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CN117100901A - Photoinitiated biological tissue adhesive, gel sheet, preparation method and application - Google Patents

Photoinitiated biological tissue adhesive, gel sheet, preparation method and application Download PDF

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CN117100901A
CN117100901A CN202311043137.0A CN202311043137A CN117100901A CN 117100901 A CN117100901 A CN 117100901A CN 202311043137 A CN202311043137 A CN 202311043137A CN 117100901 A CN117100901 A CN 117100901A
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biological tissue
photoinitiated
tissue adhesive
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photoinitiator
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CN117100901B (en
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付向宁
万筱琰
付弘谦
邓子琪
王友林
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Aiyi Medical Technology Shanghai Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/04Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
    • A61L24/08Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/001Use of materials characterised by their function or physical properties
    • A61L24/0031Hydrogels or hydrocolloids

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  • Health & Medical Sciences (AREA)
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Abstract

本发明公开了一种光引发生物组织粘合剂、凝胶片、制备方法及应用,其中的生物组织粘合剂由双功能聚合物和光引发剂在光照引发下固化;通过酰胺化反应在天然聚合物上同时引入儿茶酚基团和烯烃基团两种活性单元,制得双功能聚合物,双功能聚合物与光引发剂的混合溶液在光触发下可以实现凝胶化和适度的机械强度。通过调整两种活性单元在天然聚合物上的接枝比例,分别实现并调控组织粘合强度和粘合剂本身的机械强度,使本发明的粘合剂不仅应用于硬脑(脊)膜修补,还可以应用于其他的组织创伤的修补。

The invention discloses a light-initiated biological tissue adhesive, a gel sheet, a preparation method and an application. The biological tissue adhesive is cured by a bifunctional polymer and a photoinitiator under light initiation; it is produced in natural materials through amidation reaction. Two active units, catechol group and olefin group, are simultaneously introduced into the polymer to produce a bifunctional polymer. The mixed solution of the bifunctional polymer and photoinitiator can achieve gelation and moderate mechanical strength under light triggering. strength. By adjusting the grafting ratio of the two active units on the natural polymer, the tissue bonding strength and the mechanical strength of the adhesive itself are respectively realized and regulated, so that the adhesive of the present invention can be used not only for dura (spinal) membrane repair. , and can also be applied to repair other tissue wounds.

Description

一种光引发生物组织粘合剂、凝胶片、制备方法及应用Photoinitiated biological tissue adhesive, gel sheet, preparation method and application

技术领域Technical field

本发明属于生物技术技术领域,尤其涉及一种光引发生物组织粘合剂、凝胶片、制备方法及应用。The invention belongs to the technical field of biotechnology, and in particular relates to a photoinitiated biological tissue adhesive, gel sheet, preparation method and application.

背景技术Background technique

硬脑(脊)膜作为脑与脊髓表面被膜的最外层,是一种结缔组织纤维膜。硬脑(脊)膜作为一层保护性结构,其破损时常常伴有脑脊液渗漏,即脑脊液在颅与椎管内外压力梯度的作用下从硬脑(脊)膜缺口及其所覆盖的骨质缺损处漏出的现象。持续的脑脊液渗漏不仅会造成脑脊液循环动力学的紊乱,出现体位性头痛和头晕,而且还会进一步增加神经系统感染、切口愈合不良甚至是颅内及椎管内出血等并发症的风险。这些并发症将消耗更多的医疗资源,显著增加患者的经济负担;甚至患者接受反复多次的有创治疗,不仅效果差,随着病情加重,严重致残或致死。根据病因,脑脊液漏的临床分型可以分为:外伤性脑脊液漏、手术后脑脊液漏和特发性脑脊液漏,其中手术后脑脊液漏是神经外科及脊柱外科常见的并发症之一。尽管随着手术技术的进步及新型颅底修补材料的应用,术后脑脊液漏发生率逐渐降低,但其效果仍不理想。有研究显示,幕下开颅术后脑脊液漏相关并发症高达32%,脊柱手术后脑脊液漏的发生率为5%~13%。脑脊液漏的预防高于治疗,除了手术期的各项治疗措施预防脑脊液漏之外,术中出现硬膜破裂时及时修补是预防术后脑脊液漏的关键步骤,因此解决临床各种原因使硬脑(脊)膜破损或缝合不密导致脑脊液漏,且该技术可以针对生物湿润环境、不规则形态下进行可控的强力黏合修补硬脑(脊)膜。The dura (spinal) membrane is the outermost layer of the surface membrane of the brain and spinal cord. It is a connective tissue fiber membrane. The dura (spinal) membrane is a layer of protective structure. When it is damaged, it is often accompanied by cerebrospinal fluid leakage. That is, the cerebrospinal fluid leaks from the dura (spinal) membrane gap and the covered bone under the action of the pressure gradient inside and outside the skull and spinal canal. The phenomenon of leakage from quality defects. Continuous cerebrospinal fluid leakage will not only cause disorder of cerebrospinal fluid circulation dynamics, postural headache and dizziness, but also further increase the risk of complications such as nervous system infection, poor incision healing, and even intracranial and intraspinal hemorrhage. These complications will consume more medical resources and significantly increase the financial burden on patients; even patients may receive repeated invasive treatments, which not only have poor effects, but also lead to severe disability or death as the condition worsens. According to the cause, the clinical classification of cerebrospinal fluid leakage can be divided into: traumatic cerebrospinal fluid leakage, postoperative cerebrospinal fluid leakage and idiopathic cerebrospinal fluid leakage. Postoperative cerebrospinal fluid leakage is one of the common complications of neurosurgery and spine surgery. Although with the advancement of surgical technology and the application of new skull base repair materials, the incidence of postoperative cerebrospinal fluid leakage has gradually decreased, the effect is still not ideal. Studies have shown that complications related to cerebrospinal fluid leakage after infratentorial craniotomy are as high as 32%, and the incidence of cerebrospinal fluid leakage after spinal surgery is 5% to 13%. The prevention of cerebrospinal fluid leakage is higher than the treatment. In addition to various therapeutic measures to prevent cerebrospinal fluid leakage during surgery, timely repair of dural rupture during surgery is a key step to prevent postoperative cerebrospinal fluid leakage. Therefore, various clinical reasons can be solved to prevent cerebrospinal fluid leakage. Damage to the (spinal) membrane or loose sutures can lead to cerebrospinal fluid leakage, and this technology can repair the dura (spinal) membrane with controllable strong adhesion in biologically humid environments and irregular shapes.

现有技术一种修补硬脑(脊)膜严密缝合的方式是使用自体组织(脂肪、肌肉,脂肪,骨片等)或人工材料进行扩大成型缝合,主要是手术策略和技巧,仍不排除缝合效果不佳或再次撕裂形成漏口可能,故如何针对硬脑(脊)膜的第一层屏障修复闭合尤为重要。Existing technology: A method of repairing the dura (spinal) membrane with tight suturing is to use autologous tissue (fat, muscle, fat, bone fragments, etc.) or artificial materials to perform enlarged and molded sutures. The main focus is on surgical strategies and techniques, but sutures are not excluded. The effect may be poor or the leak may be caused by another tear, so how to repair and close the first barrier of the dura (spinal) membrane is particularly important.

另外一种方式是采用纤维蛋白粘合剂,即人源性医用生物蛋白黏合剂(护固莱士)和猪源性医用生物蛋白黏合剂(安可晶、倍绣胶等),封堵剂(水凝胶、复合黏合剂等)。但是该种方式只是简单的黏合填充,粘性不高;且容易被冲洗移位,密封效果不佳;尤其高流量脑脊液漏、涉及颅底或者不规则区域脑脊液漏封闭作用不大;因此该方式也无法针对封堵缺损边界进行可控的有效黏合,尤其是高流量部位,不可控且无法保证有效黏合。Another way is to use fibrin adhesives, that is, human-derived medical biological protein adhesives (Gulax) and porcine-derived medical biological protein adhesives (Anchor, Beixiu glue, etc.), sealing agents (Hydrogel, composite adhesive, etc.). However, this method is only a simple adhesive filling, and the viscosity is not high; and it is easy to be washed and displaced, and the sealing effect is not good; especially for high-flow cerebrospinal fluid leaks, involving the skull base or irregular areas, it has little effect in sealing cerebrospinal fluid leaks; therefore, this method is also Controlled and effective adhesion cannot be performed on the boundary of the defect, especially in high-flow areas, which is uncontrollable and cannot guarantee effective adhesion.

