Emerging Chemistry for Wide-Temperature Sodium-Ion Batteries.

The shortage of resources such as lithium and cobalt has promoted the development of novel battery systems with low cost, abundance, high performance, and efficient environmental adaptability. Due to the abundance and low cost of sodium, sodium-ion battery chemistry has drawn worldwide attention in energy storage systems. It is widely considered that wide-temperature tolerance sodium-ion batteries (WT-SIBs) can be rapidly developed due to their unique electrochemical and chemical properties. However, WT-SIBs, especially for their electrode materials and electrolyte systems, still face various challenges in harsh-temperature conditions. In this review, we focus on the achievements, failure mechanisms, fundamental chemistry, and scientific challenges of WT-SIBs. The insights of their design principles, current research, and safety issues are presented. Moreover, the possible future research directions on the battery materials for WT-SIBs are deeply discussed. Progress toward a comprehensive understanding of the emerging chemistry for WT-SIBs comprehensively discussed in this review will accelerate the practical applications of wide-temperature tolerance rechargeable batteries.

High-efficiency electrodeposition of magnesium alloy-based anodes for ultra-stable rechargeable magnesium-ion batteries.

Rechargeable magnesium batteries (RMBs) have attracted much attention because of their high theoretical volumetric capacity and high safety. However, the uneven deposition behavior, harmful corrosion reaction and poor stability of magnesium metal anodes have hindered the practical application of RMBs. Herein, we propose a facile alloy electrodeposition method to construct an artificial layer on an Mg anode. Experimental results show that the polarization of the symmetric magnesium alloy-based (Mg-Sn@Mg and Mg-Bi@Mg) cells is significantly reduced (∼0.05 V) at a current density of 0.1 mA cm-2. The symmetric cells using the prepared Mg alloy anodes exhibited lower voltage hysteresis and ultra-stable cycling performance at a higher density of 1.0 mA cm-2 over 700 h. The in situ optical microscopy study clearly demonstrated that the Mg dendrite formation was successfully retarded by the designed Mg-Sn and Mg-Bi alloy artificial protective layer on Mg anodes. The superiority of Mg-Sn@Mg and Mg-Bi@Mg was further confirmed in full cells using Mo6S8 as the cathode. Compared with the Mo6S8//Mg full cell, the Mo6S8//Mg-Sn@Mg and Mo6S8//Mg-Bi@Mg full cells maintained an ultra-stable electrochemical performance even after 5000 cycles. This proof-of-concept provides a novel scope for the artificial coating layers on Mg anodes prepared by alloy electrodeposition and can be extended to other alloy anodes (i.e. Mg-Cu@Mg and so on). This work provides an avenue for the design of practical and high-performance RMBs and beyond.

Effect of Heteroatom Doping on Electrochemical Properties of Olivine LiFePO4 Cathodes for High-Performance Lithium-Ion Batteries.

Lithium iron phosphate (LiFePO4, LFP), an olivine-type cathode material, represents a highly suitable cathode option for lithium-ion batteries that is widely applied in electric vehicles and renewable energy storage systems. This work employed the ball milling technique to synthesize LiFePO4/carbon (LFP/C) composites and investigated the effects of various doping elements, including F, Mn, Nb, and Mg, on the electrochemical behavior of LFP/C composite cathodes. Our comprehensive work indicates that optimized F doping could improve the discharge capacity of the LFP/C composites at high rates, achieving 113.7 mAh g-1 at 10 C. Rational Nb doping boosted the cycling stability and improved the capacity retention rate (above 96.1% after 100 cycles at 0.2 C). The designed Mn doping escalated the discharge capacity of the LFP/C composite under a low temperature of -15 °C (101.2 mAh g-1 at 0.2 C). By optimizing the doping elements and levels, the role of doping as a modification method on the diverse properties of LFP/C cathode materials was effectively explored.

Halogen chemistry of solid electrolytes in all-solid-state batteries.

All-solid-state batteries (ASSBs) using solid-state electrolytes, replacing flammable liquid electrolytes, are considered one of the most promising next-generation electrochemical energy storage devices because of their improved, inherent safety and energy density. A family of solid electrolytes incorporating halogens has attracted attention because of their potentially high ionic conductivity, good deformability and wide electrochemical windows. Although progress has been made for halogen-containing solid electrolytes (HSEs) in ASSBs, challenges in the preparations, characterizations and low-cost industrial scalability remain. In this Review, we focus on the development of halide battery chemistry, the preparation, modification and properties of HSEs, and issues with HSEs in ASSBs. The chemical action of halogen and ion transport mechanisms are discussed. Moreover, the main challenges and future development directions of halide-based ASSBs are discussed to pave the way for practical applications of HSEs for next-generation rechargeable batteries.

