Complement-mediated dialysis reaction during regular hemodialysis treatment: a case report.

BACKGROUND: Hemodialysis reactions (HDRs) are similar to complement activation-related pseudo allergy (CARPA), a hypersensitivity reaction that occurs when administering certain (nano)drugs intravenously. The pathomechanism of CARPA was described based on animal experiments. Typical CARPA-like dialysis reactions, which occur at the start of hemodialysis, have been reported using polysulfone dialyzers. However, to our knowledge, this is the first dialysis reaction that occurred towards the end of hemodialysis treatment. CASE PRESENTATION: This report describes a 52-year-old Caucasian male patient who had been receiving chronic hemodialysis for 3 years and exhibited a CARPA reaction during his third hour of treatment. Upon activation of the microbubble alarm, the extracorporeal system recirculated for five minutes. Following reconnection, the patient exhibited a drop in systemic blood pressure, chest pain, and dyspnea after five minutes. Symptoms disappeared spontaneously after reducing the speed of the blood pump, placing the patient in a Trendelenburg position, and administering a bolus infusion from the dialysis machine. The remaining dialysis treatment was uneventful. CONCLUSION: Numerous case reports about reactions occurring with modern high-efficiency polysulfone dialyzers have been published. However, due to changes in the material structure by the manufacturers, we have not encountered such cases lately. The recently reported increase in thromboxane-B2 and pulmonary arterial pressure and complement activation upon re-infusion of extracorporeal blood following dialysis may explain the reaction observed here.

Tailoring confined CdS quantum dots in polysulfone membrane for efficiently durable performance in solar-driven wastewater remediating systems.

In this work, CdS quantum dots (QDs) were successfully confined in polysulfone membrane (PSM) to develop a photoactive membrane under solar illumination that was suited in wastewater remediating system. The CdS@PSM membranes were prepared using the nonsolvent induced phase separation (NIPS) approach. Optical measurements show the confinement of CdS quantum dots (QDs) in the PS matrix within the narrowest band gap (2.41 eV) at 5 wt% loading. PS has two strong emission peaks at 411 and 432 nm due to photoelectron-hole recombination on pure PSM's surface. Adding 1 wt% CdS QDs to PSM reduced the earlier peak and blue-shifted the latter, within the appearance of three emission peaks attributed to the near band-edge emission of confined CdS QDs. Overloading CdS reduced all emission peaks. Moreover, fluorimetric monitoring of •OH radicals indicates that PSM produces the least amount of photogenerated •OH radicals while CdS@PSM(5 wt%) achieved the highest productivity. Examining the developed membranes in detoxifying methylene blue (MB) from aqueous solution of natural pH 8.1 showed weak adsorption in dark over 90 min of contact while switching to solar illumination significantly photodegrade MB where the degradation efficiency starts from 49% for pure PSM to 79% for CdS@PSM(5 wt%). Influence of pH was found crucial on photodegradation efficacy. Acidic pH 3 showed the weakest photodegradation efficacy, while the alkaline pH 12 was 18.88 times more effective. The used CdS@PSM (5 wt%) was successfully photo-renovated by soaking in 10 mL of NaOH solution under Solar illumination for 15 min to be used in 4 consecutive photodegradation cycles with insignificant decrease in efficacy. These findings are promising and could lead to a high-efficiency, sustainable photocatalytic suite.

Antibacterial Activity of Silver Nanoflake (SNF)-Blended Polysulfone Ultrafiltration Membrane.