发明内容Contents of the invention

针对上述问题,本发明提供了一种可调控的光引发生物组织粘合剂、凝胶片、制备方法及应用,通过酰胺化反应在含羧酸的天然聚合物上同时引入儿茶酚基团和烯烃基团两种活性单元,制得双功能聚合物,可以按需调整两种活性单元在天然聚合物上的接枝比例,分别实现并调控组织粘合强度和粘合剂本身的机械强度,双功能聚合物与光引发剂的混合溶液在光触发下可以实现凝胶化和适度的机械强度。In response to the above problems, the present invention provides a controllable light-initiated biological tissue adhesive, gel sheet, preparation method and application, which simultaneously introduces catechol groups on carboxylic acid-containing natural polymers through amidation reaction. and olefin groups to produce a bifunctional polymer. The grafting ratio of the two active units on the natural polymer can be adjusted as needed to achieve and regulate the tissue bonding strength and the mechanical strength of the adhesive itself. , the mixed solution of bifunctional polymer and photoinitiator can achieve gelation and moderate mechanical strength under light triggering.

为实现上述目的,本发明的技术方案为:In order to achieve the above objects, the technical solution of the present invention is:

一种光引发生物组织粘合剂,所述生物组织粘合剂由双功能聚合物和光引发剂在光照引发下固化;所述双功能聚合物为通过酰胺化反应在含羧酸的天然聚合物中引入儿茶酚基团和双键基团。A photoinitiated biological tissue adhesive, which is cured by a bifunctional polymer and a photoinitiator under light initiation; the bifunctional polymer is a natural polymer containing carboxylic acid through an amidation reaction. Catechol groups and double bond groups are introduced.

天然聚合物为来自自然界的聚合物,如淀粉、纤维素、木质素等均为天然聚合物,本申请中含有的光引发生物组织粘合剂中的天然聚合物为含羧酸的天然聚合物,分子量为1000-100000Da,具体可以为羧甲基纤维素钠、羧甲基纤维素钠、透明质酸、透明质酸钠、海藻酸钠、羧甲基甲壳素或羧甲基壳聚糖等天然聚合物。Natural polymers are polymers from nature, such as starch, cellulose, lignin, etc., which are all natural polymers. The natural polymers in the photoinitiated biological tissue adhesive contained in this application are natural polymers containing carboxylic acid. , with a molecular weight of 1000-100000 Da, specifically sodium carboxymethyl cellulose, sodium carboxymethyl cellulose, hyaluronic acid, sodium hyaluronate, sodium alginate, carboxymethyl chitin or carboxymethyl chitosan, etc. Natural polymers.

优选地,所述双功能聚合物具体由天然聚合物与含氨基的儿茶酚、含氨基的烯烃与酰胺化缩合剂通过缩合反应得到的。Preferably, the bifunctional polymer is obtained through a condensation reaction between a natural polymer and amino-containing catechol, amino-containing olefin and amidation condensation agent.

优选地,所述天然聚合物、含氨基的儿茶酚、含氨基的烯烃以及酰胺化缩合剂的质量比为1:0.005-20:0.005-20:0.1-1000,在此范围内的生物组织粘合剂固化后能够得到粘附效果和机械强度较好的水凝胶体系。Preferably, the mass ratio of the natural polymer, amino-containing catechol, amino-containing olefin and amidation condensation agent is 1:0.005-20:0.005-20:0.1-1000. The biological tissue within this range After the adhesive is cured, a hydrogel system with good adhesion effect and mechanical strength can be obtained.

优选地,所述含氨基的儿茶酚选自多巴胺、6-羟基多巴胺、5-羟基多巴胺、3,4-二羟基苄胺、去甲肾上腺素、去甲肾上腺素盐酸盐、3,4-二羟基去甲麻黄碱或地骨皮乙素。Preferably, the amino-containing catechol is selected from the group consisting of dopamine, 6-hydroxydopamine, 5-hydroxydopamine, 3,4-dihydroxybenzylamine, norepinephrine, norepinephrine hydrochloride, 3,4 -Dihydroxynorephedrine or discoidein.

优选地,所述含氨基的烯烃选自甲基丙烯酸2-氨基、3-丁烯-1-胺、2-甲基烯丙胺、甲基丙烯酰胺、戊-4-烯-1-胺或4-乙烯基苄胺。Preferably, the amino-containing olefin is selected from 2-amino methacrylate, 3-butene-1-amine, 2-methylallylamine, methacrylamide, pent-4-en-1-amine or 4 -Vinylbenzylamine.

优选地,所述酰胺化缩合剂选自:4-(4,6-二甲氧基三嗪-2-基)-4-甲基吗啉盐酸盐、活性酯类(例如N,N'-羰基二咪唑等),碳二亚胺类(例如二环己基碳二亚胺(DCC)、二异丙基碳二亚胺(DIC)、1-(3-二甲胺基丙基)-3-乙基碳二亚胺(EDCl)等)、鎓盐类(HATU-PF6、HCTU-PF6、BOP等)、有机磷类(DPPCl、MPTA、BOP-Cl等)和其他类(例如三苯基磷-多卤代甲烷、三苯基磷-六氯丙酮、三苯基磷-NBS、3-酰基-2-硫噻唑啉等)。Preferably, the amidation condensation agent is selected from: 4-(4,6-dimethoxytriazin-2-yl)-4-methylmorpholine hydrochloride, active esters (such as N,N' -carbonyldiimidazole, etc.), carbodiimides (such as dicyclohexylcarbodiimide (DCC), diisopropylcarbodiimide (DIC), 1-(3-dimethylaminopropyl)- 3-Ethylcarbodiimide (EDCl, etc.), onium salts (HATU-PF6, HCTU-PF6, BOP, etc.), organophosphorus (DPPCl, MPTA, BOP-Cl, etc.) and other types (such as triphenyl Phosphate-polyhalomethanes, triphenylphosphorus-hexachloroacetone, triphenylphosphorus-NBS, 3-acyl-2-thiazoline, etc.).

优选地,所述光引发剂选择:苯基(2,4,6-三甲基苯甲酰基)磷酸锂盐、芳酮类光引发剂、稠环芳烃类光引发剂、聚硅烷类光引发剂、酰基膦酸盐类光引发剂、偶氮类光引发剂或金属有机配合物中的任意一种或几种。Preferably, the photoinitiator is selected from: phenyl (2,4,6-trimethylbenzoyl) lithium phosphate, aromatic ketone photoinitiator, condensed ring aromatic hydrocarbon photoinitiator, polysilane photoinitiator Any one or more of acylphosphonate photoinitiators, azo photoinitiators or metal-organic complexes.

优选地,所述双功能聚合物与所述光引发剂的质量比为1:0.01-10。Preferably, the mass ratio of the bifunctional polymer to the photoinitiator is 1:0.01-10.

基于相同的发明构思,本发明还提供了一种光引发生物组织粘合剂的制备方法,包括以下步骤:Based on the same inventive concept, the present invention also provides a preparation method for photoinitiated biological tissue adhesive, which includes the following steps:

S1:将含羧酸的天然聚合物溶解在溶剂中,配置天然聚合物溶液;S1: Dissolve the natural polymer containing carboxylic acid in the solvent to prepare the natural polymer solution;

S2:将酰胺化试剂加入到所述步骤S1配置的天然聚合物溶液内,随后在避光下加入含氨基的儿茶酚、含氨基的烯烃,并采用NaOH溶液调节上述溶液的pH至5.5-7.5,得到反应溶液;S2: Add the amidation reagent to the natural polymer solution prepared in step S1, then add amino-containing catechol and amino-containing olefins in the dark, and use NaOH solution to adjust the pH of the above solution to 5.5- 7.5, obtain the reaction solution;

S3:将所述步骤S2得到的反应溶液在冰乙醇中沉淀、低温离心,重复2-3次该步骤得到双功能聚合物;S3: Precipitate the reaction solution obtained in step S2 in ice ethanol, centrifuge at low temperature, and repeat this step 2-3 times to obtain a bifunctional polymer;

S4:将所述步骤S3得到的双功能聚合物溶解后,加入光引发剂溶解,得到所述的生物组织粘结剂;S4: After dissolving the bifunctional polymer obtained in step S3, add a photoinitiator to dissolve to obtain the biological tissue adhesive;

所述生物组织粘合剂在光照下,引发所述双功能聚合物和所述光引发剂发生交联固化。The biological tissue adhesive triggers cross-linking and solidification of the bifunctional polymer and the photoinitiator under light exposure.

