Cited by 52Hydrogels: synthesis, properties, applicationsPolymer Surface Interaction StudiesSurgical Sutures and Adhesives

Mussel-Inspired Injectable Adhesive Hydrogels for Biomedical Applications

Open access
Dou, Wenguang, Zeng, Xiaojun, Zhu, Shuzhuang, Zhu, Ye, Liu, Hongliang, Li, Sidi·2024·International Journal of Molecular Sciences

Abstract

The impressive adhesive capacity of marine mussels has inspired various fascinating designs in biomedical fields. Mussel-inspired injectable adhesive hydrogels, as a type of promising mussel-inspired material, have attracted much attention due to their minimally invasive property and desirable functions provided by mussel-inspired components. In recent decades, various mussel-inspired injectable adhesive hydrogels have been designed and widely applied in numerous biomedical fields. The rational incorporation of mussel-inspired catechol groups endows the injectable hydrogels with the potential to exhibit many properties, including tissue adhesiveness and self-healing, antimicrobial, and antioxidant capabilities, broadening the applications of injectable hydrogels in biomedical fields. In this review, we first give a brief introduction to the adhesion mechanism of mussels and the characteristics of injectable hydrogels. Further, the typical design strategies of mussel-inspired injectable adhesive hydrogels are summarized. The methodologies for integrating catechol groups into polymers and the crosslinking methods of mussel-inspired hydrogels are discussed in this section. In addition, we systematically overview recent mussel-inspired injectable adhesive hydrogels for biomedical applications, with a focus on how the unique properties of these hydrogels benefit their applications in these fields. The challenges and perspectives of mussel-inspired injectable hydrogels are discussed in the last section. This review may provide new inspiration for the design of novel bioinspired injectable hydrogels and facilitate their application in various biomedical fields.

AI snapshot

Written from the paper’s full text.

TL;DR

This review summarizes design strategies for mussel-inspired injectable adhesive hydrogels, focusing on catechol incorporation, crosslinking chemistry, and biomedical applications. It highlights catechol-enabled tissue adhesiveness, self-healing, antimicrobial, antioxidant, and photothermal properties, while noting challenges such as catechol oxidation and storage instability.

Key findings

  • Mussel adhesion relies on DOPA/catechol; DOPA content in Mfps 3 and Mfps 5 reaches 20% and 28%, respectively. Catechol forms hydrogen bonding, coordination, π–π, and π–cation interactions, and after oxidation to quinone can form covalent Schiff base or Michael addition bonds.
  • Design strategies include incorporating catechol groups via classic organic reactions, polymerization of catechol-based monomers, or biosynthesis; crosslinking can be catechol-mediated (metal coordination, oxidation-induced coupling, boronate–catechol complexation) or via regular covalent/noncovalent methods, often combined.
  • Applications span wound closure/healing, hemostasis, bone and cartilage repair, drug delivery, smart sensors, and biological coatings. Reported examples include iCMBA adhesive strength ~123 kPa (about eight times commercial fibrin glue), PPD hydrogel ~147 kPa, CCS@gel ~44.9 kPa, CMC-based hydrogel ~9.7 kPa, curcumin release over 4 weeks, DMOG release over 7 days, Bi2Se3-DOX@PDA retention at injection site for at least 12 days, and a strain sensor detecting 200 mg with 33 ms response time.
  • Challenges include catechol oxidation reducing adhesion and causing accidental crosslinking, difficult long-term storage of precursor solutions, catechol’s polymerization-inhibiting activity, and the need to balance catechol content between interfacial adhesion and crosslinking.

Methods

  • Narrative review of mussel-inspired injectable adhesive hydrogels, synthesizing literature on adhesion mechanisms, catechol incorporation, crosslinking strategies, and biomedical applications.
  • No primary experimental data or samples; the paper describes and categorizes examples from cited studies, with summary tables (e.g., Table 2, Table 3, Table 5).
  • Main analysis is thematic: design strategies, crosslinking approaches, application-specific benefits, and stated challenges/perspectives.

Limitations

  • The paper states challenges: catechol oxidation can reduce adhesive performance and induce accidental crosslinking; long-term storage of precursor solutions is usually difficult; catechol acts as a polymerization inhibitor; and balancing catechol groups for adhesion versus crosslinking is important.
  • The paper also notes that direct polymerization of catechol-based monomers is usually difficult and that the detailed mechanism of unprotected polymerization remains elusive.
  • Evident from the text: as a narrative review, it does not report a systematic search strategy, inclusion criteria, or quantitative meta-analysis, so coverage and conclusions rely on selected examples.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/ijms25169100

Cites

156 of 156 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

54 of 184 cited sources checked · 36 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Marine mussels secrete proteinaceous glues to tightly adhere to wet rock surfaces.

    “In nature, marine mussels secrete proteinaceous glues to tightly adhere to wet rock surfaces [1].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [1] Lee, 2007, Mussel-inspired surface chemistry for multifunctional coatings, Science source
  • Premisecitation

    If catechol groups are oxidized by oxidizing agents such as sodium periodate (NaIO4), the catechol group transfers to a quinone structure.

    “If the catechol groups are oxidized by oxidizing agents, such as sodium periodate (NaIO4), the catechol group will transfer to a quinone structure [12].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [12] Hofman, 2018, Bioinspired underwater adhesives by using the supramolecular toolbox, Adv. Mater. source
  • Premisecitation

    Mussel-inspired injectable hydrogels simultaneously possess the minimally invasive property of injectable hydrogels and desirable functions provided by mussel-inspired components, which may include tissue adhesiveness and self-healing, antimicrobial, and antioxidant capabilities.

    “This type of hydrogel simultaneously possesses the minimally invasive property of injectable hydrogels and the desirable functions provided by mussel-inspired components, which may include tissue adhesiveness and self-healing, antimicrobial, and antioxidant capabilities [33].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [33] Rahimnejad, 2017, Mussel-inspired hydrogel tissue adhesives for wound closure, RSC Adv. source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • Premisecitation

    In the proteins on the surface of mussel adhesive plaques (Mfps 3 and Mfps 5), the DOPA contents reach 20% and 28%, respectively.

    “In the proteins on the surface of mussel adhesive plaques (Mfps 3 and Mfps 5), the contents of DOPA are higher and reach 20% and 28%, respectively [8].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [8] Lee, 2011, Mussel-inspired adhesives and coatings, Annu. Rev. Mater. Res. source
  • Premisecitation

    3,4-Dihydroxyphenylalanine (DOPA) exists in mussel adhesive proteins.

    “These works reveal that a noncanonical amino acid, namely, 3,4-dihydroxyphenylalanine (DOPA) exists in the mussel adhesive proteins [6,7].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [6] Lee, 2007, A reversible wet/dry adhesive inspired by mussels and geckos, Nature source
    • cites [7] Liu, J., Song, J., Zeng, L., and Hu, B. (2024). An overview on the adhesion mechanisms of typical aquatic organisms and the applications of biomimetic adhesives in aquatic environments. Int. J. Mol. Sci., 25. source
  • Classified as probably not a substantial claim. 30
  • May combine two claims. 69
  • The quote only partly states this claim. 2
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Hydrogels are widely applied in various biomedical applications due to their biological tissue-similar structure, biocompatibility, and tunable physical properties.

    “By virtue of their biological tissue-similar structure, biocompatibility, and tunable physical properties, hydrogels are widely applied in various biomedical applications [3,25,26].”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [3] Zhang, 2020, Mussel-inspired hydrogels: From design principles to promising applications, Chem. Soc. Rev. source
    • cites [25] Ouyang, 2023, Tough adhesion enhancing strategies for injectable hydrogel adhesives in biomedical applications, Adv. Colloid Interface Sci. source
    • cites [26] Mahmoudi, C., Tahraoui Douma, N., Mahmoudi, H., Iurciuc, C.E., and Popa, M. (2024). Hydrogels based on proteins cross-linked with carbonyl derivatives of polysaccharides, with biomedical applications. Int. J. Mol. Sci., 25. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    These proteinaceous glues quickly solidify upon contact with surfaces, forming adhesive plaques featuring remarkable interfacial strength and resilience.

