods of exposure to current have not
environments. In fact it was a logical next step to been found to have negative effects on cells in
explore CPs as biomaterials for different cell types culture [137].
and functions because previous studies had shown In addition to the biocompatibility of PPy, a
that cells such as fibroblasts, neurons, and osteo- number of studies have shown that electrical
blasts responded to electrical fields created by stimulation using PPyTS can modulate cellular
electrets [24,123] or between electrodes in vitro and response. Most of these early studies simply relied
in vivo [124–126]. The general CP properties desired on the passive adsorption of biomolecules from
for tissue engineering applications include conduc- serum or the coating of purified protein solutions to
tivity, reversible oxidation, redox stability, biocom- the surface of PPy. In one of the first studies
patibility, hydrophobicity (40–701 water contact performed to assess the suitability of CPs for
angle promotes cell adhesion), three-dimensional sustaining cell growth and controlling cell function,
geometry, and surface topography. However, there aortic endothelial cells were cultured on fibronectin
are always exceptions, as described below. (FN)-coated PPy films and exposed to oxidizing
potentials [22]. Oxidized PPy resulted in cell
4.3.1. Polypyrrole spreading, whereas reduction of PPy to its neutral
PPy was one of the first CPs studied for its effect state caused cell rounding (Fig. 14) and a con-
on mammalian cells [22]. To date, PPy has been comitant drop (98%) in DNA synthesis. Despite
reported to support cell adhesion and growth of a the change in cellular morphology, cell viability
number of different cell types, including endothelial (490%) and adhesion were very good on both
cells [22,127,128], rat pheochromocytoma (PC12) oxidized and neutral PPy. Other studies have shown
cells [71,129], neurons and support cells (i.e., glia, that electrical stimulation of PPy in its oxidized
fibroblasts) associated with dorsal root ganglia form can also be used to modulate cell function
(DRG) [130,131], primary neurons [132,133], kera- [129]. PC12 cells seeded on electrochemically
tinocytes [134], and mesenchymal stem cells [135]. synthesized PSS-doped PPy (PPyPSS) films having
As previously stated, PPy in its simplest unmodified a resistivity of 1 kO were found to exhibit a 91%
form can be synthesized to have a small molecule increase in median neurite length when a positive
anion (e.g., Cl) as a dopant, which generally is not potential of 100 mV was passed through the PPy
considered to contribute additional biological prop- for 2 h (Fig. 15). These studies demonstrate that
erties to PPy. Although such versions of PPy have cell growth and function can be drastically en-
been studied, most research has focused on either hanced at the interface of PPy undergoing electrical
the non-covalent or covalent modification of PPy to stimulation.
optimize interactions with specific cell types and Although very little is known about the effects of
other material properties that are important for an electric potential and/or an electrical field on cell
PPy’s use in vivo. The reader is referred to an activity, it is speculated that reduction of PPy and
excellent review on PPy and its interactions with electrical conduction through PPy can both affect
biological tissues [136]. cells in several ways. For example, the process of
Several studies have demonstrated cell and tissue neutralization of PPy, in which a reducting potential
compatibility of PPy in vitro and in vivo. For is applied, causes the expulsion of negative ions in
example, one of the earlier studies showed that PPy the case of small dopants or the uptake of positive
doped with p-toluene sulfonate (PPyTS) is cyto- ions from the medium in the case of large,
compatible with mouse fibroblasts and neuroblas- entrapped dopants. For PPyPSS, an uptake of
toma cells [137]. In vivo, there is minimal tissue positive ions such as Na+ from the medium is
response to implanted PPy [130,137] and PPy can speculated to affect several processes, including
support the regrowth of regenerating axons, for protein adsorption and the cell cycle [22]. Along
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Fig. 14. Photomicrograph of endothelial cells cultured on


fibronectin-coated PPyTS for 4 h: (A) PPy in native oxidized
state and (B) PPyTs reduced by application of 0.5 V for 4 h Fig. 15. PC12 cell differentiation on PPyPSS in the (A) absence
(  700) [22]. Reproduced from Wong et al. by permission of the and (B) presence of electrical stimulation. (A) Cells grown for
National Academy of Sciences. 48 h but not subjected to electrical stimulation are shown for
comparison. (B) PC12 cells were grown on PPy for 24 h in the
presence of nerve growth factor, then exposed to electrical
stimulation (100 mV) across the polymer film. Images were
these lines, the effects of electrical stimulation of acquired 24 h after stimulation. Scale bar ¼ 100 mm [129].
PPyPSS on FN adsorption and thus cell shape and Reproduced from Schmidt et al. by permission of the National
Academy of Sciences.
growth were further elucidated [140]. Stimulation of
these PPy films during protein incubation increased
FN adsorption to these surfaces from both purified that promoted enhanced PC12 cell adhesion and
FN and heterogenous serum-containing solutions. proliferation compared to TCPS controls. However,
The authors also observed PC12 cell adhesion and as commonly seen with the entrapment of large
demonstrated that with the aid of electrical stimula- biomolecules, conductivity of PPyClO4 with PVA
tion FN adsorption to PPy films could be increased, entrapped was decreased 10-fold compared to PPy
producing a surface that subsequently enhanced doped with toluenesulfonic acid controls. Despite
neurite extension. this decrease its conductivity was still significant
An alternative to adsorbing bioactive molecules (7 S/cm).
to PPy is the entrapment of such molecules during There have also been many studies that
electrochemical synthesis either as the dopant or in have entrapped biomolecules, such as adenosine
addition to the dopant. Recently this technique was 50 -triphosphate (ATP) [142–144] and nerve growth
used to entrap large molecules, poly(vinyl alcohol) factor (NGF) [71] in PPy and other CPs for both
(PVA), within PPyClO4 (tetraethylammonium per- drug delivery and tissue engineering applications. In
chlorate was the oxidant) [141]. The authors were particular, co-entrapment of NGF and dextran
able to generate a substrate with high surface area sulfate, followed by the controlled release of NGF
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upon PPy reduction, was shown to stimulate PC12


