{"title":"Electronic hairs for prosthetic control","authors":"Caroline Beyer","doi":"10.1038/s44222-026-00421-x","DOIUrl":"10.1038/s44222-026-00421-x","url":null,"abstract":"An article in Nature Sensors reports the development of flexible, hair-like microelectrodes and explores their use in prothesis control.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 3","pages":"214-214"},"PeriodicalIF":37.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multi-framework validation of wearable cuffless blood pressure monitors","authors":"Kanimozhi Sadasivam, Sharad Sinha, Aanantha KNR, Balaji Chinnasami","doi":"10.1038/s44222-026-00422-w","DOIUrl":"10.1038/s44222-026-00422-w","url":null,"abstract":"Wearable cuffless blood pressure monitors can provide important diagnostic and prognostic insights for cardiovascular care. However, their safe and effective clinical adoption depends on rigorous, multi-framework validation strategies capable of ensuring accuracy, building clinical trust and supporting equitable global implementation.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 5","pages":"396-398"},"PeriodicalIF":37.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147968207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andy Tully, Avneesh K. Singh, Javier Galindo, Bartley P. Griffith, Muhammad M. Mohiuddin
{"title":"Overcoming xenotransplantation barriers through gene editing and immunomodulation","authors":"Andy Tully, Avneesh K. Singh, Javier Galindo, Bartley P. Griffith, Muhammad M. Mohiuddin","doi":"10.1038/s44222-026-00412-y","DOIUrl":"10.1038/s44222-026-00412-y","url":null,"abstract":"Xenotransplantation, the transplantation of organs, tissues or cells across species, offers a potential solution to the shortage of human organs for patients with organ failure. Porcine organs, which share key physiological, anatomical and immunological features with human organs, are currently the primary focus of preclinical and clinical xenotransplantation studies. In this Review, we examine major considerations and barriers in xenotransplantation, including species selection, hyperacute and acute rejection, and xenozoonosis, and discuss strategies to overcome these challenges through gene editing and immunomodulation. We emphasize the need to address antibody-mediated rejection, control complement activation, block co-stimulatory pathways, optimize graft preservation, develop high-fidelity endothelial models, identify additional porcine antigens, and promote immunohomeostasis and tissue repair. Furthermore, robust safety protocols, surveillance systems and mechanisms for ethical transparency are essential. The future success of xenotransplantation will depend on innovative technologies and refined models to resolve these complex challenges. Xenotransplantation aims to address the shortage of human organs by using organs from species other than human; in particular, porcine organs share similarities with human organs in key aspects. This Review highlights major challenges in xenotransplantation, such as immune rejection and disease transmission, and explores solutions, such as gene editing, immunomodulation, and robust safety and ethical frameworks to enable future success.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 5","pages":"402-416"},"PeriodicalIF":37.6,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147968221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte C. Koster, Henrique da Costa Oliveira, Fabian van Beveren, Joep Houkes, Jolien J. E. van Hooff, Thijs J. G. Ettema, John van der Oost, Nico J. Claassens
{"title":"De novo design of synthetic microbial genomes","authors":"Charlotte C. Koster, Henrique da Costa Oliveira, Fabian van Beveren, Joep Houkes, Jolien J. E. van Hooff, Thijs J. G. Ettema, John van der Oost, Nico J. Claassens","doi":"10.1038/s44222-026-00410-0","DOIUrl":"10.1038/s44222-026-00410-0","url":null,"abstract":"Synthetic biology enables the bottom-up synthesis of microbial genomes through the assembly of synthetic DNA fragments. Such de novo genome synthesis could enable the generation of synthetic cells, with applications in fundamental biology, biotechnology and biomedicine. In this Review, we explore the rational design of synthetic microbial genomes, including expression unit optimization, codon usage, transcriptional and translational control, and RNA and protein turnover. We then examine genome-level design considerations, highlighting the roles of chromosome architecture, gene orientation and positioning, and 3D gene arrangement, outlining strategies for the assembly and testing of synthetic genomes. Finally, we propose a path towards a fully realized synthetic cell, emphasizing the importance of method integration, including evolution-based strategies and machine learning. Synthetic biology might enable the bottom-up construction of synthetic genomes, offering a foundation for building synthetic cells. This Review discusses strategies for rational genome design, genome-scale organization, and integration of experimental and computational methods to realize a fully synthetic cell.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 6","pages":"523-540"},"PeriodicalIF":42.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Responsible innovation in bioengineering","authors":"Shweta Agarwala","doi":"10.1038/s44222-026-00415-9","DOIUrl":"10.1038/s44222-026-00415-9","url":null,"abstract":"Bioengineering traditionally prioritizes device performance and reliability, treating environmental responsibility as an afterthought, thereby sidelining issues such as reversibility, equity and long-term environmental safety. Responsible innovation flips this hierarchy, placing sustainable design, built-in degradation and equitable distribution at the core from the beginning.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 4","pages":"291-292"},"PeriodicalIF":37.6,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haoxiang Wang, Jiaqi Zhu, Philip Wai Yan Chiu, Li Zhang, Kewang Nan
