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用具有血液相容性的聚醚砜中空纤维膜改善血液透析:体外性能。

Improved hemodialysis with hemocompatible polyethersulfone hollow fiber membranes: In vitro performance.

机构信息

Department of Chemical Engineering, Indian Institute of Technology Bombay, Mumbai, 400076, India.

Centre for Research in Nanotechnology and Science, Indian Institute of Technology Bombay, Mumbai, 400076, India.

出版信息

J Biomed Mater Res B Appl Biomater. 2018 Apr;106(3):1286-1298. doi: 10.1002/jbm.b.33941. Epub 2017 Jun 21.

Abstract

We show that addition of nanozeolite (NZ) and vitamin E D-α-Tocopherol polyethylene glycol succinate (TPGS or T) considerably improves the performance of polyethersulfone (PES or P) hollow fiber membrane (HFM) for hemodialysis. Nanocomposite HFMs were manufactured using PES as a polymer, TPGS as an additive and NZ as a filler to give a composite membrane called PT-NZ. HFMs were spun by dry-wet spinning principle based on liquid-liquid phase separation. TPGS and NZ were successfully incorporated in HFMs, as confirmed by EDX elemental mapping. The resultant PT-NZ HFMs had improved hemocompatibility: lower percent hemolysis (0.28% in batch mode and 0.32% in continuous mode), lower platelet adhesion, higher coagulation time and lower protein adsorption (16.34 µg/cm ), compared with P, PT, and commercial (F60S) HFMs. The ultrafiltration coefficient of PT-NZ HFM-based module (274.59 mL/m /h/mmHg) was ∼1.5-times higher than that of F60S membranes (151.67 mL/m /h/mmHg), and the solute rejection of both the membranes was comparable. The toxin clearance performance of lab-scale PT-NZ HFM-based hemodialyzer with uremic toxin spiked goat blood was remarkably higher (five times) than that of F60S. Hence, the synthesized PT-NZ HFMs are a potentially attractive membrane material for hemodialysis application, particularly due to decreased treatment time and minimal side reactions. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 1286-1298, 2018.

摘要

我们表明,添加纳米沸石(NZ)和维生素 E D-α-生育酚聚乙二醇琥珀酸酯(TPGS 或 T)可显著改善用于血液透析的聚醚砜(PES 或 P)中空纤维膜(HFM)的性能。使用 PES 作为聚合物、TPGS 作为添加剂和 NZ 作为填充剂制造纳米复合材料 HFMs,以赋予称为 PT-NZ 的复合膜。HFMs 通过基于液-液相分离的干湿纺丝原理纺制而成。通过 EDX 元素映射成功地将 TPGS 和 NZ 掺入 HFMs 中。与 P、PT 和商业(F60S)HFMs 相比,所得的 PT-NZ HFMs 具有改善的血液相容性:更低的溶血百分比(批处理模式下为 0.28%,连续模式下为 0.32%)、更低的血小板粘附、更高的凝血时间和更低的蛋白质吸附(16.34µg/cm )。基于 PT-NZ HFM 的模块的超滤系数(274.59 mL/m /h/mmHg)比 F60S 膜(151.67 mL/m /h/mmHg)高约 1.5 倍,并且两种膜的溶质截留率相当。用含尿毒症毒素的山羊血对实验室规模的基于 PT-NZ HFM 的血液透析器进行毒素清除性能测试,结果表明其性能明显更高(五倍)于 F60S。因此,合成的 PT-NZ HFMs 是一种用于血液透析应用的有吸引力的膜材料,特别是由于治疗时间缩短和最小的副作用。©2017 Wiley Periodicals, Inc. J 生物医学材料研究部分 B:应用生物材料,106B:1286-1298,2018 年。

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