优选地,所述步骤S1中的溶剂为水、N,N-二甲基甲酰胺DMF或二甲基亚砜DMSO等中的一种或其混合。Preferably, the solvent in step S1 is one of water, N,N-dimethylformamide DMF or dimethyl sulfoxide DMSO, or a mixture thereof.

优选地,所述含羧酸的天然聚合物与所述溶剂的质量比为1:0.1-1000。Preferably, the mass ratio of the carboxylic acid-containing natural polymer to the solvent is 1:0.1-1000.

优选地,所述双功能聚合物和所述光引发剂在交联反应时光的波长为100-1000nm,光照时间为1-600S。Preferably, the wavelength of light used in the cross-linking reaction between the bifunctional polymer and the photoinitiator is 100-1000 nm, and the illumination time is 1-600S.

基于相同的发明构思,本发明还提供了一种生物组织凝胶片,所述生物组织凝胶片为上述实施方式的光引发生物组织粘合剂或为所述的制备方法得到的光引发生物组织粘合剂在光引发固化后的凝胶,结合需求修裁得到相应的片状产品,例如长宽高为4cm*5cm*0.5或8cm*10cm*0.5cm的片状产品。Based on the same inventive concept, the present invention also provides a biological tissue gel sheet, which is the photoinitiated biological tissue adhesive of the above embodiment or the photoinitiated biological tissue adhesive obtained by the preparation method. The gel after the tissue adhesive is cured by light can be tailored according to the needs to obtain corresponding sheet products, such as sheet products with length, width and height of 4cm*5cm*0.5 or 8cm*10cm*0.5cm.

基于相同的发明构思,本发明还提供了一种光引发生物组织粘合剂在制备生物粘合产品中的应用,所述光引发生物组织粘合剂为所述的光引发生物组织粘合剂或为所述的制备方法得到的。Based on the same inventive concept, the present invention also provides an application of a photoinitiated biological tissue adhesive in the preparation of bioadhesive products. The photoinitiated biological tissue adhesive is the photoinitiated biological tissue adhesive. Or obtained by the preparation method described.

进一步地,光引发生物组织粘合剂应用于硬脑(脊)膜修补、腹膜及胸膜的修补、血管的破损修补、皮肤粘膜的黏合修复。Furthermore, light-initiated biological tissue adhesives are used in dura (spinal) membrane repair, peritoneal and pleural repair, damaged blood vessel repair, and adhesive repair of skin and mucous membranes.

进一步地,所述生物粘合产品形式可以为直接包装在注射枪内的具有一定流动性的粘合剂,也可以为固化后的凝胶片。Furthermore, the bioadhesive product may be in the form of an adhesive with certain fluidity directly packaged in an injection gun, or may be a cured gel sheet.

本发明由于采用以上技术方案,使其与现有技术相比具有以下的优点和积极效果:Due to the adoption of the above technical solutions, the present invention has the following advantages and positive effects compared with the prior art:

本发明提供的生物组织粘合剂基于光响应双功能天然聚合物,双功能天然聚合物是通过酰胺化反应在含有羧酸的天然聚合物上同时引入儿茶酚基团和烯烃基团两种活性单元制得。然后双功能聚合物与光引发剂在光引发下即可实现粘合剂的固化及其与生物组织的粘合。因此,该组织粘合剂仅由羧酸改性的天然聚合物和光引发剂构成,没有其他小分子试剂,可以大大降低组织炎症的可能性,且天然聚合物的生物安全性和可降解性也为组织应用提供有力的安全保障;同时该双功能聚合物可以方便高效地通过光引发凝胶化,具有时间和空间调控性,使用方便灵活;通过调控儿茶酚基团和烯烃基团两种活性单元在天然聚合物上的接枝比例,实现并调控所需的生物组织粘合强度和粘合剂本身的机械强度,适用于硬脑(脊)膜的补漏。The biological tissue adhesive provided by the invention is based on a light-responsive bifunctional natural polymer. The bifunctional natural polymer introduces both catechol groups and olefin groups on the natural polymer containing carboxylic acid through amidation reaction. Active units are produced. Then the bifunctional polymer and the photoinitiator can achieve the curing of the adhesive and its adhesion to biological tissue under light triggering. Therefore, this tissue adhesive is only composed of carboxylic acid-modified natural polymers and photoinitiators, without other small molecule reagents, which can greatly reduce the possibility of tissue inflammation, and the biosafety and degradability of natural polymers are also improved. Provides strong safety guarantee for tissue application; at the same time, the bifunctional polymer can be conveniently and efficiently triggered by light to gel, has time and space controllability, and is easy and flexible to use; by regulating both the catechol group and the olefin group The grafting ratio of active units on the natural polymer can achieve and regulate the required adhesive strength of biological tissue and the mechanical strength of the adhesive itself, and is suitable for repairing leaks in the dura (spinal) membrane.

本发明的生物组织粘合剂的制备方法体系简单且调节性强,双功能聚合物仅需要一步化学合成,制备过程和组分简单,两种活性组分的具体结构和接枝比例调节性强。The preparation method of the biological tissue adhesive of the present invention has a simple system and strong adjustability. The bifunctional polymer only requires one-step chemical synthesis, the preparation process and components are simple, and the specific structure and grafting ratio of the two active components are highly adjustable. .

附图说明Description of drawings

图1为本发明实施例1的不同体积浓度的生物组织粘合剂在小胶质细胞(BV2)的毒性水平测试图;Figure 1 is a graph showing the toxicity level test on microglia (BV2) of biological tissue adhesives with different volume concentrations in Example 1 of the present invention;

图2为本发明实施例1的生物组织粘合剂光交联前的流变行为;Figure 2 is the rheological behavior of the biological tissue adhesive before photo-crosslinking in Example 1 of the present invention;

图3为本发明实施例1的生物组织粘合剂光交联后的流变行为;Figure 3 is the rheological behavior of the biological tissue adhesive after photo-crosslinking in Example 1 of the present invention;

图4为本发明鱼鳔构建的密闭脑脊液生物组织模型,采用实施例1的生物组织粘合剂封堵漏口(刀片切开约1.5cm切口),注入生理盐水后液体从漏口渗出、漏出明显;接着,通过光触发粘合剂交联黏合15秒后进而修补缺口,往生物组织模型里注水模拟脑脊液填充效果,见完全注水后漏口处无液体渗出、漏出,修补效果良好;Figure 4 is a sealed cerebrospinal fluid biological tissue model constructed from the fish bladder of the present invention. The biological tissue adhesive of Example 1 is used to seal the leak (the blade makes an incision of about 1.5cm). After the physiological saline is injected, the liquid oozes out from the leak. Obviously; then, the light-triggered cross-linking of the adhesive for 15 seconds was used to repair the gap, and water was injected into the biological tissue model to simulate the filling effect of cerebrospinal fluid. It was seen that after complete water injection, there was no liquid seepage or leakage from the leak, and the repair effect was good;

图5为本发明鱼鳔构建的密闭脑脊液生物组织模型,采用实施例1的生物组织粘合剂封堵漏口后15秒,见完全注水后漏口处无液体渗出、漏出,进而用手给予25-35cmH2O的极限爆破压模拟术后体位改变、打喷嚏、咳嗽以及呕吐出现的一过性颅压增高情形,见黏合剂随着破口裂开而胶体膨胀,并未见生理盐水漏出,展示了良好的黏合力和机械弹力;Figure 5 is a closed cerebrospinal fluid biological tissue model constructed from the fish bladder of the present invention. 15 seconds after sealing the leak with the biological tissue adhesive of Example 1, it can be seen that no liquid oozes out or leaks out of the leak after complete water injection, and then it is administered by hand. The ultimate burst pressure of 25-35cmH 2 O simulates the transient increase in intracranial pressure caused by changes in posture, sneezing, coughing and vomiting after surgery. It is seen that the adhesive colloid expands as the tear breaks, and no leakage of normal saline is seen. , showing good adhesion and mechanical elasticity;

