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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