The remarkable underwater adhesion strategy employed by mussels has inspired bioadhesives that have demonstrated promise in connective tissue repair, wound closure, and local delivery of therapeutic cells and drugs. While the pH of oxygenated blood and internal tissues is typically around 7.4, skin and tumor tissues are significantly more acidic. Additionally, blood loss during surgery and ischemia can lead to dysoxia, which lowers pH levels of internal tissues and organs. Using 4-armed PEG end-capped with dopamine (PEG-D) as a model adhesive polymer, the effect of pH on the rate of intermolecular cross-linking and adhesion to biological substrates of catechol-containing adhesives was determined. Adhesive formulated at an acidic pH (pH 5.7-6.7) demonstrated reduced curing rate, mechanical properties, and adhesive performance to pericardium tissues. Although a faster curing rate was observed at pH 8, these adhesives also demonstrated reduced mechanical and bioadhesive properties when compared to adhesives buffered at pH 7.4. Adhesives formulated at pH 7.4 demonstrated a good balance of fast curing rate, elevated mechanical properties and interfacial binding ability. UV-vis spectroscopy evaluation revealed that the stability of the transient oxidation intermediate of dopamine was increased under acidic conditions, which likely reduced the rate of intermolecular cross-linking and bulk cohesive properties for hydrogels formulated at these pH levels. At pH 8, competing cross-linking reaction mechanisms and reduced concentration of dopamine catechol due to auto-oxidation likely reduced the degree of dopamine polymerization and adhesive strength for these hydrogels. pH plays an important role in the adhesive performance of mussel-inspired bioadhesives and the pH of the adhesive formulation needs to be adjusted for the intended application.
The remarkable underwater adhesion strategy employed by mussels has inspired bioadhesives that have demonstrated promise in connective tissue repair, wound closure, and local delivery of therapeutic cells and drugs. While the pH of oxygenated blood and internal tissues is typically around 7.4, skin and tumor tissues are significantly more acidic. Additionally, blood loss during surgery and ischemia can lead to dysoxia, which lowers pH levels of internal tissues and organs. Using 4-armed PEG end-capped with dopamine (PEG-D) as a model adhesive polymer, the effect of pH on the rate of intermolecular cross-linking and adhesion to biological substrates of catechol-containing adhesives was determined. Adhesive formulated at an acidic pH (pH 5.7-6.7) demonstrated reduced curing rate, mechanical properties, and adhesive performance to pericardium tissues. Although a faster curing rate was observed at pH 8, these adhesives also demonstrated reduced mechanical and bioadhesive properties when compared to adhesives buffered at pH 7.4. Adhesives formulated at pH 7.4 demonstrated a good balance of fast curing rate, elevated mechanical properties and interfacial binding ability. UV-vis spectroscopy evaluation revealed that the stability of the transient oxidation intermediate of dopamine was increased under acidic conditions, which likely reduced the rate of intermolecular cross-linking and bulk cohesive properties for hydrogels formulated at these pH levels. At pH 8, competing cross-linking reaction mechanisms and reduced concentration of dopaminecatechol due to auto-oxidation likely reduced the degree of dopamine polymerization and adhesive strength for these hydrogels. pH plays an important role in the adhesive performance of mussel-inspired bioadhesives and the pH of the adhesive formulation needs to be adjusted for the intended application.
Tissue adhesives are
universally applied in surgery. Tissue adhesives
can overcome challenges associated with traditional mechanical wound
closure devices (e.g., sutures, tacks, and staples), which are unable
to stop leakage or reconnect tissues with low cohesive properties
(e.g., lung, spleen), cause localized stress concentrations that lead
to failure, and cause persistent pain and nerve damage.[1−3] However, existing tissue adhesives are hampered by weak adhesive
strength (e.g., fibrin glue) and poor biocompatibility (e.g., cyanoacrylate).[4−6] Thus, there is a continued need for the development of biocompatible
tissue adhesives with superior performance.Marine mussels (Mytilus edulis)
secrete exceptional underwater adhesive proteins, which enable these
organisms to tightly attach to various surfaces (rocks, piers, boats,
etc.) in a wet, saline environment.[7,8] Mussel adhesive
proteins (MAPs) contain as much as 28 mol % of an unusual amino acid,
3,4-dihydroxyphenylalanine (DOPA), which plays an important role in
adhesion and as a precursor for intermolecular cross-linking.[9] The catechol side chain of DOPA is readily oxidized
in the presence of enzymatic (e.g., tyrosinase) and chemical (e.g.,
periodate) oxidants or under basic conditions in the presence of oxygen
to form highly reactive quinone, which is capable of undergoing the
polymerization necessary for the curing of the adhesive.[10,11] Quinone is also capable of forming strong interfacial bonds with
biological substrates.[12,13] Polymeric materials functionalized
with DOPA and various catechol analogues (e.g., dopamine, 3,4-dihydroxyhydrocinnamic
acid) have demonstrated promise in sealing fetal membranes,[14,15] Achilles tendon repair,[16] suture-less
wound closure,[17] immobilization and delivery
of therapeutic cells,[18,19] and targeted local delivery of
drugs.[20]An effective tissue adhesive
needs to cure rapidly and adhere tightly
to biological substrates under physiological conditions. Although
the pH of oxygenated blood and internal tissues ranges from 7.2 to
7.45,[21,22] the pH levels of skin (pH = 4–6)[23] and subcutaneous tissues (pH = 6.7–7.1)[24] are significantly lower. Similarly, tumor tissues
have a severe pH gradient[25] and are more
acidic (average circa pH 7)[26] than healthy
tissues. Most importantly, ischemia and blood loss as a result of
trauma and surgery can result in tissue dysoxia due to insufficient
oxygen delivery to meet metabolic demands.[24,27] Dysoxia can lead to a decreased tissue pH level due to anaerobic
production of protons. Prolonged hemorrhage has been shown to lower
skeletal muscle and liver tissue pH to around 7.[28,29] Ischemia as a result of arterial and venous occlusion can also reduce
the normal blood pH by as much as 0.66 pH units.[30] Similarly, intense exercise reduces blood and muscle pH
to as low as 6.4.[31] Moreover, synthesis
of catechol containing adhesive requires acid and base treatments[32,33] and residual impurities may alter the pH of the adhesive formulation.Since the physiological pH varies between tissue types and may
be drastically reduced during surgery, it is necessary to understand
the effect of pH on the effectiveness of bioadhesives inspired by
marine mussels. Recently, Yu et al.[34] reported
that pH is critical to the performance of mussel adhesive proteins.