cell neurite extension [71]. Very recently a study
found that neurite outgrowth from auditory neu-
rons could be specifically targeted upon electrical
stimulation of PPy entrapping neurotrophin-3 [145].
The dopant introduces new properties into the
material; thus, PPy can be optimized to promote the
growth of different cell types or to induce specific
aspects of wound healing simply by varying the
dopant. For example, HA-doped PPy has been
synthesized and explored for tissue-engineering
applications because of HA’s inherent role in
wound healing and angiogenesis [18]. Conductivity
of electrochemically polymerized PPyHA films was
reported to be greatly reduced (3.08  103 S/cm)
compared to the conductivity of PPyPSS films
(9.25 S/cm). To improve conductivity, PPyHA
bilayer films were fabricated and shown to have
conductivities comparable to PPyPSS (8.02 S/cm).
These films had PSS as the dopant in the bottom
layer (to retain conductivity) and HA as the dopant
only in a thin layer on the top (to provide biological
activity). In vivo studies showed that the PPyHA
bilayer films were biocompatible and promoted
vascularization as a result of the presence of HA
(Fig. 16) [18]. Other studies have also explored
modification of PPy via different dopants, including
doping with dermatan sulfate for increasing kerati-
nocyte viability [134], doping with heparin for Fig. 16. In vivo tissue response to (A) PPyPSS films and (B)
increasing endothelial cell proliferation [127,128], PPyHA bilayer films. Films were implanted in subcutaneous
and doping with laminin-derived peptides to control pouches in rats. Tissues surrounding the material were harvested
neuron and astrocyte adhesion [132]. It is important after 2 weeks, fixed, imbedded and stained with hematoxylin and
to note that both surface topography and conduc- eosin. The heavy black lines in the images are the films. Blood
vessels are denoted by arrows. Scale bar is 100 mm [18].
tivity are often significantly altered when biomole- Reproduced from Collier et al. by permission of John Wiley &
cules are exclusively used as dopants [18,134]. Sons, Inc.
Although large biomolecule dopants are known to
significantly decrease conductivity and have more of
an effect on topography compared to small dopants, technique. This functionalization technique loca-
the exact effects of particular dopants are not very lizes the bioactive molecules at the surface, while in
predictable (Fig. 17) [134]. theory maintaining the bulk properties of PPyPGlu;
Dopants can also be used as intermediate however, it is possible that the dopant (PGlu) itself
‘‘tethers’’ to allow further modification of PPy with reduces bulk conductivity compared to large poly-
biomolecules. A good example of this technique is meric anions containing aromatic rings or small
doping with poly(glutamic acid) (PGlu) to provide a anions. This novel technique is advantageous in that
handle (i.e., carboxylic acid pendant group) for a single material can be used to easily incorporate a
future functionalization [131]. The carboxylic acid range of different biomolecules, including those that
groups on PGlu could be covalently linked using are not charged.
carbodiimide chemistry to any amino group, such as Besides using dopants to modify PPy properties,
those found in polylysine and laminin (Fig. 18). there are other emerging non-covalent approaches to
DRG neurons were observed to preferentially further modify PPy for biomedical applications. For
adhere to and extend neurites on the PPy surfaces instance, one approach to modifying PPy non-
modified with polylysine and/or laminin using this covalently was achieved using a peptide, selected
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0.4

0.2
I / mA

0.0

-0.2

-0.4

-0.6

0.4

0.2
I / mA

0.0
-0.2

-0.4

-0.6
-1.0 -0.8 -0.6 -0.4 -0.2 0.0 0.2 0.4 -1.0 -0.8 -0.6 -0.4 -0.2 0.0 0.2 0.4
E / V vs Ag/AgCl E / V vs Ag/AgCl

Fig. 17. Topography of thick PPy films as assessed using scanning electron microscopy (SEM) (top) and corresponding cyclic
voltammograms (CVs), indicating electrical activity of the materials (bottom). (A) PPyCl. (B) PPy doped with poly(vinyl sulfate). (C) PPy
doped with dermatan sulfate. (D) PPy doped with collagen (inset: thin film of collagen-doped PPy). A narrow CV spectrum correlates to
decreased electroactivity. Scale bars are 100 mm [134]. Reproduced from Ateh et al. by permission of Mary Ann Liebert, Inc.

from phage display libraries, that specifically binds to modify bulk properties such as conductivity and like
PPyCl [146]. This study demonstrated that the the PGlu approach described above, could be used to
peptide could be used to modify the PPyCl surface modify PPy with a range of different biomolecules
with the arginine–glycine–aspartic acid (RGD) pep- that do not need to be charged.
tide and promote PC12 cell adhesion in serum-free In addition to non-covalent approaches to
media, whereas no cell adhesion was seen on modifying PPy as discussed above, modification
unmodified surfaces. An advantage to this surface via covalent bonds has also been extensively
modification technique is that, in theory, it should not explored. Multiple techniques have been reported,
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Fig. 18. (A) Schematic of polypyrrole doped with poly(glutamic acid) (abbreviated as pPy[pGlu] in the figure) followed by the covalent
attachment of polylysine (pLys) and/or laminin (Lmn). (B) Phase contrast and fluorescence images of DRGs adhered to the surface of
pPy[pGlu]-X, where X ¼ 1. pLys, 2. Lmn, and 3. pLys-Lmn. Cell nuclei were labeled with DAPI (blue florescence). All images were taken
at 10  magnification and the 200 mm scale bar applies to all images shown [131]. Reproduced from Song et al. by permission of Elsevier
Science Ltd.
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some of which are described here. Modification of In another investigation, HA was attached to
the b-positions on PPy was achieved by creation of PPyTS via grafting of acrylate groups and silaniza-
strong sulfide bonds with cysteines [147,148]. These tion with amine-containing silanes [153,154]. HA
cysteines served as ‘‘handles’’ to attach bioactive was subsequently immobilized using carbodiimide
molecules via peptide bonds or peptides containing chemistry for the reaction of amine groups from the
a terminal cysteine (S) group that could be directly grafting procedure with the carboxylic groups from
bound to PPy. In particular, osteoblast adhesion HA. These studies are similar to the reported
was enhanced up to 230% on RGDS peptide- PPyHA films using HA as a dopant [18], described
modified PPy surfaces. Covalent modification of earlier, but in this approach the authors use a
pyrrole at the N-position is another common covalent attachment method at the surface of PPy
method of functionalizing PPy, although this to avoid bulk incorporation of HA and to better
modification does decrease the conductivity of PPy preserve conductivity [153,154]. As predicted, this
more than b substitution [7]. The most prevalent modification approach resulted in good conductiv-
technique for N-functionalization consists of hydro- ity (only a 4–38% decrease, depending on the degree
lyzing 1-(2-cyanoethyl) pyrrole to 1-(2-carboxyethyl) of functionalization), as well as unaffected mechan-
pyrrole [106,149,150]. The carboxylic acid func- ical properties of the polymer and increased
tional groups can be activated for future protein hydrophilicity of the surface. An increased hydro-
immobilization with hydroxysuccinimide (NHS) in philicity enhances interactions between the CP and
the presence of a water-soluble carbodiimide before extracellular matrix components. The authors
[150] or after pyrrole polymerization [106]. For found that HA-modified PPy supported PC12 cell
example, the cell adhesive RGD peptide sequence adhesion and when this material was sulfated,
was covalently conjugated to the surface of NHS- platelet adhesion was reduced in vivo. In general,
functionalized PPyCl [106,151]. Although, as ex- covalent surface modifications increase the stability
pected, the conductivity of these films decreased of the biomolecules and have a minor impact on the
from 2.81  102 to 4.65  102 S/m, human umbili- CP conductivity (compared to dopant and entrap-
cal vein endothelial cell (HUVEC) adhesion and ment methods).
proliferation were improved. A great number of studies have focused on
Other covalent techniques create covalent bonds optimizing PPy–cell interactions by the incorpora-
only at the PPy surface, rather than modifying PPy tion of biomolecules, but it is necessary also to
in bulk. In one of these studies, NGF was surface- consider other material properties such as redox
immobilized on PPyPSS (thickness ¼ 200 nm), stability, mechanical properties, degradability, and
using an intermediate photo-crosslinker consisting surface topography. In particular, the development
of polyallylamine conjugated to an arylazido func- of a PPy analog that would decrease the redox
tional group [152]. On exposure to UV light, NGF potential of PPy and render it stable and more
was fixed to the substrate via photoactivation and conductive under the oxidative conditions of
non-specific reaction of the arylazido moieties. biological systems was investigated [155]. PPy not
Similar levels of neurite extension were observed only has a relatively high oxidation potential and so
for PC12 cells and DRG neurons in the presence of is susceptible to polymer breakdown due to over-
immobilized NGF compared to positive controls oxidation, but there is also a significant amount of
with soluble NGF. Additionally, electrical stimula- a–b0 coupling, which induces structure disorder that
tion experiments were conducted with the modified disrupts electroactivity and is the primary site of
polymer and revealed a 50% increase in neurite polymer breakdown. PPy derivatives, poly(3,4-
outgrowth in PC12 cells compared to experiments ethylenedioxypyrrole) (PEDOP) and poly(3,4-pro-
without electrical stimulation. This novel modifica- pylenedioxypyrrole) (PProDOP), were synthesized
tion of PPyPSS provides both electrical and to address this latter issue and were found to have a
biological stimulation by presenting tethered growth good range of conductivities (50 S/cm) and good
factors and producing only a small decrease in the oxidative stability in the presence of dithiothrietol
material’s conductivity (modified PPy ¼ 9.372 S/ and glutathione.
cm; unmodified PPy ¼ 14.572 S/cm), which repre- In addition to fine tuning the electrical properties
sents a major advantage when compared to other of PPy, it is important to consider its mechanical
covalent techniques that produce a decrease in properties. As noted earlier, unmodified PPy, like
conductivity by orders of magnitude. most other CPs, is crystalline and brittle, which does
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not make it an ideal candidate for tissue scaffold solvents and slightly soluble in water with a
materials. Several research groups have explored in degradation rate of about 27% over 80 days.
vitro and in vivo properties of PPy-coated polyester Although these novel polymers are not inherently
fabrics. PPy coating of substrates has been achieved degradable (i.e., the backbones of the polymers are
non-covalently by both chemical [156] and electro- not actually cleaved), the ability of the polymers to
chemical [157] deposition; however, these materials erode achieves the same goal. Along similar lines,
are susceptible to delamination. Alternatively, other studies have introduced the property of
covalent modification of phosphorous trichloride- biodegradation by creating blends of PPy with
activated polyester fabric with N-modified PPy degradable polymers such as polylactide (PLA). For
generates PPy-coated polyester that is much less example, PPy nanoparticle–PLA composites were
susceptible to delamination [158]. As expected, PPy- created and shown to be both degradable and
coated polyester fabrics are only slightly conductive conductive (resistivity ranging from 2  107–15 O/
(surface resistivity of 104–105 O/square); however, square) [23]. Both parameters could be modulated
these materials are flexible and exhibit good in vitro by varying the amount of PPy in the blend, which
and in vivo biocompatibility [159–161]. additionally impacted topography (Fig. 19). The
Degradability and surface topography are also authors found that fibroblasts attached and grew on
important parameters for interfacing CPs with the PPy nanoparticle–PLA composites with an
cells. The development of a bioresorbable form increased viability when stimulated at currents of
of PPy was obtained by electrochemically synthesiz- 10–50 mA. This material offers the advantage of
ing small, slightly water-soluble PPy chains (1700– permitting electrical stimulation at biologically
3200 Da), which would enable the gradual erosion significant currents, maintaining electroconductivity
and renal clearance of the polymer to occur in vivo for long times (15% of conductivity retained after
[162]. The monomer unit of this modified PPy was 1000 h), as well as being both degradable and
functionalized at the b position with either a methyl biocompatible in vivo [23,163,164].
ester or a carboxylic acid side chain. The methyl Several studies have exclusively explored the role
ester-modified polymer was soluble in organic of surface topography for CPs. For example,
solvents and eroded much more slowly (6% mass admicellar polymerization has been used to precisely
loss over 80 days) compared to the carboxylic acid- control PPy film thickness and to modulate surface
modified form, which was insoluble in organic topography (Fig. 20), thereby influencing mesenchymal