The aim of this research was to study the possibility of using silver nanoflakes (SNFs) as an antibacterial agent in polysulfone (PSF) membranes. SNFs at different concentrations (0.1, 0.2, 0.3 and 0.4 wt.%) were added to a PSF membrane dope solution. To investigate the effect of SNFs on membrane performance and properties, the water contact angle, protein separation, average pore size and molecular weight cutoffs were measured, and water flux and antibacterial tests were conducted. The antimicrobial activities of the SNFs were investigated using Escherichia coli taken from river water. The results showed that PSF membranes blended with 0.1 wt.% SNFs have contact angles of 55°, which is less than that of the pristine PSF membrane (81°), exhibiting the highest pure water flux. Molecular weight cutoff values of the blended membranes indicated that the presence of SNFs does not lead to enlargement of the membrane pore size. The rejection of protein (egg albumin) was improved with the addition of 0.1 wt.% SNFs. The SNFs showed antimicrobial activity against Escherichia coli, where the killing rate was dependent on the SNF concentration in the membranes. The identified bacterial colonies that appeared on the membranes decreased with increasing SNF concentration. PSF membranes blended with SNF, to a great degree, possess quality performance across several indicators, showing great potential to be employed as water filtration membranes.

Tuning the Morphology and Gas Separation Properties of Polysulfone Membranes.

The present work deals with the modification of casting solutions for polysulfone gas separation membranes fabricated by wet-phase inversion. The aim was to fabricate membranes with thin gas separation layers below one micrometer of thickness and a sponge-like support structure. With decreasing thicknesses of the separation layers, increasing permselectivities were observed. For the first time, we could show that permeabilities and diffusion coefficients of certain gases are orders of magnitude lower in separation layers of membranes below 500 Å of thickness compared to separation layers with a thickness above 1 micrometer. These results indicate that the selection of the solvent system has a huge impact on the membrane properties and that the permeability and diffusion coefficient are not material-related properties. Thus, they cannot be applied as specific indicators for gas-separating polymers. In this publication, scanning electron microscopy and gas permeation measurements were carried out to prove the gas separation properties and morphologies of polysulfone membranes.

Fabrication, characterization and application of electrospun polysulfone membrane for phosphate ion removal in real samples.

Due to simplicity and flexibility, electrospinning technique can produce many types of fibers at nanoscale via different operational parameters for various applications including industrial wastewater treatment, air filtration and so on. Nonetheless, the study on the electrospinning operational parameter is very limited and many researchers are still using trial-and-error method to design their targeted fiber. In this study, a series of electrospun polysulfone (PSF; 20% w/v) nanofibrous membranes that made up from different ratios of dimethylformamide (DMF) and tetrahydrofuran (THF) mixtures in order to achieve different dielectric constant (ϵ) of solvent system. The fabricated PSF nanofibers were characterized by field emission scanning electron microscopy (FESEM), tensile strength tester and contact angle measurement. The THF-DMF binary solvent system with ϵ = 16.33 to 27.97 produced a smooth surface electrospun PSF nanofibers, while THF mono solvent system (ϵ = 7.60) and DMF mono solvent system (ϵ = 36.70) produced a rough and porous surface electrospun PSF nanofibers. This finding is contradicted with the common finding in which only a binary solvent is able to fabricate a rough or grooved surface electrospun nanofibers. In addition, the dielectric constant can be another key factor, besides boiling point and solubility of binary solvent system, that induces phase separation in the polymeric solution jet and eventually fabricate non-smooth surface electrospun nanofibers. The fabricated electrospun PSF nanofibrous membranes showed high efficiency in phosphate removal.

Study Effect of nAg Particle Size on the Properties and Antibacterial Characteristics of Polysulfone Membranes.

Polysulfone ultrafiltration membranes were fabricated using various sizes (20, 40, and 90-210 nm) of silver nanoparticles (nAg) blended in a dope solution. To characterize the performance and properties of the prepared membranes, scanning electron microscopy (SEM), water contact angle, protein separation, water flux, and antibacterial tests were conducted. The characterization results revealed that when nAg particles (20 nm) were blended into the base polymer PSF, the PSF/nAg blended membrane had the lowest contact angle (58.5°) and surface energy (110.7 mN/m). When experimenting with ultrafiltration using protein solutions, bare PSF and PSF/nAg-20 blended membranes gave similar values of protein rejection: 93% of bovine serum albumin (BSA) and 70% of lysozyme rejection. Furthermore, SEM studies showed that the surface pore size was reduced by adding 20 nm nAg particles in the casting solution. Most importantly, the introduction of 40 nm nAg particles reduced the growth of bacterial colonies on the membrane surface by up to 72%. These findings revealed that nAg particles are expected to be a potential modifier for the fabrication of an ultrafiltration membrane.