The interfacial binding energy measured between the protein and titanium
surfaces was the highest under acidic conditions (pH = 3). Catechol
and metal ions also form strong complexes with stoichiometry and stability
that are pH-dependent.[35−40] However, the effect of pH on its adhesion to biological substrates
has yet to be determined. Catechol forms reversible coordination bonds
with metal oxides and ions, which differ from the oxidation-mediated
covalent bonds that catechol forms with nucleophiles (e.g., −NH2, −SH) found on biological substrates.[11,12] Additionally, there is a need to understand the effects of pH on
the rate of intermolecular cross-linking of catechol, which affects
the rate of curing and the bulk cohesive properties of catechol-containing
adhesives.Here, we used a 4-armed PEG end-capped with dopamine
(PEG-D) as
a model adhesive polymer to study the effect of pH on the performance
of MAP-inspired adhesives. PEG was chosen as a polymer support due
to the polymer’s inert and hydrophilic nature. The effect of
pH on the curing rate, average molecular weight between cross-linking
(M̅c), cytotoxicity, and mechanical
and bioadhesive properties of PEG-D hydrogel was determined. Spectroscopic
analysis was also performed to track the formation of oxidation intermediates
of dopamine to elucidate how pH affects the oxidation-mediated cross-linking
of PEG-D.
Experimental Section
Materials
DopamineHCl and N-methylmorpholine
were purchased from Acros Organics (Fair Lawn, New Jersey). The 4-arm
10k Da N-hydroxysuccinimide ester activated poly(ethylene
glycol) (PEG-NHS) was purchased from JenKem U.S.A., Inc. (Allen, TX).
Anhydrous dimethylformamide, sodium phosphate monobasic monohydrate,
sodium phosphate dibasic anhydrous, concentrated hydrochloric acid
(36.5–38%), and sodium periodate (NaIO4) were purchased
from Acros Organics (Fair Lawn, New Jersey). Fresh bovine pericardium
was purchased from Sierra for Medical Science (Whittier, California).
Spectra/Por dialysis membrane (molecular weight cut off (MWCO): 3500
Da) was purchased from Spectrum Laboratories (Rancho Dominguez, California).
Dulbecco’s modified Eagle’s medium (DMEM; with 4.5 g/L
glucose and glutamine, without sodium pyruvate) and trypsin EDTA (0.05%
trypsin/0.53 mM EDTA in HBSS) were obtained from Corning Cellgro (Manassas,
VA). Fetal bovine serum and penicillin-streptomycin (10 units/mL)
were purchase from Thermo Scientific (Rockford, IL). 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
bromide 98% (MTT) was purchased from Alfa Aesar (Ward Hill, MA).
Synthesis of Dopamine-Functionalized PEG
Dopamine-functionalized
PEG (PEG-D) was prepared using a previously published protocol with
some minor modifications (Scheme S1).[38] Briefly, PEG-NHS (1.0 g, 0.4 mmol NHS), and
dopamine HCl (120 mg, 0.60 mmol) were separately dissolved in 4 mL
each of anhydrous dimethylformamide under nitrogen. The dopamine was
neutralized with N-methylmorpholine (110 μL,
1 mmol) for 15 min, after which the solutions were combined and the
mixture was stirred overnight. The mixture containing the crude polymer
was diluted with water to a concentration of ∼15–20
mg/mL and dialyzed for 46 h in water, acidified to pH 3.5, using concentrated
HCl. The polymer was dialyzed in unbuffered deionized water for an
additional 2 h to remove trace amounts of acid and then freeze-dried.
The extent of end group functionalization was determined using UV–vis
spectroscopy at a wavelength of 280 nm, based on a standard curve
obtained using dopamine.[10] Coupling efficiency
for PEG-D was 94 ± 6.0%. 1H NMR: PEG-D (400 MHz, DMSO-d6) δ 8.72 (s, 1H, -C6H3OH(OH)), 8.61 (s, 1H, -C6H3OH(OH)), 7.62 (t, 1H, -CH2-(NH)-C(=O)-), 6.62 (d, 1H, -C6H2H(OH)2), 6.57 (d, 1H, -C6H2H(OH)2), 6.43 (d, 1H, -C6H2H(OH)2), 3.84 (s, 2H, PEG-CH2-C(=O)-NH-), 3.74–3.27 (m, PEG),
3.24 (m, 2H, C6H3-CH2-CH2-(NH)-C(=O)-), 2.56 (t, 2H, C6H3-CH2-CH2-(NH)-C(=O)-).
