Strong and Rapidly Self-Healing Hydrogels: Potential Hemostatic Materials

Adv Healthc Mater. 2016 Nov;5(21):2813-2822. doi: 10.1002/adhm.201600720. Epub 2016 Sep 26.

Abstract

Benzaldehyde-terminated telechelic four-armed polyethylene glycol (PEG-BA) is synthesized and cross-linked with carboxymethyl chitosan (CMC) to form dynamic hydrogels with strong mechanical performance. The gelation temperature and time, mechanical performance, and self-healing behaviors are systematically investigated. The hydrogels have good storage modulus up to 3162.06 ± 21.06 Pa, comparable to conventional bulk hydrogels. The separated alternate hydrogel lines connect together to become an integrated hydrogel film after 5 min at room temperature without any external intervention. This is due to the dynamic equilibrium between the Schiff base linkages and the aldehyde groups of PEG-BA and amine groups on CMC backbone. The hydrogel shows excellent cytocompatibility and the cell viability is as high as 90.7 ± 6.8% after 2 d 3D encapsulation in the hydrogel. In vivo tests indicate that the hydrogels can effectively stop bleeding when the hydrogel is directly injected into a rabbit liver incision. The total blood loss is reduced from 0.65 ± 0.10 g to 0.29 ± 0.11 g, and the hemostasis time is decreased from 167 ± 21 s to 120 ± 10 s, when compared to a gauze treatment with physical compression. These self-healing hydrogels have potential to be used as a novel hemostatic material.

Keywords: 3D cell encapsulation; carboxymethyl chitosan; four-arm polyethylene glycol; self-healing hydrogels; stop bleeding.

MeSH terms

  • Animals
  • Benzaldehydes / chemistry
  • Benzaldehydes / pharmacology
  • Biocompatible Materials / chemistry
  • Biocompatible Materials / pharmacology
  • Cell Survival / drug effects
  • Cells, Cultured
  • Hemorrhage / drug therapy
  • Hemostatics / chemistry*
  • Hemostatics / pharmacology*
  • Humans
  • Hydrogels / chemistry*
  • Hydrogels / pharmacology*
  • Imides / chemistry
  • Liver / drug effects
  • Morpholines / chemistry
  • Polyethylene Glycols / chemistry
  • Rabbits
  • Temperature

Substances

  • Benzaldehydes
  • Biocompatible Materials
  • Hemostatics
  • Hydrogels
  • Imides
  • Morpholines
  • N-cyclohexyl-N'-beta-(4-methylmorpholinium)ethylcarbodiimide
  • Polyethylene Glycols
  • benzaldehyde