Wang Yiwen, Liu Yang, Han Qiu, Lin Haibo, Liu Fu
Key Laboratory of Marine Materials and Related Technologies, Zhejiang Key Laboratory of Marine Materials and Protective Technologies, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, No. 1219 Zhongguan West Rd, Ningbo, 315201, China.
University of Chinese Academy of Sciences, Beijing, China, 19 A Yuquan Rd, Shijingshan District, Beijing, 100049, China.
J Memb Sci. 2022 May 5;649:120359. doi: 10.1016/j.memsci.2022.120359. Epub 2022 Feb 22.
Extracorporeal membrane oxygenation is a technique that provides short-term supports to the heart and lungs. It removes CO from the blood and provides enough oxygen, which is a huge help in the fight against COVID-19. As the key component, the artificial lung membranes have evolved in three generations including silicon, polypropylene and poly (4-methyl-1-pentene). Herein, we for the first time design and fabricate a novel poly (4-methyl-1-pentene)/polypropylene (PMP/PP) thin film composite (TFC) membrane with the anticoagulant coating composed of poly (sodium 4-styrenesulfonate) and cross-linked poly (vinyl alcohol). Poly (sodium 4-styrenesulfonate) provides sulfonic acid groups to inhibit the coagulant factors (FVIII and FXII), and cross-linked poly (vinyl alcohol) increase the stability of the anticoagulant coating and further improve the hydrophilicity via abundant hydroxyl groups to depress the protein adsorption. Long-term anticoagulant property was demonstrated by whole human blood for 28 days. Blood compatibility was evaluated by hemolysis rate, anticoagulation activity (APTT, TT and PT), complement activation, platelet activation and contact activation. Pure CO, O and N permeation rates were determined to evaluate the mass transfer properties of PMP/PP TFC membranes. Gas permeation results revealed that gas permeation flux increased in the TFC membranes because of the decrease of crystallinity. Overall, the so prepared PMP/PP membrane shows good CO/O selectivity and blood compatibility as novel TFC artificial lung membrane.
体外膜肺氧合是一种为心脏和肺部提供短期支持的技术。它从血液中去除二氧化碳并提供足够的氧气,这在对抗新冠病毒方面有巨大帮助。作为关键部件,人工肺膜已经历了三代演变,包括硅基、聚丙烯和聚(4-甲基-1-戊烯)。在此,我们首次设计并制备了一种新型的聚(4-甲基-1-戊烯)/聚丙烯(PMP/PP)薄膜复合(TFC)膜,其具有由聚(4-苯乙烯磺酸钠)和交联聚(乙烯醇)组成的抗凝涂层。聚(4-苯乙烯磺酸钠)提供磺酸基团以抑制凝血因子(FVIII和FXII),交联聚(乙烯醇)提高了抗凝涂层的稳定性,并通过大量羟基进一步提高亲水性以抑制蛋白质吸附。通过全人血进行28天实验证明了其长期抗凝性能。通过溶血率、抗凝活性(活化部分凝血活酶时间、凝血酶时间和凝血酶原时间)、补体激活、血小板激活和接触激活来评估血液相容性。测定了纯二氧化碳、氧气和氮气的渗透速率以评估PMP/PP TFC膜的传质性能。气体渗透结果表明,由于结晶度降低,TFC膜中的气体渗透通量增加。总体而言,如此制备的PMP/PP膜作为新型TFC人工肺膜表现出良好的二氧化碳/氧气选择性和血液相容性。