Tough adhesives for diverse wet surfaces

Intrinsically reversible superglues via shape adaptation inspired by snail epiphragm

Adhesives are ubiquitous in daily life and industrial applications. They usually fall into one of two classes: strong but irreversible (e.g., superglues) or reversible/reusable but weak (e.g., pressure-sensitive adhesives and biological and biomimetic surfaces). Achieving both superstrong adhesion and reversibility has been challenging. This task is particularly difficult for hydrogels that, because their major constituent is liquid water, typically do not adhere strongly to any material. Here, we report a snail epiphragm-inspired adhesion mechanism where a polymer gel system demonstrates superglue-like adhesion strength (up to 892 N⋅cm^-2) that is also reversible. It is applicable to both flat and rough target surfaces. In its hydrated state, the softened gel conformally adapts to the target surface by low-energy deformation, which is locked upon drying as the elastic modulus is raised from hundreds of kilopascals to ∼2.3 GPa, analogous to the action of the epiphragm of snails. We show that in this system adhesion strength is based on the material's intrinsic, especially near-surface, properties and not on any near-surface structure, providing reversibility and ease of scaling up for practical applications.

Gluing Interfaces with Soft Nanoparticles

Nanoparticles have been recently shown to be able to act as effective adhesives capable of binding two soft materials together. We performed coarse-grained molecular dynamics simulations to study contact mechanics of soft nanoparticles at the interfaces between two elastic surfaces. Depending on the nanoparticle size as well as the substrates' elastic and interfacial properties, a nanoparticle at the interface between two elastic substrates could be in a bridging or Pickering state. The degree of penetration of a nanoparticle into a substrate is shown to be determined by nanoparticle size, strength of nanoparticle-substrate interactions, and nanoparticle and substrate elastic properties. Using the weighted histogram analysis method, we calculated the potential of mean force for separation of two substrates whose interface was reinforced by deformable nanoparticles. These simulations show that interface reinforcement is a function of nanoparticle size and elastic modulus. The most effective reinforcement of the interface was observed for the softest nanoparticles which could result in close to 8 times increase in the work of adhesion.

Hydrophobic Hydrogels with Fruit-Like Structure and Functions

Normally, a polymer network swells in a good solvent to form a gel but the gel shrinks in a poor solvent. Here, an abnormal phenomenon is reported: some hydrophobic gels significantly swell in water, reaching water content as high as 99.6 wt%. Such abnormal swelling behaviors in the nonsolvent water are observed universally for various hydrophobic organogels containing omniphilic organic solvents that have a higher affinity to water than to the hydrophobic polymers. The formation of a semipermeable skin layer due to rapid phase separation, and the asymmetric diffusion of water molecules into the gel driven by the high osmotic pressure of the organic solvent-water mixing, are found to be the reasons. As a result, the hydrophobic hydrogels have a fruit-like structure, consisting of hydrophobic skin and water-trapped micropores, to display various unique properties, such as significantly enhanced strength, surface hydrophobicity, and antidrying, despite their extremely high water content. Furthermore, the hydrophobic hydrogels exhibit selective water absorption from concentrated saline solutions and rapid water release at a small pressure like squeezing juices from fruits. These novel functions of hydrophobic hydrogels will find promising applications, e.g., as materials that can automatically take the fresh water from seawater.

Multifunctional Biomedical Adhesives

Currently available biomedical adhesives are mainly engineered to have one function (i.e., providing mechanical support for the repaired tissue). To improve the performance of existing bioadhesives and broaden their applications in medicine, numerous multifunctional bioadhesives are reported in the literature. These adhesives can be categorized as passive or active by design. Passive multifunctional bioadhesives contain inherent compositions and structural designs that can carry out additional functions without added external influences. These adhesives exhibit new functionalities such as antimicrobial properties, self-healing abilities, the ability to promote cellular ingrowth, and the ability to be reshaped. Conversely, active multifunctional bioadhesives respond to environmental changes (e.g., pH, temperature, electricity, light, and biomolecule concentration), which initiate a change in the adhesive to release encapsulated drugs or to activate or deactivate the bioadhesive for interfacial binding. This review article highlights recent advances in multifunctional bioadhesives.

Functional Supramolecular Gels Based on the Hierarchical Assembly of Porphyrins and Phthalocyanines

Supramolecular gels containing porphyrins and phthalocyanines motifs are attracting increased interests in a wide range of research areas. Based on the supramolecular gels systems, porphyrin or phthalocyanines can form assemblies with plentiful nanostructures, dynamic, and stimuli-responsive properties. And these π-conjugated molecular building blocks also afford supramolecular gels with many new features, depending on their photochemical and electrochemical characteristics. As one of the most characteristic models, the supramolecular chirality of these soft matters was investigated. Notably, the application of supramolecular gels containing porphyrins and phthalocyanines has been developed in the field of catalysis, molecular sensing, biological imaging, drug delivery and photodynamic therapy. And some photoelectric devices were also fabricated depending on the gelation of porphyrins or phthalocyanines. This paper presents an overview of the progress achieved in this issue along with some perspectives for further advances.