Formation of Hydrogel
PEG-D and NaIO4 were
separately dissolved in 10 mM sodium phosphate buffer with a pH of
5.7, 6.7, 7.4, or 8.0 at a concentration that is double that of their
prospective final concentrations in the hydrogel. An equal volume
of these two precursor solutions were mixed together and allowed to
cure prior to testing. Unless otherwise stated, the final concentration
of PEG-D was kept at 75 mg/mL, while the NaIO4 concentration
was kept at a molar ratio of 0.25–1.5 relative to dopamine
(corresponding to a NaIO4 concentration of 14.5–87.0
mM). The curing time was determined when the polymer mixture ceased
flowing in an inverted vial containing the fluid.[10] For compression, lap shear, and cytotoxicity experiments,
hydrogels were formulated with a NaIO4/dopamine molar ratio
of 0.5.
Determination of Molecular Weight between Cross-Links
PEG-D hydrogels were characterized by the determination of the average
molecular weight between cross-links (M̅c), as determined from equilibrium swelling data and application
of the modified Flory–Rehner equation.[41] Precursor solutions were added to a 1 mm thick mold and allowed
to cure overnight. Hydrogels were cut into 1 cm diameter discs using
a biopsy punch and samples were submerged in phosphate buffer saline
(PBS; pH = 7.4) for 24 h. Swollen hydrogels were further dried under
vacuum for at least 2 days. The mass of the hydrogel both at the swollen
(Ms) and dried (Md) states was determined. The polymer volume fraction in the
swollen hydrogel (vs) was calculated using
the following equation:[42]where Vp and Vs are the
volume of the hydrogels in the dried
and swollen state, respectively, and ρp is the density
of PEG (1.123 g/cm3).[43] We assumed
the density of water to be 1 g/cm3. M̅c was calculated by the following equation:[41]where Mn is the
starting molecular weight (MW) of PEG-D, VH is the molar volume of water (18.1 mol/cm3), and χ is the Flory–Huggins parameter for PEG and
water (0.462).[44] The polymer volume fraction
in the relaxed hydrogel (vr) was found
by eq 1 using the mass of a hydrogel that was
cured overnight and its mass after drying as Ms and Md, respectively. Average vr value
(0.0680 ± 0.000885) of 12 hydrogels was used in the calculation
(Table S1). The equilibrium swelling ratio
(q) was determined by the following equation: q = vr/vs.
Compression Testing
Unconfined, uniaxial compression
testing was performed using a servohydraulic materials testing system
(8872 Instron, Norwood, MA). Hydrogel samples were cured in a 4 mm
thick mold for overnight (∼18 h) and cut into a disc with a
diameter of 1 cm using a biopsy punch. The diameter and thickness
of each hydrogel sample were measured using a digital caliper prior
to compression testing. Hydrogels (n = 3) were compressed
at a rate of 1.8 mm/min until the sample fractured. Stress was determined
based on the measured load divided by the initial surface area of
the sample.[45] Strain was determined by
dividing the change in the position of the compressing plate by the
initial thickness of the hydrogel. Toughness was determined by the
integral of the stress–strain curve. The elastic modulus was
taken from the slope of the stress–strain curve between a strain
of 0.05 and 0.2.
Lap Shear Adhesion Testing
A total
of 5 μL each
of 300 mg/mL PEG-D and 56 mM NaIO4 solutions in 10 mM sodium
phosphate buffer adjusted to the desired pH were added to one end
of a piece of bovine pericardium (2.5 cm × 2.5 cm). The final
concentration of the PEG-D and NaIO4 were 150 mg/mL and
27.8 mM, respectively, (NaIO4/dopamine molar ratio = 0.5).
These solutions were mixed using the tip of a pipet and the adhesive
joint was formed by placing the second piece of bovine pericardium
over the first with 1 cm overlap. The adhesive joint was compressed
with a 100 g weight for 10 min and further incubated in PBS (pH 7.4)
at 37 °C overnight. The samples were pulled to failure using
a servohydraulic materials testing system (8872 Instron, Norwood,
MA) at a rate of 5 mm/min, and the maximum load and displacement were
recorded.[46] Additionally, the work of adhesion
was determined by the integral of the load versus displacement curve
and normalized by the initial contact area of the adhesive joint.
To simulate adhesion to tissues at different pH levels, pericardium
tissues were equilibrated in PBS adjusted to a pH of 5.7, 6.7, 7.4,
or 8.0 for 2 days and then kept frozen until testing. At least nine
samples were tested per formulation.
Spectroscopic evaluation
of PEG-D oxidation
PEG-D (50
μM PEG-D; 200 μM dopamine) was dissolved in 10 mM sodium
phosphate (pH 5.7, 6.7, 7.4, or 8.0) and NaIO4 (100 μM)
was added. At a series of predetermined times, UV/vis spectra (200
to 700 nm; PerkinElmer Lambda35) of the solution were recorded at
a scan rate of 960 nm/min using sodium phosphate buffer as the reference.
