Cited by 764Surgical Sutures and AdhesivesWound Healing and TreatmentsHydrogels: synthesis, properties, applications

Polymeric tissue adhesives

Nam, Sungmin, Mooney, David·2021·Chemical Reviews

Abstract

Polymeric tissue adhesives provide versatile materials for wound management and are widely used in a variety of medical settings ranging from minor to life-threatening tissue injuries. Compared to the traditional methods of wound closure (i.e., suturing and stapling), they are relatively easy to use, enable rapid application, and introduce minimal tissue damage. Furthermore, they can act as hemostats to control bleeding and provide a tissue-healing environment at the wound site. Despite their numerous current applications, tissue adhesives still face several limitations and unresolved challenges (e.g., weak adhesion strength and poor mechanical properties) that limit their use, leaving ample room for future improvements. Successful development of next-generation adhesives will likely require a holistic understanding of the chemical and physical properties of the tissue-adhesive interface, fundamental mechanisms of tissue adhesion, and requirements for specific clinical applications. In this review, we discuss a set of rational guidelines for design of adhesives, recent progress in the field along with examples of commercially available adhesives and those under development, tissue-specific considerations, and finally potential functions for future adhesives. Advances in tissue adhesives will open new avenues for wound care and potentially provide potent therapeutics for various medical applications.

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Registry

Crossref · 10.1021/acs.chemrev.0c00798

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9 of 9 references verified0 citation errors · 0 not checkable

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  • Under oxidation, covalent bonding can form with the amino or sulfhydryl groups on the surface of biological tissues through Schiff base reaction or Michael addition.

    “Under this circumstance, covalent bonding can form with the amino or sulfhydryl groups on the surface of biological tissues through Schiff base reaction or Michael addition [13].”
  • In oxidation conditions, the catechol group can transfer to a quinone structure; the formed quinone is capable of reacting with the -NH2 group and -SH group, thus improving the crosslinking density.

    “In addition, in oxidation conditions, the catechol group can transfer to a quinone structure. The formed quinone is capable of reacting with the -NH2 group and -SH group, thus improving the crosslinking density [13].”
  • In an alkaline environment, catechol groups are prone to oxidation to form catechol-catechol dimers.

    “In an alkaline environment, catechol groups are prone to oxidation to form catechol–catechol dimers [13].”
  • In clinical practice, suturing is still the dominant way to close open wounds.

    “In clinical practice, suturing is still the dominant way to close open wounds [13,92].”

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Authors
Nam, S., & Mooney, D.
Affiliations
Harvard University (US)
Corresponding author
Mooney, David
Venue
Chemical Reviews
Published
2021-01-28
Volume
121
Issue
18
Pages
11336-11384
ISSN
  • 0009-2665 (ISSN-L)
  • 1520-6890
OpenAlex
W3125852379
Cited by
764
References
9
Citations by year
2026: 135 · 2025: 199 · 2024: 159 · 2023: 149 · 2022: 94 · 2021: 28
FWCI
25.89
Type
journal article
Language
en
Open access
closed
Locations
  • Chemical Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Novartis
  • National Institute of Biomedical Imaging and Bioengineering (2R01 DE013349)
Topics
  • Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
  • Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Hydrogels: synthesis, properties, applications
Keywords
tissue adhesives, polymer adhesives, wound closure, hemostasis, adhesive design, wound healing, adhesion strength, mechanical properties
MeSH terms
Polymers, Tissue Adhesives, Wound Healing

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