If you want to perform surgery on the brain, first you need to get access to it. That means cutting through the protective membranes that surround it and keep all that
Bioinspired engineering – letting nature guide the development of new technologies – has produced some fascinating breakthroughs, from biohybrid robots made with
The Dusky Arion slug (Arion subfuscus) secretes a very particular kind of mucus, which it uses to avoid predation by sticking itself firmly to a surface. Taking their cue from this, the team produced a hydrogel made of two polymer networks, combined with an adhesive layer composed of chitosan (the stuff shellfish
Hearing of this, neurosurgeon Dr Kyle Wu and colleagues thought that this adhesive could be just what the doctor ordered when it comes to repairing the brain’s outer membrane, called the dura, after surgery.
“As neurosurgeons, we routinely open the dura to access the brain or spinal cord, but achieving a watertight seal of the dura at the conclusion of these procedures can be challenging in particular circumstances,” Wu said in a
The dura is the outermost of
The dura itself is pretty thick and tough. It’s a bit like the wax on cheese, or a kind of biological plastic wrap – but the good stuff you get in professional kitchens, not the dollar store version. There’s also a dura around the
The usual options for dura repair are suturing or grafting, which are not always easy to do. Surgical adhesives don’t work so well, mostly because the whole environment around the brain is quite
By combining their expertise, the collaborative team of neurosurgeons and bioengineers have now built on the original Tough Adhesive to create a new version, called Dural Tough Adhesive (DTA).
In a series of experiments, they tested it on human-derived tissues and in animal models, studying its effectiveness in the brains of rats and the spinal cords of pigs. DTA performed better than currently available sealants across a range of tests, including one where the adhesive was applied to a human cadaver through the nose, and withstood pressures well beyond what would be seen even in someone with serious illness or injury.
It’s hoped that with such positive results, continued development might soon see DTA made available for real-world surgeries.
“We are excited to have opened a new perspective for neurosurgeons with this study that, in the future, could facilitate a variety of surgical interventions and lower the risk for patients who need to undergo them,” said Mooney.
“This study also underscores how unique and well-understood advances in the design of biomaterials, like the ones we made in our Tough Adhesive platform, have the potential to impact multiple, very diverse areas of
The study is published in the journal