Fig. 19. SEM images of the surface of PPy nanoparticle-PLA composite membranes with various PPy content: (A) 5%, (B) 7%, (C) 9%,
(D) 17% [23]. Reproduced from Shi et al. by permission of Elsevier Science Ltd.
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stem cell adhesion and differentiation to osteoblasts network [168]. In a slightly different approach,
[135]. In another approach, cellulose fibers were electrochemical coating of PPy and PPy derivatives
used as a substrate to generate nanoscale topogra- onto metallic surfaces was used as a technique
phy within PPy [165]. The morphologically complex to impart metallic surfaces with topography and
nanofeatures of the cellulose were preserved and functionality in the hope of generating more
transferred to PPy coatings by means of polymer- biocompatible and biofunctional interfaces on
ization-induced adsorption. Microfabrication tech- metallic medical implants such as stents [169].
niques have also been used for creating PPy
topographical patterns that provide contact gui- 4.3.2. Polyaniline
dance cues to primary neurons [133]. In particular, The exploration of PANI for tissue engineering
patterning of 1 and 2 mm wide PPyPSS microchan- applications has progressed more slowly than the
nels was obtained using electropolymerization and development of PPy for similar applications; how-
electron beam lithography. To demonstrate the ever, recently there has been more evidence for the
effect of these surface patterns on cells, embryonic ability of PANI and PANI variants to support cell
hippocampal neurons were cultured on patterned growth. The cell compatibility of only a few different
PPy and found to polarize (i.e., define an axon) cell lines has been explored, including cardiac
faster on this modified material, having a two-fold myoblasts and PC12 cells. It has been suggested
increase in the number of cells with axons compared that perhaps the compatibility of PANI is specific to
to cells cultured on unmodified PPyPSS (Fig. 21). particular cells [170]. A handful of strategies have
There have been other micro- or nano-patterned been explored for the development of PANI with
CP surfaces created for potential tissue engineering good biocompatibility, conductivity, and mechanical
applications, including three dimensional honey- properties. These strategies most often involve non-
comb, porous CP films [166,167] and microsized covalent and covalent techniques, as is the case for
circles and microfluidic mimics of the vascular strategies used for PPy modification.

Fig. 20. Representative atomic force microscopy images of PPy thin films made by admicellar polymerization (AP) and chemical
polymerization without surfactant (no SDS) on polystyrene dishes. (A) 20  103 M pyrrole (AP). (B) 35  103 M pyrrole (AP).
(C) 50  103 M pyrrole (AP). (D) 5  103 M pyrrole (no SDS). The vertical scale was adjusted to 1000 nm. The thickness ranged from 35 to
154 nm for 20  103 M (AP), 48–466 nm for 35  103 M (AP), 85–697 nm for 50  103 M (AP), and 46–199 nm for chemical polymerization
without surfactant (no SDS) [135]. Reproduced from Castano et al. by permission of Wiley-VCH Verlag GmbH & Co. KGaA.
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Fig. 21. Patterning of PPy to create microchannels for contact guidance of neurons. Phase-contrast (left) and fluorescence (right)
photomicrographs of hippocampal neurons on PPy. (A,B) Cells cultured on 2 mm wide and 200 nm deep PPy microchannels. (C,D) Cells
cultured on unmodified PPy. The green labeling (Alexa 488) corresponds to Tau-1 (axonal marker) immunostaining. Cells polarized (i.e.,
established a single axon) more readily on microchannels than on unmodified PPy. Scale bar ¼ 20 mm. Images are at the same
magnification [133]. Reproduced from Gomez et al. by permission of John Wiley & Sons, Inc.