Reported values for N-acetyldopamine quinone (λmax = 392; ε = 1130 M–1 cm–1)[47] and N-acetyldehydroDOPA
ethyl ester (λmax = 322; ε = 14481 M–1 cm–1)[48] were used to
identify the oxidation intermediates and calculate their respective
concentrations using Beer’s law, A = εbc, where A is the absorbance, ε
is the molar absorptivity constant, b is the path
length (1 cm), and c is the concentration.
Assessment
of Cytotoxicity
Cell viability was measured
using a quantitative MTTcytotoxicity assay following published protocols
with minor modifications.[17] Hydrogels were
formulated with a final concentrations of 75 mg/mL PEG-D and 13.6
mM NaIO4 (0.5 NaIO4/dopamine molar ratio) and
cured overnight. Samples were cut into disc shape (5 mm diameter,
2 mm thick) and sterilized by submersion in 70% (v/v) ethanol for
45 min followed by washing three times with 20 mL of sterile PBS for
90 min.[49] The hydrogels were then transferred
into a 24-well plate and incubated with DMEM (10 mg/mL) for 24 h (37
°C, 5% CO2, and 95% air). L929 mouse fibroblasts were
suspended in DMEM and seeded into a 96-well microculture plate with
a density of 1 × 104 cells/100 μL/well and incubated
for 24 h at 37 °C in a 5% CO2 humidified incubator
to obtain a confluent monolayer of cells. The cell medium was then
removed and replaced with hydrogel extract for an additional 24 h
of incubation. The hydrogel extract was removed and the cells were
incubated with 50 μL of 1 mg/mL of MTT in PBS for 2 h. Finally,
the PBS solution was replaced with 100 μL of DMSO to dissolve
the formazan, and the absorbance of the DMSO solution was detected
at 570 nm (reference 650 nm). The relative cell viability was calculated
as the ratio between the mean absorbance values of the sample to the
mean absorbance value of cells cultured in DMEM. Samples with relative
cell viability less than 70% are deemed to be cytotoxic.[50] For each hydrogel formulation (5.7, 6.7, 7.4,
and 8.0 pH), three independent cultures were prepared and the cytotoxicity
test was repeated three times for each culture to give nine separate
tests for each hydrogel type.
Statistical Analysis
Statistical analysis was performed
using JPM Pro 10 software (SAS, Cary, NC). One-way analysis of variance
(ANOVA) with Tukey HSD analysis was performed for comparing means
of multiple groups using a p-value of 0.05.
Results
and Discussion
High purity PEG-D was synthesized with elevated
coupling efficiency,
as verified using 1H NMR and UV–vis spectroscopy,
respectively. The 1H NMR spectrum of PEG-D (Figure S1) contains three phenyl proton peaks
(6.62, 6.57, and 6.43 ppm), indicating the attachment of the dopaminecatechol group to PEG (3.74–3.27 ppm). The end-group coupling
efficiency was determined to be 94 ± 6.0% based on the absorbance
of the catechol peak at 280 nm using UV–vis spectroscopy.[10]Mixing NaIO4 and PEG-D solutions
readily oxidizes the
terminal dopamine to highly reactive quinone and transforms the initially
colorless polymer solution into a light brown-colored hydrogel network.
The time it took for the hydrogel to cure was dependent on both the
NaIO4/dopamine molar ratio and the pH of the precursor
solutions (Figure 1). At all pH levels, the
curing time was the fastest at a NaIO4:dopamine ratio between
0.5 and 0.75. This implies that a near stoichiometric ratio of the
reduced (catechol) and oxidized (quinone) form of dopamine is necessary
for rapid cross-linking and curing of the hydrogel. A similar concentration
dependence was previously reported for periodate-mediated cross-linking
of DOPA-functionalized PEG.[10] The curing
time decreased with increasing pH. For example, at a NaIO4/dopamine ratio of 0.5, curing time decreased from over 6 min (pH
5.7) to under 20 s (pH 8.0).
Figure 1
Cure time of PEG-D as a function of NaIO4/dopamine molar
ratio for hydrogels formulated with precursor solutions adjusted to
a pH of 5.7 (●), 6.7 (○), 7.4 (■), and 8.0 (□).
The inset enlarges the curing time results at a NaIO4/dopamine
molar ratio between 0.5 and 1.
Cure time of PEG-D as a function of NaIO4/dopamine molar
ratio for hydrogels formulated with precursor solutions adjusted to
a pH of 5.7 (●), 6.7 (○), 7.4 (■), and 8.0 (□).
The inset enlarges the curing time results at a NaIO4/dopamine
molar ratio between 0.5 and 1.The equilibrium swelling ratio measures the extent of swelling
from the relaxed state of an adhesive (i.e., after curing) and its
swollen state when equilibrium swelling has been reached (Figure S2). Adhesive formulated at pH 7.4 exhibited
the lowest amount of swelling. Swelling ratio is also the lowest when
cured at a NaIO4/dopamine ratio between 0.5 and 1.0. The
relatively low swelling ratio (1.1–1.8) is ideal for tissue
adhesives as excessive swelling can lead to compression of surrounding
nerves and blood vessels.[51,52] The swelling ratios
obtained here are similar to the reported values of catechol-modified
PEG with similar architecture.[10,53]The equilibrium
swelling data was used to determine the average
molecular weight between cross-links (M̅c) of PEG-D hydrogel (Figure 2). M̅c is defined as the average molecular
weight of polymer between two consecutive junctions or cross-linking
points in a network. M̅c is an important
property for a hydrogel and is inversely proportional to cross-linking
density and mechanical properties of the material.[54,55] In general, PEG-D hydrogel M̅c values mirrored the curing time results, where formulations that
yielded shorter cure times exhibited lower M̅c values. M̅c values
were the lowest at NaIO4/dopamine ratios between 0.5 and
1 and decreased with increasing pH from 5.7 to 7.4. This observation
is in agreement with previous work where reaction conditions that
promoted faster catechol cross-linking rates also resulted in higher
degrees of polymerization and hydrogel networks with reduced M̅c.[10] However,
hydrogels formulated at pH 8.0 exhibited higher M̅c values compared to those formulated at pH 7.4, despite
having shorter curing times. This suggests that, while fast intermolecular
cross-linking can be achieved at pH 8.0, the same condition does not
promote an elevated degree of polymerization.
