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溶质 - 溶剂在膜表面的交换对白蛋白降低人工半透膜水力渗透系数的贡献。

The contribution of solute-solvent exchange at the membrane surface to the reduction by albumin of the hydraulic permeability coefficient of an artificial semipermeable membrane.

作者信息

Tatara Tsuneo

机构信息

Department of Anesthesiology, School of Medicine, Kyorin University, Tokyo, Japan.

出版信息

Anesth Analg. 2003 Oct;97(4):1137-1142. doi: 10.1213/01.ANE.0000080612.68161.F0.

Abstract

UNLABELLED

Infusion of synthetic colloids for tissue edema in inflammatory conditions reduces the hydraulic permeability coefficient (L(p)) of capillary membranes. However, the molecular mechanisms governing the modulation of L(p) of capillary membranes by these colloidal macromolecules are not known. In this study, I examined the effect of albumin on the L(p) of an artificial semipermeable membrane to determine whether solute-solvent exchange at the membrane surface may contribute to reduction of the L(p) of capillary membranes by colloidal macromolecules. The artificial membrane was used because of its well known molecular weight cutoff size and the absence of any specific interaction of albumin with such membranes. L(p) values of ultrafiltration membranes (molecular weight cutoff, 30,000) were measured by using an osmotic flow cell at a hydrostatic pressure difference (DeltaP) of 30 cm H(2)O in the absence of albumin or in the presence of albumin (2.4-8 wt%) at a DeltaP of 0 or 30 cm H(2)O. At all concentrations, albumin decreased L(p) values at both DeltaP values of 0 and 30 cm H(2)O compared with those in the absence of albumin (P < 0.05). These reductions were almost in a concentration-dependent manner and by almost half at 8 wt% albumin. This finding may be appropriately explained by slowed solute-solvent exchange at the membrane surface as the albumin concentration is increased. It is concluded that the reduction in the L(p) of capillary membranes by colloidal macromolecules is not caused solely by plugging of the capillary pores, but also by solute-solvent exchange at the capillary membrane surface.

IMPLICATIONS

Albumin concentrations more than 2.4 wt% decreased the water permeabilities of ultrafiltration membranes compared with those measured in the absence of albumin. The finding may be explained by slowed solute-solvent exchange at the membrane surface, suggesting that the reduction in water permeability of capillary membranes by colloidal macromolecules may not be caused solely by plugging of the capillary pores.

摘要

未标记

在炎症状态下输注合成胶体治疗组织水肿可降低毛细血管膜的水力传导系数(L(p))。然而,这些胶体大分子调节毛细血管膜L(p)的分子机制尚不清楚。在本研究中,我检测了白蛋白对人工半透膜L(p)的影响,以确定膜表面的溶质-溶剂交换是否可能有助于胶体大分子降低毛细血管膜的L(p)。使用人工膜是因为其已知的截留分子量大小,且白蛋白与这种膜不存在任何特异性相互作用。通过在静水压差(ΔP)为30 cm H₂O的情况下,使用渗透流池测量超滤膜(截留分子量为30,000)在无白蛋白或有白蛋白(2.4 - 8 wt%)时、ΔP为0或30 cm H₂O时的L(p)值。在所有浓度下,与无白蛋白时相比,白蛋白在ΔP为0和30 cm H₂O时均降低了L(p)值(P < 0.05)。这些降低几乎呈浓度依赖性,在白蛋白浓度为8 wt%时降低了近一半。随着白蛋白浓度增加,膜表面溶质-溶剂交换减慢,这一发现或许可以得到合理的解释。得出的结论是,胶体大分子降低毛细血管膜的L(p)不仅是由于毛细血管孔堵塞,还与毛细血管膜表面的溶质-溶剂交换有关。

启示

与无白蛋白时相比,白蛋白浓度超过2.4 wt%会降低超滤膜的水通透性。这一发现或许可以通过膜表面溶质-溶剂交换减慢来解释,表明胶体大分子降低毛细血管膜水通透性可能并非仅由毛细血管孔堵塞所致。

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