A strongly adhesive hemostatic hydrogel for the repair of arterial and heart bleeds

Uncontrollable bleeding is a major problem in surgical procedures and after major trauma. Existing hemostatic agents poorly control hemorrhaging from traumatic arterial and cardiac wounds because of their weak adhesion to wet and mobile tissues. Here we design a photo-reactive adhesive that mimics the extracellular matrix (ECM) composition. This biomacromolecule-based matrix hydrogel can undergo rapid gelling and fixation to adhere and seal bleeding arteries and cardiac walls after UV light irradiation. These repairs can withstand up to 290 mm Hg blood pressure, significantly higher than blood pressures in most clinical settings (systolic BP 60–160 mm Hg). Most importantly, the hydrogel can stop high-pressure bleeding from pig carotid arteries with 4~ 5 mm-long incision wounds and from pig hearts with 6 mm diameter cardiac penetration holes. Treated pigs survived after hemostatic treatments with this hydrogel, which is well-tolerated and appears to offer significant clinical advantage as a traumatic wound sealant.

Uncontrollable bleeding is a major problem in surgery and after trauma. Here the authors design a photo-reactive adhesive that mimics the composition of connective tissue and is able to stop high pressure bleeding within half a minute.

Cohesive and adhesive properties of crosslinked semiflexible biopolymer networks

Biomolecular semiflexible polymer networks with persistence lengths well above those of single polymeric chains serve important structural and adhesive roles in biology, biomaterials, food science and many other fields. While relationships between the structure and viscoelasticity of semiflexible polymer networks have been previously investigated, it remains challenging to systematically relate fibril and network properties to cohesive and adhesive properties that govern the function of these materials. To address this issue, here we utilize coarse-grained molecular dynamics simulations to thoroughly elucidate how the work of adhesion of a semiflexible polymer network to a surface depends on crosslink density and fibril persistence length. Two emergent characteristics of the network are its elasticity and its interfacial energy with the surface. Stiff networks that are either highly crosslinked or have high persistence length fibrils tend to have lower interfacial energy, and consequently, lower work of adhesion. For lightly crosslinked networks with flexible fibrils, considerable strain energy must be stored within the adhesive during detachment, which creates an additional penalty to detachment. Increasing persistence length while keeping crosslink density constant leads to porous, low density networks, leading to an optimal fibril persistence length at which maximum work of adhesion per mass density is attained for a given crosslink density. For any given fibril persistence length, increasing crosslink density has a slightly negative effect on network mass density and interfacial energy. A critical crosslink density is found, below which the networks have no significant load-bearing capacity. Lightly crosslinked networks above this threshold absorb more strain energy during desorption and consequently possess greater work of adhesion. The conflict between mass density and stiffness results in a non-monotonic trend between the ratio of work of adhesion to interfacial energy and persistence length. These findings provide physical insight into the adhesive mechanisms of biomaterials based on crosslinked semiflexible polymer networks, and reveal important design guidelines for bio-adhesives.

Damage cross-effect and anisotropy in tough double network hydrogels revealed by biaxial stretching

Anisotropy of strain-induced internal damage in tough double network (DN) hydrogels is characterized by a sequence of two tensile experiments. Firstly, the virgin DN gels are subjected to a single biaxial loading-unloading cycle using various combinations of the two maximum strains λx,m and λy,m in the x- and y-directions (λx,m ≥ λy,m). Secondly, the rectangular subsamples, which are cut out from the unloaded specimens so that the long axis can have an angle (θ) relative to the larger pre-strain (x-)axis, are stretched uniaxially along the long axis. Directional internal damage caused by various types of pre-stretching is evaluated by comparing the loading curves of the virgin gels and the subsamples with various θ. The modulus reduction (ΔEθ) and strain-energy reduction (Dθ) are characterized as functions of λx,m, λy,m and θ. The anisotropy of damage increases with the anisotropy of imposed pre-strain field as well as λx,m, which is also observed in the anisotropic re-swelling behavior of the subsamples. The damage and the extensibility of the subsamples with θ = 0° increase with λy,m, and the damage of the subsamples with θ = 90° significantly increases with λx,m. These results reveal the presence of a pronounced damage cross-effect: a finite portion of the chain fractures in the first brittle network in one direction is caused by loading in the other orthogonal direction. This feature is in contrast to the very modest damage cross-effect in the silica reinforced elastomers, which show apparently similar stress-softening behavior but with a different origin. The strong damage cross-effect is a key feature of the internal fracture mechanism of the tough DN gels.

Stretchable and Bioadhesive Supramolecular Hydrogels Activated by a One-Stone-Two-Bird Postgelation Functionalization Method

Resembling soft tissues, stretchable hydrogels are promising biomaterials for many biomedical applications due to their excellent mechanical robustness. However, conventional stretchable hydrogels with a synthetic polymer matrix are usually bioinert. The lack of cell and tissue adhesiveness of such hydrogels limits their applications. An easy but reliable postgelation functionalization method is desirable. Herein, we report the fabrication of stretchable supramolecular hydrogels cross-linked by multivalent host-guest interactions. Such hydrogels containing thiourea ( TU) functionalities can be bioactivated with a catechol-modified peptide (Cat-RGD) via thiourea-catechol ( TU-Cat) coupling reaction. This postgelation bioactivation of the otherwise bioinert hydrogels not only conjugates bioactive ligands for cell attachment but also introduces and preserves the catechol structures for tissue adhesion. This straightforward fabrication and one-stone-two-bird bioactivation of the stretchable hydrogels may find broad applications in developing advanced soft biomaterials for tissue repair, wound dressing, and lesion sealing.