Figure 2
M̅c as a function of NaIO4/dopamine molar ratio
for hydrogels formulated with precursor
solutions adjusted to a pH of 5.7 (●), 6.7 (○), 7.4
(■), and 8.0 (□).
M̅c as a function of NaIO4/dopamine molar ratio
for hydrogels formulated with precursor
solutions adjusted to a pH of 5.7 (●), 6.7 (○), 7.4
(■), and 8.0 (□).In our PEG-D system, the 4-armed PEG consists of four inert
PEG
chains of equal length (e.g., 2500 Da each) terminated with a reactive
dopamine moiety. The branched architecture of PEG-D provides a junction
point and if all catechols were involved in dimerization, it would
lead to network formation. However, dimerization does not result in
the formation of a new network junction (Figure 3A). The formation of a trimer or an oligomer with a higher number
of repeating units would be required to form a new junction point,
as it requires three or more elastic polymer chains (i.e., functionality
≥ 3, Figure 3B). The M̅c values reported here closely approximate the MW of PEG
arms of 2500 Da. PEG-D cured at pH 7.4 and at a NaIO4/dopamine
ratio between 0.5 and 1.0 exhibited significantly lower M̅c values (around 2000 Da). The observed decrease in M̅c values in PEG-D hydrogels corresponded
to an increase in the degree of dopamine polymerization. DOPA was
previously determined to form oligomers with the number of repeat
as high as six.[10] The modified Flory–Rehner
equation utilized in this study does not account for the change in
the functionality of the junction points for these formulations, which
likely promoted the formation of higher MW oligomers.
Figure 3
Schematic representation
of idealized PEG-D networks when dopamine
moieties form a dimer (A) and a trimer (B). Formation of the trimer
or oligomers with a higher number of repeat forms a new network junction
(black arrow), resulting in decreased M̅c.
Schematic representation
of idealized PEG-D networks when dopamine
moieties form a dimer (A) and a trimer (B). Formation of the trimer
or oligomers with a higher number of repeat forms a new network junction
(black arrow), resulting in decreased M̅c.The mechanical properties of PEG-D
hydrogels were determined by
unconfined compression testing (Table 1). The
calculated elastic modulus values increased with increasing pH levels
of the precursor solution. Additionally, hydrogels formulated at pH
7.4 exhibited the highest maximum compressive stress and toughness
among all the formulations tested. These values were more than double
those found for adhesives formulated at other pH levels. Results from
compression testing indicated that conditions that promoted fast curing
rate and reduced M̅c contributed
to forming hydrogels with improved mechanical properties.
Table 1
Results of Uniaxial Unconfined Compression
Testing on PEG-D Hydrogelsa
pH
max stress
(kPa)
max strain
toughness (J/m3)
elastic
modulus
(kPa)
5.7
435 ± 87A
0.727 ± 0.010A
71.1 ± 13A
96.5 ± 50A
6.7
322 ± 89A
0.573 ± 0.061BC
49.0 ± 10A
158 ± 27AB
7.4
1030 ± 300B
0.670 ± 0.047AB
138 ± 44B
212 ± 13BC
8.0
429 ± 179A
0.529 ± 0.032C
55.3 ± 21A
242 ± 10C
Superscript letters
indicate statistical
significance and formulations not linked by the same letter are statistically
different.
Superscript letters
indicate statistical
significance and formulations not linked by the same letter are statistically
different.Two lap shear
adhesion experiments were performed to evaluate the
effect of pH on the adhesive properties of PEG-D hydrogels. In the
first experiment, hydrogel precursor solutions were buffered to a
desired pH while the tissue substrate was maintained at a pH of 7.4
(Figure 4A). This experiment simulates the
effect of carry-over impurities from the synthesis of the adhesive
polymer that could potentially alter the pH of the adhesive formulation.
Adhesive formulated at pH 7.4 exhibited the highest adhesive strength
and work of adhesion, which were two to four times higher than those
measured for adhesives buffered at other pH levels. This hydrogel
formulation also demonstrated the highest elevated cross-linking densities
based on M̅c and compression testing
results. This result indicates that the bulk cohesive properties of
the adhesive significantly influence its adhesive performance.[32,56]
Figure 4
Lap
shear adhesion test results performed with the precursor solutions
adjusted to various pH levels using pericardium equilibrated at pH
7.4 (A) and the precursor solution buffered at pH 7.4 while using
pericardium equilibrated at various pH levels (B). PEG-D was cured
with a NaIO4/dopamine molar ratio of 0.5. The symbols *
and # denote that results associated with these formulations
were statistically different from those of other formulations based
on ANOVA analysis. Black and gray bars indicate lap shear and work
of adhesion results, respectively. For (B), 2 out of 9 samples failed
prior to testing for tissue buffered at pH 5.7.