Serum and diet long-chain omega-3 fatty acid nutritional status in Chinese elite athletes.

Omega-3 polyunsaturated fatty acids (omega-3 PUFAs) are essential for improving the health and performance of athletes. The present study aimed to evaluate the nutritional status of omega-3 PUFAs in Chinese elite athletes by both dietary intake analysis and serum biomarker detection. A cross-sectional analysis of data from 54 elite athletes (24 men and 30 women) from Shanghai professional sports teams was conducted. A food frequency questionnaire (FFQ) was employed to analyze dietary intake, and gas chromatography-mass spectrometry (GC-MS/MS) was conducted to measure serum biomarkers of PUFAs. Correlation analysis was performed to investigate the relationships of PUFA biomarkers with diet, inflammation and oxidative stress. The results showed that the median intake of EPA + DHA among athletes was 132 mg/d, which is lower than the minimum value recommended by dietary guidelines (250 mg/d). The average serum EPA + DHA was 4.0 ± 1.1%, and the ratio of omega-6/omega-3 was 7.7 ± 1.7. Most (96.3%) of the athletes were below the targeted value of serum EPA + DHA, which is associated with a reduction in cardiovascular risk. Correlation analysis showed that the serum EPA + DHA was positively correlated with the long-term dietary intake of EPA + DHA and negatively correlated with inflammatory markers. In conclusion, the serum circulating EPA + DHA and omega-6/omega-3 ratio are effective biomarkers reflecting the nutritional status of PUFAs in athletes. Omega-3 PUFAs have a potential effect on inhibiting inflammatory markers. Hence, it is necessary for Chinese athletes to improve their suboptimal nutritional status of PUFAs through dietary intervention.

Three-dimensional Zn-based alloys for dendrite-free aqueous Zn battery in dual-cation electrolytes.

Aqueous zinc-ion batteries, in terms of integration with high safety, environmental benignity, and low cost, have attracted much attention for powering electronic devices and storage systems. However, the interface instability issues at the Zn anode caused by detrimental side reactions such as dendrite growth, hydrogen evolution, and metal corrosion at the solid (anode)/liquid (electrolyte) interface impede their practical applications in the fields requiring long-term performance persistence. Despite the rapid progress in suppressing the side reactions at the materials interface, the mechanism of ion storage and dendrite formation in practical aqueous zinc-ion batteries with dual-cation aqueous electrolytes is still unclear. Herein, we design an interface material consisting of forest-like three-dimensional zinc-copper alloy with engineered surfaces to explore the Zn plating/stripping mode in dual-cation electrolytes. The three-dimensional nanostructured surface of zinc-copper alloy is demonstrated to be in favor of effectively regulating the reaction kinetics of Zn plating/stripping processes. The developed interface materials suppress the dendrite growth on the anode surface towards high-performance persistent aqueous zinc-ion batteries in the aqueous electrolytes containing single and dual cations. This work remarkably enhances the fundamental understanding of dual-cation intercalation chemistry in aqueous electrochemical systems and provides a guide for exploring high-performance aqueous zinc-ion batteries and beyond.

A green and sustainable strategy toward lithium resources recycling from spent batteries.

Recycling lithium from spent batteries is challenging because of problems with poor purity and contamination. Here, we propose a green and sustainable lithium recovery strategy for spent batteries containing LiFePO4, LiCoO2, and LiNi0.5Co0.2Mn0.3O2 electrodes. Our proposed configuration of "lithium-rich electrode || LLZTO@LiTFSI+P3HT || LiOH" system achieves double-side and roll-to-roll recycling of lithium-containing electrode without destroying its integrity. The LiTFSI+P3HT-modified LLZTO membrane also solves the H+/Li+ exchange problem and realizes a waterproof protection of bare LLZTO in the aqueous working environment. On the basis of these advantages, our system shows high Li selectivity (97%) and excellent Faradaic efficiency (≥97%), achieving high-purity (99%) LiOH along with the production of H2. The Li extraction processes for spent LiFePO4, LiNi0.5Co0.2Mn0.3O2, and LiCoO2 batteries is shown to be economically feasible. Therefore, this study provides a previously unexplored technology with low energy consumption as well as high economic and environmental benefits to realize sustainable lithium recycling from spent batteries.

Improved Dialysis Removal of Protein-Bound Uraemic Toxins with a Combined Displacement and Adsorption Technique.