    “These proteinaceous glues quickly solidify upon contact with surfaces, forming adhesive plaques featuring remarkable interfacial strength and resilience [2].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [2] Nador, 2019, The chemistry behind catechol-based adhesion, Angew. Chem. Int. Ed. source

      The Introduction describes protein-based mussel adhesion and plaques that contact surfaces. Section 3.4 links plaque formation to cross-linking and describes elasticity and self-healing, but it says curing is slow (1–4 hours), contrary to the claim that the glues quickly solidify upon contact. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning

    Commonly, catechol is protected before polymerization.

    “Therefore, commonly, catechol is protected before polymerization [47].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [47] Faure, 2013, Catechols as versatile platforms in polymer chemistry, Prog. Polym. Sci. source
    • Rests on an assumption: Catechol is a well-known polymerization inhibitor.
  • May combine two claims.

    Premisecitation

    Yang and coworkers utilized the coordination of Zn2+ with catechol to develop a composite injectable hydrogel (CSG-PEG/DMA/Zn); due to the inherent antibacterial property of Zn2+, the developed injectable hydrogel exhibited antimicrobial properties.

    “For example, Yang and coworkers utilized the coordination of Zn2+ with catechol to develop a composite injectable hydrogel (CSG-PEG/DMA/Zn). Due to the inherent antibacterial property of Zn2+, the developed injectable hydrogel exhibited antimicrobial properties [36].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [36] Yang, 2022, Mussel-inspired adhesive antioxidant antibacterial hemostatic composite hydrogel wound dressing via photo-polymerization for infected skin wound healing, Bioact. Mater. source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Mehdizadeh and coworkers developed an injectable citrate-based mussel-inspired hydrogel bioadhesive (iCMBA) by oxidation-induced crosslinking; the optimized iCMBA bioadhesive showed a strong adhesive strength of about 123 kPa in lap shear tests, about eight times that of commercial fibrin glue; in wound healing experiments, iCMBA hydrogel bioadhesive effectively sealed wounds on the backs of rats

    “For example, Mehdizadeh and coworkers developed an injectable citrate-based mussel-inspired hydrogel bioadhesive (iCMBA) by oxidation-induced crosslinking. The optimized iCMBA bioadhesive showed a strong adhesive strength of about 123 kPa in lap shear tests. Its adhesive strength was about eight times that of commercial fibrin glue. In wound healing experiments, iCMBA hydrogel bioadhesive”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [87] Mehdizadeh, 2012, Injectable citrate-based mussel-inspired tissue bioadhesives with high wet strength for sutureless wound closure, Biomaterials source
  • May combine two claims.

    Premisecitation

    Compared with clinical sutures, tissue adhesives show advantages in ease of use, sealing of air/fluid leakage, and less pain and scars.

    “Compared with clinical sutures, tissue adhesives show advantages in ease of use, sealing of air/fluid leakage, and less pain and scars [97,98].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [97] Taboada, 2020, Overcoming the translational barriers of tissue adhesives, Nat. Rev. Mater. source
    • cites [98] Li, 2022, Bioinspired super-strong aqueous synthetic tissue adhesives, Matter source

      The Introduction (page unavailable) describes tissue adhesives as alternatives to sutures because of their ease of use, airtight or watertight sealing, and minimal tissue damage. It does not establish that adhesives cause less pain or fewer scars than sutures; the Results’ observation of no excessive scar tissue after B-Seal implantation is not a comparison with sutures. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisereasoning

    These hydrogels are mainly designed as tissue adhesives, hemostatic sealants, nanocomposite gels, drug carriers, hydrogel bioelectrodes, and anti-adhesion gel coatings.

    “These hydrogels are mainly designed as tissue adhesives [61,87] (for wound closure and healing), hemostatic sealants [75,88] (for hemostasis), nanocomposite gels [41,89] (for bone repair), drug carriers [42,90] (for drug delivery), hydrogel bioelectrodes [44] (for smart sensors), and anti-adhesion gel coatings [45] (for biological coatings) (Figure 7).”
    Quote in the paperNot a substantial claim2 of 6 sources checked
    • cites [61] Li, 2020, Bioinspired double-dynamic-bond crosslinked bioadhesive enables post-wound closure care, Adv. Funct. Mater. source
    • cites [87] Mehdizadeh, 2012, Injectable citrate-based mussel-inspired tissue bioadhesives with high wet strength for sutureless wound closure, Biomaterials source
    • cites [75] Fang, 2021, A chitosan hydrogel sealant with self-contractile characteristic: From rapid and long-term hemorrhage control to wound closure and repair, Carbohydr. Polym. source
    • cites [88] Qiao, 2021, A mussel-inspired supramolecular hydrogel with robust tissue anchor for rapid hemostasis of arterial and visceral bleedings, Bioact. Mater. source
    • cites [41] Wang, 2021, Mussel-inspired bisphosphonated injectable nanocomposite hydrogels with adhesive, self-healing, and osteogenic properties for bone regeneration, ACS Appl. Mater. Interfaces source
    • cites [89] Ma, W.C., Yang, M.L., Wu, C., Wang, S.Y., and Du, M. (2023). Bioinspired self-healing injectable nanocomposite hydrogels based on oxidized dextran and gelatin for growth-factor-free bone regeneration. Int. J. Biol. Macromol., 251. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Millions of wounds, either from accidents or surgery operations, are required to be closed to prevent infection and promote healing each year.

    “Millions of wounds, either from accidents or surgery operations, are required to be closed to prevent infection and promote healing each year [91].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [91] Ren, 2023, Injectable, self-healing hydrogel adhesives with firm tissue adhesion and on-demand biodegradation for sutureless wound closure, Sci. Adv. source
  • May combine two claims.

    Premisecitation

    Mussel-inspired polydopamine (PDA)-based nanomaterials possess a photothermal effect; therefore, a hydrogel containing PDA-based nanomaterials usually shows photothermal antibacterial capability.

    “Additionally, mussel-inspired polydopamine (PDA)-based nanomaterials possess a photothermal effect; therefore, a hydrogel containing PDA-based nanomaterials usually shows photothermal antibacterial capability [85,86].”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [85] Qi, 2022, Engineering robust Ag-decorated polydopamine nano-photothermal platforms to combat bacterial infection and prompt wound healing, Adv. Sci. source
    • cites [86] Pang, 2023, An injectable self-crosslinked wholly supramolecular polyzwitterionic hydrogel for regulating microenvironment to boost infected diabetic wound healing, Adv. Funct. Mater. source
  • May combine two claims.

    Premisecitation

    Wounds treated by sutures often have a risk of infection and are prone to leaving scars after healing.

    “In addition, wounds treated by sutures often have a risk of infection [95] and are prone to leaving scars after healing.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [95] Zou, 2022, Multi-crosslinking hydrogels with robust bio-adhesion and pro-coagulant activity for first-aid hemostasis and infected wound healing, Bioact. Mater. source
  • May combine two claims.

    Premisecitation

    PDPC hydrogels exhibited high tissue adhesive performance and photothermal and antibacterial properties.

    “The PDPC hydrogels exhibited multiple functions, including high tissue adhesive performance and photothermal and antibacterial properties.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [122] Hu, 2023, An all-in-one “4a hydrogel”: Through first-aid hemostatic, antibacterial, antioxidant, and angiogenic to promoting infected wound healing, Small source
  • May combine two claims.

    Premisecitation

    The negative charges of polyphenols activate coagulation factor XII in vivo, initiating a cascade reaction that enhances coagulation.