Improving the adhesion, flexibility, and hemostatic efficacy of a sprayable polymer blend surgical sealant by incorporating silica particles

Commercially available surgical sealants for internal use either lack sufficient adhesion or produce cytotoxicity. This work describes a surgical sealant based on a polymer blend of poly(lactic-co-glycolic acid) (PLGA) and poly(ethylene glycol) (PEG) that increases wet tissue adherence by incorporation of nano-to-microscale silica particles, without significantly affecting cell viability, biodegradation rate, or local inflammation. In functional studies, PLGA/PEG/silica composite sealants produce intestinal burst pressures that are comparable to cyanoacrylate glue (160 mmHg), ∼2 times greater than the non-composite sealant (59 mmHg), and ∼3 times greater than fibrin glue (49 mmHg). The addition of silica to PLGA/PEG is compatible with a sprayable in situ deposition method called solution blow spinning and decreases coagulation time in vitro and in vivo. These improvements are biocompatible and cause minimal additional inflammation, demonstrating the potential of a simple composite design to increase adhesion to wet tissue through physical, noncovalent mechanisms and enable use in procedures requiring simultaneous occlusion and hemostasis. STATEMENT OF SIGNIFICANCE: Incorporating silica particles increases the tissue adhesion of a polymer blend surgical sealant. The particles enable interfacial physical bonding with tissue and enhance the flexibility of the bulk of the sealant, without significantly affecting cytotoxicity, inflammation, or biodegradation. These studies also demonstrate how silica particles decrease blood coagulation time. This surgical sealant improves upon conventional devices because it can be easily deposited with accuracy directly onto the surgical site as a solid polymer fiber mat. The deposition method, solution blow spinning, allows for high loading in the composite fibers, which are sprayed from a polymer blend solution containing suspended silica particles. These findings could easily be translated to other implantable or wearable devices due to the versatility of silica particles.

Biomaterials to Mimic and Heal Connective Tissues

Connective tissue is one of the four major types of animal tissue and plays essential roles throughout the human body. Genetic factors, aging, and trauma all contribute to connective tissue dysfunction and motivate the need for strategies to promote healing and regeneration. The goal here is to link a fundamental understanding of connective tissues and their multiscale properties to better inform the design and translation of novel biomaterials to promote their regeneration. Major clinical problems in adipose tissue, cartilage, dermis, and tendon are discussed that inspire the need to replace native connective tissue with biomaterials. Then, multiscale structure-function relationships in native soft connective tissues that may be used to guide material design are detailed. Several biomaterials strategies to improve healing of these tissues that incorporate biologics and are biologic-free are reviewed. Finally, important guidance documents and standards (ASTM, FDA, and EMA) that are important to consider for translating new biomaterials into clinical practice are highligted.

Strong Wet Adhesion of Tough Transparent Nanocomposite Hydrogels for Fast Tunable Focus Lenses

Tough hydrogel adhesives that can bond strongly to wet surfaces have shown great potential in various applications. However, it still remains a challenge to develop the adhered hydrogels integrated with strong wet adhesion, high transparency, exceptional mechanical properties, and fast self-recovery. Herein, tough nanocomposite hydrogels demonstrating high tensile strength, high transparency, and fast self-recovery are reported. The strong wet adhesion between two tough hydrogel films can be realized by introducing chemical bridging across the hydrogel-hydrogel interface, while the interfacial adhesion energy and shearing adhesion strength are up to 2216 J m^-2 and 385 N m^-1, respectively. The strong adhesion and superior toughness of our hydrogels enable their reassembly capability to produce stretchable sealed balloons that can endure high air pressure without leakage. Most interestingly, the combination of excellent sealability and high transparency also allows our hydrogel balloons to turn into hydraulically driven fast tunable focus convex lenses, which is first reported here for hydrogel lenses. The hydrogel adhesives may open up the door to develop soft sealed containers and intelligent optical devices.

Tough and Alkaline-Resistant Mussel-Inspired Wet Adhesion with Surface Salt Displacement via Polydopamine/Amine Synergy

The mussel-inspired catechol-based strategy has been well recognized as a promising alternative to design and exploit new generation adhesive materials applicable in many fields, ranging from biomedical adhesives to coatings of biomedical devices and engineering applications. However, in situ achievement of tough adhesion capability to substrate surfaces (e.g., minerals) is severely limited under the physiological environment or seawater condition (namely, relatively high salinity and mild alkalinity). In this work, a facile and versatile approach is proposed to in situ achieve robust wet adhesion in aqueous solutions of high salinity and mild alkalinity, via integrating primary amines into mussel-inspired polydopamine (PDA). By using a surface forces apparatus (SFA), the corresponding interaction behaviors have been systematically investigated. The strong wet adhesion was demonstrated and achieved via a synergetic effect of amine and PDA to the wet surfaces, including the surface salt displacement assisted by primary amine, strong adhesion to substrates facilitated by the catechol groups on PDA moieties, and enhanced cohesion through their cation-π interactions. Our results provide useful insights into the design and development of high-performance underwater adhesives and water-resistance materials.

A viscoelastic adhesive epicardial patch for treating myocardial infarction

Acellular epicardial patches that treat myocardial infarction by increasing the mechanical integrity of damaged left ventricular tissues exhibit widely scattered therapeutic efficacy. Here, we introduce a viscoelastic adhesive patch, made of an ionically crosslinked transparent hydrogel, that accommodates the cyclic deformation of the myocardium and outperforms most existing acellular epicardial patches in reversing left ventricular remodelling and restoring heart function after both acute and subacute myocardial infarction in rats. The superior performance of the patch results from its relatively low dynamic modulus, designed at the so-called 'gel point' via finite-element simulations of left ventricular remodelling so as to balance the fluid and solid properties of the material.