The demonstration of PANI’s biocompatibility in results and encouraged further exploration of the
vivo has sparked interest in its use for tissue application of PANI in biological systems. Cell
engineering applications. Studies have assessed the biocompatibility of doped PANI (with HCl) has
in vivo response to implants of different oxidation been observed in vitro [170]. However, an initial lag
states of PANI (emeraldine, nigraniline, and leu- in cell (cardiac myoblast) growth rate was found in
coemeraldine) [171]. In general, there was an the presence of doped PANI; it was proposed that
absence of significant inflammation at the implant this correlated to acid leaching from doped films
sites. There were, however, thin layers of fibrous and a subsequent decrease in conductivity.
tissue encapsulating these unmodified PANI im- Although a few studies have suggested the
plants and immune response cells (i.e., mast cells) biocompatibility of unmodified PANI, as described
were observed. There were no signs of abnormality above, there have also been conflicting reports that
of muscle and adipose tissues in the vicinity of the demonstrated poor cell adhesion and growth on this
implants. Although this study lacked controls (e.g., unmodified CP [172]. For this reason, other
comparison with acceptable implant materials such methods have been sought to modify PANI to
as PLGA) and detailed quantitative assessment of render it biocompatible while maintaining the
compatibility, the study nonetheless had promising desirable electrical properties of the material.
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Fig. 22. SEM image of PANI films. (A) PANI immersed in N-methylpyrrolidinone (NMP) for 300 s followed by dipping in water. (B)
PANI immersed in 0.03 g/mL Pluronic polymer/NMP solution followed by dipping in water [173]. Reproduced from Li et al. by
permission of Elsevier Science Ltd.

Fig. 23. (A) SEM image of PANI-gelatin blend fibers with ratio 45:55. Original magnification is 5000  . (B) Morphology of H9c2
myoblast cells at 20 h post-seeding on 45:55 PANI-gelatin blend fiber. Staining is for nuclei-bisbenzimide and actin cytoskeleton-
phalloidin; fibers autofluoresce. Original magnification is 400  . (C) SEM images of H9c2 cells cultured on 45:55 PANI-gelatin blend
fibers [175]. Reproduced from Li et al. by permission of Elsevier Science Ltd.

For example, hydrophilicity of PANI has been optimization of conductivity and fiber diameter,
modified by a two-liquid adsorptive entrapment of where cells were found to prefer smaller diameter
poly(ethylene oxide)–poly(propylene oxide)–poly fibers.
(ethylene oxide) (PEO–PPO–PEO) triblock copolymer. The optimization of PANI biocompatibility has
This technique results in the entrapment of PPO been targeted by covalent modification as well.
within PANI, while the PEO ends remain exposed There are a number of methods to modify a CP
at the surface (Fig. 22). The exposure of the covalently and thus functionalize the surface;
hydrophilic PEO segments consequently decreases however, the primary concern is to avoid disrupting
subsequent protein adsorption. Because this techni- the conductivity of the CP. Graft copolymerization
que targets the PANI surface, bulk conductivity is of emeraldine PANI with acrylic acid was used to
maintained (0.6 S/cm) [173]. Similarly, PANI– immobilize collagen, which was found to reduce
chitosan nanocomposites have been explored to inflammation in vivo [171]. Direct modification
increase biocompatibility and enhance surface of the aniline monomer to create a functional
characteristics [174]. PANI–gelatin crosslinked group (methyl chloride) that can be linked to any
composites have been demonstrated to have amino acid has also been investigated [172]. In
good biocompatibility in vivo. In addition, gelatin this approach the conjugation of PANI was not
has desirable mechanical properties that allow it interrupted by the addition of a copolymer and
to be electrically spun into fibers to generate therefore, the conductivity was better maintained
three-dimensional scaffolds (Fig. 23) [175]. Varying (4–10 S/cm versus about 10 S/cm for unmodified
the ratio of PANI to gelatin allowed for the PANI). Functionalization of PANI with tryptophan
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was demonstrated with this technique, and resulted composed of heterocycles, which were tethered
in good PC12 cell attachment, proliferation, and together by degradable ester linkers (Fig. 24a)
response to NGF. [177]. The goal was to create a polymer that would
be conductive, thus permitting in vivo electrical
4.3.3. Polythiophene and novel conducting polymers activation of cells, and also be degradable, eliminat-
PPy and PANI remain the most extensively studied ing the need to remove these scaffolds surgically.
CPs for tissue engineering purposes to date, but a few The overlap of conjugated regions would enable
other CPs have been explored, such as polythiophene inter and intra ‘‘electron hopping’’ to give rise to
(PT) and novel CPs. In one study, a small library of conductivity and the polymer would degrade in the
polymers consisting of a PT backbone with oligosi- presence of esterases in vivo. The goal was realized;
loxane grafted to the b position of the thiophene rings however, doping of the polymer to render it
was generated [176]. The authors created different PT conductive (104 S/cm), was again only achieved
homopolymers by varying the chain length of the with iodine. Despite this drawback, the undoped
oligosiloxane, but they also created copolymers with version of this polymer was degradable (Fig. 25)
oligosiloxane-grafted thiophene and 3-methylthio- and also biocompatible in vivo and in vitro [177].
phene. Conductivity of the PT homopolymers These results were considered promising and cur-
decreased in general as the length of the oligosiloxane rently research is focused on the synthesis and
increased (maximum conductivity of 1.7  106 characterization of a modified polymer that will be
S/cm), but the corresponding copolymers were more degradable, more conductive and doped by bio-
conductive (maximum conductivity of 5  105 compatible chloride anions. A novel polymer,
S/cm). Unfortunately, these polymers were doped poly(dialcoholdimethylquaterthiophene-co-adipic acid)
with iodine, which is toxic to cells. In vitro (Fig. 24b), has been synthesized and is currently
biocompatibility studies with human ovarian cancer being characterized by Schmidt and coworkers.
cells (HeLa) were only performed on undoped
polymers. 4.4. Neural probe applications
Perhaps the biggest limitation of CPs for in vivo
applications is their inherent inability to degrade. Many of the advance made in CPs for tissue
Thus far two examples of modified PPy have been engineering applications, particularly with respect
mentioned, which attempt to overcome this draw- to neurons, are relevant to the development of
back: slightly water-soluble oligopyrrole variants optimized neural electrodes. Especially important to
and PPy nanoparticle-PLA composites [23,162]. this area of research is the need to intimately
Although these PPy variants do not have degrad- interface electrodes with neural tissue and to relay
able backbones, they have been designed to be small signals efficiently between the cells and the elec-
enough, such that upon the surface erosion of the trode, thus integrating the device seamlessly with
material, the CP can be renally cleared. Rivers et al. the native neuronal signaling network. CPs are
reported an alternative approach in which the CP attractive candidates for interfacing electrodes with
backbone was designed to degrade. This CP, neurons because they can achieve high surface area,
biodegradable electrically conducting polymer helping to promote effective ion exchange between
(BECP), was designed to have conducting regions recording sites and the surrounding tissue. The goal