A Biofouling Resistant Zwitterionic Polysulfone Membrane Prepared by a Dual-Bath Procedure.

This study introduces a zwitterionic material to modify polysulfone (PSf) membranes formed by a dual bath procedure, in view of reducing their fouling propensity. The zwitterionic copolymer, derived from a random polymer of styrene and 4-vinylpyrridine and referred to as zP(S-r-4VP), was incorporated to the PSf solution without any supplementary pore-forming additive to study the effect of the sole copolymer on membrane-structuring, chemical, and arising properties. XPS and mapping FT-IR provided evidence of the modification. Macrovoids appeared and then disappeared as the copolymer content increased in the range 1-4 wt%. The copolymer has hydrophilic units and its addition increases the casting solution viscosity. Both effects play an opposite role on transfers, and so on the growth of macrovoids. Biofouling tests demonstrated the efficiency of the copolymer to mitigate biofouling with a reduction in bacterial and blood cell attachment by more than 85%. Filtration tests revealed that the permeability increased by a twofold factor, the flux recovery ratio was augmented from 40% to 63% after water/BSA cycles, and irreversible fouling was reduced by 1/3. Although improvements are needed, these zwitterionic PSf membranes could be used in biomedical applications where resistance to biofouling by cells is a requirement.

A porcine model of hemodialyzer reactions: roles of complement activation and rinsing back of extracorporeal blood.

Hemodialysis reactions (HDRs) resemble complement-activation-related pseudoallergy (CARPA) to certain i.v. drugs, for which pigs provide a sensitive model. On this basis, to better understand the mechanism of human HDRs, we subjected pigs to hemodialysis using polysulfone (FX CorDiax 40, Fresenius) or cellulose triacetate (SureFlux-15UX, Nipro) dialyzers, or Dialysis exchange-set without membranes, as control. Experimental endpoints included typical biomarkers of porcine CARPA; pulmonary arterial pressure (PAP), blood cell counts, plasma sC5b-9 and thromboxane-B2 levels. Hemodialysis (60 min) was followed by reinfusion of extracorporeal blood into the circulation, and finally, an intravenous bolus injection of the complement activator zymosan. The data indicated low-extent steady rise of sC5b-9 along with transient leukopenia, secondary leukocytosis and thrombocytopenia in the two dialyzer groups, consistent with moderate complement activation. Surprisingly, small changes in baseline PAP and plasma thromboxane-B2 levels during hemodialysis switched into 30%-70% sharp rises in all three groups resulting in synchronous spikes within minutes after blood reinfusion. These observations suggest limited complement activation by dialyzer membranes, on which a membrane-independent second immune stimulus was superimposed, and caused pathophysiological changes also characteristic of HDRs. Thus, the porcine CARPA model raises the hypothesis that a second "hit" on anaphylatoxin-sensitized immune cells may be a key contributor to HDRs.

Influences of the priming procedure and saline circulation conditions on polyvinylpyrrolidone in vitro elution from polysulfone membrane dialyzers.

In hemodialysis (HD), the patient's blood is purified via circulation in an extracorporeal circuit containing a dialyzer. In the manufacturing process of polysulfone (PSu) membrane dialyzers, the membranes are hydrophilized via the addition of the hydrophilic agent polyvinylpyrrolidone (PVP) to increase their hydraulic permeability. The elution of PVP from the membrane reduces the membrane's hydraulic permeability, and the eluted PVP could cause adverse effects in the human body. Therefore, it is important to identify the factors that induce PVP elution from PSu dialyzer membranes to improve the efficiency and safety of HD. In the present study, experimental circuits connecting each of the three types of PSu membrane dialyzers that had been sterilized, using gamma irradiation, autoclaving, or in-line steam methods, were prepared. After the dialyzers were primed, saline was circulated in the circuits at a flow rate of 100 mL/min or 200 mL/min. At 0, 2, 4, 6, and 8 h after circulation was initiated, the amount of PVP eluted from the PSu membranes in vitro was determined. In this experimental setting, longer the circulation duration, greater the amount of PVP eluted from the PSu membranes of the tested dialyzers; however, the flow rate did not influence the in vitro elution of PVP. Furthermore, the immersion of the dialyzer membranes in saline for 24 h strongly facilitated the in vitro elution of PVP. In sum, these results suggest that the duration of PSu membrane incubation in saline is a determinant of the level of PVP elution from the PSu membrane dialyzers.