{"title":"Multi-device collaborative theranostics across tissue depth","authors":"Haoxiang Wang, Jiaqi Zhu, Philip Wai Yan Chiu, Li Zhang, Kewang Nan","doi":"10.1038/s44222-026-00419-5","DOIUrl":"10.1038/s44222-026-00419-5","url":null,"abstract":"Theranostics is evolving from standalone devices to co-ordinated multi-device networks. To advance beyond empirical design, we propose a quantitative cost-effectiveness framework for evaluating and optimizing cross-depth system architectures.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 5","pages":"391-393"},"PeriodicalIF":37.6,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147968206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sex as a biological variable in biomedical engineering","authors":"","doi":"10.1038/s44222-026-00411-z","DOIUrl":"10.1038/s44222-026-00411-z","url":null,"abstract":"Integrating sex as a biological variable in bioengineering should not be viewed as a women’s health concern but as a requirement for reproducible, rigorous research that ultimately benefits everyone. But what does truly meaningful integration look like in practice?","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 2","pages":"99-100"},"PeriodicalIF":37.6,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s44222-026-00411-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146199486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Engineering long-term stability in soft bioelectronics for clinical translation","authors":"Yuhang Ye \u0000 (, ), Yuanwen Jiang \u0000 (, )","doi":"10.1038/s44222-026-00414-w","DOIUrl":"10.1038/s44222-026-00414-w","url":null,"abstract":"Soft bioelectronics promise seamless human–machine integration but typically struggle to maintain reliable functionalities under long-term exposure to the body’s dynamic environment. Identifying the full spectrum of failure modes, while implementing multidimensional strategies to enhancing long-term stability, is key to achieving clinical-grade stability.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 4","pages":"293-295"},"PeriodicalIF":37.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ameya P. Chaudhari, Omar M. Budayr, Emily E. Bonacquisti, Caden C. Kussatz, Mark S. Bannon, Karissa J. Law, Yusha Liu, Matthew L. Bolton, Patrick M. Glassman, Leaf Huang, Juliane Nguyen
{"title":"The status of extracellular vesicles as drug carriers and therapeutics","authors":"Ameya P. Chaudhari, Omar M. Budayr, Emily E. Bonacquisti, Caden C. Kussatz, Mark S. Bannon, Karissa J. Law, Yusha Liu, Matthew L. Bolton, Patrick M. Glassman, Leaf Huang, Juliane Nguyen","doi":"10.1038/s44222-026-00405-x","DOIUrl":"10.1038/s44222-026-00405-x","url":null,"abstract":"Owing to their natural origin and biocompatibility, extracellular vesicles (EVs) are being recognized as next-generation vehicles for targeted drug delivery. Despite their potential as therapeutic carriers, EVs suffer from heterogeneity, low yields, limited cargo loading efficiency and rapid clearance by the mononuclear phagocyte system. Since the first EV-based clinical trial in 2005, more than 100 clinical trials have investigated the use of EVs as therapeutics and drug carriers. Despite this, no EV-based therapies have received regulatory approval to date. This gap between preclinical research activity and clinical translation underscores persistent scientific challenges and regulatory hurdles that continue to impede the advancement of EV-based therapeutics. In this Review, we examine the research articles published in the field between 2012 and 2024 (38,177 articles), highlighting key developments, persistent challenges and evolving assumptions. We review the current EV landscape and clinical trials, focusing on their organotropism and use as carriers for therapeutics. We compare their advantages and limitations in relation to other nanoparticles, such as lipid nanoparticles and liposomes, and examine how labelling strategies and cell sources influence EV biodistribution. Finally, we outline translational considerations for EV-based therapeutics and propose additional reporting standards, complementing the MISEV 2023 guidelines. Extracellular vesicles (EVs) are emerging as biocompatible carriers for targeted drug delivery, yet challenges in yield, cargo loading and biodistribution persist. In this Review, key trends from over a decade of research are analysed, comparing EVs with lipid-based systems and outlining strategies for improving therapeutic translation and reporting standards.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 4","pages":"301-318"},"PeriodicalIF":37.6,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design principles of lipid nanoparticles for RNA delivery","authors":"Mariah L. Arral, Kathryn A. Whitehead","doi":"10.1038/s44222-026-00401-1","DOIUrl":"10.1038/s44222-026-00401-1","url":null,"abstract":"Lipid nanoparticles can serve as safe and effective delivery vehicles for RNA therapies by facilitating RNA encapsulation, cell uptake and endosomal escape, enabling precise control of protein expression. Beyond their established role in prophylactic vaccines, formulations of lipid nanoparticles with RNA are being explored in cancer immunotherapy, protein replacement and gene therapy. In this Review, we examine the design landscape of RNA–lipid-nanoparticle formulations, detailing their key components, formation, physicochemical properties and methods of characterization. We discuss how the composition and stoichiometry of the constituents of lipid nanoparticles influence delivery efficiency, tissue targeting and clearance in vivo. Finally, we highlight major therapeutic applications and outline future directions from both engineering and translational perspectives. Lipid nanoparticles can serve as carriers for RNA therapies, enabling efficient encapsulation, cellular uptake and controlled protein expression. This Review explores their design principles, key components, physicochemical properties and therapeutic potential, highlighting how formulation parameters influence delivery performance.","PeriodicalId":74248,"journal":{"name":"Nature reviews bioengineering","volume":"4 5","pages":"417-434"},"PeriodicalIF":37.6,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147968226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}