图6为本发明猪肠黏膜构建的密闭脑脊液生物组织模型,采用实施例1的生物组织粘合剂封堵漏口(刀片切开约1.5cm切口),注入生理盐水后液体从漏口渗出、漏出明显;接着,通过光触发黏合剂交联黏合15秒进而修补缺口,往生物组织模型里注水模拟脑脊液填充效果,见完全注水后漏口处无液体渗出、漏出,修补效果良好,从多种生物组织验证黏合剂的生物有效性;Figure 6 is a closed cerebrospinal fluid biological tissue model constructed from porcine intestinal mucosa according to the present invention. The biological tissue adhesive of Example 1 is used to seal the leakage opening (the blade makes an incision of about 1.5cm). After the physiological saline is injected, the liquid leaks out from the leakage opening. , the leakage was obvious; then, the gap was repaired by cross-linking the light-triggered adhesive for 15 seconds, and water was injected into the biological tissue model to simulate the filling effect of cerebrospinal fluid. After complete water injection, there was no leakage or leakage of liquid from the leakage opening, and the repair effect was good. A variety of biological tissues verify the biological effectiveness of the adhesive;

图7为本发明构建的脑脊液漏大鼠模型采用实施例1的生物组织粘合剂和生理盐水修补大鼠脑脊液漏动物模型,图7中A为观察伤口愈合以及脑脊液渗漏情况;图7中C为饲养后各组体重变化;图7中B为猝死取材后大鼠头皮、帽状腱膜、硬脑膜、蛛网膜及软脑膜的整体HE染色组织切片;Figure 7 is a rat model of cerebrospinal fluid leakage constructed by the present invention, using the biological tissue adhesive and physiological saline of Example 1 to repair the rat cerebrospinal fluid leakage animal model. A in Figure 7 shows the observation of wound healing and cerebrospinal fluid leakage; Figure 7 C shows the body weight changes of each group after feeding; B in Figure 7 shows the whole HE stained tissue sections of the rat scalp, galea, dura mater, arachnoid mater and pia mater after sudden death;

图8为在小胶质细胞系BV2培养体系中分别加入稀释6.3%体积浓度的生物组织粘合剂和生理盐水空白对照组的光镜下细胞生长形态图片。Figure 8 is a picture of the cell growth morphology under a light microscope when biological tissue adhesive diluted at a volume concentration of 6.3% and a normal saline blank control group were added to the microglial cell line BV2 culture system.

具体实施方式Detailed ways

目前的组织粘合剂为伤口管理提供了多种材料,并广泛用于各种医疗环境,从轻微到危及生命的组织损伤。与传统的伤口闭合方法(即缝合和缝合)相比,组织粘合剂相对容易使用,能够快速应用,并将组织损伤降至最低。此外,组织粘合剂可以作为止血剂来控制出血,并在伤口部位提供组织愈合环境。理想的组织粘合剂应该具有许多特性,包括:(1)生物相容性和无毒性;(2)能与组织形成强健的相互作用;(3)与粘合组织的机械相似性;(4)承受组织重复施加压力的机械能力;(5)可接受的溶胀性能以最小化组织压缩;和(6)与组织愈合速度相容的生物降解性。Current tissue adhesives offer a variety of materials for wound management and are used in a wide variety of medical settings, ranging from minor to life-threatening tissue injuries. Compared to traditional wound closure methods (i.e. suturing and suturing), tissue adhesives are relatively easy to use, enable rapid application, and minimize tissue damage. In addition, tissue adhesives can act as hemostatic agents to control bleeding and provide a tissue healing environment at the wound site. An ideal tissue adhesive should possess many properties, including: (1) biocompatibility and nontoxicity; (2) the ability to form robust interactions with tissue; (3) mechanical similarity to the adhesive tissue; (4) ) mechanical ability to withstand repeated application of stress to the tissue; (5) acceptable swelling properties to minimize tissue compression; and (6) biodegradability compatible with the rate of tissue healing.

然而,现有的粘合剂仅满足其中的一些要求,仍然面临着一些限制和未解决的挑战(例如,粘合强度弱和机械性能差、体系复杂、生物安全性低、引起炎症等),这些限制了它们的使用,有进一步提升的空间。However, existing adhesives only meet some of these requirements and still face some limitations and unsolved challenges (e.g., weak adhesive strength and poor mechanical properties, complex systems, low biosafety, causing inflammation, etc.), These limit their use and there is room for further improvement.

由于硬脑(脊)膜内具有脑脊液,因此粘合剂在湿性或液体环境下具有较大的粘合力,且需要在颅与椎管内外压力下,还需要保持较好的密封效果。本发明就目前硬脑(脊)膜修补术存在的问题,设计制备了一种光引发生物组织粘合剂,该生物组织粘合剂中包括双功能聚合物,双功能聚合物与光引发剂的混合溶液在光引发下可以实现凝胶化,凝胶化后的凝胶具有优异的机械强度。本发明的双功能聚合物是通过酰胺化反应在含有羧酸的天然聚合物上同时引入了儿茶酚单元和烯烃单元,天然聚合物具有优异的生物相容性和可降解性,为作为脑脊膜修补提供有力的安全保障,使粘合剂应用组织粘合后,能够与组织融合并降解;儿茶酚单元和烯烃单元为粘合剂和需要修补的组织提供了结合的生物位点,使粘合剂具有优异的机械性能,尤其是儿茶酚单元与生物组织里大量存在的氨基或硫基发生高效的化学作用,得到稳定的化学键,使其在湿润环境也具有很高的粘结强度,同时修复后的破口在较大压力下也不会发生损坏;双功能聚合物方便高效地通过光引发凝胶化,具有时间和空间调控性,使用方便灵活。本发明也可按需调整两种活性单元在天然聚合物上的接枝比例,实现并调控后续的组织粘合强度和粘合剂的机械强度,使本发明提供的粘合剂不仅适用于硬脑(脊)膜修补,而且也应用于其他的组织创伤,如腹膜及胸膜的修补、血管的破损修补、皮肤粘膜的黏合修复等。Since there is cerebrospinal fluid in the dura (spinal) membrane, the adhesive has greater adhesion in a wet or liquid environment, and needs to maintain a good sealing effect under the pressure inside and outside the skull and spinal canal. The present invention designs and prepares a photoinitiated biological tissue adhesive to solve the existing problems in dura (spinal) membrane repair. The biological tissue adhesive includes a bifunctional polymer, a bifunctional polymer and a photoinitiator. The mixed solution can gel under photoinitiation, and the gel after gelation has excellent mechanical strength. The bifunctional polymer of the present invention simultaneously introduces catechol units and olefin units into a natural polymer containing carboxylic acid through an amidation reaction. The natural polymer has excellent biocompatibility and degradability and is used as a brain Meningeal repair provides a strong safety guarantee, allowing the adhesive to fuse with the tissue and degrade after being applied to the tissue; the catechol unit and the olefin unit provide biological sites for the adhesive to bind to the tissue that needs to be repaired. The adhesive has excellent mechanical properties. In particular, the catechol unit has an efficient chemical interaction with the amino or sulfur groups present in large amounts in biological tissues to obtain stable chemical bonds, making it highly adhesive even in humid environments. Strength, and the repaired breach will not be damaged under greater pressure; the bifunctional polymer can easily and efficiently trigger gelation through light, has time and space controllability, and is easy and flexible to use. The present invention can also adjust the grafting ratio of the two active units on the natural polymer as needed to realize and regulate the subsequent tissue bonding strength and the mechanical strength of the adhesive, so that the adhesive provided by the present invention is not only suitable for hard Brain (spinal) membrane repair, but also used in other tissue trauma, such as peritoneal and pleural repair, blood vessel damage repair, skin and mucous membrane adhesive repair, etc.

以下结合附图和具体实施例对本发明提出的一种光引发生物组织粘合剂、凝胶片、制备方法及应用作进一步详细说明。根据下面说明,本发明的优点和特征将更清楚。The photoinitiated biological tissue adhesive, gel sheet, preparation method and application proposed by the present invention will be further described in detail below with reference to the accompanying drawings and specific examples. The advantages and features of the present invention will become clearer from the following description.