Polysulfone-Polyvinyl Pyrrolidone Blend Polymer Composite Membranes for Batik Industrial Wastewater Treatment.

Batik wastewater, in general, is colored and has high concentrations of BOD (biological oxygen demand), COD (chemical oxygen demand), and dissolved and suspended solids. Polysulfone (PSf)-based membranes with the addition of polyvinyl pyrrolidone (PVP) were prepared to treat batik industrial wastewater. PSf/PVP membranes were prepared using the phase inversion method with N-methyl-2 pyrrolidone (NMP) as the solvent. Based on the membrane characterization through FESEM, water contact angle, porosity, and mechanical tests showed a phenomenon where the addition of PVP provided thermodynamic and kinetic effects on membrane formation, thereby affecting porosity, thickness, and hydrophilicity of the membranes. The study aims to observe the effect of adding PVP on polysulfone membrane permeability and antifouling performance on a laboratory scale through the ultrafiltration (UF) process. With the addition of PVP, the operational pressure of the polysulfone membrane was reduced compared to that without PVP. Based on the membrane filtration results, the highest removal efficiencies of COD, TDS (total dissolved solid), and conductivity achieved in the study were 80.4, 84.6, and 83.6%, respectively, on the PSf/PVP 0.35 membrane operated at 4 bar. Moreover, the highest color removal efficiency was 85.73% on the PSf/PVP 0.25 operated at 5 bar. The antifouling performance was identified by calculating the value of total, reversible, and irreversible membrane fouling, wherein in this study, the membrane with the best antifouling performance was PSf/PVP 0.25.

In vitro blood compatibility evaluation method: incubating while rotating hemodialyzers filled with fresh human blood.

One of the often-used methods for in vitro evaluation of the blood compatibility of hemodialysis membranes is the circulation of human blood through a miniaturized hemodialyzer. The use of a rather small amount of human blood in its evaluation is one advantage of this method. However, because it is manufactured by a different process than actual ones, a miniaturized hemodialyzer membrane cannot always preserve the properties of actual hemodialyzers. To address this problem, we established a new experimental method that uses a relatively small amount of human blood and actual dialyzers. In this method, a test hemodialyzer and a control hemodialyzer filled with human blood obtained from the same donor is slowly rotated to prevent spontaneous blood cell sedimentation for 4 h at 37 °C. By use of this method, we were able to compare blood compatibility between a polysulfone (PS) membrane and a vitamin E (VE)-bonded PS membrane in terms of their relative antithrombotic, antioxidative, and anti-inflammatory properties. Consistent with many previous reports, the results clearly showed that compared with the PS membrane, VE-bonded PS membrane is more blood compatible. These findings suggest that our method is applicable, at least to in vitro blood compatibility evaluation of PS type dialysis membranes.

Control of Nanostructured Polysulfone Membrane Preparation by Phase Inversion Method.

