Attaluri Anil Chandra, Huang Zhongping, Belwalkar Amit, Van Geertruyden William, Gao Dayong, Misiolek Wojciech
Department of Mechanical Engineering, Widener University, Chester, Pennsylvania 19013, USA.
ASAIO J. 2009 May-Jun;55(3):217-23. doi: 10.1097/MAT.0b013e3181949924.
Globally, kidney failure has consistently been a major health problem. The number of patients suffering from kidney failure is radically increasing. Some studies forecast an exponential growth in the number of kidney failure patients during the coming years. This emphasizes the importance of hemodialysis (HD) membranes. Current dialysis membranes (cellulose based and synthetic polymer membranes) have irregular pore shapes and sizes, nonuniform pore distribution and limited reusable capability, which leads to low efficiency of toxin removal. New alumina membranes with uniform, controllable and well-structured nanoscale pores, channeled pores aligned perpendicular to the membrane plane, high porosity, high thermal and chemical resistance, and better mechanical properties are certainly preferable to currently used membranes. Determination of transport properties of alumina membranes will assist in the development of the alumina membranes for enhancing hemodialysis. Experiments were performed to evaluate hydraulic permeability, solute diffusive permeability, sieving coefficient, and clearance of four solutes (urea, creatinine, Vancomycin, and inulin) for alumina membrane. Based on comparison of these values against those of polyethersulfone (PES) membranes, transport performance of alumina membrane was determined. Hydraulic conductivity of the alumina membrane was approximately twice that of the PES membrane and inulin sieving coefficient for alumina membrane is approximately 21% higher than that for PES membrane. Alumina membrane has higher solute clearances and no albumin leakage, which makes it an effective replacement for current dialysis membranes.
在全球范围内,肾衰竭一直是一个重大的健康问题。肾衰竭患者的数量正在急剧增加。一些研究预测,在未来几年中,肾衰竭患者的数量将呈指数增长。这凸显了血液透析(HD)膜的重要性。目前的透析膜(基于纤维素和合成聚合物的膜)具有不规则的孔形状和尺寸、不均匀的孔分布以及有限的可重复使用能力,这导致毒素清除效率低下。具有均匀、可控且结构良好的纳米级孔、垂直于膜平面排列的通道孔、高孔隙率、高耐热性和耐化学性以及更好机械性能的新型氧化铝膜肯定比目前使用的膜更具优势。测定氧化铝膜的传输特性将有助于开发用于增强血液透析的氧化铝膜。进行了实验以评估氧化铝膜的水力渗透率、溶质扩散渗透率、筛分系数以及四种溶质(尿素、肌酐、万古霉素和菊粉)的清除率。通过将这些值与聚醚砜(PES)膜的值进行比较,确定了氧化铝膜的传输性能。氧化铝膜的水力传导率约为PES膜的两倍,氧化铝膜的菊粉筛分系数比PES膜高约21%。氧化铝膜具有更高的溶质清除率且无白蛋白泄漏,这使其成为当前透析膜的有效替代品。