Covalently crosslinked chitosan hydrogel formed at neutral pH and body temperature Yi Hong,1 Zhengwei Mao,1 Hualin Wang,2 Changyou Gao,1 Jiacong Shen1 1 Key Laboratory of Macromolecule Synthesis and Functionalization of the Ministry of Education, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, People’s Republic of China 2 Department of Otorhinolaryngology, The Second Hospital Affiliated to Zhejiang University, Hangzhou 310027, People’s Republic of China Received 29 July 2005; accepted 21 March 2006 Published online 29 August 2006 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jbm.a.30837 Abstract: Water-soluble chitosan having double bonds (CS–MA–LA) was synthesized by sequential grafting of methacrylic acid (MA) and lactic acid (LA) via the reaction between amino groups and carboxyl groups under the catalysis of carbodiimide. Its molecular structure was verified by FTIR and 1H NMR characterizations. Elemental analysis measured grafting ratios of 19% and 10.33% for MA and LA, respectively. CS–MA–LA was readily soluble in pure water and did not precipitate till pH 9. Gelation of the CS–MA–LA was realized by thermal treatment at body temperature under the initiation of a redox system, ammonium persulfate (APS)/N, N,N0 ,N0 -tetramethylethylenediamine (TEMED). The gelation time could be mediated in a wide range, e.g. from 6 to 20 min, by reaction tempera- 914 HONG ET AL. change in pH value, covalently or ionically crosslinking, chitosan hydrogel has been formed.13 However, the acidic solubility and gelation methods employed so far will surely limit the application of chitosan as an injectable hydrogel for tissue regeneration in vivo. Up to present, only two kinds of chitosan hydrogel systems have been developed as injectable scaffolds. For example, glycerol-2-phosphate (b-GP) has been used to adjust the chitosan solution from acidic to neutral, thus chitosan hydrogel are formed at a temperature close to 378C.2,14 By incorporation of viable chondrocytes into the hydrogel system, injection of the hydrogel into a mouse has formed proteoglycan-rich matrix in vivo. Moreover, mesenchymal stem cells (MSCs) have been mixed with an injectable thermosensitive (water-soluble chitosan-g-poly(N-isopropylacrylamide)) hydrogel. In vivo results demonstrate that the MSCs can be differentiated to chondrocytes, and cartilage is formed after culturing for 14 weeks after the cell– hydrogel complex is injected into the submucosal layer of the bladder of rabbit.15 Therefore, modification of chitosan molecule to enhance its solubility at neutral pH and to develop a friend gelation method is of both practical and technological significance. In the present study, a novel chitosan gelation system is developed. The derivated chitosan has good solubility at neutral pH, and can be covalently thermocrosslinked to form hydrogel at body temperature. For this purpose, methacrylic acid (MA) and lactic acid (LA) are successively grafted onto the chitosan molecules that endow the chitosan with crosslinkable and water-soluble features, respectively. The chitosan hydrogel is then formed at an elevated temperature under the initiation of a redox system, ammonium persulfate (APS) and N,N,N0 , N0 -tetramethylethylenediamine (TEMED). Its cytotoxicity is further assessed by in vitro 3T3 fibroblast culture. EXPERIMENTAL SECTION Materials Chitosan (average MZ % 600,000) was obtained from Haidebei Marine Bioengineering Company, Ji’nan, China. MA and APS were purified via distillation under reduced pressure and recrystallization, respectively. 1-Ethyl-3-(3-dimethylaminopropyl) carbodiimide hydrochloride (WSC) was purchased from Sigma. LA and TEMED (>98%) were used as received. Synthesis of CS–MA–LA Eight hundred milligrams of chitosan was dissolved in 100 mL water and 420 mL (0.48 mM) MA, to which 930 mg Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a (0.48 mM) WSC were added. The reaction lasted for 24 h at room temperature under magnetic agitation. The pH value of the mixture solution increased from 4 to *7 during this process owing to the alkaline nature of the resultant urea. In order to remove the unreacted MA and other small molecular weight products, the resultant mixture was sealed in a membrane with a cut off molecular weight of 10,000 Da and dialyzed in a lager amount of triple-distilled water for 3 days. Finally, MA grafted chitosan (CS– MA) was obtained by freeze-drying. Half of the CS–MA (*400 mg) was dissolved in 50 mL water containing 210 mL (0.2 mM) LA overnight, to which 460 mg WSC was added. The mixture was stirred for 24 h at room temperature. Following the purification steps described earlier, the water-soluble and cross-linkable