    “Moreover, the negative charges of polyphenols are capable of activating coagulation factor XII in vivo, initiating a cascade reaction that enhances coagulation [119].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [119] Cui, G.H., Guo, X.Y., Su, P., Zhang, T.S., Guan, J., and Wang, C.A. (2023). Mussel-inspired nanoparticle composite hydrogels for hemostasis and wound healing. Front. Chem., 11. source
  • May combine two claims.

    Premisecitation

    Diabetic wounds often involve exacerbated inflammation and an overabundance of reactive oxygen species (ROS).

    “Diabetic wounds often involve exacerbated inflammation and an overabundance of reactive oxygen species (ROS) [109,110].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [109] Zhu, S.Z., Dou, W.G., Zeng, X.J., Chen, X.C., Gao, Y.L., Liu, H.L., and Li, S.D. (2024). Recent advances in the degradability and applications of tissue adhesives based on biodegradable polymers. Int. J. Mol. Sci., 25. source

      Section 3.1 (Natural Polymers; page not provided) says high blood sugar causes excessive ROS accumulation in diabetic wounds, supporting the ROS portion. It discusses infection and difficulty healing but does not state that diabetic wounds involve exacerbated inflammation. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [110] Zhou, 2023, Dual glucose/ros-sensitive injectable adhesive self-healing hydrogel with photothermal antibacterial activity and modulation of macrophage polarization for infected diabetic wound healing, ACS Mater. Lett. source
  • May combine two claims.

    Premisecitation

    The incorporation of DOPA or other catechol compounds endows hydrogels with enhanced adhesion and antimicrobial activity.

    “The incorporation of DOPA or other catechol compounds endows hydrogels with enhanced adhesion and antimicrobial activity [36,105,106,107].”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [36] Yang, 2022, Mussel-inspired adhesive antioxidant antibacterial hemostatic composite hydrogel wound dressing via photo-polymerization for infected skin wound healing, Bioact. Mater. source

      The Morphology, adhesion, and antioxidation section reports that catechol groups improve hydrogel adhesion. But the Preparation section says zinc ions were introduced to improve antibacterial properties, and the Antibacterial property and cell compatibility section identifies zinc ions as the main antibacterial component. The paper therefore does not support attributing both effects to DOPA or other catechol compounds. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites [105] Wang, 2023, Multiple bonds crosslinked antibacterial, conductive and antioxidant hydrogel adhesives with high stretchability and rapid self-healing for mrsa infected motion skin wound healing, Chem. Eng. J. source
    • cites [106] Sun, 2022, Mussel-inspired hydrogel with injectable self-healing and antibacterial properties promotes wound healing in burn wound infection, NPG Asia Mater. source

      The Introduction and Adhesive strength tests section say dopamine’s catechol group enhances hydrogel adhesion. The In vitro antibacterial properties section attributes the hydrogel’s antibacterial activity to added ε-polylysine, not to dopamine or other catechol compounds. The source therefore does not support the claimed catechol-derived antimicrobial activity. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites [107] He, 2020, Mussel-inspired antimicrobial gelatin/chitosan tissue adhesive rapidly activated in situ by H2O2/ascorbic acid for infected wound closure, Carbohydr. Polym. source
  • May combine two claims.

    Premisecitation

    PDPC hydrogels exhibit antimicrobial and anti-inflammatory properties due to the DOPA/Cu2+ complex, showing potential in promoting diabetic wound healing.

    “In addition, owing to the existence of the DOPA/Cu2+ complex, PDPC hydrogels also exhibit antimicrobial and anti-inflammatory properties, showing great potential in promoting diabetic wound healing [122].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [122] Hu, 2023, An all-in-one “4a hydrogel”: Through first-aid hemostatic, antibacterial, antioxidant, and angiogenic to promoting infected wound healing, Small source
  • May combine two claims.

    Premisecitation

    PDPC hydrogels are effective in treating severe hemorrhages from liver injury, carotid artery rupture, and cardiac penetration injury.

    “They are effective in treating severe hemorrhages from liver injury, carotid artery rupture, and cardiac penetration injury.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [122] Hu, 2023, An all-in-one “4a hydrogel”: Through first-aid hemostatic, antibacterial, antioxidant, and angiogenic to promoting infected wound healing, Small source
  • May combine two claims.

    Premisereasoning

    Mussel-inspired nanocomposite hydrogels have been widely studied and emerged as an essential type in mussel-inspired hemostatic materials.

    “Therefore, mussel-inspired nanocomposite hydrogels have been widely studied and emerged as an essential type in mussel-inspired hemostatic materials [123,124,125].”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [123] Geng, 2020, Mussel-inspired hydrogels for tissue healing, Acta Chim. Sinica source
    • cites [124] Wang, 2022, Polycatechol-derived mesoporous polydopamine nanoparticles for combined ros scavenging and gene interference therapy in inflammatory bowel disease, ACS Appl. Mater. Interfaces source
    • cites [125] Li, 2023, Emerging materials for hemostasis, Coord. Chem. Rev. source
  • May combine two claims.

    Premisecitation

    Autologous and allogeneic bone grafts are the most frequently employed clinical techniques for bone repair but have limitations including donor-site defects, immune rejection, and surgical pain.

    “Autologous and allogeneic bone grafts are the most frequently employed clinical techniques [129,130]. However, there are still some limitations to these treatments, such as the risk of creating new defects at the donor site, potential immune rejection, and the pain associated with surgical procedures [131,132].”
    Quote in the paperNot a substantial claim2 of 4 sources checked
    • cites [129] Li, 2016, Small molecule inhibition of transforming growth factor beta signaling enables the endogenous regenerative potential of the mammalian calvarium, Tissue Eng. Part A source

      The Introduction identifies autologous and allogeneic grafts as current techniques for craniofacial bone reconstruction and describes donor-site morbidity and chronic pain for autologous grafts, plus immunologic rejection for allogeneic bone. It does not say these are the most frequently employed clinical techniques. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [130] Chen, X., Wu, T., Bu, Y., Yan, H., and Lin, Q. (2024). Fabrication and biomedical application of alginate composite hydrogels in bone tissue engineering: A review. Int. J. Mol. Sci., 25. source

      The Introduction identifies autologous and allogeneic grafting as clinical treatments for bone defects and says allogeneic grafts can cause rejection. Section 4 also describes these transplantation methods as usually used. Neither passage establishes that they are the most frequently employed techniques or identifies donor-site defects and surgical pain as limitations. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [131] Kofron, 2006, Bone tissue engineering by gene delivery, Adv. Drug Del. Rev. source
    • cites [132] Ye, 2014, The osteochondral dilemma: Review of current management and future trends, ANZ J. Surg. source
  • May combine two claims.

    Premisecitation

    Hydrogels can offer robust mechanical support for cell adhesion and effectively encapsulate bioactive growth factors or cells.

    “Hydrogels, serving as versatile polymeric scaffolds, are capable of offering robust mechanical support for cell adhesion and can effectively encapsulate bioactive growth factors or cells [133].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [133] Bai, 2018, Bioactive hydrogels for bone regeneration, Bioact. Mater. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Chondroitin sulfate is usually used as a material to relieve pain and promote cartilage regeneration.

    “Chondroitin sulfate (CS), a natural polysaccharide, is usually used as a material to relieve pain and promote cartilage regeneration [139].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [139] Clegg, 2006, Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis, N. Engl. J. Med. source

      The Background (p. 2) says chondroitin sulfate is used to treat osteoarthritis, and the Discussion (p. 13) describes it as a widely used supplement evaluated for knee pain. The paper does not say it promotes cartilage regeneration; its Results (p. 2) also found no significant pain reduction with chondroitin sulfate alone versus placebo. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Cartilage lacks blood vessels, cellular reproduction, and regenerative capacity.