O
H O O O O
OH
N S N
O H H O O n

O
O O
H S S S S OH
O n
Fig. 24. Chemical structures of (A) biocompatible electrically conductive polymer (BECP) and (B) poly(5,5000 -dialcohol-3,3000 -dimethyl-
quaterthiophene-co-adipic acid) (PAMQAA).
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0.6 authors designed a neural probe, which could also


be used as a neural scaffold, from PPy doped with
0.5
PSS or sodium dodecylbenzenesulfonate (NaDBS)
esterase (in PBS) [178]. This research group was interested in inves-
tigating the effectiveness of an implant specially
0.4 fabricated from the electrochemical deposition of
PPy onto a patterned gold template. The dopant
0.3 and the temperature at which electrochemical
deposition proceeded were varied. PPy doped with
polymer + esterase (in PBS)
NaDBS was more conductive than PPyPSS, which
0.2
could increase signal transportation from the cells
to the electrode. With regard to temperature, PPy
0.1 films synthesized using either dopant but at a lower
polymer (in PBS)
temperature (4 1C) were rougher than the same films
0 made at 25 1C. This is a significant observation
200 300 400 500 600 700 800 because rougher topography correlates to increased
Wavelength (nm) surface area, which would increase signal conduc-
tion by increasing the interface with neurons. In
Fig. 25. Degradation studies of BECP films (3.0 cm  2.2 cm 
vitro, neural networks consisting of glia, axons,
2.0 mm) were performed in PBS with and without cholesterol
esterase for 2 weeks. The supernatants of the solutions were dendrites, and synapses were observed for all PPy
evaluated by measurement of their UV–vis absorption. The films (Fig. 26). In vivo, the implants with rougher
aromatic rings found in the polymer and its degraded species surfaces had increased implant integration and
absorb at 340 nm in PBS and the esterase absorbs at 280 nm. The decreased gliosis compared to controls [178].
supernatant of the polymer+esterase shows a strong absorption
PPy augmented with biological moieties may
peak at 340 nm compared to the supernatant of the polymer
without the esterase. This demonstrates that BECP is degradable offer advantages for neural probe applications.
by enzymes that are known to be secreted during in vivo wound Several studies have focused on doping PPy with
healing events. Note: The y-axis is reported in absorbance units peptides derived from extracellular matrix proteins
(a.u.) [177]. Reproduced from Rivers et al. by permission of including laminin-derived peptides, such as p31
Wiley-VCH Verlag GmbH & Co. KGaA.
(CDPGYIGSR) [132,179], p20 (RNIAEIIKDI)
[132] and YIGSR-containing sequences (DCDPG-
is to increase surface area of the recording site, while YIGSR) [180], in addition to FN peptide variants
maintaining a sufficiently small geometric area to such as the silk-like polymer having FN fragments
isolate the action potential from a single neuron. A (SLPF) [179], which is a synthetic copolymer
larger surface area results in an increase in consisting of amino acid sequence blocks of silk
capacitance, which corresponds to a decrease in fibroin and the cell attachment domain of FN
impedance, thus improving signal-to-noise ratio. (RGD). Careful selection of the bioactive molecule
Ideally, a neural probe would maximize neural to be incorporated at the electrode surface is
signals recorded, minimize noise, maintain high essential to enhance neuron adhesion and growth
capacitance, and remain conductive over the long and thereby increase the signal received from
term. Although PPy is commonly explored for neurons, while simultaneously minimizing astrocyte
coating neural probes, more recent studies have adhesion, which would interfere with neuron
focused on the polythiophene derivative PEDOT signaling.
(poly(3,4-ethylenedioxythiophene)) because of its In one example, a silicon-based, 4-pronged neural
stable oxidative state and higher conductivity. probe was micropatterned with a layer of gold. PPy
doped with either SLPF or laminin-derived non-
4.4.1. Polypyrrole apeptide p31 was deposited on the gold recording
Similar to research progress in biosensor and sites [179]. Not only did the entrapment of these
tissue engineering applications, most of the initial peptide sequences enhance cell attachment, growth,
studies exploring the application of CPs to neural and migration, but at a particular intermediate
probes focused on PPy. Most CPs explored for deposition time, the surface area and the conduc-
neural probe applications have been modified to tivity of PPy were maximized. An increase in surface
improve neural signal detection. In one study, the area (Fig. 27) aided integration of the probe into the
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preferentially attached to PPySLPF (compared to


gold), and neuroblastoma cells adhered significantly
better to PPyCDPGYIGSR as compared to
PPyCH3COO, further suggesting the enhancement
of electrode-neuron interactions in the presence of
PPy doped with bioactive peptides [179].
This work was extended to monitor in vivo neural
recordings from DCDPGYIGSR-modified PPy
probes. Even though conductivity decreased as a
result of the entrapped molecules within PPy,
impedance values were still low enough to detect
neural activity one week after neural probe im-
plantation. Unfortunately, the PPyDCDPGYIGSR
coating was not sufficient to prevent gliosis after
two weeks of implantation and further work is being
performed to minimize astrocyte and fibroblast
encapsulation of neural probes [180].
Further efforts to optimize cell attachment to PPy
neural probes have been made. A study comparing
PPy doped with two different laminin sequences or
both of these laminin sequences together was
performed to optimize neural interfacing [132].
The p31 laminin fragment is known to promote
cell binding, whereas the p20 laminin fragment
specifically promotes neurite initiation and out-
growth. As expected, neuron density was greatest on
laminin-doped controls, with the combination of
p31 and p20 dopants giving rise to the second
highest neuron density compared to PPy doped with
p31 or p20 individually. Neurites extended equally
well on PPy doped with p20 and PPy doped with
both p31 and p20. Although these laminin-modified
PPy surfaces exhibited lower astrocyte cell adhesion
compared to gold surfaces, there was a larger
number of astrocytes versus neurons adhered to
the laminin-modified PPy (Fig. 28). Consequently,
the optimization of this system is still in progress
with more recent work having been directed toward
gaining finer control over neuronal signal detection
[Stauffer and Cui, personal communication, 2006].
Just as positive cues can be entrapped in PPy
Fig. 26. PPy surfaces. The surface texture of PPy can be
controlled through electrochemical polymerization temperature.
electrodes, these investigators have found that
(A) Smooth morphology when PPyNaDBS is polymerized at detectable neuronal waveforms can be inhibited
24 1C. (B) Rough morphology when PPyNaDBS is polymerized with the entrapment and release of an antagonist
at 4 1C. Scale bars are 200 mm. (C) Fluorescently labeled of alpha-amino-3-hydroxy-5-methyl-4-isoxazolepro-
explanted cortical neurons growing and forming networks on a prionic (AMPA)/kainite receptors from PPy elec-
PPyNaDBS surface after 21 days. Green: neurons, red: glia, blue:
nuclei. Scale bar is 50 mm [178]. Reproduced from George et al.
trodes (Fig. 29).
by permission of Elsevier Science Ltd. In addition to modification of the CP with
peptides, deposition of the CP within a hydrogel
neural tissue and, along with the increase in network is another attractive strategy to better
conductivity, this improved signal transportation. integrate the CP with target cells. Hydrogels are
Finally, the authors demonstrated that glial cells attractive because they are biocompatible, porous,
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Fig. 27. SEM images of PPySLPF-coated electrode sites. From (A) to (D) the deposition time increased, corresponding to a total charge
passed of (A) 0 mC, (B) 1 mC, (C) 4 mC, and (D) 10 mC. The area of the uncoated electrode is 1250 mm2 [179]. Reproduced from Cui et al. by
permission of John Wiley & Sons, Inc.