The preparation of membranes from polymer solutions by the phase inversion method, the immersion-precipitation technique has proved since the beginning of obtaining technological membranes the most versatile and simple possibility to create polymeric membrane nanostructures. Classically, the phase inversion technique involves four essential steps: Preparation of a polymer solution in the desired solvent, the formation of the polymer solution film on a flat support, the immersion of the film in a coagulation bath containing polymer solvents, and membrane conditioning. All phase inversion stages are important for the prepared membrane's nanostructure and have been studied in detail for more than six decades. In this paper, we explored, through an electrochemical technique, the influence of the contact time with the polymer film's environment until the introduction into the coagulation bath. The system chosen for membrane preparation is polysulfone-dimethylformamide-aqueous ethanol solution (PSf-DMF-EW). The obtained nanostructured membranes were characterized morphologically and structurally by scanning electron microscopy (SEM) and thermal analysis (TA), and in terms of process performance through water permeation and bovine serum albumin retention (BSA). The membrane characteristics were correlated with the polymeric film exposure time to the environment until the contact with the coagulation bath, following the diagram of the electrochemical parameters provided by the electrochemical technique.

Comparison of Blood Compatibility in Various Membrane Materials for Continuous Renal Replacement Therapy.

Because hemofilters used for continuous renal replacement therapy contact with blood over a prolonged period during treatments, platelet activation may occur stronger. The purpose of this study is to clarify the blood compatibility in three hemofilters mostly used in Japan. We compared the blood compatibility of the two polysulfone (AEF: Asahi Kasei Medical Co., Tokyo, Japan and SHG: Toray Medical Co., Ltd., Tokyo, Japan) and one polymethylmethacrylate membranes (CH: Toray Medical Co., Ltd.). First, test blood was collected from healthy volunteers. Subsequently, the blood was circulated by a roller pump at the rate of 100 mL/min. We measured the platelet counts and platelet factor 4 (PF4). The platelet counts at 48 h in polymethylmethacrylate membrane were significantly less than that in polysulfone membranes. Levels of the PF4 after the circulation were 978.5 ± 200.0 ng/dL with AEF, 863.0 ± 233.9 ng/dL with SHG and 1780.0 ± 465.1 ng/dL with CH, respectively. Hemofilters with polysulfone membranes showed less platelet activation. It was inferred that the amount of PVP, the smoothness of the membrane surface, and the inner diameter of the hollow fiber affect the blood compatibility in the hemofilter.

Comparison of the circulatory effects of continuous renal replacement therapy using AN69ST and polysulfone membranes in septic shock patients: A retrospective observational study.

The acrylonitrile-co-methallyl sulfonate surface-treated (AN69ST) membrane is expected to improve hemodynamics in patients with sepsis through cytokine adsorption. However, the clinical literature on AN69ST membranes is very limited. We aimed to compare the circulatory effects of continuous renal replacement therapy (CRRT) between patients using the AN69ST membrane and polysulfone (PS) membrane (a nonadsorbing membrane). This retrospective observational study enrolled 38 patients with septic shock, as defined by Sepsis-3 criteria, who required CRRT from April 2013 to March 2018. Those who died within 24 hours after CRRT initiation and received polymyxin B-immobilized fiber column direct hemoperfusion, extracorporeal membrane oxygenation, and CRRT using other membranes were excluded. The primary outcome was the vasopressor dependency index during the 12 hours after CRRT initiation, which was calculated as (inotropic score)/(mean arterial pressure). Of 38 patients analyzed, 16 underwent CRRT with an AN69ST membrane and 22 with a PS membrane. The median patient age was 68 years, and the median Acute Physiology and Chronic Health Evaluation (APACHE) II score at intensive care unit admission was 29.5. The vasopressor dependency index decreased significantly during the 12 hours after CRRT initiation in both groups (AN69ST: from 0.50 ± 0.43 to 0.33 ± 0.27 [P < .05], PS: from 0.34 ± 0.30 to 0.21 ± 0.22 [P < .05]). The time course of the vasopressor dependency index during the 12 hours did not differ between the two groups (P = .11). The vasopressor dependency index decreased significantly after CRRT initiation in both groups. The time course of the vasopressor dependency index did not differ between the groups.

Construction of Antifouling Membrane Surfaces through Layer-by-Layer Self-Assembly of Lignosulfonate and Polyethyleneimine.