Lap
shear adhesion test results performed with the precursor solutions
adjusted to various pH levels using pericardium equilibrated at pH
7.4 (A) and the precursor solution buffered at pH 7.4 while using
pericardium equilibrated at various pH levels (B). PEG-D was cured
with a NaIO4/dopamine molar ratio of 0.5. The symbols *
and # denote that results associated with these formulations
were statistically different from those of other formulations based
on ANOVA analysis. Black and gray bars indicate lap shear and work
of adhesion results, respectively. For (B), 2 out of 9 samples failed
prior to testing for tissue buffered at pH 5.7.In the second adhesion experiment, pericardium substrates
were
equilibrated at various pH levels prior to testing while keeping the
adhesive precursors at pH 7.4 (Figure 4B).
This experiment simulates the effect of applying adhesives to tissues
with a pH that deviates from 7.4 (e.g., skin, tumor tissues, or dysoxic
tissues during surgery). Adhesive applied to pH 7.4 tissue demonstrated
the highest adhesive strength and work of adhesion. Adhesives adhered
poorly to tissues buffered at acidic pH levels and 22% of the adhesive
joints (2 out of 9) failed prior to testing for tissues buffered at
pH 5.7. Quinone reacts with nucleophiles found on biological substrates,
which are protonated under acidic conditions, reducing their ability
to form interfacial bonds.[11,12] Although the performance
of the adhesive was significantly improved when applied to tissues
buffered at pH 8.0, the adhesive strength and work of adhesion values
obtained at pH 8.0 were less than half of those for pH 7.4. Residual
buffer found on the tissue surface may have altered the pH of the
adhesive, resulting in reduced bulk cohesive properties similar to
the effect of buffering the pH of the adhesive precursors. pH treatment
may also alter the surface chemistry of the pericardium tissue, which
needs to be further characterized.For both adhesion tests,
samples were allowed to cure overnight
prior to testing. Cross-linking of catechol may take up to 8 h to
fully complete.[10] Although catechol dimer
forms rapidly, resulting in relatively fast solidification, catechol
can form oligomers with up to six catechol groups with time, resulting
in increased stiffness and cross-linking density. Given that the bulk
properties of adhesives strongly affect the measured lap shear adhesive
strength,[56] by performing adhesion testing
after the adhesives have fully cross-linked, we were able to compare
the effect of pH on dopamine’s cross-linking chemistry and
its effect on the adhesive performance of PEG-D. Additionally, we
have included the adhesion results of PEG-D after curing for 1 h (Table S2). As expected, both adhesive strength
and work of adhesion values (3.3 ± 0.52 kPa and 4.8 ± 1.0
J/m2, respectively) were significantly lower than those
for adhesive formulations cured overnight (7.8 ± 1.7 kPa and
15 ± 2.0 J/m2, respectively). Even though the adhesive
performance of PEG-D was lower after only 1 h of curing, the 1 h data
for PEG-D was still significantly higher when compared to commercially
available PEG-based sealant, CoSeal (Baxter, Inc., 0.63 ± 0.19
kPa and 1.5 ± 0.65 J/m2, respectively), which was
allowed to cure overnight (Table S2).We tracked the evolution of PEG-D UV–vis spectra with time
to evaluate how pH affects the oxidation mediated cross-linking of
dopamine. Only the time evolution of PEG-D UV–vis absorbance
at pH 5.7 is shown (Figure 5) as the rate of
reaction is much slower at this pH as compared to the reaction performed
at elevated pH levels. However, PEG-D reactions conducted at other
pH levels followed a similar trend. Prior to the addition of the oxidant,
PEG-D exhibited a single peak (λmax = 280 nm), indicative
of a catechol (Figure S3).[48,57] A new peak at 395 nm and a shoulder at about 320 nm appeared immediately
after the addition of NaIO4, corresponding to dopaminequinone and α,β-dehydrodopamine, respectively.[39,43] With time, there was a steady decrease in the absorbance peak at
395 nm and an increase at 320 nm. Absorbance at 280 nm initially decreased,
but increased with time as the catechol transformed into other phenolic
reaction intermediates with similar absorbance maxima.[39,43]
Figure 5
Evolution
of UV–vis spectrum with time for a solution containing
50 μM PEG-D (200 μM dopamine) and 100 μM of NaIO4 in 10 mM sodium phosphate buffered at pH 5.7. The absorbance
was recorded between 0 and 60 min after the addition of NaIO4. The inset enlarges the absorbance at 310 to 330 nm.
Evolution
of UV–vis spectrum with time for a solution containing
50 μM PEG-D (200 μM dopamine) and 100 μM of NaIO4 in 10 mM sodium phosphate buffered at pH 5.7. The absorbance
was recorded between 0 and 60 min after the addition of NaIO4. The inset enlarges the absorbance at 310 to 330 nm.Previously reported molar absorptivity values were
used to quantify
the molar concentration of dopamine quinone and α,β-dehydrodopamine
(Figure 6).[47,48,58] At time zero, there was a near stoichiometric production
of quinone (97 μM) relative to the amount of added NaIO4 (100 μM) for pH 5.7, indicating the direct transformation
of catechol to quinone. With increasing pH, there was a decreased
amount of initially measurable quinone. We likely did not capture
the early production and disappearance of quinone due to its shorter
half-life under basic conditions.[59] The
quinone concentration decreased with time as the reactive quinone
further transforms into other oxidation products. There was an increase
in the rate of disappearance of quinone with increasing pH. For pH
8.0, only 20 μM was detected initially, which decreased to less
than 5.5 μM within 1 min. With time (t >
8
min), there appeared to be an increase in quinone concentration for
pH 8.0. However, this increase is probably due to the production of
other intermediates as opposed to additional quinone production, as
there is a general increase in the spectra as a whole.