    “Unlike regular bone tissue, however, cartilage lacks blood vessels, cellular reproduction, and regenerative capacity [138].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [138] Hua, 2021, Ultrafast, tough, and adhesive hydrogel based on hybrid photocrosslinking for articular cartilage repair in water-filled arthroscopy, Sci. Adv. source

      The Introduction (page unavailable) says articular cartilage defects have a low capacity for self-repair, supporting limited natural repair but not an absolute lack of regenerative capacity. Our copy does not state that cartilage lacks blood vessels or cellular reproduction, or make the comparison with bone tissue. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • The quote only partly states this claim.

    Interpretationcitation

    The catechol group's radical-scavenging capacity makes mussel-inspired hydrogels suitable for eliminating ROS in wound healing.

    “On the one hand, this makes the mussel-inspired hydrogel suitable for eliminating ROS in the wound healing process.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [47] Faure, 2013, Catechols as versatile platforms in polymer chemistry, Prog. Polym. Sci. source

      Section 2.2 reports radical-scavenging activity for poly(catechin), and section 3.3.4 describes mussel-inspired catechol hydrogels used as tissue sealants. Neither passage establishes that those hydrogels eliminate ROS or are suitable for wound healing on that basis. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    The catechol group is prone to oxidation, which may reduce adhesive performance and induce accidental crosslinking.

    “First, the catechol group is prone to oxidation. The oxidation of catechol may reduce the adhesive performance of mussel-inspired hydrogels, especially for some mineral or metal substrates, and is prone to inducing accidental crosslinking [155].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [155] Yu, 2011, Mussel protein adhesion depends on interprotein thiol-mediated redox modulation, Nat. Chem. Biol. source

      The opening passage following the Abstract states that dopa readily oxidizes to dopaquinone, diminishing adhesion to titania and mica by at least 80% and making further reactions, including cross-linking, likely. The paper supports the proposed mechanism, but the cited passage does not establish reduced adhesive performance specifically in mussel-inspired hydrogels. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    The catechol group is a polymerization inhibitor that can react with free radicals.

    “Second, the catechol group is a polymerization inhibitor with the capacity to react with free radicals [47].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [47] Faure, 2013, Catechols as versatile platforms in polymer chemistry, Prog. Polym. Sci. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Mussel-inspired glues exhibit desirable adhesive performance and are applied in numerous fields, including biomedical adhesives, antifouling coatings, flexible electronics, drug delivery, and cell encapsulation and delivery.

    “These mussel-inspired glues exhibit desirable adhesive performance and are applied in numerous fields, including biomedical adhesives [14,15], antifouling coatings [16,17], flexible electronics [18,19], drug delivery [20,21], cell encapsulation and delivery [22,23], etc.”
    Quote in the paperNot a substantial claim0 of 6 sources checked
    • cites [14] Du, 2021, Mussel-inspired epoxy bioadhesive with enhanced interfacial interactions for wound repair, Acta Biomater. source
    • cites [15] Pan, 2022, Mussel- and barnacle cement proteins-inspired dual-bionic bioadhesive with repeatable wet-tissue adhesion, multimodal self-healing, and antibacterial capability for nonpressing hemostasis and promoted wound healing, Adv. Funct. Mate. source
    • cites [16] Li, 2019, Mussel-inspired coatings with tunable wettability, for enhanced antibacterial efficiency and reduced bacterial adhesion, J. Mater. Chem. B source
    • cites [17] Imbia, 2024, Mussel-inspired polymer-based coating technology for antifouling and antibacterial properties, Langmuir source
    • cites [18] Wang, 2020, Bio-inspired stretchable, adhesive, and conductive structural color film for visually flexible electronics, Adv. Funct. Mater. source
    • cites [19] Zhang, 2021, Mussel-inspired adhesive and conductive hydrogel with tunable mechanical properties for wearable strain sensors, J. Colloid Interface Sci. source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    For mineral or metal surfaces, the adhesion interactions mainly include hydrogen bonding and coordination interaction.

    “For mineral or metal surfaces, the adhesion interactions mainly include hydrogen bonding (H-bonding) and coordination interaction.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisereasoning

    For organic surfaces, especially biological tissue surfaces, more adhesion interactions may form due to the complicated components of organic surfaces; in addition to H-bonding, π-π interactions and π-cation interactions may exist.

    “For organic surfaces, especially biological tissue surfaces, more adhesion interactions may form due to the complicated components of organic surfaces. In addition to H-bonding, π-π interactions and π-cation interactions may exist.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In biosynthesis, mushroom tyrosinase, which can convert tyrosine residues to DOPA, is used.

    “In this method, mushroom tyrosinase, which can convert tyrosine residues to DOPA, is used [58].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [58] Yang, 2013, A comparative study on the bulk adhesive strength of the recombinant mussel adhesive protein fp-3, Biofouling source
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    The catechol group is usually considered an adhesive group for the improvement of the interfacial adhesion property of materials.

    “The catechol group is usually considered an adhesive group for the improvement of the interfacial adhesion property of materials.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The catechol group is usually considered an adhesive group for the improvement of the interfacial adhesion property of materials.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning

    The coupled reaction between amino or carboxyl groups is the most used method for incorporating catechol groups into polymers by classic organic reactions.

    “The coupled reaction between amino or carboxyl groups is the most used.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    An in vivo residue-specific incorporation strategy created mussel adhesive proteins with a high DOPA content, showing promise in the production of mussel-inspired macromolecules.

    “Recently, an in vivo residue-specific incorporation strategy was proposed. This strategy created mussel adhesive proteins with a high DOPA content [59], showing promise in the production of mussel-inspired macromolecules.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [59] Yang, 2014, In vivo residue-specific dopa-incorporated engineered mussel bioglue with enhanced adhesion and water resistance, Angew. Chem. Int. Ed. source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisereasoning

    Crosslinking among catechol-containing polymers is a necessary step for developing mussel-inspired injectable adhesive hydrogels.

    “Crosslinking among catechol-containing polymers is a necessary step for developing mussel-inspired injectable adhesive hydrogels.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Due to the instability of the formed imine bond, the sodium borohydride (NaBH4)-mediated reductive amination reaction is usually necessary.

    “Due to the instability of the formed imine bond, the sodium borohydride (NaBH4)-mediated reductive amination reaction is usually necessary [49,50].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [49] Yan, 2019, Mussel-inspired hydrogel composite with multi-stimuli responsive behavior, Macromol. Mater. Eng. source
    • cites [50] Yavvari, 2015, Robust, self-healing hydrogels synthesised from catechol rich polymers, J. Mater. Chem. B source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Catechol-metal coordination crosslinking, oxidation-induced catechol-based crosslinking, and dynamic boron ester-based crosslinking are the three main crosslinking ways for catechol-mediated crosslinking.

    “Catechol–metal coordination crosslinking, oxidation-induced catechol-based crosslinking, and dynamic boron ester-based crosslinking are the three main crosslinking ways.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Crosslinking strategies for mussel-inspired injectable adhesive hydrogels can be divided into catechol-mediated crosslinking and other regular crosslinking when considering whether the catechol group plays a major role in crosslinking.

    “When considering whether the catechol group plays a major role in crosslinking, crosslinking strategies can be divided into catechol-mediated crosslinking and other regular crosslinking.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Biosynthesis is a method of developing catechol-containing proteins similar to mussel adhesive proteins.

    “Biosynthesis is a method of developing catechol-containing proteins similar to mussel adhesive proteins.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    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].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Nam, 2021, Polymeric tissue adhesives, Chem. Rev. source
  • May combine two claims.

    Premisecitation

    Sato and coworkers showed that in a weakly alkaline environment (pH 7.4), HA-CA with a high molar mass and catechol content was capable of self-assembly into a crosslinked network within about three hours without the addition of additional enzymes or oxidizing agents; this gelation process was mainly due to the oxidation-induced coupling of the catechol groups.

    “They showed that in a weakly alkaline environment (pH 7.4), HA-CA, with a high molar mass and catechol content, was capable of self-assembly into a crosslinked network within about three hours without the addition of additional enzymes or oxidizing agents. This gelation process was mainly due to the oxidation-induced coupling of the catechol groups [66].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [66] Sato, 2017, Catechol-modified hyaluronic acid: In situ-forming hydrogels by auto-oxidation of catechol or photo-oxidation using visible light, Polym. Bull. source
  • May combine two claims.