INTRODUCTION: Protein-bound uraemic toxins (PBUTs) are poorly removed by conventional dialytic techniques, given their high plasma protein binding, and thus low, free (dialysable) plasma concentration. Here, we evaluated and compared PBUTs removal among conventional haemodialysis (HD), adsorption-based HD, displacement-based HD, and their 2 combinations both in vitro and in vivo. METHODS: The removal of PBUTs, including 3-carboxy-4-methyl-5-propyl-2-furan-propanoic acid (CMPF), p-cresyl sulphate (PCS), indoxyl sulphate (IS), indole-3-acetic acid (3-IAA), and hippuric acid, was first evaluated in an in vitro single-pass HD model. Adsorption consisted of adding 40 g/L bovine serum albumin (Alb) to the dialysate and displacement involved infusing fatty acid (FA) mixtures predialyser. Then, uraemic rats were treated with either conventional HD, Alb-based HD, lipid emulsion infusion-based HD or their combination to calculate the reduction ratio (RR), and the total solute removal (TSR) of solutes after 4 h of therapy. RESULTS: In vitro dialysis revealed that FAs infusion prefilter increased the removal of PCS, IS, and 3-IAA 3.23-fold, 3.01-fold, and 2.24-fold, respectively, compared with baseline and increased the fractional removal of CMPF from undetectable at baseline to 14.33 ± 0.24%, with a dialysis efficacy markedly superior to Alb dialysis. In vivo dialysis showed that ω-6 soybean oil-based lipid emulsion administration resulted in higher RRs and more TSRs for PCS, IS, and 3-IAA after 4-h HD than the control, and the corresponding TSR values for PCS and IS were also significantly increased compared to that of Alb dialysis. Finally, the highest dialysis efficacy for highly bound solute removal was always observed with their combination both in vitro and in vivo. CONCLUSIONS: The concept of combined displacement- and adsorption-based dialysis may open up new avenues and possibilities in the field of dialysis to further enhance PBUTs removal in end-stage renal disease.

Advances in Lithium-Sulfur Batteries: From Academic Research to Commercial Viability.

Lithium-ion batteries, which have revolutionized portable electronics over the past three decades, were eventually recognized with the 2019 Nobel Prize in chemistry. As the energy density of current lithium-ion batteries is approaching its limit, developing new battery technologies beyond lithium-ion chemistry is significant for next-generation high energy storage. Lithium-sulfur (Li-S) batteries, which rely on the reversible redox reactions between lithium and sulfur, appears to be a promising energy storage system to take over from the conventional lithium-ion batteries for next-generation energy storage owing to their overwhelming energy density compared to the existing lithium-ion batteries today. Over the past 60 years, especially the past decade, significant academic and commercial progress has been made on Li-S batteries. From the concept of the sulfur cathode first proposed in the 1960s to the current commercial Li-S batteries used in unmanned aircraft, the story of Li-S batteries is full of breakthroughs and back tracing steps. Herein, the development and advancement of Li-S batteries in terms of sulfur-based composite cathode design, separator modification, binder improvement, electrolyte optimization, and lithium metal protection is summarized. An outlook on the future directions and prospects for Li-S batteries is also offered.

Single-atom catalysts for high-energy rechargeable batteries.

Clean and sustainable electrochemical energy storage has attracted extensive attention. It remains a great challenge to achieve next-generation rechargeable battery systems with high energy density, good rate capability, excellent cycling stability, efficient active material utilization, and high coulombic efficiency. Many catalysts have been explored to promote electrochemical reactions during the charge and discharge process. Among reported catalysts, single-atom catalysts (SACs) have attracted extensive attention due to their maximum atom utilization efficiency, homogenous active centres, and unique reaction mechanisms. In this perspective, we summarize the recent advances of the synthesis methods for SACs and highlight the recent progress of SACs for a new generation of rechargeable batteries, including lithium/sodium metal batteries, lithium/sodium-sulfur batteries, lithium-oxygen batteries, and zinc-air batteries. The challenges and perspectives for the future development of SACs are discussed to shed light on the future research of SACs for boosting the performances of rechargeable batteries.

Stable, high-performance, dendrite-free, seawater-based aqueous batteries.

Metal anode instability, including dendrite growth, metal corrosion, and hetero-ions interference, occurring at the electrolyte/electrode interface of aqueous batteries, are among the most critical issues hindering their widespread use in energy storage. Herein, a universal strategy is proposed to overcome the anode instability issues by rationally designing alloyed materials, using Zn-M alloys as model systems (M = Mn and other transition metals). An in-situ optical visualization coupled with finite element analysis is utilized to mimic actual electrochemical environments analogous to the actual aqueous batteries and analyze the complex electrochemical behaviors. The Zn-Mn alloy anodes achieved stability over thousands of cycles even under harsh electrochemical conditions, including testing in seawater-based aqueous electrolytes and using a high current density of 80 mA cm-2. The proposed design strategy and the in-situ visualization protocol for the observation of dendrite growth set up a new milestone in developing durable electrodes for aqueous batteries and beyond.

