Ronco Claudio, Neri Mauro, Lorenzin Anna, Garzotto Francesco, Clark William R
Contrib Nephrol. 2017;191:115-126. doi: 10.1159/000479260. Epub 2017 Sep 14.
Hemodialysis is a process of mass separation by a semipermeable membrane, utilized to cleanse blood from waste products retained in case of kidney failure. Traditionally, dialysis membranes have been classified based on composition and hydraulic conductance, creating the net differentiation between cellulosic versus non-cellulosic on one hand and low-flux versus high-flux on the other. With the evolution of biomaterials and improved spinning technology, new membranes have been introduced in the market with specific characteristics and refined individual properties. Therefore, we should consider new parameters to classify dialysis membranes including polymer blending, surface functionalization, molecular weight cut-off (MWCO), hydrophilic/hydrophobic properties, thickness and architecture, adsorption capacity, and electric potential. All these parameters may be utilized to characterize a membrane alone or in combination. Recently, a new parameter has been identified as an important element to characterize a new class of membranes. Beyond the classic MWCO describing the molecular weight at which the sieving value in pure convection = 0.1, the molecular weight retention onset (MWRO) is a new parameter that defines membrane sieving properties. The retention onset value is the molecular weight at which the sieving value = 0.9. The relationship between MWCO and MWRO describes the steepness of the sieving curve and the membrane pore size distribution with important consequences on the final mass separation process and solute removal.
血液透析是一种通过半透膜进行质量分离的过程,用于清除肾衰竭时血液中潴留的废物。传统上,透析膜是根据组成和水力传导率进行分类的,从而在一方面形成了纤维素膜与非纤维素膜之间的净差异,在另一方面形成了低通量与高通量之间的净差异。随着生物材料的发展和纺丝技术的改进,市场上引入了具有特定特性和精细个体性能的新型膜。因此,我们应考虑新的参数来对透析膜进行分类,包括聚合物共混、表面功能化、截留分子量(MWCO)、亲水/疏水特性、厚度和结构、吸附能力以及电势。所有这些参数都可单独或组合用于表征膜。最近,一个新的参数已被确定为表征一类新型膜的重要元素。除了经典的截留分子量(描述纯对流中筛分值 = 0.1 时的分子量)之外,分子量截留起始点(MWRO)是一个定义膜筛分特性的新参数。截留起始值是筛分值 = 0.9 时的分子量。截留分子量与分子量截留起始点之间的关系描述了筛分曲线的斜率和膜孔径分布,这对最终的质量分离过程和溶质去除具有重要影响。