Active Modulation of States of Prestress in Self-Assembled Short Peptide Gels

Peptide hydrogels are excellent candidates for medical therapeutics due to their tuneable viscoelastic properties, however, in vivo they will be subject to various osmotic pressures, temperature changes, and biological co-solutes, which could alter their performance. Peptide hydrogels formed from the synthetic peptide I3K have a temperature-induced hardening of their shear modulus by a factor of 2. We show that the addition of uncross-linked poly( N-isopropylacrylamide) chains to the peptide gels increases the gels' temperature sensitivity by 3 orders of magnitude through the control of osmotic swelling and cross-linking. Using machine learning combined with single-molecule fluorescence microscopy, we measured the modulation of states of prestress in the gels on the level of single peptide fibers. A new self-consistent mixture model was developed to simultaneously quantify the energy and the length distributions of the states of prestress. Switching the temperature from 20 to 40 °C causes 6-fold increases in the number of states of prestress. At the higher temperature, many of the fibers experience constrained buckling with characteristic small wavelength oscillations in their curvature.

Plant-inspired adhesive and tough hydrogel based on Ag-Lignin nanoparticles-triggered dynamic redox catechol chemistry

Adhesive hydrogels have gained popularity in biomedical applications, however, traditional adhesive hydrogels often exhibit short-term adhesiveness, poor mechanical properties and lack of antibacterial ability. Here, a plant-inspired adhesive hydrogel has been developed based on Ag-Lignin nanoparticles (NPs)triggered dynamic redox catechol chemistry. Ag-Lignin NPs construct the dynamic catechol redox system, which creates long-lasting reductive-oxidative environment inner hydrogel networks. This redox system, generating catechol groups continuously, endows the hydrogel with long-term and repeatable adhesiveness. Furthermore, Ag-Lignin NPs generate free radicals and trigger self-gelation of the hydrogel under ambient environment. This hydrogel presents high toughness for the existence of covalent and non-covalent interaction in the hydrogel networks. The hydrogel also possesses good cell affinity and high antibacterial activity due to the catechol groups and bactericidal ability of Ag-Lignin NPs. This study proposes a strategy to design tough and adhesive hydrogels based on dynamic plant catechol chemistry.

Engineering a naturally-derived adhesive and conductive cardiopatch

Myocardial infarction (MI) leads to a multi-phase reparative process at the site of damaged heart that ultimately results in the formation of non-conductive fibrous scar tissue. Despite the widespread use of electroconductive biomaterials to increase the physiological relevance of bioengineered cardiac tissues in vitro, there are still several limitations associated with engineering biocompatible scaffolds with appropriate mechanical properties and electroconductivity for cardiac tissue regeneration. Here, we introduce highly adhesive fibrous scaffolds engineered by electrospinning of gelatin methacryloyl (GelMA) followed by the conjugation of a choline-based bio-ionic liquid (Bio-IL) to develop conductive and adhesive cardiopatches. These GelMA/Bio-IL adhesive patches were optimized to exhibit mechanical and conductive properties similar to the native myocardium. Furthermore, the engineered patches strongly adhered to murine myocardium due to the formation of ionic bonding between the Bio-IL and native tissue, eliminating the need for suturing. Co-cultures of primary cardiomyocytes and cardiac fibroblasts grown on GelMA/Bio-IL patches exhibited comparatively better contractile profiles compared to pristine GelMA controls, as demonstrated by over-expression of the gap junction protein connexin 43. These cardiopatches could be used to provide mechanical support and restore electromechanical coupling at the site of MI to minimize cardiac remodeling and preserve normal cardiac function.

Investigation of surgical adhesives for vocal fold wound closure

OBJECTIVES

Surgical adhesives are increasingly used for vocal fold microsurgery to assist wound closure and reduce the risks of scar formation. Currently used vocal fold adhesives such as fibrin glue, however, have thus far not been found to promote wound closure or reduce scarring. The objectives of this study were to investigate the mechanical strength and the cytotoxicity of three commercially available adhesives (Glubran 2, GEM, Viareggio, Italy; BioGlue, CryoLife, Kennesaw, GA; and Tisseel, Baxter Healthcare, Deerfield, IL) for vocal fold wound closure.

METHODS

Shear and tension tests were performed on 150 porcine larynges. The cytotoxicity of the adhesives to immortalized human vocal fold fibroblasts was investigated using neutral red uptake assays.

RESULTS

The average shear adhesive strength for Tisseel, BioGlue, and Glubran 2 was 13.86 ± 5.03 kilopascal (kPa), 40.92 ± 17.94 kPa, and 68.79 ± 13.29 kPa, respectively. The tensile adhesive strength for Tisseel, BioGlue, and Glubran 2 was 10.70 ± 6.42 kPa, 34.27 ± 12.59 kPa, and 46.67 ± 12.13 kPa, respectively. The vocal fold cell viabilities in extracts of Tisseel, BioGlue, and Glubran 2 were 99.27%, 43.05%, and 1.79%, respectively.

CONCLUSION

There was a clear tradeoff between adhesive strength and toxicity. The maximum failure strength in shear or tension of the three surgical adhesives ranked from strongest to the weakest was: 1) Glubran 2, 2) BioGlue, and 3) Tisseel. Tisseel was found to be the least toxic of the three adhesives, whereas Glubran 2 was the most toxic.

LEVEL OF EVIDENCE

NA Laryngoscope, 129:2139-2146, 2019.