    Premisecitation

    Shin and coworkers showed that HA-CA can form a hydrogel after the addition of NaIO4; gelation was considered to be induced by the formation of catechol-catechol adducts due to the oxidation of catechol.

    “For example, Shin and coworkers synthesized catechol-modified hyaluronic acid (HA-CA) and showed that HA-CA can form a hydrogel after the addition of NaIO4. Gelation was considered to be induced by the formation of catechol–catechol adducts due to the oxidation of catechol [67].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [67] Shin, 2015, Tissue adhesive catechol-modified hyaluronic acid hydrogel for effective, minimally invasive cell therapy, Adv. Funct. Mater. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    In the development of mussel-inspired injectable adhesive hydrogels, the catechol group is also widely used as a functional group for crosslinking of hydrogels.

    “In the development of mussel-inspired injectable adhesive hydrogels, the catechol group is also widely used as a functional group for crosslinking of hydrogels (Figure 5).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Li and coworkers developed a Fe3+-crosslinked catechol-modified ε-polylysine adhesive hydrogel; by rationally tuning the pH and Fe3+ content in the gelation condition, the resultant adhesive hydrogels exhibited high adhesive strength.

    “For example, Li and coworkers developed a Fe3+-crosslinked catechol-modified ε-polylysine adhesive hydrogel. By rationally tuning the pH and Fe3+ content in the gelation condition, the resultant adhesive hydrogels exhibited high adhesive strength [65].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [65] Li, 2020, Metal-crosslinked ε-poly-l-lysine tissue adhesives with high adhesive performance: Inspiration from mussel adhesive environment, Int. J. Biol. Macromol. source
  • May combine two claims. The quote only partly states this claim.

    Premisecitation

    Deng and coworkers prepared a mussel-inspired Alg-DA-CATNFC-PAM-Al3+DN hydrogel crosslinked by triple dynamic interactions, including coordination, hydrogen bonding, and electrostatic interaction; it exhibited exceptional mechanical properties and self-healing properties, and upon application at the wound site it effectively closed a 3 cm-long incision on the back of a rat and facilitated wound

    “Deng and coworkers prepared a mussel-inspired Alg-DA-CATNFC-PAM-Al3+DN hydrogel, which was composed of alginate-modified dopamine (Alg-DA), a copolymer of acrylamide and acrylic acid (PAM), and cationized nanofibrillated cellulose (CATNFC). The Alg-DA-CATNFC-PAM-Al3+DN hydrogel was crosslinked by triple dynamic interactions, including coordination, hydrogen bonding, and electrostatic interaction,”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [99] Deng, 2021, A mussel-inspired antibacterial hydrogel with high cell affinity, toughness, self-healing, and recycling properties for wound healing, ACS Sustain. Chem. Eng. source
  • May combine two claims.

    Premisecitation

    The introduction of noncovalent interactions into the gel network not only enhances the structural integrity of the hydrogel networks but also endows these materials with additional characteristics, such as self-healing capabilities.

    “The introduction of noncovalent interactions into the gel network not only enhances the structural integrity of the hydrogel networks but also endows these materials with additional characteristics, such as self-healing capabilities [72].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [72] Han, 2017, A mussel-inspired conductive, self-adhesive, and self-healable tough hydrogel as cell stimulators and implantable bioelectronics, Small source
  • May combine two claims.

    Premisecitation

    Since the catechol group can chelate with Fe3+ under weakly alkaline conditions, coordination crosslinking is often used in the design of multiple crosslinked hydrogels.

    “Since the catechol group can chelate with Fe3+ under weakly alkaline conditions [100], coordination crosslinking is often used in the design of multiple crosslinked hydrogels.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [100] Li, 2020, Environment-dependent adhesive behaviors of mussel-inspired coordinate-crosslinked bioadhesives, Macromol. Mater. Eng. source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Covalent crosslinking is the predominant method for developing mussel-inspired injectable gels.

    “Covalent crosslinking is the predominant method for developing mussel-inspired injectable gels.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisereasoning

    The catechol group is a reactive oxygen species (ROS) scavenger; therefore, mussel-inspired adhesive hydrogels usually exhibit antioxidant properties.

    “Second, the catechol group is a reactive oxygen species (ROS) scavenger. Therefore, the mussel-inspired adhesive hydrogels usually exhibit antioxidant properties [83,84].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [83] Zhao, 2020, Physical double-network hydrogel adhesives with rapid shape adaptability, fast self-healing, antioxidant and NIR/pH stimulus-responsiveness for multidrug-resistant bacterial infection and removable wound dressing, Adv. Funct. Mater. source
    • cites [84] Chen, Y.A., Zhang, Y., Chang, L.M., Sun, W.C., Duan, W.H., and Qin, J.L. (2023). Mussel-inspired self-healing hydrogel form pectin and cellulose for hemostasis and diabetic wound repairing. Int. J. Biol. Macromol., 246. source
  • May combine two claims.

    Premisecitation

    Shan and coworkers developed a mussel-inspired PEG-based hydrogel containing catechol-modified four-armed PEG (4-arm-PEG-DA) and phenylboronic acid-functionalized four-armed PEG (4-arm-PEG-PBA); at pH 9.0, mixing the two modified PEGs led to the fast formation of a PEG-based hydrogel by boron ester-based crosslinking.

    “For example, Shan and coworkers developed a mussel-inspired polyethylene glycol (PEG)-based hydrogel. The hydrogel contained catechol-modified four-armed PEG (4-arm-PEG-DA) and phenylboronic acid-functionalized four-armed PEG (4-arm-PEG-PBA). At pH 9.0, mixing the two modified PEGs led to the fast formation of a PEG-based hydrogel by boron ester-based crosslinking (borate–catechol complexation) [”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [69] Shan, 2017, A ph, glucose, and dopamine triple-responsive, self-healable adhesive hydrogel formed by phenylborate-catechol complexation, Polym. Chem. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    The most used reactions in covalent crosslinking include the Schiff base reaction between amino and aldehyde groups and the Michael addition between sulfhydryl and double bonds.

    “The most used reactions in covalent crosslinking include the Schiff base reaction between amino and aldehyde groups and the Michael addition between sulfhydryl and double bonds.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Zhou and coworkers synthesized sulfhydryl-modified chitosan (CSS) and catechol and maleimide-functionalized ε-polylysine (Catechol-PL-MAL); after mixing at pH 7.2, the Michael addition between the sulfhydryl in CSS and maleimide in Catechol-PL-MAL induced gelation; in this type of gelation, the catechol group was not the major group in crosslinking, so more catechol groups can participate in the

    “For example, Zhou and coworkers synthesized sulfhydryl-modified chitosan (CSS) and catechol and maleimide-functionalized ε-polylysine (Catechol-PL-MAL). After mixing CSS and Catechol-PL-MAL at pH 7.2, the Michael addition between the sulfhydryl in CSS and maleimide in Catechol-PL-MAL induced the gelation of the hydrogel [70]. In this type of gelation, the catechol group was not the major group in”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [70] Zhou, 2016, Rapid gelling chitosan/polylysine hydrogel with enhanced bulk cohesive and interfacial adhesive force: Mimicking features of epineurial matrix for peripheral nerve anastomosis, Biomacromolecules source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Suturing can stably close wounds.

    “Suturing can stably close wounds.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Hu and coworkers developed mussel-inspired hydrogels based on chitosan quaternary ammonium salt (HTCC) and oxidized dextran-dopamine (OD-DA); the hydrogel was double-crosslinked by catechol-catechol adducts and Schiff base reaction between the aldehyde group in OD-DA and the amino group in HTCC; owing to the double-crosslinking, the hydrogel exhibited great mechanical properties.