Figure 6
Change in the concentration
of dopamine quinone (A) and α,β-dehydrodopamine
(B) for a solution containing 50 μM of PEG-D (200 μM dopamine)
and 100 μM of NaIO4 adjusted to a pH of 5.7 (●),
6.7 (○), 7.4 (■), and 8.0 (□).
Change in the concentration
of dopamine quinone (A) and α,β-dehydrodopamine
(B) for a solution containing 50 μM of PEG-D (200 μM dopamine)
and 100 μM of NaIO4 adjusted to a pH of 5.7 (●),
6.7 (○), 7.4 (■), and 8.0 (□).The decay of quinone coincided with the emergence
of α,β-dehydrodopamine
(Figure 6B). For pH 5.7, there was a steady
increase in the concentration of α,β-dehydrodopamine with
time. Under more basic conditions, production of α,β-dehydrodopamine
reached a maximum within 1–5 min after the addition of NaIO4 and disappeared with time as it further transformed into
other reaction products. There was a nonstoichiometric conversion
of quinone to α,β-dehydrodopamine, resulting from competing
reactions that may not have detectable absorbance signatures.[57]For pH 8.0, there was a formation of a
new peak at 485 nm 15 min
after NaIO4 addition, which continued to increase for nearly
24 h (Figure 7). Additionally, there was a
pronounced increase in the absorbance at 280 nm over the same time
period. These peaks compared favorably with spectra of dicatechol
formed through aryloxy radical-mediated phenol coupling of 4-methylcatechol
(λmax = 268, 420 nm at pH 3 and λmax = 274, 510 at pH 9).[60] For pH 7.4, similar
dicatechol peaks were observed, but to a lesser extent in absorbance
intensity compared to those found in the spectra at pH 8.0. The absorbance
of these peaks were significantly lower for reactions conducted under
acidic conditions, indicating that the formation of dicatechol is
favored at elevated pH levels.
Figure 7
UV–vis absorbance for solutions
containing 50 μM PEG-D
(200 μM dopamine) and 100 μM of NaIO4 buffered
at a pH between 5.7 and 8. Spectra were taken 24 h after the addition
of NaIO4. The inset enlarges the absorbance between 430
and 550 nm. The absorbance spectrum of 50 μM PEG-D in 10 mM
sodium phosphate (pH 5.7) was added for comparison.
UV–vis absorbance for solutions
containing 50 μM PEG-D
(200 μM dopamine) and 100 μM of NaIO4 buffered
at a pH between 5.7 and 8. Spectra were taken 24 h after the addition
of NaIO4. The inset enlarges the absorbance between 430
and 550 nm. The absorbance spectrum of 50 μM PEG-D in 10 mM
sodium phosphate (pH 5.7) was added for comparison.The formation of α,β-dehydrodopamine
suggests a cross-linking
route resembling insect cuticle sclerotization (reactions 1–5 in Scheme 1). Under
mildly acidic conditions (pH = 6), quinone tautomerizes to form quinone
methide, which further transforms into α,β-dehydrodopamine
(reaction 2).[57] Although quinone
methide is a highly reactive chemical species, Li and Christensen[59] suggested that quinone methide is stabilized
under acidic conditions, which likely retarded subsequent reactions.
At higher pH (pH = 7–8), quinone transforms directly into α,β-dehydrodopamine
involving a charge transfer complex formation with the dopaminecatechol
(reaction 3).[57] This pH-associated
difference in the reaction pathway likely contributed to the observed
difference in the curing rate of PEG-D. The α,β-dehydrodopamine
can be further oxidized to its quinone form through the interaction
with dopamine quinone, molecular oxygen, or residual oxidant (e.g.,
NaIO3; reaction 4). α,β-Dehydrodopamine
quinone can further react with α,β-dehydrodopamine to
produce the dehydro dimer (reaction 5).[61] Abebe et al.[62] recently proposed
that the dehydro dimer can further react with quinone or quinone methide
of α,β-dehydrodopamine, leading to subsequent polymerization.
At elevated pH, formation of dicatechol was also observed (reaction 6). Catechol and the oxidized quinone can generate an aryloxy
radical which leads to phenol coupling.[63] For both reaction pathways (reactions 3 and 6), residual catechol plays an important role in fast cross-linking
and elevated degree of polymerization. This is evident from the fact
that reduced curing times and M̅c values were found at substoichiometric NaIO4 to dopamine
molar ratios. At elevated pH, catechol groups auto-oxidize in the
presence of oxygen to quinone, which may explain why hydrogels formed
at pH 8.0 had reduced cross-linking densities and mechanical properties
as compared to those formed at 7.4. Additionally, at pH 8.0 competing
cross-linking mechanisms likely reduced the degree of dopamine polymerization.
