在Seraph-100上进行体外模拟血液灌流作为对抗脓毒症的一种有前景的策略。

In Vitro Simulated Hemoperfusion on Seraph-100 as a Promising Strategy to Counteract Sepsis.

作者信息

Lacquaniti Antonio, Smeriglio Antonella, Campo Susanna, La Camera Erminia, Lanteri Giovanni, Giunta Elena, Monardo Paolo, Trombetta Domenico

机构信息

Nephrology and Dialysis Unit, Department of Internal Medicine, Papardo Hospital, 98158 Messina, Italy.

Department of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, 98122 Messina, Italy.

出版信息

Biomedicines. 2024 Mar 5;12(3):575. doi: 10.3390/biomedicines12030575.

Abstract

Blood purification represents a treatment option for sepsis, improving inflammation and the hyper-activated immune system. This study investigates the binding efficacy of Seraph-100 against 10 CFU/mL of (), (), and () during a simulated hemoperfusion treatment. The fluorescence-activated cell sorting (FACS) technique was used to evaluate the bacteria reduction, whereas kinetic analysis and cultures revealed bacterial detection and counting at established time points. At the end of the experiment, the filter was cut at three different levels, obtaining suspensions for cultures and scanning electron microscopy (SEM) analyses. The FACS technique revealed a 78.77% reduction of the total bacterial load at the end of the treatment, with maximum filter sequestration occurring in the first 30 min of the treatment. Non-linear regression analysis of kinetic experiments (T) highlighted a lower growth rate of than the other two Gram bacteria, demonstrating a greater affinity without influencing a reduction rate of 99% for all three bacteria. The analyses of the suspension aliquots of the filter sections confirmed these data, revealing 1 × 10 CFU/mL, equal to the initial bacterial charge. Furthermore, the filter head adsorbed approximately 50% of bacteria, whereas the remaining amount was equally distributed between the body and the tail, as corroborated by SEM analysis. In conclusion, Seraph-100 adsorbed 10 CFU/mL of , , and during an in vitro simulated hemoperfusion session.

摘要

血液净化是脓毒症的一种治疗选择,可改善炎症和过度激活的免疫系统。本研究调查了在模拟血液灌流治疗过程中,Seraph-100对每毫升10集落形成单位(CFU/mL)的[具体细菌名称1]、[具体细菌名称2]和[具体细菌名称3]的结合效果。采用荧光激活细胞分选(FACS)技术评估细菌减少情况,而动力学分析和培养则揭示了在既定时间点的细菌检测和计数。实验结束时,将滤器在三个不同水平处切开,获得用于培养和扫描电子显微镜(SEM)分析的悬浮液。FACS技术显示治疗结束时总细菌载量减少了78.77%,在治疗的前30分钟内滤器的截留量最大。动力学实验(T)的非线性回归分析突出显示[具体细菌名称1]的生长速率低于其他两种革兰氏细菌,表明其具有更大的亲和力,且对所有三种细菌的减少率均不影响99%。对滤器切片的悬浮液等分试样的分析证实了这些数据,显示为每毫升1×10集落形成单位,与初始细菌负荷相等。此外,滤器头部吸附了约50%的细菌,而其余部分在主体和尾部之间平均分布,SEM分析证实了这一点。总之,在体外模拟血液灌流过程中,Seraph-100吸附了每毫升10集落形成单位的[具体细菌名称1]、[具体细菌名称2]和[具体细菌名称3]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c1/10967825/49353f597e27/biomedicines-12-00575-g001.jpg

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