In Situ Ionically Cross-Linkable Benzaldehyde-Modified Alginate and Its Bilayer Structure as a Tissue Sealant for Dural Closure

  • I-Hsuan Yang
  • , Natsuko F. Inagaki
  • , Arvind K. Singh Chandel
  • , Mifuyu Matsumoto
  • , Mai Yamada
  • , Kazuki Matsumiya
  • , Yizhou Dai
  • , Takaya Iwabuchi
  • , Kotaro Onishi
  • , Sonoko Fukushima
  • , Seiichi Ohta
  • , Akihiro Mizushima
  • , Mitsuko Isaji
  • , Satoshi Shimizu
  • , Masahiko Takahata
  • , Norimasa Iwasaki
  • , Taichi Ito

Research output: Contribution to journalArticlepeer-review

Abstract

Effective tissue adhesives are vital for surgical applications. We synthesized p-aminobenzaldehyde-modified alginate (AL-ABA) with controlled degrees of substitution (DS, 3.8–13.7%) and cross-linked it ionically using CaCl2. AL-ABA solutions (3 w/v %) gelled rapidly (3–50 s), similar to unmodified alginate. Increasing DS reduced hydrogel stiffness but enhanced dura adhesiveness via Schiff’s base formation with tissue amines, reaching 32 kPa at 9% DS. To optimize both adhesion and mechanical integrity, bilayer hydrogels were developed using an AL-ABA primer and AL cover layer, seamlessly bonded by ionic cross-linking. These AL-ABA/AL hydrogels showed strong dural adhesion and high burst pressure resistance (up to 406 mmHg). AL-ABA retained a low cytotoxicity and hemocompatibility. Ionically cross-linked AL-ABA and its bilayer configuration offer promising potential as biocompatible and efficient tissue sealants.

Original languageEnglish
Pages (from-to)5888-5902
Number of pages15
JournalBiomacromolecules
Volume26
Issue number9
DOIs
Publication statusPublished - 8 Sep 2025

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