High-power lithium-selenium batteries enabled by atomic cobalt electrocatalyst in hollow carbon cathode.

Selenium cathodes have attracted considerable attention due to high electronic conductivity and volumetric capacity comparable to sulphur cathodes. However, practical development of lithium-selenium batteries has been hindered by the low selenium reaction activity with lithium, high volume changes and rapid capacity fading caused by the shuttle effect of polyselenides. Recently, single atom catalysts have attracted extensive interests in electrochemical energy conversion and storage because of unique electronic and structural properties, maximum atom-utilization efficiency, and outstanding catalytic performances. In this work, we developed a facile route to synthesize cobalt single atoms/nitrogen-doped hollow porous carbon (CoSA-HC). The cobalt single atoms can activate selenium reactivity and immobilize selenium and polyselenides. The as-prepared selenium-carbon (Se@CoSA-HC) cathodes deliver a high discharge capacity, a superior rate capability, and excellent cycling stability with a Coulombic efficiency of ~100%. This work could open an avenue for achieving long cycle life and high-power lithium-selenium batteries.

Author Correction: High-power lithium-selenium batteries enabled by atomic cobalt electrocatalyst in hollow carbon cathode.

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

Stabilization of Sn Anode through Structural Reconstruction of a Cu-Sn Intermetallic Coating Layer.

The metallic tin (Sn) anode is a promising candidate for next-generation lithium-ion batteries (LIBs) due to its high theoretical capacity and electrical conductivity. However, Sn suffers from severe mechanical degradation caused by large volume changes during lithiation/delithiation, which leads to a rapid capacity decay for LIBs application. Herein, a Cu-Sn (e.g., Cu3 Sn) intermetallic coating layer (ICL) is rationally designed to stabilize Sn through a structural reconstruction mechanism. The low activity of the Cu-Sn ICL against lithiation/delithiation enables the gradual separation of the metallic Cu phase from the Cu-Sn ICL, which provides a regulatable and appropriate distribution of Cu to buffer volume change of Sn anode. Concurrently, the homogeneous distribution of the separated Sn together with Cu promotes uniform lithiation/delithiation, mitigating the internal stress. In addition, the residual rigid Cu-Sn intermetallic shows terrific mechanical integrity that resists the plastic deformation during the lithiation/delithiation. As a result, the Sn anode enhanced by the Cu-Sn ICL shows a significant improvement in cycling stability with a dramatically reduced capacity decay rate of 0.03% per cycle for 1000 cycles. The structural reconstruction mechanism in this work shines a light on new materials and structural design that can stabilize high-performance and high-volume-change electrodes for rechargeable batteries and beyond.

Development of liposome as a novel adsorbent for artificial liver support system in liver failure.

Artificial liver support systems (ALSS), represented by albumin dialysis, are designed to replace the liver detoxification function and to serve as supportive therapy until liver transplantation or liver regeneration. We introduce liposome, which is majorly formed by soybean lecithin as the adsorbent nanomaterial in dialysate for the removal of protein-bound and liver failure-related solutes. The binding rate was detected by ultrafiltration column. In vitro and in vivo dialysis was performed in a recirculation system. Unconjugated bilirubin (52.83-99.87%) and bile salts (50.54-94.75%) were bound by liposomes (5-80 g/L) in a dose-response relationship. The in vitro haemodialysis model showed that the concentration of unconjugated bilirubin (45.64 ± 0.90 µmol/L vs. 54.47 ± 3.48 µmol/L, p < 0.05) and bile salts (153.75 ± 7.72 µmol/L vs. 180.72 ± 7.95 µmol/L, p < 0.05) were significantly decreased in the liposome dialysis group than in the phosphate buffer saline group. The in vivo haemodialysis model showed that 40 g/L liposome-containing dialysate led to a significant higher reduction ratio in total bilirubin (6.56 ± 5.72% vs. -1.86 ± 5.99%, p < 0.05) and more total bile acids (7.63 ± 5.27 µmol vs. 2.13 ± 2.32 µmol, p < 0.05) extracted in the dialysate in comparison with the conventional dialysate. In conclusion, the liposome-added dialysate proved to impose good extraction effects on the unconjugated bilirubin and bile salts. These findings indicate that conventional dialysate supported by this nanomaterial can markedly improve the removal of protein-bound and liver failure-related solutes, thus suggesting a novel and promising liver dialysis system.