Lignin is the second most abundant and low-cost natural polymer, but its high value-added utilization is still lack of effective and economic ways. In this paper, waste lignosulfonate (LS) was introduced to fabricate antifouling membrane surfaces via layer-by-layer self-assembly with polyethyleneimine (PEI). The LS/PEI multilayers were successfully deposited on the polysulfone (PSf) membrane, as demonstrated by ATR-FTIR, XPS, Zeta potential measurements, AFM, and SEM. Meanwhile, the effect of the number of bilayers was investigated in detail on the composition, morphologies, hydrophilicity, and antifouling performance of the membrane surface. As a result, with the bilayer numbers increase to 5, the PSf membrane shows smooth surface with small roughness, and its water contact angle reduces to 44.1°, indicating the improved hydrophilicity. Accordingly, the modified PSf membrane with 5 LS/PEI bilayers repels the adsorption of protein, resulting in good antifouling performance. This work provides a green, facile, and low-cost strategy to construct antifouling membrane surfaces.

Evaluation of Proteins and Cells that Adsorb to Dialysis Membranes Used in Continuous Hemodiafiltration: Comparison of AN69ST, Polymethylmethacrylate, and Polysulfone Membranes.

OBJECTIVE: In intensive care medicine, continuous renal replacement therapy (CRRT) is important for critically ill patients. Various types of dialysis membranes are currently used in clinical settings, each having unique structures and characteristics. This study aimed to perform a detailed analysis of the characteristics of polysulfone (PS), polymethylmethacrylate (PMMA), and polyacrylonitrile (AN69ST) membranes, and to determine differences in the adsorption of proteins and blood cells by membrane material. METHODS: Subjects were patients undergoing CRRT in the ICU of the Kokura Memorial Hospital. After use, membranes were collected and analyzed. Semi-quantitative analysis of the membrane surface was performed by scanning electron microscopy. We determined the identity of proteins adsorbed to the surface of membranes by TOF/MS analysis, and measured the amount of adsorbed chemical mediators. RESULTS: Electron microscopy revealed that, compared to PS and PMMA membranes, AN69ST membranes had a greater amount of adsorbed activated white blood cells (WBCs). A large amount of platelets was adsorbed to PMMA membranes. In terms of the amount of adsorbed protein, significantly more proteins adsorbed to AN69ST membranes compared to PS and PMMA membranes. Moreover, TOF/MS analysis revealed a difference in the types of adsorbed proteins by membrane. Chemokines were particularly prevalent among adsorbed proteins for all 3 membranes. CONCLUSION: Compared to PS and PMMA membranes, AN69ST membranes had a higher capacity to remove activated WBCs. Moreover, apparent differences were noted in the types of proteins that adsorbed to each type of membrane. These differences in membrane properties may impact clinical outcomes.

A Retrospective Study on Erythropoiesis Stimulating Agent Dose Reducing Potential of an Anti-Platelet Activation Membrane Dialyzer in Hemodialysis Patients.

Our previous small-scale trial demonstrated an erythropoiesis stimulating agent (ESA)-sparing potential of the TORAYLIGHT NV (NV) dialyzer in hemodialysis patients with high interleukin-6 levels. We now retrospectively explored this ESA-sparing potential of the NV dialyzer in 122 and 129 prevalent dialysis patients who were on the NV and conventional polysulfone (PS) dialyzers, respectively, for 12 months. ESA resistance index (ERI) increased with the PS dialyzers whereas neither ERI nor ESA dose changed with the NV dialyzer. Analyses of baseline ERI or ESA dose-based subgroups revealed a decrease in ERI and ESA dose with the NV dialyzer in patients with a baseline ERI ≥12 IU·dL/week·kg·g Hb (P < 0.05) and in those with a baseline ESA dose >6000 IU/week (P < 0.001), respectively. Neither ERI nor ESA dose improved in the corresponding subgroups on the PS dialyzers. These findings suggest that NV dialyzer can improve ESA responsiveness in hemodialysis patients with advanced ESA resistance.

Negatively charged polysulfone membranes with hydrophilicity and antifouling properties based on in situ cross-linked polymerization.