chitosan (CS–MA–LA) was obtained. The yields of both CS–MA and CS–MA–LA were over 90%. Measurement of water solubility The water solubility was measured according to literature.16 Briefly, chitosan, CS–MA, and CS–MA–LA were dissolved separately in water (1 mg/mL) with a pH value of 3. At this pH value, chitosan and its derivatives are completely soluble. The pH value of each solution was gradually raised by addition of 0.1 mol/L NaOH solution, and the pH value at which precipitation occurred was measured using a pH meter. The concentrations of the chitosan and its derivatives should not be diluted below 70% of the original concentration (1 mg/mL) upon addition of NaOH solution. Gelation of CS–MA–LA CS–MA–LA aqueous solution was gelated by radical polymerization under the initiation of a redox system including oxidant APS and reducer TEMED. APS and TEMED were previously made into 1M solutions, respectively. 1% CS– MA–LA aqueous solution was sequentially mixed with APS and TEMED solutions. The mole ratio of APS and TEMED was kept same for all the experiments. Then this mixture was injected into a mold by a syringe. The gelation was conducted in the mold at a given temperature. The gelation time was recorded right from the mixing to the state that the mixture lost its flow ability. Three to five parallel experiments were conducted and average data were reported as mean 6 standard deviation. Initiator’s concentration and reaction temperature were varied to evaluate the gelation time. Swelling ratio of the hydrogel For measuring the swelling ratio, chitosan hydrogels were prepared by gelation of 1% CS–MA–LA solution and different concentration of APS/TEMED for 24 h at 378C. The chitosan hydrogels were balanced in PBS for 24 h at 378C and weighted (W1). Then the hydrogels were dehydrated under reduced pressure at 358C to constant weights (W2). The swelling ratio of the hydrogel is defined as (W1 W2)/W2. CHITOSAN HYDROGEL FORMED AT NEUTRAL pH AND BODY TEMPERATURE Crosslinking yield One percent CS–MA–LA solution was gelated at different concentration of APS/TEMED for 24 h at 378C. The chitosan hydrogels were freeze-dried and weighted (W3). The freeze-dried hydrogels were immersed in 3% acetic acid solution for 24 h, followed by extensive washing with deionized water. Then the hydrogels were freeze-dried again to constant weights (W4). The crosslinking yield is defined as (W4/W3) 100%. Cytotoxicity test at different cell seeding density and APS/TEMED concentration The cytotoxicity of the chitosan hydrogel was assessed by culture of 3T3 fibroblasts supplemented with the extractant of the hydrogel. APS and TEMED were previously made into 1M PBS solutions and then sterilized by membrane filtration with a pore size of 0.22 mm, respectively. CS–MA–LA was sterilized under UV radiation for 3 h and then dissolved in PBS. Hydrogels were fabricated from a 1% CS–MA–LA/ PBS solution and 5 or 10 mM APS/TEMED at 378C. The hydrogels were treated with Dulbecco’s minimum essential medium (DMEM) supplemented with 10% fetal bovine serum (FBS) at a ratio of 100 mg hydrogel/mL DMEM for 24 h at 378C. The solutions extracted from the hydrogels gelated at 5 mM and 10 mM APS/TEMED are designated as E5 and E10, respectively. DMEM supplemented with 10% FBS was used as a negative control. Different numbers of 3T3 fibroblasts were seeded onto a 96-well culture plate. The cells were cultured in 200 mL DMEM supplemented with 10% FBS at 378C in 5% carbon dioxide atmosphere. After 12 h, DMEM was removed and 200 mL E5 was added. After incubation at 378C for 24 h, the cytoviability was quantitatively measured by MTT assay. The preserved ratio of cytoviability is defined as A2/A1 100%, where A1 and A2 represent the absorbance of the negative control and the samples, respectively. All data were averaged from 3 parallel experiments and expressed as mean 6 standard deviation. Each well of the 96-well culture plate was seeded with 1 105 3T3 fibroblasts. The cells were cultured in 200 mL DMEM supplemented with 10% FBS at 378C in 5% carbon dioxide atmosphere. After 12 h, DMEM was removed and 200 mL E5 or E10 was added. The cytoviability was quantitatively measured by MTT assay after incubation at 378C for 1d–4d. The morphology of the cells at 1d and 4d was observed under confocal laser scanning microscopy (CLSM, Bio-Rad Radiance 2100). The cells were incubated in 5 mg/ mL fluorescein diacetate (FDA)/PBS solution for 10 min. In this process, FDA (no fluorescence) could penetrate through cell membranes and was hydrolyzed into fluorescein by viable cells, which was then excited at 488 nm under CLSM.17 MTT assay After the cells were cultured for a given time, 