Abstract
In situ forming hydrogels with catechol groups as tissue reactive functionalities are interesting bioinspired materials for tissue adhesion. Poly(ethylene glycol) (PEG)–catechol tissue glues have been intensively investigated for this purpose. Different cross-linking mechanisms (oxidative or metal complexation) and cross-linking conditions (pH, oxidant concentration, etc.) have been studied in order to optimize the curing kinetics and final cross-linking degree of the system. However, reported systems still show limited mechanical stability, as expected from a PEG network, and this fact limits their potential application to load bearing tissues. Here, we describe mechanically reinforced PEG–catechol adhesives showing excellent and tunable cohesive properties and adhesive performance to tissue in the presence of blood. We used collagen/PEG mixtures, eventually filled with hydroxyapatite nanoparticles. The composite hydrogels show far better mechanical performance than the individual components. It is noteworthy that the adhesion strength measured on skin covered with blood was >40 kPa, largely surpassing (>6 fold) the performance of cyanoacrylate, fibrin, and PEG–catechol systems. Moreover, the mechanical and interfacial properties could be easily tuned by slight changes in the composition of the glue to adapt them to the particular properties of the tissue. The reported adhesive compositions can tune and improve cohesive and adhesive properties of PEG–catechol-based tissue glues for load-bearing surgery applications.
Highlights
Tissue adhesives are promising biomaterials for wound closure, fixation of implants, and medical devices
We describe adhesive networks based on collagen and poly(ethylene glycol) (PEG)–catechol hydrogel, and hydrogel composites containing hydroxyapatite particles to improve the mechanical stability of the hydrogel matrix
The adhesion strength was calculated from the maximum force detected in the pull-off curves, at which the glue started detaching from the skin or breaking in two parts
Summary
Tissue adhesives are promising biomaterials for wound closure, fixation of implants, and medical devices. Tissue glues are less traumatic, and easier and faster to use, especially on soft tissues such as lung, liver, or kidney. Available tissue glues can be classified into two categories: natural-based tissue adhesives including fibrin Artiss® , Baxter; Evarrest® , Ethicon), albumin (BioGlue® , CryoLife), gelatin (FloSeal® , Baxter) or chitosan (Celox® , MedTrade); and synthetic tissue adhesives based on cyanoacrylate Braun), poly(ethylene glycol) (PEG) (CoSeal® , Baxter), or isocyanate Braun), among others [1]. Cyanoacrylates and fibrin glues are among the most extensively used tissue adhesives
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