Polysulfone (PSf) membrane has been widely used in water separation and purification, although, membrane fouling is still a serious problem limiting its potential. We aim to improve the antifouling of PSf membranes via a very simple and efficient method. In this work, antifouling PSf membranes were fabricated via in situ cross-linked polymerization coupled with non-solvent induced phase separation. In brief, acrylic acid (AA) and vinyltriethoxysilane (VTEOS) were copolymerized in PSf solution, then directly casted into membranes without purification. With the increase of monomers concentration, the morphology of the as-cast membranes changed from a finger-like morphology to a fully sponge-like structure due to the increased viscosity and decreased precipitation rate of the polymer solutions. Meanwhile, the hydrophilicity and electronegativity of modified membranes were highly improved leading to inhibited protein adsorption and improved antifouling property. Furthermore, in order to further find out the different roles player by AA and VTESO, the modified membrane without VTEOS was prepared and characterized. The results indicated that AA is more effective in the membrane hydrophilicity improvement, VTEOS is more crucial to improve membrane stability. This work provides valuable guidance for fabricating PSf membranes with hydrophilicity and antifouling property via in situ cross-linked polymerization.

Preparation and application of novel polysulfone chiral membranes for the separation of tryptophan enantiomers / 中国药科大学学报

@#To preparate a novel polysulfone chiral membranes, β-cyclodextrin was functionalized with dodecanoyl chloride, and this modified β-cyclodextrin was then incorporated into polysulfone casting solution to form the dodecanoyl-β-cyclodextrin/polysulfone chiral membrane. Meanwhile, current studies have investigated the effect of adding different amount of dodecanoyl-β-cyclodextrin on the pure water flux, bovine serum albumin(BSA)rejection rate and enantioselectivity of the membranes. The morphology of the dodecanoyl-β-cyclodextrin/polysulfone chiral membrane was characterized by scanning electron microscopy(SEM). With the incorporation of dodecanoyl-β-cyclodextrin, the pore structure of the membrane changed significantly, with more finger-like pore structures appearing in the support layer. So the membrane water flux increased significantly, while the BSA rejection rate decreased. When the addition amount of dodecanoyl-β-cyclodextrin was in the range of 2% to 3. 5%, the enantiomeric excess increased with the addition of dodecanoyl-β-cyclodextrin. A complete separation of racemic tryptophan can be performed using this novel dodecanoyl-β-cyclodextrin/polysulfone chiral membrane-based separation system.

Research on effect of high-flux polyethersulfone dialysis membrane to inflammatory mediators and nutritional status in patients with maintenance hemodialysis / 中国医学装备

Objective:To observe the effect of high-flux polyethersulfone dialysis membrane to inflammatory mediators and nutritional status in patients with maintenance hemodialysis, and to explore its mechanism.Methods: Ninety six patients with low-flux maintainance hemodialysis were recruited after changing to a high-flux hemodialysis. Hs-CRP, IL-1, IL-6,ALB, Hb,β2-MG were tested before treatment, 6 months and 12 months after treatment, at the same time single chamber urea clearance index (spKt/V) was recorded. Results:①The compare results among high-flux polysulfone membrane dialysis treatment for 6 months and after 12 months, and before treatment, hs-CRP andβ2-MG significantly decreased (F=6.53,P<0.05), spKt/V was significantly higher(F=4.35, P<0.05), and IL-6 significantly decreased at 12 months after treatment, compared with before treatment, the difference was statistically significant (F=7.21,P<0.05).②There was significantly negative correlation between hs-CRP and ALB (r=-0.463,r=-0.396,r=-0.402;P<0.05). Inflammatory mediators may participate in the occurrence and development of its hypoalbuminemia in MHD patients, and elevated hs-CRP levels may be a risk factor for hypoalbuminemia. Conclusion:High-flux polysulfone membrane hemodialysis can effectively reduce micro-inflammatory state MHD patients and improve their nutritional status, improve the quality of life and long-term survival.