Advances in Conductive Modification of Silk Fibroin for Smart Wearables

Silk fibroin (SF)-based intelligent wearable systems represent a frontier research direction in artificial intelligence and precision medicine. Their core efficacy stems from the inherent advantages of silk fibroin, including excellent mechanical properties, interfacial compatibility, and tunable structure. This article systematically reviews conductive modification strategies for silk fibroin and its research progress in the smart wearable field. It elaborates on the molecular structural basis of silk fibroin for use in smart wearable devices, critically analyzes five conductive functionalization strategies, compares the advantages, disadvantages, and applicable domains of different modification approaches, and summarizes research achievements in areas such as bioelectrical signal sensing, energy conversion and harvesting, and flexible energy storage. Concurrently, an assessment was conducted focusing on the priority performance characteristics of the materials across diverse application scenarios. Specific emphasis was placed on addressing the long-term functional performance (temporal efficacy) and degradation stability of silk fibroin-based conductive materials exhibiting high biocompatibility in implantable settings. Additionally, the compatibility issues arising between externally applied coatings and the native substrate matrix during conductive modification processes were critically examined. The article also identifies challenges that silk fibroin-based smart wearable devices currently face and suggests potential future development directions, providing theoretical guidance and a technical framework for the functional integration and performance optimization of silk fibroin-based smart wearable devices.