20 mL MTT (3-(4,5-dimethyl) thiazol-2-yl-2,5-dimethyl tetrazolium bromide, 5 mg/mL) was added into each well. The cells were continually cultured for another 4 h. During this period, via- 915 ble cells could reduce the MTT to formazan pigment, which was dissolved by 200 mL dimethyl sulphoxide after removal of the culture medium. The absorbance at 570 nm was recorded under a microplate reader (Bio-Rad 550). In vivo inflammatory reaction of the chitosan hydrogel A mixture of 1% CS–MA–LA/PBS solution and 5 mM APS/ TEMED solution was subcutaneously injected into white mice, each with 0.5 mL liquid. After implantation for 1d, 3d, and 10d, the mice were sacrificed and anatomized to investigate the inflammatory reaction. The skins and hydrogels were harvested for histological evaluation. The sections of the skins and the hydrogels were stained by H&E. Characterizations FTIR spectra were recorded on a BRUKER VECOTR22 spectrometer. 1H NMR spectrum of CS–MA–LA was recorded on an ANAVCE DMX500 with D2O as solvent working at 500 MHz. Elemental analysis was performed on an elemental analyzer (Flash EA-1112). Statistical analysis Data were analyzed using ANOVA. Significance was determined at a value of p < 0.05. RESULTS AND DISCUSSION Synthesis and characterization of CS–MA–LA Chitosan can be regarded as a copolymer of N-acetylglucosamine and N-glucosamine units randomly distributed throughout the molecular chain. It is dissolved only in acidic solution for its strong intermolecular hydrogen bonding. It contains abundant amino groups, through which both polymerizable (e.g. acrylate) and water-soluble groups can be conveniently introduced. In the present work, MA and LA are sequentially grafted onto the chitosan chains via the combination between the carboxyl groups and the amino and/or hydroxyl groups to yield water soluble and polymerizable CS–MA–LA under the catalysis of carbodiimide (Scheme 1). Since MA and LA are both weak acids and chitosan can be directly dissolved in their solutions, the reaction is easily proceeded without involvement of other acid. The byproducts of small molecular weight and unreacted monomers are then removed by dialysis.18–21 FTIR and 1H NMR characterizations confirmed the structure of chitosan and its derivatives (Fig. 1). The IR spectrum of chitosan [Fig. 1(a)] illustrates peaks assigned to the saccharide structure at 1153, 1081, Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a 916 HONG ET AL. TABLE I The grafting ratios and maximum soluble pHs of chitosan, CS–MA and CS–MA–LA Sample C/N Ratio Grafting Ratio (%) Maximum Soluble pHb Chitosana CS–MA CS–MA–LA 6.44 7.20 7.51 78.00 19.00 10.33 <5 <7 <9 a The deacetylation degree of chitosan was calculated according to the C/N ratio. b Data represent the highest pH value at which the precipitation occur. Scheme 1. Synthesis route and molecular structure of CS–MA–LA. 1029, and 898 cm1.22,23 The peaks at around 1653 and 1598 cm1 are assigned to amide I band and NH2 group, respectively. Accompanying with the weakening of absorbance at 1598 cm1, new peaks at 1626 and 1574 cm1 emerge in the IR spectrum of CS–MA [Fig. 1(b)], which should be assigned to the C¼ ¼C double bond and the amide II band, respectively. This result demonstrates that MA has been successfully grafted. After grafting LA [Fig. 1(c)], the peak intensity at 1574 cm1 is further increased in the IR spectrum of CS–MA–LA. Moreover, a new peak at 1734 cm1 assigned to ester bond appears. This would mean that the carboxylic acid groups of LA react not only with amino groups, but also with hydroxyl groups of chitosan. That considerable amount of esters is formed after LA grafting is understandable, since at Figure 1. FTIR spectra of (a) chitosan, (b) CS–MA, (c) CS– MA–LA and (d) chitosan hydrogel. [Color figure can be viewed in the online issue, which is available at www. interscience.wiley.com] Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a this moment the absolute amount of NH2 groups has been largely decreased by reaction with MA. Nevertheless, the IR spectrum has undoubtedly evidenced the introduction of LA. Characterization of CS–MA–LA under 1H NMR confirms also its molecular structure. Chemical shifts belonging to the saccharide structure are assigned as follows: 1H NMR (D2O) d ¼ 2.79(H2), d ¼ 3.43– 3.91(H3–H6), d ¼ 1.91(NCOCH3).24 Chemical shifts at d ¼ 5.64 and d ¼ 5.42 are assigned to H2C¼ ¼C (a) of MA, respectively. Chemical shifts at d ¼ 1.84 and d ¼ 1.20 are assigned to methyl groups of MA (c) and LA (b), respectively. Moreover, MA and LA substitution degrees are 19% and 10.33% as detected by elemental analysis, respectively (Table I). All these results have confirmed that