A mechanism for temporary bioadhesion

The flatworm Macrostomum lignano features a duo-gland adhesive system that allows it to repeatedly attach to and release from substrates in seawater within a minute. However, little is known about the molecules involved in this temporary adhesion. In this study, we show that the attachment of M. lignano relies on the secretion of two large adhesive proteins, M. lignano adhesion protein 1 (Mlig-ap1) and Mlig-ap2. We revealed that both proteins are expressed in the adhesive gland cells and that their distribution within the adhesive footprints was spatially restricted. RNA interference knockdown experiments demonstrated the essential function of these two proteins in flatworm adhesion. Negatively charged modified sugars in the surrounding water inhibited flatworm attachment, while positively charged molecules impeded detachment. In addition, we found that M. lignano could not adhere to strongly hydrated surfaces. We propose an attachment-release model where Mlig-ap2 attaches to the substrate and Mlig-ap1 exhibits a cohesive function. A small negatively charged molecule is secreted that interferes with Mlig-ap1, inducing detachment. These findings are of relevance for fundamental adhesion science and efforts to mitigate biofouling. Further, this model of flatworm temporary adhesion may serve as the starting point for the development of synthetic reversible adhesion systems for medicinal and industrial applications.

Hydrogel 3D printing with the capacitor edge effect

Recent decades have seen intense developments of hydrogel applications for cell cultures, tissue engineering, soft robotics, and ionic devices. Advanced fabrication techniques for hydrogel structures are being developed to meet user-specified requirements. Existing hydrogel 3D printing techniques place substantial constraints on the physical and chemical properties of hydrogel precursors as well as the printed hydrogel structures. This study proposes a novel method for patterning liquids with a resolution of 100 μm by using the capacitor edge effect. We establish a complete hydrogel 3D printing system combining the patterning and stacking processes. This technique is applicable to a wide variety of hydrogels, overcoming the limitations of existing techniques. We demonstrate printed hydrogel structures including a hydrogel scaffold, a hydrogel composite that responds sensitively to temperature, and an ionic high-integrity hydrogel display device. The proposed technique offers great opportunities in rapid prototyping hydrogel devices using multiple compositions and complex geometries.

A Self-Pumping Dressing for Draining Excessive Biofluid around Wounds

Excessive biofluid around wounds often causes infection and hinders wound healing. However, the intrinsic hydrophilicity of the conventional dressing inevitably retains excessive biofluid at the interface between the dressing and the wound. Herein, a self-pumping dressing is reported, by electrospinning a hydrophobic nanofiber array onto a hydrophilic microfiber network, which can unidirectionally drain excessive biofluid away from wounds and finally accelerate the wound healing process. The hydrophilic microfiber network offers a draining force to pump excessive biofluid through the hydrophobic nanofiber array, which can further keep those pumped biofluids from rewetting the wounds. In the proof of concept, the self-pumping dressing unidirectionally drains the biofluid from murine dorsum wounds, thereby resulting in faster wound healing than conventional dressings. This unique self-pumping dressing has enormous potential to be a next-generation dressing for healing wounds clinically.

Tough, Adhesive, Self-Healable, and Transparent Ionically Conductive Zwitterionic Nanocomposite Hydrogels as Skin Strain Sensors

It is desired to create skin strain sensors composed of multifunctional conductive hydrogels with excellent toughness and adhesion properties to sustain cyclic loadings during use and facilitate the electrical signal transmission. Herein, we prepared transparent, compliant, and adhesive zwitterionic nanocomposite hydrogels with excellent mechanical properties. The incorporated zwitterionic polymers can form interchain dipole-dipole associations to offer additional physical cross-linking of the network. The hydrogels show a high fracture elongation up to 2000%, a fracture strength up to 0.27 MPa, and a fracture toughness up to 2.45 MJ/m³. Moreover, the reversible physical interaction imparts the hydrogels with rapid self-healing ability without any stimuli. The hydrogels are adhesive to many surfaces including polyelectrolyte hydrogels, skin, glasses, silicone rubbers, and nitrile rubbers. The presence of abundant zwitterionic groups facilitates ionic conductivity in the hydrogels. The combination of these properties enables the hydrogels to act as strain sensors with high sensitivity (gauge factor = 1.8). The strategy to design the tough, adhesive, self-healable, and conductive hydrogels as skin strain sensors by the zwitterionic nanocomposite hydrogels is promising for practical applications.

Interfacial fluid transport is a key to hydrogel bioadhesion

Attaching hydrogels to soft internal tissues is a key to the development of a number of biomedical devices. Nevertheless, the wet nature of hydrogels and tissues renders this adhesion most difficult to achieve and control. Here, we show that the transport of fluids across hydrogel-tissue interfaces plays a central role in adhesion. Using ex vivo peeling experiments on porcine liver, we characterized the adhesion between model hydrogel membranes and the liver capsule and parenchyma. By varying the contact time, the tissue hydration, and the swelling ratio of the hydrogel membrane, a transition between two peeling regimes is found: a lubricated regime where a liquid layer wets the interface, yielding low adhesion energies (0.1 J/m2 to 1 J/m2), and an adhesive regime with a solid binding between hydrogel and tissues and higher adhesion energies (1 J/m2 to 10 J/m2). We show that this transition corresponds to a draining of the interface inducing a local dehydration of the tissues, which become intrinsically adhesive. A simple model taking into account the microanatomy of tissues captures the transition for both the liver capsule and parenchyma. In vivo experiments demonstrate that this effect still holds on actively hydrated tissues like the liver capsule and show that adhesion can be strongly enhanced when using superabsorbent hydrogel meshes. These results shed light on the design of predictive bioadhesion tests as well as on the development of improved bioadhesive strategies exploiting interfacial fluid transport.