and can be tailored to possess the mechanical 4.4.2. Poly(3,4-ethylenedioxythiophene)


properties of the surrounding tissue (e.g., brain PPy is often the first CP explored for new
tissue), which would create a better electrode–cell applications because it is so well understood;
interface. In a recent study, PPyPSS was electro- however, as previously mentioned, PPy is suscep-
chemically grown in alginate gels coated on electro- tible to irreversible oxidation [155]. In one study,
des [181]. PPy was found to grow vertically from the PPyPSS was found to retain only 5% of its original
gold patterned surface up through the gel, demon- charge after polarization for 16 h [182]. Maintaining
strating controlled PPy deposition (to one specific a high capacitance over long periods is necessary to
recording site). This would permit the modification record chronic neural activity. PEDOT has recently
of each site with different bioactive agents. Increas- been explored as an alternative to PPy because it is
ing deposition time of PPy decreased the impedance much more stable to oxidation and more conductive
of PPy–alginate blends. At the biologically relevant than PPy. Unlike PPy, PEDOT was found to retain
frequency of 1 kHz this impedance value (7 kO) after 89% of its conductivity under similar conditions
40 min of deposition was found to be even less than [182]. Two studies have characterized the electro-
that of unmodified PPy. Moreover, PPy deposited chemical deposition of PEDOT and PEDOT–
within a hydrogel served to increase the surface MeOH on neural probes [183,184]. Both materials
area of the PPy film. Optimizing freeze-drying resulted in improved electrochemical stability and
conditions allowed for control over hydrogel increased surface area compared to controls, which
porosity; larger pores are important for growth of lowered impedance. Both forms of PEDOT were
cells to improve signal transfer and vascularization successfully doped with the laminin-derived
of the hydrogel. Overall, these studies demonstrated DCDPGYIGSR peptide and rat glial cells prefer-
that PPy–alginate-coated electrode recording sites entially grew on PEDOT–DCDPGYIGSR. PED-
could transport charge as efficiently as uncoated OT–MeOH has not been tested in vivo, but the
gold probes [181]. advantage of using this CP over regular PEDOT is
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Fig. 28. Fluorescence (left) and corresponding SEM (right) images of neurons on different PPy surfaces. (A,B) PPy doped with p31 and
p20. (C,D) PPy doped with p31. (E,F) PPyPSS [132]. Reproduced from Stauffer and Cui by permission of Elsevier Science Ltd.

Fig. 29. A polypyrrole based electrically controlled release system applied in a cultured neuronal network. (A) the arrows indicate
electrodes that have been modified with a PPy film loaded with neurochemical CNQX (6-cyano-7-nitroquinoxaline-2,3-dione), a specific
antagonist of AMPA/kainate receptors. CNQX is released directly from the electrodes and affects cells in the nearby region. (B) Neuronal
waveforms recorded near a PPy/CNQX-modified electrode can be seen before release and (C) is not seen after release. (Unpublished work
by William Stauffer and X. Tracy Cui, Bioengineering Department, University of Pittsburgh.)
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that its monomer is more soluble in water, which delivery and actuator approaches are based on
would permit polymer synthesis in the aqueous the reduction of CPs, which triggers expulsion of
systems that are necessary for incorporation of ions (i.e., de-doping) and an associated change in
many biomolecules [183,184]. volume [187].
As for PPy-coated electrodes, PEDOT-coated With respect to drug delivery applications,
electrodes require maximum surface area to mini- electrical stimulation of CPs has been used to
mize impedance. Surfactants have commonly been release a number of therapeutic proteins and drugs
used in other applications to precisely control including, for example, NGF [71], dexamethasone
material surface structure; thus, the use of surfac- [188,189], and heparin [190]. An early investigation
tants was recently explored in the synthesis of CP demonstrated entrapment and electrically stimu-
films on neural probe sites [185]. The authors found lated release of bovine serum albumin and NGF
that the surfactant-templated PEDOT surface had a from PPy doped with polyelectrolytes (e.g., dextran
minimum impedance of 35 kO, which was less than sulfate) [71]. The use of polyelectrolytes induced
that of controls (PEDOT and PPy). Additionally, high water content in the CP, allowing an easy
CV analysis demonstrated that these templated release of the entrapped protein. For this release,
films had increased charge capacity and were more PPy was reduced with negative potential, producing
electrochemically stable than controls. These im- a rapid expulsion of anions in less than one minute.
proved properties are likely a result of the increased The retained activity of the released NGF was
surface area (as confirmed by SEM imaging) corroborated with a neurite extension assay with
generated by templating PEDOT. Although poly PC12 cells. Although protein entrapment in CPs
(oxythylene)10-oleyl ether surfactant is considered often affects the protein’s folding and activity
toxic to cells, careful selection of the surfactant because of the hydrophobicity of the polymer (as
concentration and proper washing permitted survi- discussed in the biosensor section), the use of
val of SH-SY5Y human neuroblastoma cells on polyelectrolytes and high water content in this
templated PEDOT [185]. study might have overcome this limitation.
In a subsequent study, the efficacy of surfactant- Another recent study investigated the release of
templated PEDOT electrodes for recording chronic NGF from PPy by using biotin as a co-dopant
neural activity was compared to that of uncoated during the electrical polymerization [191]. In this
iridium sites over six weeks [186]. Parameters such investigation, NGF was biotinylated and immobi-
as impedance, root mean square noise, signal lized to streptavidin entrapped within PPy films
amplitude, and signal-to-noise ratio were recorded. doped with both biotin and dodecylbenzenesulfo-
As expected, the PEDOT-coated electrode sites had nate. The authors showed that NGF was exclusively
lowered impedance, and thus reduced noise and released when PPy was electrically stimulated. In
decreased signal loss, compared to control iridium particular, a 3 V pulse for 150 s resulted in a release
sites. Unfortunately, the advantages of reduced of 22 ng/cm2 of NGF from the surface of the
noise and decreased signal loss were mitigated by polymer. The activity of the released protein was
encapsulation of the electrode, and thus signal-to- confirmed by observing PC12 cell neurite extension
noise ratios were similar for both PEDOT and in the presence of the released NGF. This approach
control electrode sites. Future studies are focused provides great flexibility in the number and types of
on depositing agents to minimize the immune drugs that could be delivered using the conventional
response, reduce encapsulation, and induce nerve biotin–streptavidin strategy.
growth toward the electrode [186]. The release of heparin from hydrogels immobi-
lized onto PPy films can also be triggered by
4.5. Other applications electrical stimulation [190]. PVA hydrogels were
covalently immobilized onto PPy films via grafting
In addition to biosensors, tissue engineering, and of aldehyde groups to PPy and chemical reaction
neural probes, there are other important investiga- of these with hydroxyl groups from the hydrogel
tions of CPs for biological applications. These (Fig. 30). An accelerated release of heparin from
include employment of CPs as drug-delivery med- the hydrogel was reported when PPy was electri-
iators, actuators, and antioxidants. This section cally stimulated. The authors discussed various
briefly describes the most representative advances in mechanisms that could influence these results,
these areas. As explained below, many of the drug including changes in pH as a result of electrolysis,
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N.K. Guimard et al. / Prog. Polym. Sci. 32 (2007) 876–921 909