    “For example, Hu and coworkers developed mussel-inspired hydrogels based on chitosan quaternary ammonium salt (HTCC) and oxidized dextran–dopamine (OD-DA). The hydrogel was double-crosslinked by the catechol–catechol adducts and Schiff base reaction between the aldehyde group in OD-DA and the amino group in HTCC. Owing to the double-crosslinking, the hydrogel exhibited great mechanical properties [”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [73] Hu, 2021, Dual-crosslinked mussel-inspired smart hydrogels with enhanced antibacterial and angiogenic properties for chronic infected diabetic wound treatment via pH-responsive quick cargo release, Chem. Eng. J. source
  • Classified as probably not a substantial claim.

    Premisenone given

    The presence of moisture on tissue surfaces often limits the adhesive strength of traditional hydrogels.

    “The presence of moisture on tissue surfaces often limits the adhesive strength of traditional hydrogels.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisereasoning

    Multiple crosslinked structures can endow the hydrogel with multiple functions, thus benefiting wound treatment.

    “In addition, the multiple crosslinked structures can endow the hydrogel with multiple functions, thus benefiting wound treatment.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Current regular tissue adhesives usually show weak mechanical and adhesive strength, and their prices are relatively high.

    “However, current regular tissue adhesives usually show weak mechanical and adhesive strength, and their prices are relatively high.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Owing to the existence of the catechol group, mussel-inspired adhesive hydrogels can be easily formed by coordination bonds or other noncovalent interactions; since these interactions are reversible, the obtained hydrogels usually show self-healing properties.

    “First, owing to the existence of the catechol group, mussel-inspired adhesive hydrogels can be easily formed by coordination bonds or other noncovalent interactions. Since these interactions are reversible, the obtained hydrogels usually show self-healing properties [81,82].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [81] Yavvari, 2017, Injectable, self-healing chimeric catechol-Fe(III) hydrogel for localized combination cancer therapy, ACS Biomater. Sci. Eng. source
    • cites [82] Lu, 2019, A pH-induced self-healable shape memory hydrogel with metal-coordination cross-links, Polym. Chem. source
  • May combine two claims.

    Premisecitation

    Suturing consumes much time and causes secondary damage to tissues surrounding wounds.

    “However, it consumes much time and causes secondary damage to tissues surrounding wounds [93,94].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [93] Bhagat, 2017, Degradable adhesives for surgery and tissue engineering, Biomacromolecules source
    • cites [94] Li, S., Dou, W., Zhu, S., Zeng, X., Ji, W., Li, X., Chen, N., Li, Y., Liu, C., and Fan, H. (2024). Epidermal growth factor-loaded, dehydrated physical microgel-formed adhesive hydrogel enables integrated care of wet wounds. Int. J. Biol. Macromol., 275. source
  • May combine two claims.

    Premisecitation

    Traditional surgical suturing remains a dominant method for hemostasis but is often criticized for time-consuming operations and secondary tissue damage.

    “Nowadays, traditional surgical suturing remains a dominant method for hemostasis. However, it is often criticized for its time-consuming operations and secondary tissue damage [115].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [115] Yang, 2023, Biomimetic natural biopolymer-based wet-tissue adhesive for tough adhesion, seamless sealed, emergency/nonpressing hemostasis, and promoted wound healing, Adv. Funct. Mater. source
  • May combine two claims.

    Premisecitation

    In vivo, CCS@gel rapidly covered the injury site and significantly lowered blood loss.

    “In vivo studies show that CCS@gel rapidly covered the injury site and significantly lowered the loss of bleeding [75].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [75] Fang, 2021, A chitosan hydrogel sealant with self-contractile characteristic: From rapid and long-term hemorrhage control to wound closure and repair, Carbohydr. Polym. source
  • May combine two claims.

    Premisereasoning

    Shape memory hemostatic sponges can quickly absorb blood, creating a physical barrier that effectively seals wounds.

    “These sponges can quickly absorb blood, thereby creating a physical barrier that effectively seals wounds.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    CCS@gel showed high mechanical performance and self-healing properties.

    “In addition, the hydrogel showed high mechanical performance and self-healing properties.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [75] Fang, 2021, A chitosan hydrogel sealant with self-contractile characteristic: From rapid and long-term hemorrhage control to wound closure and repair, Carbohydr. Polym. source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The healing of diabetic wounds is a significant challenge in clinical practice.

    “The healing of diabetic wounds is a significant challenge in clinical practice [73].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [73] Hu, 2021, Dual-crosslinked mussel-inspired smart hydrogels with enhanced antibacterial and angiogenic properties for chronic infected diabetic wound treatment via pH-responsive quick cargo release, Chem. Eng. J. source
  • May combine two claims.

    Premisecitation

    Fu and coworkers developed a series of tannin-europium coordination complexes (TECs) crosslinked with citrate-based mussel-inspired bioadhesives (TE-CMBAs); the incorporation of TEC improved the antioxidant and anti-inflammatory capabilities of the hydrogel adhesives; in vivo results show that TE-CMBA hydrogels were able to modulate the inflammatory microenvironment, promote angiogenesis, enhance

    “Fu and coworkers developed a series of tannin–europium coordination complexes (TECs) crosslinked with citrate-based mussel-inspired bioadhesives (TE-CMBAs). The incorporation of TEC improved the antioxidant and anti-inflammatory capabilities of the hydrogel adhesives. In vivo results show that the TE-CMBA hydrogels were able to modulate the inflammatory microenvironment, promote angiogenesis,”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [111] Fu, 2023, On-demand removable self-healing and pH-responsive europium-releasing adhesive dressing enables inflammatory microenvironment modulation and angiogenesis for diabetic wound healing, Small source
  • May combine two claims.

    Premisecitation

    Wang and coworkers developed mussel-inspired catechol-modified ε-polylysine-polyethylene glycol-based hydrogel (PPD hydrogel) by horseradish peroxidase (HRP)-mediated crosslinking; the existence of adjacent catechol-lysine in PPD hydrogel enabled the hydrogel to work in a wet environment; the adhesive strength of optimized PPD hydrogel reached up to about 147 kPa; in vivo studies indicated that

    “For example, Wang and coworkers developed mussel-inspired catechol-modified ε-polylysine–polyethylene glycol-based hydrogel (PPD hydrogel) by horseradish peroxidase (HRP)-mediated crosslinking. The existence of adjacent catechol–lysine in PPD hydrogel enabled the hydrogel to work in a wet environment. The adhesive strength of optimized PPD hydrogel reached up to about 147 kPa. In vivo studies”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [104] Wang, 2017, A biomimetic mussel-inspired ε-poly-l-lysine hydrogel with robust tissue-anchor and anti-infection capacity, Adv. Funct. Mater. source
  • May combine two claims.

    Premisereasoning

    Traditional hemostatic powders may disperse with blood flow and risk inducing thrombosis, and their efficacy in deep and incompressible wounds requires improvement.

    “For example, they may disperse with the flow of blood and, therefore, have the risk of inducing thrombosis. Additionally, their efficacy in addressing bleeding from deep and incompressible wounds still requires improvement.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Injured skin is particularly vulnerable to bacterial infections, which result in wound inflammation and delayed healing.

    “Injured skin is particularly vulnerable to bacterial infections, which result in wound inflammation and delayed healing.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The polydopamine-coated injectable hemostatic material (EHP) shape memory sponge re-expands after absorbing blood and serves as a robust physical barrier for stopping bleeding.

    “Its unique ability to re-expand after absorbing blood allowed the shape memory sponge to serve as a robust physical barrier for stopping bleeding.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [112] Dong, 2022, Injectable shape memory hydroxyethyl cellulose/soy protein isolate based composite sponge with antibacterial property for rapid noncompressible hemorrhage and prevention of wound infection, Int. J. Biol. Macromol. source
  • May combine two claims.