实施例1Example 1

S1:将2.0g羧甲基纤维素钠加入200mL去离子水中,室温搅拌得到羧甲基纤维素钠溶液;S1: Add 2.0g sodium carboxymethylcellulose to 200mL deionized water and stir at room temperature to obtain sodium carboxymethylcellulose solution;

S2:向步骤S1中的羧甲基纤维素钠溶液中加入1.38g酰胺化试剂4-(4,6-二甲氧基三嗪-2-基)-4-甲基吗啉盐酸盐,溶解得到均匀溶液;在上述混合溶液中加入114mg多巴胺盐酸盐、100mg甲基丙烯酸2-氨基盐酸盐,避光下搅拌至完全溶解;用0.5M的NaOH溶液调节上述溶液的pH至6.5,室温搅拌24h,得到反应溶液;S2: Add 1.38g of amidation reagent 4-(4,6-dimethoxytriazin-2-yl)-4-methylmorpholine hydrochloride to the sodium carboxymethylcellulose solution in step S1, Dissolve to obtain a uniform solution; add 114 mg dopamine hydrochloride and 100 mg methacrylic acid 2-amino hydrochloride to the above mixed solution, and stir in the dark until completely dissolved; use 0.5M NaOH solution to adjust the pH of the above solution to 6.5. Stir at room temperature for 24h to obtain a reaction solution;

S3:将步骤S2所得反应溶液在800mL冰乙醇中沉淀,低温离心得到聚合物;将聚合物再次溶解于200mL去离子水中,再次在冰乙醇中沉淀,通过低温离心和冷冻干燥得到双功能聚合物;S3: Precipitate the reaction solution obtained in step S2 in 800 mL of glacial ethanol, and centrifuge at low temperature to obtain the polymer; dissolve the polymer in 200 mL of deionized water again, precipitate in glacial ethanol again, and obtain the bifunctional polymer through low-temperature centrifugation and freeze-drying. ;

S4:取45mg双功能聚合物溶解于3mL去离子水中,得到双功能聚合物溶液,加入6mg光交引发剂苯基(2,4,6-三甲基苯甲酰基)磷酸锂盐,振荡或搅拌等使其完全溶解,得到生物组织粘合剂;用波长365nm紫外灯对所得生物组织粘合剂进行光照2s完成光交联过程,得到固化后的生物组织粘合剂。S4: Dissolve 45 mg of bifunctional polymer in 3 mL of deionized water to obtain a bifunctional polymer solution, add 6 mg of photoinitiator phenyl (2,4,6-trimethylbenzoyl) lithium phosphate, shake or Stir and wait until it is completely dissolved to obtain a biological tissue adhesive; use a UV lamp with a wavelength of 365 nm to illuminate the obtained biological tissue adhesive for 2 seconds to complete the photo-crosslinking process and obtain a cured biological tissue adhesive.

1、细胞毒性测试1. Cytotoxicity test

选用CCK-8试剂盒测试对得到的组织粘合剂进行细胞毒性测试,CCK-8试剂盒是一种基于WST-8而广泛应用于细胞增殖和细胞毒性的快速、高灵敏度、无放射性的比色检测试剂盒。CCK-8溶液可以直接加入到细胞样品中,不需要预配各种成分。WST-8在电子耦合试剂存在的情况下,可以被线粒体内的一些脱氢酶还原生成橙黄色的formazan。细胞增殖越多越快,则颜色越深;细胞毒性越大,则颜色越浅。对于同样的细胞,颜色的深浅(生成的formazan量)和细胞数目呈线性关系。WST-8是MTT的一种升级替代产品,和MTT或其它MTT类似产品,如XTT、MTS等相比有明显的优点。第一,MTT被线粒体内的一些脱氢酶还原生成的formazan不是水溶性的,需要有特定的溶剂来溶解;而WST-8和XTT、MTS产生的formazan都是水溶性的,可以省去后续的溶解步骤。第二,WST-8产生的formazan比XTT和MTS产生的formazan更易溶解。第三,WST-8比XTT和MTS更加稳定,使实验结果更可靠。第四,WST-8和MTT、XTT等相比线性范围更宽,灵敏度更高,并且更加稳定。WST-8对细胞无明显毒性。加入CCK-8溶液显色后,可以在不同时间反复用酶标仪读板,检测时间更加灵活,便于确定最佳测定时间。The CCK-8 kit was selected to test the cytotoxicity of the obtained tissue adhesive. The CCK-8 kit is a fast, highly sensitive, non-radioactive assay based on WST-8 that is widely used in cell proliferation and cytotoxicity. Color detection kit. CCK-8 solution can be added directly to cell samples without pre-preparing various components. WST-8 can be reduced by some dehydrogenases in mitochondria to produce orange-yellow formazan in the presence of electronic coupling reagents. The more and faster the cells proliferate, the darker the color; the greater the cytotoxicity, the lighter the color. For the same cells, there is a linear relationship between the depth of color (the amount of formazan produced) and the number of cells. WST-8 is an upgraded replacement product of MTT. It has obvious advantages compared with MTT or other MTT similar products, such as XTT, MTS, etc. First, the formazan produced by the reduction of MTT by some dehydrogenases in the mitochondria is not water-soluble and requires a specific solvent to dissolve it; while the formazan produced by WST-8, XTT, and MTS are all water-soluble, which can save the need for subsequent steps. dissolution step. Second, the formazan produced by WST-8 is more soluble than the formazan produced by XTT and MTS. Third, WST-8 is more stable than XTT and MTS, making experimental results more reliable. Fourth, WST-8 has a wider linear range, higher sensitivity, and more stability than MTT, XTT, etc. WST-8 has no obvious toxicity to cells. After adding CCK-8 solution for color development, the plate can be read repeatedly with a microplate reader at different times, making the detection time more flexible and making it easier to determine the optimal detection time.

(1)、制作标准曲线(1), Make standard curve

1.接种100微升BV2(小胶质)细胞悬液(5000个/孔)于96孔板;1. Inoculate 100 μl of BV2 (microglia) cell suspension (5000 cells/well) in a 96-well plate;

2.按比例依次用培养基等比稀释成一个细胞浓度梯度,一般要做5-7个细胞浓度梯度,每组4-6个复孔;2. Dilute the medium into a cell concentration gradient in equal proportions in sequence. Generally, 5-7 cell concentration gradients are made, with 4-6 duplicate wells in each group;

3.接种后培养2-4小时使细胞贴壁,然后每100μL培养基加10μLCCK-8试剂培养一定时间后测定OD值,制作出一条以细胞数量为横坐标,OD值为纵坐标的标准曲线。根据此标准曲线可以测定出未知样品的细胞数量。使用此标准曲线的前提条件是试验条件完全一致。3. After inoculation, incubate for 2-4 hours to allow the cells to adhere to the wall, then add 10 μL of CK-8 reagent to every 100 μL of culture medium and incubate for a certain period of time. Then measure the OD value and create a standard curve with the number of cells as the abscissa and the OD value as the ordinate. . The number of cells in unknown samples can be determined based on this standard curve. The prerequisite for using this standard curve is that the experimental conditions are completely consistent.

(2)细胞增殖-毒性实验(2) Cell proliferation-toxicity experiment

1.接种100微升细胞悬液(5000个/孔)于96孔板;1. Inoculate 100 μl of cell suspension (5000 cells/well) in a 96-well plate;

2.预先放置37℃5%CO2饱和湿度培养箱培养24小时;2. Place in advance in a 37°C 5% CO 2 saturated humidity incubator for 24 hours;

3.用100微升新鲜培养基将组织粘合剂稀释成不同体积浓度(50%、25%、12.5%、6.3%、3.1%、1.6%、0.8%、0.4%、0.2%),并加入含细胞的培养板中,对照组只加小胶质细胞培养基;3. Use 100 microliters of fresh culture medium to dilute the tissue adhesive to different volume concentrations (50%, 25%, 12.5%, 6.3%, 3.1%, 1.6%, 0.8%, 0.4%, 0.2%) and add In the culture plate containing cells, only microglia culture medium was added to the control group;

4.在培养箱内培养24小时;4. Cultivate in the incubator for 24 hours;

5.用培养基将CCK-8试剂稀释成10%浓度后加在孔板中培养30min;5. Dilute the CCK-8 reagent with culture medium to a concentration of 10% and add it to the well plate for 30 minutes;

6.在450nm波长处测定吸光值。6. Measure the absorbance value at a wavelength of 450nm.

如图1为不同体积浓度的组织粘合剂与空白对照组的吸光值,从图中可以看出不同体积浓度的组织粘合剂的吸光值除了50%的略小于对照组,其他基本上大于对照组的吸光值,说明合成的生物组织粘合剂没有细胞毒性;特别是体积浓度为25%、12.5%、6.3%的吸光值远大于空白对照组,说明生物组织粘合剂还对于神经胶质细胞具有滋养促增殖作用。Figure 1 shows the absorbance values of tissue adhesives with different volume concentrations and the blank control group. It can be seen from the figure that except for 50% of the absorbance values of tissue adhesives with different volume concentrations which are slightly smaller than the control group, the others are basically greater than The absorbance value of the control group shows that the synthesized biological tissue adhesive has no cytotoxicity; especially the absorbance values at volume concentrations of 25%, 12.5%, and 6.3% are much greater than the blank control group, indicating that the biological tissue adhesive is also effective against nerve glue. Plasma cells have the function of nourishing and promoting proliferation.