O OH
UV induced graft copolymerization OH OH Ac2O/DMSO CHO OH

OH OH OH CHO
O PEGMA, 28°C, 60 min 25°C, 8 h
O

PPy-PEGMA PPy-CHO
Ar plasma
pretreated PPy

25°C, 36 h heparin
Mixture of:
PVA, FA, and HCl

cast
CHO CHO CHO CHO CHO

PPy-CHO 45°C, 6 h PPy-PVA-heparin

Fig. 30. Controlled release of heparin from poly(vinyl alcohol) (PVA) hydrogels immobilized on PPy. (A) Post-polymerization of PPy to
incorporate aldehyde groups. (B) Covalent immobilization of PVA hydrogels containing heparin on PPy substrates. Controlled release of
heparin was obtained by electrical stimulation of PPy [190]. Reproduced from Li et al. by permission of John Wiley & Sons, Inc.

electrophoresis, changes in temperature, and the is applied across the two CP films, one of the films is
polyanionic nature of heparin. oxidized and the other is reduced. The oxidized film
A recent publication demonstrated the use of CP experiences an inflow of dopant ions and an
nanotubes for drug release, in which PEDOT was associated expansion, whereas the reduced film
polymerized on top of electrospun PLGA fibers expels ions and shrinks [193,195]. The combined
(100 nm diameter) loaded with dexamethasone effect is translated into a mechanical force that
(Fig. 31) [189]. PLGA was subsequently removed to bends the polymer, which has been compared to the
produce PEDOT nanotubes encapsulating small mechanisms in natural muscles. PPy, PANI, PPy–
molecules. The PEDOT nanotubes released the drug PANI composites, and composites of these poly-
in a controlled fashion upon electrical stimulation, mers with carbon nanotubes (CNTs) (e.g., PA-
probably as a consequence of expansion/reduction of NI–CNT, PANI–CNT–PPy) have all been explored
polymer cavities produced by the expulsion of anions. for their ability to function as actuators. Of these
The change in volume of CPs upon electrical materials, PPy–PANI produced the highest work-
stimulation has also been exploited for the devel- per-cycle [196–199]. Also, the addition of CNTs to
opment of actuators to create both drug delivery PANI fibers was found to increase the electro-
devices [192] and ‘‘artificial muscle’’-type (i.e., mechanical actuation because the CNTs improved
electrochemical–mechanical) devices. For example, the mechanical, electronic, and electrochemical
the actuating properties of CPs have been harnessed properties of PANI fibers [200]. These types of
to release drugs from reservoirs covered by thin PPy devices have potential as actuators for many
bi-layer flaps upon application of a small potential biomedical applications, such as steerable catheters
to the PPy [192]. In artificial muscle applications, for minimally invasive surgery [201], micropumps
two layers of a CP are placed in a triple layer and valves for labs-on-a-chip [202,203], blood vessel
arrangement separated by a non-conductive materi- connectors (Fig. 33), and microvalves for urinary
al, as illustrated in Fig. 32 [193,194]. When current incontinence (reviewed by Smela [204]).
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Fig. 31. PEDOT nanotubes for drug controlled release. (A) Electrospun PLGA fibers are loaded with drug (dexamethasone). (B)
Degradation of PLGA fibers release the drug. (C) PEDOT is electropolymerized around PLGA fibers loaded with drug. (D) After
degradation of PLGA fibers, PEDOT nanotubes are loaded with drug. (E) PEDOT nanotubes do not release drug in a neutral electrical
condition. (F) PEDOT nanotubes release the drug upon external electrical stimulation with a positive voltage, which produces contraction
of the nanotubes and the subsequent expulsion of the drug. (G) SEM image. Electropolymerized PEDOT nanotubes on the electrode site
of an acute neural microelectrode after removing the PLGA core fibers. (H) SEM image. Higher magnification of a single PEDOT
nanotube on a neural microelectrode array [189]. Reproduced from Abidian et al. by permission of Wiley-VCH Verlag GmbH Co. KGaA.

Finally, the ability of CPs to scavenge harmful number of these (excluding variants of unmodified
free radicals from the environment has recently been CPs) have been found to be well suited for
explored as an additional benefit of these materials biomedical applications. Targeted attributes include
in biological applications [205]. In particular, biocompatibility, conductivity, and stability in bio-
polymers such as PANI and PPy in their neutral logical systems. A number of CPs have yet to be
form were found to react effectively with 2–4 free explored for biocompatibility. Perhaps there is no
radicals per monomer unit. The effectiveness of CPs need to extend the library of CPs available for
to scavenge free radicals results from their ability to biomedical applications if CPs, such as PPy and
be easily oxidized and therefore does not necessitate PEDOT, can be modified to generate the ideal CP for
electrical stimulation. The authors of this investiga- specific biomedical applications. But what is an
tion highlighted the important role of this special ‘‘ideal’’ CP, given the target application? Some of
property of CPs in biomedical applications where the most significant unanswered questions for apply-
tissues experience high oxidative stress. ing CPs to biomedicine are: What is the range of
conductivity necessary for tissue engineering? How
5. Challenges and future directions can a specific cell be targeted for adhesion and/or
regeneration? How can neuronal signaling be en-
In roughly 30 years, dozens of CPs have been hanced? How can a CP be made to degrade and still
discovered and characterized. Thus far only a small maintain electroactivity? How can the redox activity
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PPy PPy PPy PPy


(anode) (cathode) (cathode) (anode)

ClO4- ClO4- ClO4- ClO4-

+ ClO4-
ClO4- ClO4- + ClO4-
+ +
ClO4-
ClO4- ClO4- ClO4-
+
+ ClO4-
ClO4-
ClO4- ClO4-

ClO4- ClO4- ClO4- ClO4-

PPY PPy PPy PPY


(anode) (cathode) (cathode) (anode)

Fig. 32. Schematic of artificial muscle devices. (A) When current is applied, the left PPy film acts as anode and swells by the entry of the
hydrated counter ions. Simultaneously, the right film acts as cathode and contracts by the expulsion of the counter ions. These volume
changes and the constant length of the non-conducting film promotes the movement of the triple layer device. (B) By changing the
direction of current the movement takes place in the opposite direction [194]. Reproduced from Otero et al. by permission of Elsevier
Science Ltd.

and conductivity be preserved in the long term? How death, as well as a lower limit at which little or no
can entrapment of hydrophilic molecules be max- useful conductance effects are seen. These bound-
imized? A more detailed discussion of these chal- aries are likely dependent on cell type and applied
lenges and efforts to overcome them will follow. current or potential. Although these boundaries
generally remain undefined, it would be of great
5.1. Electrical properties benefit to the biomedical community to explore/
define them for particular applications involving
Two of the more fundamental goals in this field CPs. It can be stated, however, that CP conductiv-
have been to optimize conductivity and maximize ities ranging from 104 to 9 S/cm have been found
electrical stability, which would improve biosensing to enhance cell growth to varying extents (see tissue
and neural probe measurements, as well as enhance engineering section), albeit parameters in each
tissue regeneration [155]. The issue of CP conduc- instance are rarely held constant. When considering
tivity is an especially challenging one because it is the effects of CP conductivity it must be recalled
not clear what conductivities should be targeted that the current or potential applied to the CP can
given particular conditions. There is, however, be varied and also contributes to the field effects
evidence of an upper limit on useful CP conductiv- that cells and proteins experience in the presence of
ities in order to avoid protein denaturation and cell a CP. Therefore, it is not surprising that there seems
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electrical wiring between enzymes and the CP.