    Premisecitation

    The Laponite XLG-containing hydrogel reduced hemostasis time and lowered blood loss in a liver-bleeding mouse model.

    “In hemostatic experiments, the hydrogel was found to be capable of reducing hemostasis time and lowering the loss of blood in a liver-bleeding mouse model [126].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [126] Xu, L., Jiao, G.H., Huang, Y.L., Ren, P.F., Liang, M., Wei, D.D., and Zhang, T.Z. (2024). Laponite nanoparticle-crosslinked carboxymethyl cellulose-based injectable hydrogels with efficient underwater-specific adhesion for rapid hemostasis. Inter. J. Biol. Macromol., 255. source
  • May combine two claims.

    Premisecitation

    Guo and coworkers developed antimicrobial mussel-inspired hydrogels based on catechol-functionalized oxidized hyaluronic acid (OHAdop), guar gum (GG), glycol chitosan (GC), borax, and polydopamine nanoparticles (PDA NPs); due to the photothermal antimicrobial properties of PDA NPs, the developed hydrogels exhibited good antimicrobial properties under near-infrared (NIR) irradiation (808 nm), and

    “For example, Guo and coworkers developed antimicrobial mussel-inspired hydrogels based on catechol-functionalized oxidized hyaluronic acid (OHAdop), guar gum (GG), glycol chitosan (GC), borax, and polydopamine nanoparticles (PDA NPs). In addition to their robust tissue adhesive properties, injectability, and self-healing capabilities, due to the photothermal antimicrobial properties of PDA NPs,”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [108] Guo, 2022, Injectable adhesive self-healing multiple-dynamic-bond crosslinked hydrogel with photothermal antibacterial activity for infected wound healing, Chem. Mater. source
  • May combine two claims.

    Premisereasoning

    This leads to the leakage of wound tissue fluid, which further fosters pathogen proliferation and results in persistent wound inflammation, non-healing, or recurrence.

    “This leads to the leakage of wound tissue fluid, which further fosters pathogen proliferation and results in persistent wound inflammation, non-healing, or recurrence.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Compared with untreated controls, the nHA/PLGA-BP-Dex DC hydrogel-treated group showed higher bone volume percentage, bone mineral density, and trabecular number.

    “Compared with the control group (untreated), the nHA/PLGA-BP-Dex DC hydrogel-treated group showed a higher percentage of bone volume, bone mineral density, and trabecular number [41].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [41] Wang, 2021, Mussel-inspired bisphosphonated injectable nanocomposite hydrogels with adhesive, self-healing, and osteogenic properties for bone regeneration, ACS Appl. Mater. Interfaces source
  • May combine two claims.

    Premisecitation

    GO-PHA-CP hydrogels exhibit self-healing, injectability, tissue adhesiveness, antioxidant activity, and osteoinductive properties.

    “The GO-PHA-CP hydrogels were formed by Schiff base crosslinking and exhibited self-healing abilities, injectability, tissue adhesiveness, antioxidant activity, and osteoinductive properties.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [89] Ma, W.C., Yang, M.L., Wu, C., Wang, S.Y., and Du, M. (2023). Bioinspired self-healing injectable nanocomposite hydrogels based on oxidized dextran and gelatin for growth-factor-free bone regeneration. Int. J. Biol. Macromol., 251. source
  • May combine two claims.

    Premisecitation

    The nHA/PLGA-BP-Dex DC hydrogel has tissue adhesive properties, self-healing capacity, and osteoconductivity due to catechol and BP groups.

    “The incorporation of catechol and BP groups endowed the composite hydrogel with tissue adhesive properties, self-healing capacity, and osteoconductivity.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [41] Wang, 2021, Mussel-inspired bisphosphonated injectable nanocomposite hydrogels with adhesive, self-healing, and osteogenic properties for bone regeneration, ACS Appl. Mater. Interfaces source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Nanodrug delivery systems can deliver therapeutic agents precisely to the intended target.

    “These nanocarriers possess the ability to deliver therapeutic agents precisely to the intended target.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [142] Qin, 2017, Drug self-delivery systems for cancer therapy, Biomaterials source
  • May combine two claims.

    Premisecitation

    GMAD/LP hydrogel exhibits high tissue adhesiveness, robust mechanical strength, injectability, and self-healing abilities.

    “The GMAD/LP hydrogel exhibited high tissue adhesiveness, robust mechanical strength, injectability, and self-healing abilities.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [40] Wu, 2023, Engineering mussel-inspired multifunctional nanocomposite hydrogels to orchestrate osteoimmune microenvironment and promote bone healing, Mater. Des. source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    An ideal hydrogel for bone regeneration exhibits exceptional biocompatibility and osteoconductivity and creates a microenvironment that fosters cell adhesion, proliferation, and differentiation, guiding and accelerating tissue regeneration.

    “Meanwhile, the ideal hydrogel for bone regeneration exhibits exceptional biocompatibility and osteoconductivity. It creates an advantageous microenvironment that fosters cell adhesion, proliferation, and differentiation, which further guides and accelerates the tissue regeneration process [134].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [134] Munarin, 2011, Pectin-based injectable biomaterials for bone tissue engineering, Biomacromolecules source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    Conventional nanocarrier systems often have suboptimal targeting accuracy and risk premature drug release.

    “However, conventional nanocarrier systems often have some limitations, including suboptimal targeting accuracy and the risk of premature drug release.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In the tumor microenvironment, DOX-loaded PBA-MSNs are released from NP-gel, while in adjacent normal tissue the NP-gel remains dormant.

    “In the tumor microenvironment, which is mildly acidic and rich in hyaluronidase, DOX-loaded PBA-MSNs are released, and in the adjacent normal tissue, the NP-gel remains dormant.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [150] Wu, 2019, An injectable and tumor-specific responsive hydrogel with tissue-adhesive and nanomedicine-releasing abilities for precise locoregional chemotherapy, Acta Biomater. source
  • May combine two claims.

    Premisecitation

    In vivo, NP-gel effectively inhibits tumor recurrence and avoids severe toxicity to healthy organs.

    “In vivo studies show that the NP-gel can effectively inhibit tumor recurrence and avoid severe toxicity to healthy organs [150].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [150] Wu, 2019, An injectable and tumor-specific responsive hydrogel with tissue-adhesive and nanomedicine-releasing abilities for precise locoregional chemotherapy, Acta Biomater. source
  • May combine two claims.

    Premisecitation

    After encapsulation of exosomes, AD/CS/RSF hydrogels recruit migration and proliferation of BMSCs and promote their differentiation into chondrocytes, accelerating healing of cartilage defects in rat knee joints.

    “The hydrogels, after encapsulated exosomes, showed the ability to recruit the migration and inflation of bone marrow stem cells (BMSCs). They also promoted the proliferation and differentiation of BMSCs into chondrocytes, thereby effectively accelerating the healing of cartilage defects in rat knee joints [140].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [140] Zhang, F.X., Liu, P., Ding, W., Meng, Q.B., Su, D.H., Zhang, Q.C., Lian, R.X., Yu, B.Q., Zhao, M.D., and Dong, J. (2021). Injectable mussel-inspired highly adhesive hydrogel with exosomes for endogenous cell recruitment and cartilage defect regeneration. Biomaterials, 278. source
  • May combine two claims.

    Premisecitation

    CMC-based hydrogel exhibited tissue adhesive properties with highest adhesive strength about 9.7 kPa.

    “The CMC-based hydrogel exhibited tissue adhesive properties, and its highest adhesive strength was about 9.7 kPa.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [90] Zhao, 2021, Chitosan derivative-based mussel-inspired hydrogels as the dressings and drug delivery systems in wound healing, Cellulose source
  • May combine two claims.

    Premisecitation

    Bi2Se3-DOX@PDA hydrogel can be administered precisely via intra-tumoral injection and remains at the injection site for at least 12 days.