另外,在光镜下进行BV2细胞系培养,实验组加入稀释不同体积浓度的生物组织粘合剂,对照组无添加,培养箱内培养24小时后光镜下观察,如图8展示了加入稀释6.3%体积浓度的生物组织粘合剂与对照组的电镜照片,实验组与对照组细胞形态生长良好,且实验组形态更加饱满。结合CCK8实验数据证明,我们设计合成的水凝胶不仅没有细胞毒性,反而对于神经胶质细胞具有一定滋养促增殖作用。In addition, the BV2 cell line was cultured under a light microscope. The experimental group added diluted biological tissue adhesives with different volume concentrations. The control group did not add any. After culturing in the incubator for 24 hours, it was observed under a light microscope. Figure 8 shows the addition of diluted biological tissue adhesives. Electron microscopy photos of biological tissue adhesive with a volume concentration of 6.3% and the control group. The cell morphology of the experimental group and the control group grew well, and the morphology of the experimental group was more plump. Combined with CCK8 experimental data, it is proven that the hydrogel we designed and synthesized not only has no cytotoxicity, but also has a certain nourishing and proliferative effect on glial cells.

2、光引发后是否交联性能2. Whether it has cross-linking properties after photoinitiation

实施例1中的生物组织粘合剂在光交联前后的流变测试在旋转流变仪(ThermoScientific,Mars 60)上进行,选用旋转时间扫描模式,温度为37℃,旋转速率分别设定为0.01/s、0.1/s、0.5/s、1.0/s、5.0/s和10/s,每个旋转速率下扫描2min,每个旋转速率下采集100个数据点。将含有光交联剂的双功能聚合物水溶液(1.5wt%)涂抹于流变仪圆台上,厚度大于1mm,即可进行测试得到光交联前的粘合剂的流变行为,如图2所示。对在圆台上涂抹好的聚合物溶液进行光照交联约30s实现原位交联,即可测试得到交联后粘合剂的流变行为,如图3所示。The rheological test of the biological tissue adhesive in Example 1 before and after photo-crosslinking was performed on a rotational rheometer (ThermoScientific, Mars 60). The rotation time scan mode was selected, the temperature was 37°C, and the rotation rate was set to 0.01/s, 0.1/s, 0.5/s, 1.0/s, 5.0/s and 10/s, scanning for 2 minutes at each rotation rate, and collecting 100 data points at each rotation rate. Apply the bifunctional polymer aqueous solution (1.5wt%) containing the photocrosslinking agent on the rheometer round table with a thickness greater than 1mm, and then the rheological behavior of the adhesive before photocrosslinking can be tested, as shown in Figure 2 shown. The polymer solution applied on the round table is cross-linked by light for about 30 seconds to achieve in-situ cross-linking, and the rheological behavior of the adhesive after cross-linking can be tested, as shown in Figure 3.

如图2和图3可知,交联前样品的损耗模量G”大于其储能模量G’,代表体系为液体流动状态。交联后,其储能模量G’大于其损耗模量G”,且能保持在稳定数值,代表弹性三维网络的形成,说明光引发后双功能聚合物和应引发剂发生交联反应、固化。从侧面也说明固化后具有粘结强度。As shown in Figures 2 and 3, the loss modulus G" of the sample before cross-linking is greater than its storage modulus G', which means that the system is in a liquid flow state. After cross-linking, its storage modulus G' is greater than its loss modulus G", and can be maintained at a stable value, represents the formation of an elastic three-dimensional network, indicating that the bifunctional polymer and the initiator undergo a cross-linking reaction and solidification after photoinitiation. It also shows from the side that it has bonding strength after curing.

3、采用鱼鳔和肠粘膜制备简易脑脊液漏生物模型,如图4所示,采用实施例的生物组织粘合剂封堵漏口(刀片切开约1.5cm切口),注入生理盐水后液体从漏口渗出、漏出明显;接着,通过实施例1的光触发粘合剂交联黏合15秒后进而修补缺口,往生物组织模型里注水模拟脑脊液填充效果,如图4所示,见完全注水后漏口处无液体渗出、漏出,修补效果良好。。然后生物组织粘合剂封堵破口漏口后15秒,见完全注水后漏口处无液体渗出、漏出,进而用手给予25-35cmH2O的极限爆破压模拟术后体位改变、打喷嚏、咳嗽以及呕吐出现的一过性颅压增高情形,见粘合剂随着破口裂开而胶体膨胀,并未见生理盐水漏出,展示了良好的黏合力和机械弹力,如图5所示。同样的,我们再选择猪肠黏膜构建的密闭脑脊液生物组织模型同样的进行相同实验,通过光触发黏合剂交联黏合15秒进而修补缺口,往生物组织模型里注水模拟脑脊液填充效果,见完全注水后漏口处无液体渗出、漏出,修补效果良好,从多种生物组织验证黏合剂的生物有效性,如图6所示。以上进一步说明,本实施例的粘合剂光固化后的粘合强度和机械强度,使其能够应用于硬脑(脊)膜修补。3. Use fish bladder and intestinal mucosa to prepare a simple biological model of cerebrospinal fluid leakage. As shown in Figure 4, the biological tissue adhesive of the embodiment is used to seal the leakage (an incision of about 1.5cm is made with a blade). After injecting normal saline, the liquid leaks from the leakage hole. There was obvious leakage and leakage from the mouth; then, the light-triggered adhesive in Example 1 was cross-linked and bonded for 15 seconds to repair the gap, and water was injected into the biological tissue model to simulate the cerebrospinal fluid filling effect, as shown in Figure 4, after complete water injection There is no liquid leakage or leakage from the leakage opening, and the repair effect is good. . Then, 15 seconds after the biological tissue adhesive seals the leak, no liquid seeps out or leaks out of the leak after complete water injection. Then, the ultimate burst pressure of 25-35cmH 2 O is given by hand to simulate postoperative body changes and injections. In the case of a transient increase in intracranial pressure caused by sneezing, coughing, and vomiting, the adhesive expands as the tear breaks, and no saline leaks out, demonstrating good adhesion and mechanical elasticity, as shown in Figure 5 Show. Similarly, we chose a sealed cerebrospinal fluid biological tissue model constructed from pig intestinal mucosa to conduct the same experiment. The light-triggered adhesive was cross-linked and bonded for 15 seconds to repair the gap. Water was injected into the biological tissue model to simulate the cerebrospinal fluid filling effect. See Complete Water Injection There was no liquid leakage or leakage from the rear leak, and the repair effect was good. The biological effectiveness of the adhesive was verified from a variety of biological tissues, as shown in Figure 6. As further explained above, the adhesive strength and mechanical strength of the adhesive in this embodiment after light curing make it applicable to dura (spinal) membrane repair.

4、动物实验评估生物组织粘合剂有效性及生物相容性4. Animal experiments to evaluate the effectiveness and biocompatibility of biological tissue adhesives

A:选取体重160g左右雄性SD大鼠,取右侧额部(矢状缝偏右5mm,冠状缝前5mm)暴露颅骨,切开硬脑膜及蛛网膜下腔,模拟开颅脑脊液漏模型。设立实验组和对照组,每组3只,实验组在脑脊液漏大鼠模型成功构建后,予以1ml实施例1的生物组织黏合剂覆盖伤口,待确认封闭满意后,予以光源激发粘附固定,缝合伤口;对照组同样的,在脑脊液漏大鼠模型成功构建后,予以1ml生理盐水覆盖伤口,待确认封闭满意后,予以光源激发粘附固定,缝合伤口。A: Select a male SD rat weighing about 160g, take the right forehead (5mm to the right of the sagittal suture, 5mm in front of the coronal suture) to expose the skull, cut the dura mater and subarachnoid space, and simulate a craniotomy cerebrospinal fluid leakage model. An experimental group and a control group were established, with 3 rats in each group. After the cerebrospinal fluid leakage rat model was successfully constructed in the experimental group, 1 ml of the biological tissue adhesive of Example 1 was used to cover the wound. After the sealing was confirmed to be satisfactory, a light source was used to stimulate the adhesive fixation. Suture the wound; similarly to the control group, after the rat model of cerebrospinal fluid leakage is successfully constructed, 1 ml of physiological saline is used to cover the wound. After confirmation that the sealing is satisfactory, a light source is used to stimulate adhesion and fixation, and the wound is sutured.