Heterogeneous Strain Distribution of Elastomer Substrates To Enhance the Sensitivity of Stretchable Strain Sensors

Stretchable strain sensors, which convert mechanical stimuli into electrical signals, largely fuel the growth of wearable bioelectronics due to the ubiquitous, health-related strain in biological systems. In contrast to rigid conventional strain sensors, stretchable strain sensors present advantages of conformality and stretchability, solving the mechanical mismatch between electronics and the human body. However, the great challenge of stretchable strain sensors lies in achieving high sensitivity, which is required for both signal fidelity and cost considerations. Recent advances to solve this sensitivity challenge have focused on material optimization, in search of the optimum combination of conductive active materials and elastomer substrates among a myriad of artificial or natural materials. However, high sensitivity with a gauge factor larger than 50 remains a grand challenge, especially within large-strain regions. Here we present heterogeneous strain distribution of elastomer substrates as a powerful strategy to significantly enhance the sensitivity of stretchable strain sensors. The theoretical foundation of this strategy is mathematically proven on the basis of Ohm's law in electrics and mechanics of materials. First, the extent of the sensitivity enhancement is proved to be determined by the local strain in resistance-testing segments of heterogeneous strain sensors. Next, the local strain is proved to be quantitatively decided by material properties such as section area and Young's modulus. Thus, the necessary and sufficient condition to achieve high sensitivity in heterogeneous strain sensors is that the Young's modulus reciprocal or section area reciprocal in the resistance-testing segment is larger than the mean value. This provides a theoretical design guideline to achieve high sensitivity via heterogeneous strain distribution. On the basis of this guideline, we systematically summarize concrete instances of heterogeneity-induced sensitivity improvement in stretchable strain sensors, in sequence of increasing dimensionality. A typical example of a one-dimensional heterogeneous strain sensor is a structured fiber with microbeads, where the varied section area along the fiber axis results in heterogeneous strain and sensitivity improvement. Two-dimensional heterogeneous sensors in the form of thin films contain thickness gradient sensors and auxetic mechanical metamaterial sensors. The former exhibit heterogeneous section area via the self-pinning method, while the latter show heterogeneity in both the strain direction and amplitude, leading to a 24-fold improvement in sensitivity. Three-dimensional strain sensors include rationally structured sensors for out-of-plane force detection and asymmetric active materials in electronic whiskers. The resultant enhanced sensitivity in these heterogeneous strain sensors is beneficial for applications such as continuous health monitoring, biomedical diagnostics, and replacement prosthetics, taking advantage of augmented detection accuracy and declined device cost. Finally, we discuss possible future work in exploiting heterogeneous strain distributions, involving extended methodology to achieve heterogeneity, employing suppressed strain for stretchable electrodes, cyclic durability for long-term applications, and multifunctional system-level integration. We believe that this strategy of using heterogeneous strain distribution to enhance sensitivity can strongly promote the development of stretchable strain sensors for both practical and theoretical requirements.

Progress in self-healing hydrogels assembled by host–guest interactions: preparation and biomedical applications

Preparation and biomedical applications of self-healing hydrogels assembled from hosts of cyclodextrins and cucurbit[n]urils with various guests were reviewed.

A smart bottom-up strategy for fabrication of complex hydrogel constructs with 3D controllable geometric shapes through dynamic interfacial adhesion

A novel and facile dynamic interfacial adhesion (DIA) strategy has been successfully applied in the reversible fabrication of complex 3D hydrogel constructs based on dynamic covalent bonds (DCBs).

Incisões cirúrgicas mamárias tratadas com 2-octilcianoacrilato versus sutura intradérmica com fio de nylon: ensaio clínico randomizado

RESUMO Objetivo: avaliar o perfil de segurança e os resultados estéticos do 2-octilcianoacrilato versus sutura intradérmica com fio de nylon em cirurgias mamárias. Métodos: ensaio clínico randomizado, aberto, que avaliou a ocorrência de complicações, como deiscência, hematoma, infecção e reações alérgicas após o uso do 2-octilcianoacrilato ou do fio de nylon. Também foi analisado o tamanho das incisões, o tempo de fechamento da pele e o tempo cirúrgico total. O resultado estético foi avaliado após 40 e 180 dias da cirurgia, por meio da largura média da ferida operatória e por avaliação subjetiva conceitual (ótimo, bom, razoável ou ruim). Resultados: foram incluídas 79 pacientes, sendo 37 no grupo 2-octilcianoacrilato e 42 no grupo de sutura com fio de nylon. O estudo foi interrompido antes do término do recrutamento dos pacientes pela ocorrência de maior número de deiscências no grupo do adesivo (OR: 11,42; IC95%: 1,36-96,02; p=0,007). Em relação às demais complicações analisadas, ao tempo cirúrgico e ao resultado estético no pós-operatório, não se observaram diferenças significativas entre os grupos. A média do tamanho da ferida operatória foi maior no grupo do adesivo em relação ao grupo da sutura, mas não houve correlação entre o tamanho da ferida e o maior número de deiscências. Conclusão: o 2-octilcianoacrilato apresentou maior risco de deiscência em relação à sutura intradérmica, com resultados estéticos equivalentes.