    “The Bi2Se3-DOX@PDA hydrogel can be administered precisely via intra-tumoral injection and remains at the site of injection for at least 12 days.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [151] Liu, Q.Y., Yang, L., Wang, L.L., Li, Z.M., Yu, Y.K., Zheng, Y., Lian, D.Z., Li, X.M., Chen, H.Z., and Mei, L. (2023). An injectable hydrogel based on Bi2Se3 nanosheets and hyaluronic acid for chemo-photothermal synergistic therapy. Int. J. Biol. Macromol., 244. source
  • May combine two claims.

    Premisenone given

    Conventional preformed hydrogels often fail to fully adhere to irregular wound sites, risking coating detachment.

    “However, conventional preformed hydrogels often fail to fully adhere to irregular wound sites, which have the risk of coating detachment.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Stimuli-responsive hydrogels can respond to environmental stimuli and be applied in detection of biological signals.

    “Stimuli-responsive hydrogels can respond to a variety of environmental stimuli [152,153] and, therefore, can be applied in the detection of some biological signals.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [152] Hao, Z., Li, X.Y., Zhang, R.Z., and Zhang, L.B. (2024). Stimuli-responsive hydrogels for antibacterial applications. Adv. Healthcare Mater., 2400513. source
    • cites [153] Zhang, 2020, From design to applications of stimuli-responsive hydrogel strain sensors, J. Mater. Chem. B source
  • Classified as probably not a substantial claim.

    Interpretationnone given

    Mussel-inspired injectable adhesive hydrogels combine the minimally invasive property of injectable hydrogels and the properties of mussel-inspired materials.

    “These adhesive hydrogels combine the advantage of the minimally invasive property of injectable hydrogels and the fascinating properties of mussel-inspired materials.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    The strain sensor derived from PC-CNF-GG-glycerol hydrogel demonstrated low-weight detection capability (200 mg) and fast response time (33 ms).

    “The strain sensor derived from this hydrogel demonstrated a low-weight detection capability (200 mg) and a fast response time (33 ms).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [44] Pan, 2019, Mussel-inspired nanocomposite hydrogel-based electrodes with reusable and injectable properties for human electrophysiological signals detection, ACS Sustain. Chem. Eng. source
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    The desirable properties of mussel-inspired injectable adhesive hydrogels facilitate the development of these fields.

    “The desirable properties of mussel-inspired injectable adhesive hydrogels facilitate the development of these fields.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Bi2Se3-DOX@PDA NSs possess a photothermal effect and can release DOX in a controlled manner.

    “The Bi2Se3-DOX@PDA NSs possess a photothermal effect and can release DOX in a controlled manner.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [151] Liu, Q.Y., Yang, L., Wang, L.L., Li, Z.M., Yu, Y.K., Zheng, Y., Lian, D.Z., Li, X.M., Chen, H.Z., and Mei, L. (2023). An injectable hydrogel based on Bi2Se3 nanosheets and hyaluronic acid for chemo-photothermal synergistic therapy. Int. J. Biol. Macromol., 244. source
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    Mussel-inspired injectable adhesive hydrogels have been widely applied in biomedical fields including wound closure and healing, hemostasis, bone repair, drug delivery, smart sensors, and biological coatings.

    “Nowadays, mussel-inspired injectable adhesive hydrogels have been widely applied in many biomedical fields, including wound closure and healing, hemostasis, bone repair, drug delivery, smart sensors, biological coatings, etc.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Some studies have successfully polymerized catechol-based monomers by tuning polymerization conditions, but the detailed mechanism remains elusive.

    “Although some studies have successfully polymerized catechol-based monomers by tuning the polymerization conditions [57], the detailed mechanism is still elusive.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [57] White, 2013, Switching the adhesive state of catecholic hydrogels using phototitration, Macromolecules source
  • May combine two claims.

    Premisecitation

    Bi2Se3-DOX@PDA hydrogel demonstrates remarkable therapeutic efficacy in T1 xenograft tumors and minimal systemic side effects.

    “It also demonstrates remarkable therapeutic efficacy in T1 xenograft tumors and minimal systemic side effects [151].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [151] Liu, Q.Y., Yang, L., Wang, L.L., Li, Z.M., Yu, Y.K., Zheng, Y., Lian, D.Z., Li, X.M., Chen, H.Z., and Mei, L. (2023). An injectable hydrogel based on Bi2Se3 nanosheets and hyaluronic acid for chemo-photothermal synergistic therapy. Int. J. Biol. Macromol., 244. source
  • May combine two claims.

    Premisereasoning

    The catechol group is generally required to be protected by alkyl silanes and nitrobenzyl before polymerization, which increases preparation difficulty.

    “In general, the catechol group is required to be protected by alkyl silanes and nitrobenzyl before polymerization. However, this method increases the difficulty in the preparation of mussel-inspired materials.”
    Quote in the paperNot a substantial claim
91 of 91
  • The paper relies on this without support.

    The main functional group in DOPA is the catechol group.

    “The main functional group in DOPA is the catechol group, which can form multiple covalent and noncovalent interactions with specific surfaces [9,10,11] (Figure 1).”
  • The paper relies on this without support.

    Catechol is a well-known polymerization inhibitor.

    “Catechol is a well-known polymerization inhibitor.”
  • The paper relies on this without support.

    The catechol group is usually considered an adhesive group for the improvement of the interfacial adhesion property of materials.

    “The catechol group is usually considered an adhesive group for the improvement of the interfacial adhesion property of materials.”
  • The paper relies on this without support.

    Hemorrhage control is typically achieved through the formation of a barrier that effectively seals the site of bleeding.

    “First, hemorrhage control is typically achieved through the formation of a barrier that effectively seals the site of bleeding.”
  • The paper relies on this without support.

    A robust hemostatic barrier requires a hemostatic agent with exceptional adhesive strength in the presence of blood and adequate mechanical strength to firmly seal the wound without breakage.

    “A robust hemostatic barrier requires a hemostatic agent with exceptional adhesive strength in the presence of blood and adequate mechanical strength to firmly seal the wound without breakage.”
5 of 5

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Dou, W., Zeng, X., Zhu, S., Zhu, Y., Liu, H., & Li, S.
Affiliations
Yantai University (CN)
Corresponding author
  • Liu, Hongliang
  • Li, Sidi
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2024-08-22
Volume
25
Issue
16
Pages
9100
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4401894455
Cited by
52
References
156
Citations by year
2026: 30 · 2025: 21 · 2024: 1
FWCI
5.51
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by)
Funders
  • National Natural Science Foundation of China (52203280, 22375172, ZR2022QE040, tsqn202103053, 2022YTJC06002541, AMGM2024F07)
  • Natural Science Foundation of Shandong Province (52203280, 22375172, ZR2022QE040, tsqn202103053, 2022YTJC06002541, AMGM2024F07)
  • Taishan Young Scholar Program (52203280, 22375172, ZR2022QE040, tsqn202103053, 2022YTJC06002541, AMGM2024F07)
  • Fundamental Research Projects of Science and Technology Innovation and Development Plan in Yantai City (52203280, 22375172, ZR2022QE040, tsqn202103053, 2022YTJC06002541, AMGM2024F07)
  • Science Fund of Shandong Laboratory of Advanced Materials and Green Manufacturing at Yantai (52203280, 22375172, ZR2022QE040, tsqn202103053, 2022YTJC06002541, AMGM2024F07)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Hydrogels: synthesis, properties, applications
  • Physical Sciences › Materials Science › Surfaces, Coatings and Films › Polymer Surface Interaction Studies
  • Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
Keywords
mussel-inspired materials, injectable hydrogel, adhesive hydrogels, catechol groups, self-healing hydrogels, antimicrobial hydrogels, antioxidant hydrogel, crosslinking methods, tissue adhesion, biomimetic materials
MeSH terms
Adhesives, Animals, Biocompatible Materials, Humans, Injections, Tissue Adhesives, Hydrogels, Biomimetic Materials, Bivalvia

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-16.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-16.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review