Jong Jacobus A W, Guo Yong, Veenhoven Cas, Moret Marc-Etienne, van der Zwan Johan, Lucini Paioni Alessandra, Baldus Marc, Scheiner Karina C, Dalebout Remco, van Steenbergen Mies J, Verhaar Marianne C, Smakman Robert, Hennink Wim E, Gerritsen Karin G F, van Nostrum Cornelus F
Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The Netherlands.
Department of Nephrology and Hypertension, University Medical Centre Utrecht, 3584 CX Utrecht, The Netherlands.
ACS Appl Polym Mater. 2020 Feb 14;2(2):515-527. doi: 10.1021/acsapm.9b00948. Epub 2019 Dec 18.
For realization of a wearable artificial kidney based on regeneration of a small volume of dialysate, efficient urea removal from dialysate is a major challenge. Here a potentially suitable polymeric sorbent based on phenylglyoxaldehyde (PGA), able to covalently bind urea under physiological conditions, is described. Sorbent beads containing PGA groups were obtained by suspension polymerization of either styrene or vinylphenylethan-1-one (VPE), followed by modification of the aromatic groups of poly(styrene) and poly(VPE) into PGA. It was found that PGA-functionalized sorbent beads had maximum urea binding capacities of 1.4-2.2 mmol/g and removed ∼0.6 mmol urea/g in 8 h at 37 °C under static conditions from urea-enriched phosphate-buffered saline, conditions representative of dialysate regeneration. This means that the daily urea production of a dialysis patient can be removed with a few hundred grams of this sorbent which, is an important step forward in the development of a wearable artificial kidney.
为了实现基于少量透析液再生的可穿戴人工肾,从透析液中高效去除尿素是一项重大挑战。本文描述了一种潜在合适的基于苯乙二醛(PGA)的聚合物吸附剂,它能够在生理条件下与尿素共价结合。含有PGA基团的吸附剂珠粒是通过苯乙烯或乙烯基苯乙酮(VPE)的悬浮聚合,然后将聚(苯乙烯)和聚(VPE)的芳族基团改性为PGA而获得的。研究发现,PGA功能化的吸附剂珠粒在静态条件下,于37℃从富含尿素的磷酸盐缓冲盐水中,具有1.4 - 2.2 mmol/g的最大尿素结合容量,并在8小时内去除约0.6 mmol尿素/g,这些条件代表透析液再生。这意味着几百克这种吸附剂就能去除透析患者每日产生的尿素,这是可穿戴人工肾发展中的重要一步。