Compared
to conventional wound closure methods like sutures and
staples, polymer-based tissue adhesives afford some distinct advantages,
such as greater ease of deployment in spatially constrained surgical
sites. One way to achieve aqueous adhesion is by introducing catechol
functional groups that form coordinate and covalent bonds with a variety
of substrates. This approach, inspired by marine organisms, has been
applied to biopolymers and synthetic polymers, but one key challenge
is that compositions that are soluble in water are often susceptible
to high swelling ratios that can result in undesired compression of
neighboring tissues. This work sought to synthesize aqueous adhesive
gels that are capable of two modes of association: (1) adhesion and
covalent cross-linking reactions arising from catechol oxidation and
(2) noncovalent cross-linking arising from self-assembly of polymer
backbones within the gelled adhesive. The network’s self-assembly
after gelation was envisioned to afford control over swelling and
reinforce its strength. Bombyx mori silk fibroin
was selected as the backbone of the adhesive network because it can
be processed into an aqueous solution yet later be rendered insoluble
in water through the assembly of its hydrophobic protein core. Distinct
from a previous approach to functionalize silk directly with catechol
groups, this work investigated in situ generation
of catechol on silk fibroin by enzymatically modifying phenolic side
chains, where it was found that this enzymatic approach led to conjugates
with higher degrees of catechol functionalization and aqueous solubility.
Silk fibroin was functionalized with tyramine to enrich the protein’s
phenolic side chains, which were subsequently oxidized into catechol
groups using mushroom tyrosinase (MT). The gelation of the silk conjugates
with MT was monitored by rheology, and the gels exhibited low water
uptake. Phenolic enrichment increased the rate of chemical cross-linking
leading to gelation but did not interrupt assembly of silk’s
secondary structures. Adhesion of the tyramine–silk conjugates
to porcine intestine was found to be superior to fibrin sealant, and
induction of β sheet secondary structures was found to further
enhance adhesive strength through a second mode of cross-linking.
Neither the chemical functionalization nor phenol oxidation affected
the ability of intestinal epithelial cells (Caco-2) to attach and
proliferate. Phenolic functionalization and oxidative cross-linking
of silk fibroin was found to afford a new route to water-soluble,
catechol-functionalized polymers, which were found to display excellent
adhesion to mucosal tissue and whose secondary structure provides
an additional mode to control strength and swelling of adhesive gels.