both MA and LA have been grafted onto the chitosan chains. Water solubility It was shown in Table I that the highest soluble pH increased from 5 to 9 when the chitosan was grafted with MA and LA. When the acidic solution of chitosan was neutralized with NaOH, it was sedimentated at approximately pH 5, implying that chitosan is not soluble in water. After grafting of MA, the precipitation pH value was raised to 7. However, when immersed under pure water, this MA grafted chitosan could be only swollen but not dispersed. By contrast, the CS–MA–LA could be completely dissolved in pure water with low viscosity. This has endowed the polysaccharide with great opportunity as injectable scaffold in situ. The substitution of MA and LA can alter the regular molecular structure of chitosan, and thus weaken the intermolecular hydrogen bonding. Yet MA only is not able to yield grafting product with sufficient water solubility, since the H-bonding cannot be adequately screened. It was reported previously that the chitosan can become water-soluble when the deacetylation degree is *50%.25 Yet this deacetylation degree is hardly controllable. A further introduction of LA may not only make the chitosan molecular structure more irregular, but also can enhance the CHITOSAN HYDROGEL FORMED AT NEUTRAL pH AND BODY TEMPERATURE 917 H-bonding between chitosan and water molecules because of the existence of pendent hydroxyl group in LA. water-soluble chitosan has the potential capability to be used as injectable and in situ gelable scaffold. Hydrogel formation Gelation time Different from the before-mentioned gelation systems for chitosan,2,14,15 chitosan hydrogel described here is formed via crosslinking reaction between the double bonds. For this to occur, a redox system is used so that polymerization can be performed at body temperature. It has been identified that the APS/TEMED initiation system is water-soluble and cytocompatible and thus is used to initiate the polymerization of PPF.26–28 Figure 2 illustrates the macroscopic gelation process. After addition of APS/TEMED and incubation at 378C for a few minutes, liquid CS–MA–LA solution [Fig. 2(a)] was transferred into transparent chitosan hydrogel [Fig. 2(b)] which could sustain its macroscopic shape [Fig. 2(c)]. In the FTIR spectrum of chitosan hydrogel [Fig. 1(d)], the absorbance at 1626 cm1 (C¼ ¼C double bonds) has disappeared, indicating the occurrence of polymerization. This has preliminarily demonstrated that the as-synthesized As an injectable biomaterial in clinical application it is required that the polymer solution is stable at room temperature for a relatively long period, and forms hydrogel at body temperature (378C) rapidly. Therefore, the gelation time was investigated by varying the initiator concentration and the incubation temperature (Fig. 3). The gelation time decreased rapidly along with the increase of initiator’s concentration as shown in Figure 3(a). When the APS/TEMED concentration was set at 2.5 mM, the gelation time was longer than 30 min at 378C (the data was not shown in [Fig. 3(a)]). When the concentration was set at 5 and 10 mM, formation of the hydrogel required only *5.5 and *1.5 min, respectively. At still higher concentration, e.g. 15 mM, the gelation was completed within *30 s. It is understandable that with higher concentration of initiators larger amount of free radicals will Figure 2. (a) 1% CS–MA–LA water solution, (b) gelation of (a) in 5 mM APS/TEMED at 378C, and (c) shape persistent behavior of (b). Images were taken with a digital camera. [Color figure can be viewed in the online issue, which is available at www.interscience.wiley.com] Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a 918 HONG ET AL. Figure 3. Gelation time of 1 wt % CS–MA–LA solution as a function of (a) APS/TEMED concentration at 378C, and (b) incubation temperature with APS/TEMED concentration of 5 mM. be created. Consequently the crosslinking polymerization can proceed in a relatively fast rate. APS/TEMED initiating system is sensitive to temperature.27 Higher temperature can accelerate the generation and diffusion of free radicals, and also improve the motion ability of macromolecular chains. As shown in Figure 3(b), at an APS/TEMED concentration of 5 mM the gelation time decreased from *20 to *5.5 min when the temperature was raised from 25 to 378C. As an injectable hydrogel, an appropriate gelation time is important. The property of the chitosan solution, i.e. rather stable at room temperature while can be gelated at body temperature, is very promising for clinical application. The longer gelation time at room temperature benefits for operation, while the shorter