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血液和血浆超滤中局部通量和渗透压分布的闪烁扫描研究

Scintigraphic Study of Local Flux and Osmotic Pressure Distributions in Ultrafiltration of Blood and Plasma.

作者信息

Defossez M, Ding L, Jaffrin M, Fauchet M

机构信息

Université de Technologie de Compiègne, URA CNRS 858, Biomécanique et Instrumentation Médicale, BP 649, Compiègne Cedex, 60206, France

出版信息

J Colloid Interface Sci. 1996 Jan 15;177(1):179-191. doi: 10.1006/jcis.1996.0019.

Abstract

We have investigated the spatial variation of local protein concentration and filtration flux by a scintigraphic technique in the ultrafiltration of bovine albumin solutions and blood. The feed was mixed with (99m)Tc albumin macroaggregates and circulated through a polysulfone 30,000 MWCO hollow fiber filter placed in the field of a gamma-camera. Concentration profiles c(b) (x) were reconstructed from scintigraphic images and the local ultrafiltration flux was calculated by differentiating c(b) (x) and using mass conservation. Tests were run at various inlet shear rates from 472 to 1415 s(-1) and under two different filtration regimes: no net filtration (permeate valve closed) and large filtration (below the pressure independent plateau). The data confirm the filtration decay from the filter inlet to outlet but an unexpected result is the presence of high retrofiltration in the downstream part of the filter length in the case of large filtration. This retrofiltration can be explained by a high osmotic pressure at the membrane created by the protein polarization concentration. Assuming a constant pressure gradient along the fibers, it is possible to estimate the local osmotic pressure at the onset of retrofiltration and to infer from it the protein concentration at the membrane, which is found to vary from 170 to 250 g/liter when gamma(w) increases. Similar experiments were run with blood and a microfiltration membrane (0.55-µm pores). In that case no retrofiltration was obtained, which confirms our explanation since in this case the polarization layer is composed of red cells which exert no osmotic pressure.

摘要

我们通过闪烁扫描技术研究了牛白蛋白溶液和血液超滤过程中局部蛋白质浓度和过滤通量的空间变化。将进料与(99m)Tc白蛋白大聚合体混合,并使其循环通过置于γ相机视野内的聚砜30000 MWCO中空纤维过滤器。从闪烁扫描图像重建浓度分布c(b)(x),并通过对c(b)(x)求导并利用质量守恒来计算局部超滤通量。在472至1415 s(-1)的各种入口剪切速率下以及两种不同的过滤模式下进行测试:无净过滤(渗透阀关闭)和大过滤(低于压力无关平台)。数据证实了从过滤器入口到出口的过滤衰减,但一个意外的结果是在大过滤情况下,在过滤器长度下游部分存在高反向过滤。这种反向过滤可以用蛋白质极化浓度在膜处产生的高渗透压来解释。假设沿纤维的压力梯度恒定,则可以估计反向过滤开始时的局部渗透压,并由此推断膜处的蛋白质浓度,当γ(w)增加时,该浓度在170至250 g/升之间变化。用血液和微滤膜(0.55-µm孔径)进行了类似实验。在那种情况下未获得反向过滤,这证实了我们的解释,因为在这种情况下极化层由不产生渗透压的红细胞组成。

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