B:待实验组及对照组大鼠实验成功后,共饲养15天,然后B: After the experiment is successful, the rats in the experimental group and the control group will be raised for a total of 15 days, and then

(1)取材:分别取实验组及对照组大鼠头颅于包埋框中。(1) Material collection: Take the heads of the rats from the experimental group and the control group in the embedding frame.

(2)脱水浸蜡:将取材好的组织连带包埋框取出,放入脱水吊篮,于脱水机内依次梯度酒精进行脱水:75%酒精2h-85%酒精2h-90%酒精1.5h-95%酒精2h-无水乙醇I 2h-无水乙醇II 2h-醇苯40min-二甲苯I 40min-二甲苯II 40min-65°;然后浸蜡:融化石蜡I0.5h-65°融化石蜡II 1h-65°融化石蜡III 2h45min。(2) Dehydration and wax dipping: Take out the extracted tissue together with the embedding frame, put it into a dehydration basket, and dehydrate it in a dehydration machine using gradient alcohol: 75% alcohol 2h-85% alcohol 2h-90% alcohol 1.5h- 95% alcohol 2h - absolute ethanol I 2h - absolute ethanol II 2h - alcohol benzene 40min - xylene I 40min - xylene II 40min-65°; then dip into wax: melt paraffin I 0.5h-65° melt paraffin II 1h Melt paraffin III at -65° for 2h45min.

(3)包埋:将浸好蜡的组织于包埋机内进行包埋。先将融化的蜡放入包埋框,待蜡凝固之前将组织从脱水盒内取出按照包埋面的要求放入包埋框并贴上对应的标签,于-20°冻台冷却,蜡凝固后将蜡块从包埋框中取出并修整蜡块。(3) Embedding: Embedding the wax-soaked tissue in an embedding machine. First put the melted wax into the embedding frame. Before the wax solidifies, take the tissue out of the dehydration box and put it into the embedding frame according to the requirements of the embedding surface and attach the corresponding label. Cool it on the -20° freezing table until the wax solidifies. Finally, remove the wax block from the embedding frame and trim the wax block.

(4)切片:沿实验颅骨暴露部分,全层垂直切取皮肤、肌肉、硬脑膜、蛛网膜及皮层脑组织等生物切片,将修整好的蜡块置于石蜡切片机切片,厚4μm,切片漂浮于摊片机40℃温水上将组织展平,载玻片将组织捞起,60℃烘箱内烤片,水烤干蜡烤化后取出常温保存备用。(4) Slice: Take full-thickness vertical slices of skin, muscle, dura mater, arachnoid mater and cortical brain tissue along the exposed part of the experimental skull. Place the trimmed wax block into a paraffin microtome and slice it into 4 μm thick slices. Flatten the tissue in warm water at 40°C in a spreading machine, pick up the tissue with a glass slide, bake the slices in a 60°C oven, bake the dry wax in the water, take it out and store it at room temperature for later use.

(5)染色:采用经典苏木精-伊红染色法(HE)进行染色,如图7中的B,对照组与实验组分别显示皮肤、肌肉、硬脑膜、蛛网膜及皮层脑组织完整结构,重点于10倍镜和20倍镜下观察皮层脑组织以及皮肤肌肉组织。结果发现:实验组与对照组皮肤、肌肉、硬脑膜、蛛网膜及皮层脑组织均未见炎性、坏死、出血以及异常增生等表现,且生物黏合剂基本吸收,未见残余及排异物包裹等,提示该生物黏合剂生物相容性及降解性均良好。(5) Staining: The classic hematoxylin-eosin staining method (HE) is used for staining, as shown in B in Figure 7. The control group and experimental group respectively show the complete structure of skin, muscle, dura mater, arachnoid membrane and cortical brain tissue. , focusing on observing cortical brain tissue and skin and muscle tissue under 10x and 20x microscopes. The results showed that there were no signs of inflammation, necrosis, hemorrhage, or abnormal proliferation in the skin, muscles, dura mater, arachnoid mater, and cortical brain tissue of the experimental group and the control group, and the biological adhesive was basically absorbed, and no residual or foreign matter was found. etc., suggesting that this bioadhesive has good biocompatibility and degradability.

C:实验组与对照组大鼠实验成功后,共饲养15天,分1、3、5、7、9、11、13、15天时间节点观察两组大鼠伤口,实验组与对照组均未见伤口红肿、感染等异常情况。对照组出现少量脑脊液漏渗出,而实验组未见脑脊液漏出。检测两组大鼠体重变化,如图7中的C,实验组与对照组体重曲线未见统计学差异,证明实验组大鼠体重发育良好,进一步证明生物相容性良好。C: After the experiment was successful, the rats in the experimental group and the control group were raised for a total of 15 days. The wounds of the two groups of rats were observed at the time points of 1, 3, 5, 7, 9, 11, 13, and 15 days. The experimental group and the control group were both No abnormality such as wound redness, swelling, or infection was found. A small amount of cerebrospinal fluid leakage occurred in the control group, but no cerebrospinal fluid leakage was seen in the experimental group. The weight changes of the two groups of rats were detected, as shown in C in Figure 7. There was no statistical difference in the weight curves of the experimental group and the control group, proving that the rats in the experimental group had good weight development and further proved that the biocompatibility was good.

实施例2Example 2

S1:将3.0g羧甲基纤维素钠加入200mL去离子水中,室温搅拌得到羧甲基纤维素钠溶液;S1: Add 3.0g sodium carboxymethylcellulose to 200mL deionized water and stir at room temperature to obtain sodium carboxymethylcellulose solution;

S2:向步骤S1中的羧甲基纤维素钠溶液中加入2.76g酰胺化试剂二(2-氧-3-唑烷基)磷酰氯,溶解得到均匀混合溶液;在上述混合溶液中加入200mg去甲肾上腺素、150mg 3-丁烯-1-胺,避光下搅拌至完全溶解;用0.5M的NaOH溶液调节上述溶液的pH至7.0,室温搅拌24h,得到反应溶液;S2: Add 2.76g of the amidation reagent bis(2-oxo-3-oxazolidinyl)phosphoryl chloride to the sodium carboxymethylcellulose solution in step S1, and dissolve to obtain a uniform mixed solution; add 200mg to the above mixed solution. Merepinephrine and 150 mg 3-buten-1-amine were stirred in the dark until completely dissolved; adjust the pH of the above solution to 7.0 with 0.5M NaOH solution and stir at room temperature for 24 hours to obtain a reaction solution;

S3:将步骤S2所得反应溶液在800mL冰乙醇中沉淀,低温离心得到聚合物;将聚合物再次溶解于200mL去离子水中,再次在冰乙醇中沉淀,通过低温离心和冷冻干燥得到双功能聚合物;S3: Precipitate the reaction solution obtained in step S2 in 800 mL of glacial ethanol, and centrifuge at low temperature to obtain the polymer; dissolve the polymer in 200 mL of deionized water again, precipitate in glacial ethanol again, and obtain the bifunctional polymer through low-temperature centrifugation and freeze-drying. ;

S4:取45mg双功能聚合物溶解于3mL去离子水中,得到双功能聚合物溶液,加入6mg光交引发剂2,5-双-[4-(二乙基氨基)-亚苄基]-环戊酮,振荡或搅拌等使其完全溶解,得到生物组织粘合剂;用波长800nm激光对所得生物组织粘合剂进行光照10s完成光交联过程,得到固化后的生物组织粘合剂。S4: Dissolve 45 mg of bifunctional polymer in 3 mL of deionized water to obtain a bifunctional polymer solution, and add 6 mg of photoinitiator 2,5-bis-[4-(diethylamino)-benzylidene]-cyclo pentanone, shake or stir to completely dissolve, and obtain a biological tissue adhesive; use a wavelength 800nm laser to illuminate the obtained biological tissue adhesive for 10 seconds to complete the photo-crosslinking process, and obtain a cured biological tissue adhesive.

