The challenges of developing medical adhesives for the wet environment of open surgery are analogous to the adhesion problems solved by marine organisms living at the watery interface of land and ocean. These organisms routinely bond dissimilar materials together under seawater with little if any surface preparation. One such organism is the sandcastle worm (Phragmatopoma californica). Our goal is to copy this marine worm's mechanisms of underwater bonding to create synthetic water-borne underwater medical adhesives, and in turn, to use the synthetic adhesives to test mechanistic hypotheses about the natural adhesive. Biomimetic underwater adhesives were formulated with polyelectrolytic analogues of the natural glue proteins. The copolymers condensed into complex coacervates-dense partially water-immiscible cohesive fluids poised between soluble polymers and insoluble polymeric salts. The boundary between fluid coacervate phases and solid or gelled states was dependent on divalent cation species as well as the pH and temperature, which demonstrated that these environmental factors can trigger the adhesive setting reaction (Fig. 1). The results provide, respectively, empirical support for the natural pH-triggered set hypothesis and practical triggers for controlled setting of mimetic medical adhesives.The sandcastle worm lives in protective tubular shells, which it assembles underwater by gluing together sand and seashell hash with a proteinaceous adhesive. [1][2][3] To build underwater sandcastles, the worm had to solve three major problems: first, its adhesive must form strong chemical bonds with wet surfaces and to do so it must displace interfacial water; [4,5] second, its water-borne fluid adhesive must not dissolve into the ocean when it is secreted underwater; and third, setting of the adhesive must be accurately timed. If it sets too fast, the glue would plug up the worm's adhesive ducts, an obvious problem, while setting too slowly would be inefficient. The sandcastle glue is composed of oppositely charged proteins, plus calcium and magnesium ions. A high proportion of charged sidechains (phosphates and amines) and dihydroxyphenyl-alanine (dopa) residues with catechol sidechains help the adhesive breech the interfacial water barrier to solve the first problem. Dopa residues have been implicated as promoters of strong adhesion to wet metal oxide surfaces. [2,6,7] To solve the second problem, the oppositely charged proteins may associate electrostatically into a dense cohesive fluid-a complex coacervate [8,9]-that is partially immiscible in water, yet spreads over and wets submerged surfaces.[3] Glue protein analogues synthesized as water-soluble acrylates containing phosphate, amine, and catechol sidechains in similar proportions as the natural adhesive proteins condensed into complex coacervates when mixed under the right conditions.[10] Timing the hardening reaction, the third problem, is likely coupled to the pH differential between secretory granules (pH ≈ 5) and seawater (pH = 8.2). [3,11] In additi...

Complex coacervation was proposed to play a role in the formation of the underwater bioadhesive of the Sandcastle worm (Phragmatopoma californica) based on the polyacidic and polybasic nature of the glue proteins and the balance of opposite charges at physiological pH. Morphological studies of the secretory system suggested the natural process does not involve complex coacervation as commonly defined. The distinction may not be important because electrostatic interactions likely play an important role in formation of the sandcastle glue. Complex coacervation has also been invoked in the formation of adhesive underwater silk fibers of caddisfly larvae and the adhesive plaques of mussels. A process similar to complex coacervation, that is, condensation and dehydration of biopolyelectrolytes through electrostatic associations, seems plausible for the caddisfly silk. This much is clear, the sandcastle glue complex coacervation model provided a valuable blueprint for the synthesis of a biomimetic, waterborne, underwater adhesive with demonstrated potential for repair of wet tissue.

Polyacrylate glue protein analogs of the glue secreted by Phragmatopoma californica, a marine polycheate, were synthesized with phosphate, primary amine, and catechol sidechains with molar ratios similar to the natural glue proteins. Aqueous mixtures of the mimetic polyelectrolytes condensed into liquid complex coacervates around neutral pH. Wet cortical bone specimens bonded with the coacervates, oxidatively crosslinked through catechol sidechains, had bond strengths nearly 40% of the strength of a commercial cyanoacrylate. The unique material properties of complex coacervates may be ideal for development of clinically useful adhesives and other biomaterials.

Craniofacial reconstruction would benefit from a degradable adhesive capable of holding bone fragments in three-dimensional alignment and gradually being replaced by new bone without loss of alignment or volume changes. Modeled after a natural adhesive secreted by the sandcastle worm, we studied the biocompatibility of adhesive complex coacervates in vitro and in vivo with two different rat calvarial models. We found that the adhesive was non-cytotoxic and supported the attachment, spreading, and migration of a commonly used osteoblastic cell line over the course of several days. In animal studies we found that the adhesive was capable of maintaining three-dimensional bone alignment in freely moving rats over a 12 week indwelling period. Histological evidence indicated that the adhesive was gradually resorbed and replaced by new bone that became lamellar across the defect without loss of alignment, changes in volume, or changes in the adjacent uninjured bone. The presence of inflammatory cells was consistent with what has been reported with other craniofacial fixation methods including metal plates, screws, tacks, calcium phosphate cements and cyanoacrylate adhesives. Collectively, the results suggest that the new bioadhesive formulation is degradable, osteoconductive and appears suitable for use in the reconstruction of craniofacial fractures.

This study is aimed to investigate the relationship of the mechanism and the effect of polyphenol derivatives cross-linking collagen with polyphenol molecular structural complexity and reaction conditions of polyphenols with collagen and to present a reference for cross-linker selection. Three kinds of polyphenols were selected to cross-link collagen under nonoxidized and oxidized conditions in vitro. These polyphenols included tannic acid, which represents the most complex stereo structure and the highest number of phenolic hydroxyl groups; epigallocatechin gallate, which represents a moderately complex structure and contains fewer phenolic hydroxyl groups than tannic acid; and N-2-(3,4dihydroxylphenyl) ethyl acrylamide, which represents only one hydroxyl phenol group. Particle size analysis, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, attenuated total reflection Fourier transform infrared spectroscopy, and cross-linking degree analysis were conducted. Mechanical properties, thermal stability, swelling properties, hydrophilicity, and antienzymolysis properties were also determined. Results showed that all polyphenol derivatives cross-linked collagen mainly by noncovalent bonding under acidic nonoxidized conditions and by covalent bonding under alkaline-oxidized conditions. In general, the modification effect of polyphenol on collagen was related to its molecular complexity and the number of its phenolic hydroxyls. Several phenolic hydroxyls in the polyphenol derivative caused a good modification effect on collagen, especially under acidic nonoxidized conditions. Under alkaline conditions, each polyphenol was oxidized, resulting in improved cross-linking strength by covalent bonding compared to that under acidic nonoxidized condition via noncovalent bonding. The selection of cross-linkers and cross-linking conditions should be based on the purpose of collagen modification consistent with the effect of cross-linking.