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We introduce a Ag-anchored Ti3C2Tx-polyacrylamide (PAM) hydrogel, in which silver nanoparticles bridge adjacent MXene layers, thereby lowering interlayer resistance and forming a continuous, strain-adaptive conductive network. Concurrent metal-polymer co-ordination with 2D MXene reinforcement yields a hierarchical dissipation architecture featuring ultra-stretchability (\u223c2036%), high toughness (\u223c2350 kJ m\u22123), and rapid self-recovery under cyclic loading. Electron-bridge-enabled transport results in stable electro-mechanical sensing (linear \u0394R\/Ro up to 500% strain; R2 \u2248 0.98) and minimized skin-electrode impedance at 1.5 mm thickness across 1 Hz\u221210 kHz, outperforming commercial Ag\/AgCl electrodes. In human tests, the hydrogel electrodes capture high-fidelity sEMG (SNR \u2248 30 dB) and ECG (SNR \u2248 26.157 dB) with 5-day stability. At the same time, photothermal actuation at 808 nm and 1 W cm\u22122 rapidly reaches \u223c74 \u00b0C and cycles reproducibly, enabling dose-tunable therapeutic heating. The platform also demonstrates &amp;gt;90% fibroblast viability and significant suppression of S. aureus growth. By coupling interlayer electron bridges with dynamic bonding, this work establishes a unified design principle for multifunctional, clinically oriented soft hydrogels that span wearable physiological monitoring and NIR-assisted therapy.<\/jats:p>","DOI":"10.1021\/acsabm.5c02536","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:59:01Z","timestamp":1784685541000},"page":"6847-6867","source":"Crossref","is-referenced-by-count":3,"title":["Ag-Anchored Ti3C2T\n                    <i>x<\/i>\n                    \u2212Polyacrylamide Hydrogels with Interlayer Electron Bridges for Stretchable Bioelectronics and Photothermal-Assisted Therapy"],"prefix":"10.1021","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5924-1667","authenticated-orcid":true,"given":"Bangul","family":"Khan","sequence":"first","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]},{"name":"Hong Kong Center for Cerebro-Cardiovascular Health Engineering , Building 19W, Hong Kong Science Park , ,","place":["Hong Kong, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilawal","family":"Khan","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weibin","family":"Zhu","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]},{"name":"Hong Kong Center for Cerebro-Cardiovascular Health Engineering , Building 19W, Hong Kong Science Park , ,","place":["Hong Kong, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changqiu","family":"Zhou","sequence":"additional","affiliation":[{"name":"The University of Hong Kong , , ,","place":["Hong Kong SAR, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching","family":"Yin Fong","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafi u Shan","family":"Ahmad","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]},{"name":"Hong Kong Center for Cerebro-Cardiovascular Health Engineering , Building 19W, Hong Kong Science Park , ,","place":["Hong Kong, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iyappan","family":"Gunasekran","sequence":"additional","affiliation":[{"name":"Hong Kong Center for Cerebro-Cardiovascular Health Engineering , Building 19W, Hong Kong Science Park , ,","place":["Hong Kong, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Elhousseini","family":"Hilal","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bee Luan","family":"Khoo","sequence":"additional","affiliation":[{"name":"City University of Hong Kong , College of Biomedicine, , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]},{"name":"Hong Kong Center for Cerebro-Cardiovascular Health Engineering , Building 19W, Hong Kong Science Park , ,","place":["Hong Kong, China, 999077"]},{"name":"City University of Hong Kong , , , ,","place":["Kowloon Tong, Hong Kong SAR, China, 999077"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"316","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"2026080308064792200_cit1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cej.2025.168600","article-title":"Flexible piezoresistive sensing device with integrated design and fabrication for health monitoring","volume":"523","author":"Zhao","year":"2025","journal-title":"Chem. 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