gelation time at body temperature can prevent from the liquid diffusion and favor the shape persistence. It is worth noting that no apparent temperature increase was measured during the gelation process. Polymerization of the chitosan macromonomers is largely dependent on the encountering probability of C¼ ¼C double bonds. Crosslinking can take place only if a macromolecular radical is close enough to another C¼ ¼C bond. The macromolecular chains have very low moving ability and are confined within a limited spatial volume. Higher initiator’s concentration will create more macromolecular radicals at a definite volume. As a result, there will be a higher chance for the macromolecular radicals to react with other C¼ ¼C bonds. Hence, a higher crosslinking yield can be produced. Cytotoxicity To assess the toxicity of the chitosan hydrogel, 3T3 fibroblasts were cultured in medium of extractant. First, the cytotoxicity under different cell seeding Swelling behavior of the chitosan hydrogels Figure 4 presents the swelling behavior of the chitosan hydrogels formed at 378C with different APS/ TEMED concentration. At a lower concentration of APS/TEMED (<7.5 mM), the balanced swelling ratio of the hydrogels decreased initially as a function of the initiator’s concentration (p < 0.05). When the initiator’s concentration was higher than 7.5 mM, the swelling ratio was kept at a relatively low level without significant difference (p > 0.05). This feature matches inversely with the crosslinking yield of the hydrogels, e.g. with higher crosslinking yield the swelling ratio is lower. When the crosslinking density is higher, the swelling of the hydrogel is largely restricted. Moreover, it is not strange that the crosslinking yield shows a positive correlation with the initiator’s concentration. Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a Figure 4. Swelling ratio and crosslinking yield of chitosan hydrogel as a function of APS/TEMED concentration. The hydrogels were immersed under PBS at 378C. [Color figure can be viewed in the online issue, which is available at www. interscience.wiley.com] CHITOSAN HYDROGEL FORMED AT NEUTRAL pH AND BODY TEMPERATURE number was investigated (Fig. 5). After cultured for 24 h, the cytoviability measured by MTT assay in E5 medium and in DMEM control was compared as a function of cell seeding number. The overall cell viability in both control and E5 medium increased along with the cell seeding number till 5 104 (p < 0.05). With still higher cell number, no significant difference was found (p > 0.05). Compared with the negative control, the cytoviability of E5 was significantly low (p < 0.05) when the cell number was smaller than 2 104. Above this seeding number, no significant difference was detected. This alteration tendency is more clearly illustrated by the preserved viability ratio as shown in the inset of Figure 5. Hence, one can conclude that the extractant from the hydrogel has negative effect on the viability of 3T3 cells when the cell number is small, i.e. some degree of cytotoxicity which should be mainly attributed to the initiators. However, with enough number of cells, the cytotoxicity introduced by the initiators is very minimal and neglectable. To further identify the cytotoxicity of the hydrogel, cell culture with an initial seeding number of 1 105 in mediums of negative control, E5 and E10 was performed. As shown in Figure 6, the cytoviability of both the E5 and the control was increased as a function of culture time, indicating that the cells in these culture mediums can normally proliferate. By contrast, the cytoviability of sample E10 was steadily decreased as a function of the culture time, implying that instead of normal proliferation part of the seeding cells in this medium should be dead. The profiles of cell viability of E5 and control are very close, although at some culture intervals the cytoviability of E5 is still lower than that of the control. Figure 7 compares the morphology 919 Figure 6. Cytoviability of 3T3 fibroblasts as a function of culture time. Cell seeding number was 1 105/well. [Color figure can be viewed in the online issue, which is available at www.interscience.wiley.com] of 3T3 fibroblasts after cultured in mediums of control [Fig. 7(a,d)], E5 [Fig. 7(b,e)] and E10 [Fig. 7(c,f)] for 1d [Fig. 7(a–c)] and 4d [Fig. 7(d–f)]. Confluent cell layers have been formed for the control and the E5 since the culture time of 1d. No apparent difference of cell morphology for the control and the E5 can be identified. By contrast, a fewer cells were measured for the E10, particularly after cultured for 4d. Since clinically the cell number (>2 million/mL) is far