Gelatin-polysaccharide composite scaffolds for 3D cell culture and tissue engineering: Towards natural therapeutics

Gelatin is a promising material as scaffold with therapeutic and regenerative characteristics due to its chemical similarities to the extracellular matrix (ECM) in the native tissues, biocompatibility, biodegradability, low antigenicity, cost-effectiveness, abundance, and accessible functional groups that allow facile chemical modifications with other biomaterials or biomolecules. Despite the advantages of gelatin, poor mechanical properties, sensitivity to enzymatic degradation, high viscosity, and reduced solubility in concentrated aqueous media have limited its applications and encouraged the development of gelatin-based composite hydrogels. The drawbacks of gelatin may be surmounted by synergistically combining it with a wide range of polysaccharides. The addition of polysaccharides to gelatin is advantageous in mimicking the ECM, which largely contains proteoglycans or glycoproteins. Moreover, gelatin-polysaccharide biomaterials benefit from mechanical resilience, high stability, low thermal expansion, improved hydrophilicity, biocompatibility, antimicrobial and anti-inflammatory properties, and wound healing potential. Here, we discuss how combining gelatin and polysaccharides provides a promising approach for developing superior therapeutic biomaterials. We review gelatin-polysaccharides scaffolds and their applications in cell culture and tissue engineering, providing an outlook for the future of this family of biomaterials as advanced natural therapeutics.

Hydrogel bioelectronics

Hydrogels have emerged as a promising bioelectronic interfacing material. This review discusses the fundamentals and recent advances in hydrogel bioelectronics.

Adhesion Control of Branched Catecholic Polymers by Acid Stimulation

Biomimetic material design is a useful method for producing new functional materials. In recent years, catecholic polymers inspired from the adhesion mechanism of marine organisms have attracted attention. Here, we demonstrated the preparation of catecholic polymers by reversible addition-fragmentation chain transfer (RAFT) polymerization of an acetonide-protected catecholic monomer, that is, N-(2-(2,2-dimethylbenzo-1,3-dioxol-5-yl)ethyl)-acrylamide (DDEA). By selecting the specific RAFT reagents, well-defined branched PDDEA and linear PDDEA were obtained. These PDDEA samples showed stronger adhesion strength after deprotection by acid stimulation compared with that before deprotection. In addition, we demonstrated the adhesion control of synthetic polymers by photoirradiation in the presence of photoacid generators, which decompose under light and release an acid.

Highly Compressible Cross-Linked Polyacrylamide Hydrogel-Enabled Compressible Zn-MnO2 Battery and a Flexible Battery-Sensor System

The fast advancement in flexible and wearable electronics has put up with new requirements on the energy storage device with improved tolerance to deformation apart from offering power output. Despite the tremendous progress in stretchable energy storage devices, the compressional energy storage devices have indeed received limited research attention. In this work, an intrinsically compressible rechargeable battery was proposed using the Zn-MnO₂ chemistry and a cross-linked polyacrylamide hydrogel electrolyte. Interestingly, the battery exhibited not only good energy storage performances but also excellent tolerance against large compressional strain without sacrificing the energy storage capability. It was also found that the ionic conductivities of the hydrogel increased with the values of the compressional strain, leading to an enhanced electrochemical performance. More importantly, upon dynamic compression, the voltage output of the battery can be very stable and reliable. Consequently, the battery assembled using the hydrogel electrolyte can be used to power a luminescent panel even with a 3 kg load on top of it. It was also demonstrated that the flexible sensor powered by our compressible battery exhibited similar and stable sensory signals compared with the same sensor powered by two commercial alkaline batteries. Furthermore, because of the excellent mechanical property of our battery, a smart wristband fabricated by integrating two battery packs and the flexible piezoresistive sensor could be powered and used to monitor the pressure exerted, demonstrating the battery's potential as the wearable power source for the flexible and wearable devices.

Microbially Synthesized Repeats of Mussel Foot Protein Display Enhanced Underwater Adhesion

Mussels strongly adhere to a variety of surfaces by secreting byssal threads that contain mussel foot proteins (Mfps). Recombinant production of Mfps presents an attractive route for preparing advanced adhesive materials. Using synthetic biology strategies, we synthesized Mfp5 together with Mfp5 oligomers containing two or three consecutive, covalently-linked Mfp5 sequences named Mfp5⁽²⁾ and Mfp5⁽³⁾. The force and work of adhesion of these proteins were measured underwater with a colloidal probe mounted on an atomic force microscope and the adsorption was measured with a quartz crystal microbalance. We found positive correlations between Mfp5 molecular weight and underwater adhesive properties, including force of adhesion, work of adhesion, protein layer thickness, and recovery distance. DOPA-modified Mfp5⁽³⁾ displayed a high force of adhesion (201 ± 36 nN μm^-1) and a high work of adhesion (68 ± 21 fJ μm^-1) for a cure time of 200 s, which are higher than those of previously reported Mfp-mimetic adhesives. Results presented in this study highlight the power of synthetic biology in producing biocompatible and highly adhesive Mfp-based materials.

Composite Double-Network Hydrogels To Improve Adhesion on Biological Surfaces

Despite the development of hydrogels with high mechanical properties, insufficient adhesion between these materials and biological surfaces significantly limits their use in the biomedical field. By controlling toughening processes, we designed a composite double-network hydrogel with ∼90% water content, which creates a dissipative interface and robustly adheres to soft tissues such as cartilage and meniscus. A double-network matrix composed of covalently cross-linked poly(ethylene glycol) dimethacrylate and ionically cross-linked alginate was reinforced with nanofibrillated cellulose. No tissue surface modification was needed to obtain high adhesion properties of the developed hydrogel. Instead, mechanistic principles were used to control interfacial crack propagation. Comparing to commercial tissue adhesives, the integration of the dissipative polymeric network on the soft tissue surfaces allowed a significant increase in the adhesion strength, such as ∼130 kPa for articular cartilage. Our findings highlight the significant role of controlling hydrogel structure and dissipation processes for toughening the interface. This research provides a promising path to the development of highly adhesive hydrogels for tissues repair.