Scheme 1
Possible Cross-Linking Pathways of PEG-D
Dopamine oxidizes to quinone
with the addition of NaIO4 (1). Under relatively
low pH, quinone tautomerizes to form quinone methide (2a), which further transforms into α,β-dehydrodopamine
(2b). At higher pH, quinone transforms into α,β-dehydrodopamine
involving charge transfer complex formation with residual dopamine
(3). α,β-Dehydrodopamine further oxidizes
to its quinone (4), which is capable of reacting with
α,β-dehydrodopamine to form the dehydro dimer (5) that can lead to subsequent polymerization. Additionally, generation
of an aryloxy radical leads to dicatechol formation at elevated pH
(6). Several reactive species (e.g., quinone, quinone
methide) are capable of reacting with nucleophilic groups (e.g., −NH2, −SH), resulting in interfacial bond formation with
biological substrates.
Possible Cross-Linking Pathways of PEG-D
Dopamine oxidizes to quinone
with the addition of NaIO4 (1). Under relatively
low pH, quinone tautomerizes to form quinone methide (2a), which further transforms into α,β-dehydrodopamine
(2b). At higher pH, quinone transforms into α,β-dehydrodopamine
involving charge transfer complex formation with residual dopamine
(3). α,β-Dehydrodopamine further oxidizes
to its quinone (4), which is capable of reacting with
α,β-dehydrodopamine to form the dehydro dimer (5) that can lead to subsequent polymerization. Additionally, generation
of an aryloxy radical leads to dicatechol formation at elevated pH
(6). Several reactive species (e.g., quinone, quinone
methide) are capable of reacting with nucleophilic groups (e.g., −NH2, −SH), resulting in interfacial bond formation with
biological substrates.Formation of interfacial
bonds between PEG-D and soft tissues is
presumably due to cross-linking of various transient oxidation intermediates
(e.g., quinone, quinone methide) with nucleophilic species (e.g.,
−NH2, −SH) found on tissue substrates.[11,12] Quinone forms Michael type and Schiff base adducts with primary
amines.[60,64] Michael type adducts between quinones and
cysteinyl thiol[65] and histidinyl imidazole[66] side chains have also been detected. Similarly,
quinone methide is capable of reacting with water, alcohol, thiols,
and acids.[67] Under acidic conditions, these
nucleophilic groups are protonated (e.g., pKa of ε-lysine ∼ 10), which reduces their ability
to form interfacial bonds. Additionally, under mild acidic conditions
(pH < 6), hydroxylation of dopamine quinone can occur to form 2,4,5-trihydroxyphenethylamine
(topamine) and the corresponding topamine quinone undergoes Michael-type
addition with a primary amine at a much slower rate than dopaminequinone.[68] Elevated stability of quinone
methide under acidic conditions may also contribute to the reduced
ability of PEG-D to form interfacial bonds with biological tissues.[59]Finally, a quantitative MTTcytotoxicity
assay was performed by
exposing L929 fibroblast to medium extract of PEG-D hydrogels formulated
at different pH levels (Table S3). For
all the formulations tested, the viability for fibroblast was greater
than 97%, indicating that PEG-D was noncytotoxic and that pH has no
effect on its cytocompatibility. The biocompatibility of catechol-containing
tissue adhesives with similar compositions (i.e., DOPA-modified PEG)
have been previously reported and these biomimetic adhesives were
demonstrated to be biocompatible in both in vitro and in vivo experiments.[18,53]Collectively, our findings indicated that the pH of the adhesive
formulation and tissue substrates plays an important role in the performance
of MAP-mimetic bioadhesives. Due to the inert and highly predictable
nature of PEG, the observed changes in physical, mechanical, and adhesive
properties can be fully attributed to the effect of pH on the cross-linking
chemistry of dopamine. More specifically, these changes are attributed
to catechol and its methylene spacer, considering that the amide linkage
is not implicated in the cross-linking reaction as indicated in Scheme 1. These findings are critical to the synthesis of
catechol-containing adhesives as acid and base treatments are commonly
used in the removal of the catechol protecting groups or in the purification
of these adhesive polymers.[32,33] Residual acid or base
may alter the pH of the adhesive formulation and compromise its performance,
which may be unrelated to the composition of the adhesive. The pH
levels of different tissue types also need to be considered given
that these biomimetic adhesives have been widely adopted to design
adhesive biomaterials for a variety of tissue repair and drug delivery
applications.[9,17,20] The findings reported here can be utilized to optimize the performances
of other polymeric systems containing these adhesive molecules and
to fully realize the potential of this unique biomimetic adhesive
chemistry.
Conclusion
Our findings indicate that pH plays an important
role in the oxidative
intermolecular cross-linking of catechol-containing adhesives. Under
mild acidic conditions, PEG-D cured at a slower rate as a result of
increased stability of transient oxidation intermediates. Additionally,
hydrogels that cured at a slower rate were found to have elevated
equilibrium water content and reduced mechanical properties, likely
due to a lower degree of dopamine polymerization. On the other hand,
a fast curing rate was observed at pH 8. However, competing cross-linking
reactions and reduced catechol needed for intermolecular cross-linking
probably reduced the degree of dopamine polymerization and bulk cohesive
properties for these hydrogels. Both bulk cohesive properties and
the ability to form strong interfacial bonds were found to be critical
for elevated adhesive performance. Adhesives formulated at pH 7.4
demonstrated a good balance of fast curing rate, elevated mechanical
properties and interfacial binding ability. Results reported here
are particularly relevant in designing bioadhesives for tissue repair
and targeted delivery of drugs due to the variable pH levels found
in different tissue types and in dysoxic tissues during surgery.
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