beyond the highest value used in this study, the hydrogel formed at an initiator’s concentration of 5 mM can be roughly regarded as nontoxic to cells, or at least that the toxicity can be neglected. In vivo inflammatory reaction Figure 5. Cytoviability of 3T3 fibroblasts as a function of cell seeding number. Cells were cultured in (a) control DMEM medium and (b) E5 medium. Inset is the preserved ratio of cytoviability, which is calculated by [(ab)/a] 100%. [Color figure can be viewed in the online issue, which is available at www.interscience.wiley.com] The in vivo inflammatory reaction was assessed by subcutaneous injection of a mixture of 1% CS–MA– LA/PBS solution and 5 mM APS/TEMED solution into white mice. All the mice survived throughout the implantation period with normal performance. No malignant infection, tissue necrosis, and abscess were found in the implanted sites. Histological sections of the skin–hydrogel interfaces and the chitosan hydrogels are shown in Figure 8. After implantation for 1d, a large number of neutrophils (inflammation cells) infiltrated through the skin–hydrogel interface [Fig. 8(a)] and the hydrogel [Fig. 8(d)], implying that acute inflammatory reaction occurred at this stage. At day 3, the inflammation was aggravated. The skin– hydrogel interface became loose, and the exudation and the edema could be observed as well [Fig. 8(b)]. Meanwhile, histocytes infiltrated into the hydrogel [Fig. 8(e)]. After implantation for 10d, the large numJournal of Biomedical Materials Research Part A DOI 10.1002/jbm.a 920 HONG ET AL. Figure 7. CLSM images to show morphology of 3T3 fibroblasts after cultured in mediums of control (a,d), E5 (b,e) and E10 (c,f) for 1d (a–c) and 4d (d–f). Cell seeding number was 1 105/well. Viable cells were stained by FDA, thus exhibit bright color. [Color figure can be viewed in the online issue, which is available at www.interscience.wiley.com] ber of neutrophils had significantly decreased in the interface [Fig. 8(c)] and the hydrogel [Fig. 8(f)]. Instead, a large number of histocytes appeared to form a foreign body granuloma in the hydrogel, indicating that the acute inflammation has shifted to the foreign body reaction. As a general rule in evolution of inflammatory reaction, the granuloma will be finally assimilated to eliminate the inflammation. Thus the emergence of the granuloma is a positive sign indicating that the inflammation caused by the hydrogel is only temporary. In conclusion, although the hydrogel could cause acute inflammation and foreign body reaction, no tissue necrosis and malignant infection are evidenced in vivo, demonstrating that the material has better histocompatibility. CONCLUSIONS Water-soluble and thermocrosslinkable chitosan is successfully synthesized via sequentially grafting of MA and LA under the catalysis of water-soluble carbodiimide. FTIR, 1H NMR, and elemental analysis Journal of Biomedical Materials Research Part A DOI 10.1002/jbm.a confirm the molecular structure and the substitution degree of the as-synthesized CS–MA–LA. Gelation of the CS–MA–LA is performed at very mild conditions by using a redox initiation system, APS/TEMED. At a concentration of 5/5 (mM) (APS/TEMED) the gelation times are *20 and *6 min at 25 and 378C, respectively. No apparent temperature elevation is recorded during the gelation process. The property of the chitosan solution, i.e. rather stable at room temperature while can be gelated at body temperature, is very promising for clinical application. The swelling ratio of the chitosan hydrogels decreases along with the increase of the APS/TEMED concentration initially, then reaches a constant value. This matches inversely to and thus can be explained by the crosslinking yield of the hydrogels. 3T3 fibroblast culture demonstrates that with sufficient number of cells, the cytotoxicity introduced by the initiators is very minimal and neglectable. Since clinically the cell number (>2 million/mL) is far beyond the highest value used in this study (1 105/200 mL), the hydrogel formed at an initiator’s concentration of 5 mM can be roughly regarded as nontoxic to cells, or at least the toxicity can be CHITOSAN HYDROGEL FORMED AT NEUTRAL pH AND BODY TEMPERATURE 921 Figure 8. Histological evaluation of the skin–hydrogel interfaces (a–c) and the chitosan hydrogels (d–f) after subcutaneous injection of a mixture of 1% CS–MA–LA/PBS solution and 5 mM APS/TEMED solution into white mice for 1d (a,d), 3d (b,e), and 10d (c,f). N and H represent the neutrophils and histocytes, respectively. Magnification of left side and right side in each image is 100 and 400, respectively. 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