Suction effects of craters under water

Octopus-inspired cratered surfaces have recently emerged as a new class of reusable physical adhesives. Preload-dependent adhesion and enhanced adhesion under water distinguish them from the well-studied gecko-inspired pillared surfaces. Despite growing experimental evidence, modeling frameworks and mechanistic understanding of cratered surfaces are still very limited. We recently developed a framework to evaluate suction forces produced by isolated craters in air. In this paper, we focus on underwater craters. The suction force-preload relation predicted by this framework has been validated by experiments carried out with an incompressible fluid under small and moderate preloads. Our model breaks down under a large preload due to multiple possible reasons including liquid vaporization. A direct comparison between liquid and air-filled craters has been carried out and the dependence on the depth of water has been revealed. We find that the suction forces generated by underwater craters scale with the specimen modulus but exhibit non-monotonic dependence on the aspect ratio of the craters.

Tunable Adhesion for Bio-Integrated Devices

With the rapid development of bio-integrated devices and tissue adhesives, tunable adhesion to soft biological tissues started gaining momentum. Strong adhesion is desirable when used to efficiently transfer vital signals or as wound dressing and tissue repair, whereas weak adhesion is needed for easy removal, and it is also the essential step for enabling repeatable use. Both the physical and chemical properties (e.g., moisture level, surface roughness, compliance, and surface chemistry) vary drastically from the skin to internal organ surfaces. Therefore, it is important to strategically design the adhesive for specific applications. Inspired largely by the remarkable adhesion properties found in several animal species, effective strategies such as structural design and novel material synthesis were explored to yield adhesives to match or even outperform their natural counterparts. In this mini-review, we provide a brief overview of the recent development of tunable adhesives, with a focus on their applications toward bio-integrated devices and tissue adhesives.

Concentration-independent mechanics and structure of hagfish slime

The defense mechanism of hagfish slime is remarkable considering that hagfish cannot control the concentration of the resulting gel directly; they simply exude a concentrated material into a comparably "infinite" sea of water to form a dilute, sticky, cohesive elastic gel. This raises questions about the robustness of gel formation and rheological properties across a range of concentrations, which we study here for the first time. Across a nearly 100-fold change in concentration, we discover that the gel has similar viscoelastic time-dependent properties with constant power-law exponent (α=0.18±0.01), constant relative damping tanδ=G^''/G^'≈0.2-0.3, and varying overall stiffness that scales linearly with the concentration (∼c^0.99±0.05). The power-law viscoelasticity (fit by a fractional Kelvin-Voigt model) is persistent at all concentrations with nearly constant fractal dimension. This is unlike other materials and suggests that the underlying material structure of slime remains self-similar irrespective of concentration. This interpretation is consistent with our microscopy studies of the fiber network. We derive a structure-rheology model to test the hypothesis that the origins of ultra-soft elasticity are based on bending of the fibers. The model predictions show an excellent agreement with the experiments. Our findings illustrate the unusual and robust properties of slime which may be vital in its physiological use and provide inspiration for the design of new engineered materials.

STATEMENT OF SIGNIFICANCE

Hagfish produce a unique gel-like material to defend themselves against predator attacks. The successful use of the defense gel is remarkable considering that hagfish cannot control the concentration of the resulting gel directly; they simply exude a small quantity of biomaterial which then expands by a factor of 10,000 (by volume) into an "infinite" sea of water. This raises questions about the robustness of gel formation and properties across a range of concentrations. This study provides the first ever understanding of the mechanics of hagfish slime over a very wide range of concentration. We discover that some viscoelastic properties of slime are remarkably constant regardless of its concentration. Such a characteristic is uncommon in most known materials.

Stretchable Ionics - A Promising Candidate for Upcoming Wearable Devices

As many devices for human utility aim for fast and convenient communication with users, superb electronic devices are demonstrated to serve as hardware for human-machine interfaces in wearable forms. Wearable devices for daily healthcare and self-diagnosis offer more human-like properties unconstrained by deformation. In this sense, stretchable ionics based on flexible and stretchable hydrogels are on the rise as another means to develop wearable devices for bioapplications for two main reasons: i) ionic currents and choosing the same signal carriers for biological areas, and ii) the adoption of hydrogel ionic conductors, which are intrinsically stretchable materials with biocompatibility. Here, the current status of stretchable ionics and future applications are introduced, whose positive effects can be magnified by stretchable ionics.

Morphology of soft and rough contact via fluid drainage

The dynamic of contact formation between soft materials immersed in a fluid is accompanied by fluid drainage and elastic deformation. As a result, controlling the coupling between lubrication pressure and elasticity provides strategies to design materials with reversible and dynamic adhesion to wet or flooded surfaces. We characterize the elastic deformation of a soft coating with nanometer-scale roughness as it approaches and contacts a rigid surface in a fluid environment. The lubrication pressure during the approach causes elastic deformation and prevents contact formation. We observe deformation profiles that are drastically different from those observed for elastic half-space when the thickness of the soft coating is comparable to the hydrodynamic radius. In contrast, we show that surface roughness favors fluid drainage without altering the elastic deformation. As a result, the coupling between elasticity and slip (caused by surface roughness) can lead to trapped fluid pockets in the contact region.