实施例3Example 3

S1:将2.0g透明质酸钠加入120mL去离子水和80mL N,N-二甲基甲酰胺的混合溶剂中,室温搅拌得到透明质酸钠溶液;S1: Add 2.0g sodium hyaluronate to a mixed solvent of 120mL deionized water and 80mL N,N-dimethylformamide, and stir at room temperature to obtain a sodium hyaluronate solution;

S2:向步骤S1中的透明质酸钠溶液中加入0.69g酰胺化试剂N,N'-羰基二咪唑,溶解得到均匀混合溶液;在上述混合溶液中加入57mg 5-羟基多巴胺盐酸盐、50mg 4-乙烯基苄胺,避光下搅拌至完全溶解;用0.5M的NaOH溶液调节上述溶液的pH至6.0,室温搅拌24h,得到反应溶液;S2: Add 0.69g of the amidation reagent N,N'-carbonyldiimidazole to the sodium hyaluronate solution in step S1, and dissolve to obtain a uniform mixed solution; add 57mg of 5-hydroxydopamine hydrochloride and 50mg to the above mixed solution. 4-Vinylbenzylamine, stir in the dark until completely dissolved; use 0.5M NaOH solution to adjust the pH of the above solution to 6.0, and stir at room temperature for 24 hours to obtain a reaction solution;

S3:将步骤S2所得反应溶液在800mL冰乙醇中沉淀,低温离心得到聚合物;将聚合物再次溶解于200mL去离子水中,再次在冰乙醇中沉淀,通过低温离心和冷冻干燥得到双功能聚合物;S3: Precipitate the reaction solution obtained in step S2 in 800 mL of glacial ethanol, and centrifuge at low temperature to obtain the polymer; dissolve the polymer in 200 mL of deionized water again, precipitate in glacial ethanol again, and obtain the bifunctional polymer through low-temperature centrifugation and freeze-drying. ;

S4:取30mg双功能聚合物溶解于3mL去离子水中,得到双功能聚合物溶液,加入3mg光交引发剂苯基曙红Y,振荡或搅拌等使其完全溶解,得到生物组织粘合剂;用530nm LED对所得生物组织粘合剂进行光照20s完成光交联过程,得到固化后的生物组织粘合剂。S4: Dissolve 30 mg of bifunctional polymer in 3 mL of deionized water to obtain a bifunctional polymer solution, add 3 mg of photocross initiator phenyleosin Y, shake or stir to completely dissolve, and obtain a biological tissue adhesive; The obtained biological tissue adhesive is illuminated with a 530nm LED for 20 seconds to complete the photo-cross-linking process, and the cured biological tissue adhesive is obtained.

上面结合附图对本发明的实施方式作了详细说明,但是本发明并不限于上述实施方式。即使对本发明做出各种变化,倘若这些变化属于本发明权利要求及其等同技术的范围之内,则仍落入在本发明的保护范围之中。The embodiments of the present invention have been described in detail above with reference to the accompanying drawings, but the present invention is not limited to the above-mentioned embodiments. Even if various changes are made to the present invention, if these changes fall within the scope of the claims of the present invention and equivalent technologies, they will still fall within the protection scope of the present invention.

Claims (17)

1. A photoinitiated biological tissue adhesive, wherein the biological tissue adhesive is cured by irradiation of light from a bifunctional polymer and a photoinitiator;
the difunctional polymer is prepared by introducing catechol groups and double bond groups into a natural polymer containing carboxylic acid through amidation reaction.
2. The photoinitiated biological tissue adhesive according to claim 1, wherein the carboxylic acid-containing natural polymer is carboxymethyl cellulose, sodium carboxymethyl cellulose, hyaluronic acid, sodium hyaluronate, sodium alginate, carboxymethyl chitin, or carboxymethyl chitosan.
3. The photoinitiated biological tissue adhesive according to claim 1, wherein the bifunctional polymer is specifically obtained by condensation reaction of the carboxylic acid-containing natural polymer with an amino-containing catechol, an amino-containing alkene and an amidation condensing agent.
4. The photoinitiated biological tissue adhesive according to claim 3, wherein the mass ratio of the carboxylic acid-containing natural polymer, the amino-containing catechol, the amino-containing alkene, and the amidation condensing agent is 1:0.005-20:0.005-20:0.1-1000.
5. The method of preparing a photoinitiated biological tissue adhesive according to claim 3 or 4, wherein the amino group-containing catechol is selected from the group consisting of dopamine, 6-hydroxydopamine, 5-hydroxydopamine, 3, 4-dihydroxybenzylamine, norepinephrine hydrochloride, 3, 4-dihydroxynorephedrine, and cortex lycii radicis.
6. The method of preparing a photoinitiated biological tissue adhesive according to claim 3 or 4, wherein the amino group-containing alkene is selected from the group consisting of 2-amino methacrylate, 3-butene-1-amine, 2-methallylamine, methacrylamide, pent-4-en-1-amine, and 4-vinylbenzylamine.
7. The method of preparing a photoinitiated biological tissue adhesive according to claim 3 or 4, wherein the amidation condensing agent is selected from the group consisting of: 4- (4, 6-dimethoxy-triazin-2-yl) -4-methylmorpholine hydrochloride, active esters, carbodiimides, diisopropylcarbodiimide, 1- (3-dimethylaminopropyl) -3-ethylcarbodiimide, etc.), onium salts, organic phosphorus, triphenylphosphine-polyhalomethane, triphenylphosphine-hexachloroacetone, triphenylphosphine-NBS, 3-acyl-2-thiothiazoline, or nitrotetrafluoroborate ion.
8. The photoinitiated biological tissue adhesive according to claim 1, wherein the photoinitiator is selected from the group consisting of: any one or more of phenyl (2, 4, 6-trimethyl benzoyl) lithium phosphate, aryl ketone photoinitiator, polycyclic aromatic hydrocarbon photoinitiator, polysilane photoinitiator, acyl phosphonate photoinitiator, azo photoinitiator or metal organic complex.
9. The photoinitiated biological tissue adhesive according to claim 1 or 8, wherein the mass ratio of the bifunctional polymer to the photoinitiator is 1:0.01-10.
10. A method of preparing a photoinitiated biological tissue adhesive according to any of claims 1 to 9, comprising the steps of:
s1: dissolving a natural polymer containing carboxylic acid in a solvent to prepare a natural polymer solution;
s2: adding an amidation reagent into the natural polymer solution prepared in the step S1, then adding catechol containing amino and olefin containing amino under the condition of avoiding light, and adopting NaOH solution to adjust the pH value of the solution to 5.5-7.5 to obtain a reaction solution;
s3: precipitating the reaction solution obtained in the step S2 in glacial ethanol, centrifuging at low temperature, and repeating the step for 2-3 times to obtain a difunctional polymer;
s4: dissolving the difunctional polymer obtained in the step S3, and adding a photoinitiator for dissolving to obtain the biological tissue adhesive;
under the irradiation of light, the biological tissue adhesive initiates the crosslinking reaction and solidification of the difunctional polymer and the photoinitiator.
11. The method of preparing a photoinitiated biological tissue adhesive according to claim 10, wherein the solvent in step S1 is one or a mixture of water, N-dimethylformamide or dimethyl sulfoxide.
12. The method of preparing a photoinitiated biological tissue adhesive according to claim 10 or 11, wherein the mass ratio of the carboxylic acid-containing natural polymer to the solvent is 1:0.1-1000.
13. The method for preparing a photoinitiated biological tissue adhesive according to claim 10, wherein the wavelength of light is 100-1000nm and the irradiation time is 1-600S when the crosslinking reaction is induced by the difunctional polymer and the photoinitiator.
14. A biological tissue gel sheet, characterized in that the biological tissue gel sheet is a photoinitiated biological tissue adhesive according to any one of claims 1 to 9 or a sheet-like product obtained after photoinitiated curing of the photoinitiated biological tissue adhesive obtained by the production method according to any one of claims 10 to 13.
15. Use of a photoinitiated biological tissue adhesive according to any of claims 1 to 9 or obtainable by a method according to any of claims 10 to 13 for the preparation of a bioadhesive product.
16. The use of a photoinitiated biological tissue adhesive according to claim 15 for the preparation of a bioadhesive product, wherein the photoinitiated biological tissue adhesive is applied for repair of dura mater (spinal) membranes, repair filling of peritoneum and pleura, repair of vascular damage, and adhesive repair of skin mucosa.
17. Use of a photoinitiated biological tissue adhesive according to claim 15 in the preparation of a bioadhesive product, wherein the bioadhesive product is a sheet-like product.
CN202311043137.0A 2023-08-18 2023-08-18 Photoinitiated biological tissue adhesive, gel sheet, preparation method and application Active CN117100901B (en)

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