Common redox mediators such as ferrocene are
typically used as counter ions during polymeriza-
tion, but these compounds suffer from poor
stability. To overcome this limitation, the function-
alization of pyrrole monomers with ferrocene and
viologen groups has been studied, but some of these
monomers are difficult to electropolymerize, and as
a result copolymerization with regular pyrrole is
sometimes necessary.
In addition to charge transfer mechanisms, other
transduction mechanisms, such as conductimetric,
impedimetric, or optical mechanisms, have been
investigated. For example, impedance spectroscopy
has been used to monitor the change in capacitance
of PPy films on biological events such as anti-
gen–antibody binding [206]. As another example,
PPy films doped with CNTs functionalized with
oligonucleotides have been successfully implemen-
ted for DNA biosensors using direct impedance
measurements [117]. Optical biosensors measure the
amount of light absorbed or emitted as a result of a
biochemical reaction, and these devices can be
directly coupled to fiber optics. As an illustration
of this approach, biotinylated PPy was polymerized
on an indium tin oxide (ITO)-coated optical fiber
and used for binding avidin and biotinylated
peroxidase; detection was performed via chemilu-
minescence [207]. In another approach, a PT variant
is used as an optical transducer. DNA hybridization
can be detected via fluorescence measurements as a
result of the inherent physical interaction of this PT
Fig. 33. PPy blood vessel connector insertion surgery. (A,B) A variant with double-stranded DNA versus single-
PPy–Au bilayer device in the reduced state is curled into a roll
that is inserted half-way into one of the ends of the severed blood
stranded DNA, which brings about a change in
vessel. (C,D) The other half of the device is inserted inside the fluorescence. This detection system results in very
other end of the vessel and the bilayer expands a few minutes low detection limits (1021 M) from large sample
after PPy is oxidized. The PPy tube holds the two parts of the volumes [208,209]. The development of methods to
blood vessel together during healing, which replaces sutures. The improve the transduction mechanism for biosensor
connector is non-thrombogenic and very thin to avoid restricting
the space inside the blood vessel [204]. Reproduced from Smela
applications continues to be an active area of
by permission of Wiley-VCH Verlag GmbH Co. KGaA. research.
Maximum conductivity is also critical for tissue
engineering and neural probe applications. For
to be an optimal current or potential range to instance, several studies have attempted to maintain
maintain cell viability. For instance, Shi and co- conductivity while attempting to preferentially
workers reported that fibroblast viability is max- target a specific cell type through the incorporation
imized at currents between 10 and 50 mA for a of bioactive peptides. For instance, laminin peptides
PPy–PLA composite (3% PPy) with resistivity of have been incorporated into PPy to target neural
1  103 O/square [23]. Optimization of a CP’s cells and not astrocytes, which are associated with
conductivity for a particular application is an issue undesired glial scar formation [132,179,180]. Un-
that begs attention on many levels. fortunately, these materials are not selective enough
With regard to biosensors, it is essential to for neurons and over time the neural signal
increase the charge transfer (i.e., conductivity) and decreases. Such decreases in conductivity continue
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to be a challenge in neural probe applications as more cell types will be analyzed for their interaction
well as in tissue engineering applications as a result with CPs.
of non-specific cell encapsulation, the entrapment of As noted previously, surface area is of great
large molecules, and the oxidizing biological envir- importance for many biomedical applications. In-
onment, which all interfere with conductivity. creasing the surface area of a biosensor or neural
Recently, Martin and coworkers proposed a novel probe, for instance, will increase the signal detected
method of bypassing the insulating scar tissue that and therefore lower the detection limit. As alluded
forms at device–tissue interfaces [210]. This method to in the application section, CPs already serve to
consists of in situ polymerization of ethylenediox- increase the surface area of inorganic conducting
ythiophene around living neural tissue to form an surfaces; however, there have been great strides to
electrically conducting PEDOT network which increase the surface area even further. Currently, the
branches from the electrode out into the extra- most common strategy is to electrospin CPs to
cellular space where it is in intimate contact with create nanofibers, and some applications involving
cells. This technique is still in the early stages of such surfaces have been mentioned. Nonetheless, it
development, but it offers a biocompatible method has been and continues to be a challenge to create
for integrating electrodes into a target tissue such nanofibers from most (unmodified) CPs due to their
that conductivity is maintained. insolubility. In an effort to overcome this issue
The electrical properties of CPs make them Chronakis et al. used poly(ethylene oxide) as a
exceptionally promising materials for use in bioac- carrier to successfully electrospin PPy [213]. Re-
tuator applications. CP-based actuators can be cently, a novel approach was developed, which uses
electrically controlled, require low voltage (less than V2O5 to initiate PPy or PEDOT nanofiber forma-
1 V), can be continuously switched between max- tion directly from pyrrole and 3,4-ethylenediox-
imum and minimum strains, and can work with ythiophene monomers, respectively [214,215].
liquid electrolytes, such as body fluids; however, Although CPs generally have fairly good mechan-
there is still a need to increase ion mobility in the ical properties, ideally CPs used for tissue engineer-
polymers to achieve faster responses. ing and neural probes would be less brittle, more
malleable, and degradable. Several studies at-
tempted to address the former two challenges by
5.2. Biological and physical properties coating PPy on malleable polyester fabrics; how-
ever, despite improved mechanical properties, con-
The hydrophobicity of CPs is a major limitation ductivity dropped significantly and some delami-
for successfully entrapping proteins and maintain- nation occurred over time [158,161]. Other methods
ing their bioactivity, which is particularly critical for for improving the mechanical properties of CPs
biosensors and drug delivery applications. Different include creating composites or blends and doping
approaches have been studied to overcome this with large molecules that possess the desired
drawback, including the use of monomers that mechanical properties [175]. These processes un-
contain both redox centers and hydrophilic chains fortunately result in interference with ‘‘electron
[31,73,74], blends with polyelectrolytes [71], and hopping’’ within the CP due to the presence of
composite devices containing hydrogels and CPs insulating molecules. Similar issues arise for the few
[112,211,212]. attempts that have been made to synthesize
Surface properties are critical for tissue engineer- degradable CPs [162,177]. Therefore, improving
ing and neural probe applications, in which the mechanical properties of CPs while maintaining
goal is to promote the attachment of specific subsets conductivity still remains an important goal.
of cells. However, it is still not clear what the For bioactuator applications, advantages of CPs
desirable properties, such as slight hydrophobicity, include their strength, their ability to function at
surface roughness, and conductivity, are for optimal room or physiological temperatures, and that they
growth of certain cells. Some studies suggest that can be microfabricated and are lightweight [204].
desired properties are specific to cell type, but However, there are important hurdles in this field as
additional studies need to be performed, holding well, beginning with the necessity of a thorough
more parameters constant, to determine a set of understanding and modeling of the actuation
guidelines for different cell types. As the modifica- mechanism, which would allow a high degree of
tion of CPs continues to diversify their properties, control by modifying the CP properties. A key
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914 N.K. Guimard et al. / Prog. Polym. Sci. 32 (2007) 876–921

technical challenge is the delamination of the CP polymers: halogen derivatives of polyacetylene, (CH)x.
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