Removal of Protein-Bound Uremic Toxins by Liposome-Supported Peritoneal Dialysis.

Background:Protein-bound uremic toxins (PBUTs) are poorly cleared by peritoneal dialysis (PD). This study aimed to enhance PBUT removal in PD by adding a binder to the peritoneal dialysate and to evaluate the feasibility and efficacy of liposome-supported PD (LSPD) to increase the removal of PBUTs compared with albumin PD.Methods:Removal of p-cresyl sulfate (PCS), indoxyl sulfate (IS), and indole-3-acetic acid (3-IAA) was first evaluated in an in vitro PD model using artificial plasma preloaded with test solutes. Male Sprague-Dawley rats (n = 24) were then subjected to 5/6 nephrectomy and fed for 16 weeks to establish end-stage renal failure, after which they were treated with either conventional glucose-based PD, albumin-based PD, or liposome-based PD. Removal of PBUTs and small water-soluble solutes was determined during a 6-hour PD dwell.Results:In vitro experiments showed that adding albumin as a toxin binder to the dialysate markedly increased the removal of PCS, IS, and 3-IAA compared with the control. The uptake capacity of liposomes was comparable with that of albumin for PCS and 3-IAA, though slightly inferior for IS. In vivo PD in uremic rats demonstrated that LSPD resulted in higher intraperitoneal concentrations and more total mass removal for PBUTs than the conventional glucose-based PD, which was comparable with albumin PD.Conclusions:Supplementing conventional glucose-based PD solutions with a binder could efficiently increase the removal of PBUTs. This preliminary study suggested that LSPD may be a promising alternative to albumin PD for increasing PBUT removal in the development of next-generation PD solutions for PD patients.

Novel Synthesis of Red Phosphorus Nanodot/Ti3C2Tx MXenes from Low-Cost Ti3SiC2 MAX Phases for Superior Lithium- and Sodium-Ion Batteries.

MXenes, synthesized from MAX, have emerged as new energy-storage materials for a good combination of metallic conductivity and rich surface chemistry. The reported MXenes are synthesized mostly from Al-based MAX. It is still a big challenge to synthesize MXenes from abundant Si-based MAX because of its strong Ti-Si bonds. Here, we report for the first time a high-energy ultrasonic cell-crushing extraction method to successfully prepare Ti3C2Tx MXenes from Si-based MAX using a single low-concentration etchant. This novel strategy for preparing MXenes has a high extraction efficiency and is a fast preparation process of less than 2 h for selective etching of Si. Furthermore, through the high-energy ball-milling technology, unique P-O-Ti bonded red phosphorus nanodot/Ti3C2Tx (PTCT) composites were successfully prepared, which enable superior electrochemical performance in lithium- and sodium-ion batteries because of the double-morphology structure, where the amorphous nano red phosphorus particles were strongly absorbed to Ti3C2Tx MXene sheets, facilitating the transport of alkali ions during cycling processes. This novel synthesis method of Ti3C2Tx MXenes from Si-based MAX and unique P-O-Ti bonded PTCT composites opens a new door for preparing high-performance MXene-based materials and facilitating the development of low-cost MXenes and other two-dimensional materials for next-generation energy storage.

Improved dialytic removal of protein-bound uremic toxins by intravenous lipid emulsion in chronic kidney disease rats.

BACKGROUND: Protein-bound uremic toxins (PBUTs) have received extensive attention, as their accumulation leads to pleiotropic toxic biological effects, while the removal of these solutes by conventional dialysis therapies is severely hampered. This study aimed to examine whether increased removal of PBUTs could be achieved with intravenous lipid emulsion (ILE). METHODS: PBUTs such as 3-carboxy-4-methyl-5-propyl-2-furanpropionic acid (CMPF), p-cresyl sulfate (PCS) and indoxyl sulfate (IS) were spiked with human serum albumin (HSA) solution and the inhibitory effects of free fatty acid (FFA) on the binding of CMPF, PCS and IS to HSA were examined separately in vitro by ultrafiltration. In vitro dialysis of albumin solution was then performed to investigate the effects of fatty acid (FAs) mixtures infusion on the fractional removal of PBUTs. Finally, the inhibitory effect of FFA on the binding of PBUTs to albumin was examined in uremic rats, and blood purification therapy was conducted to calculate the reduction ratio (RR) and the total solute removal (TSR) of solutes. RESULTS: The percentage protein binding of CMPF, PCS and IS decreased significantly with increasing FFAs concentrations, and the inhibitory effect was more remarkable with the addition of oleic acid or linoleic acid than that of eicosapentaenoic acid and docosahexaenoic acid. In vitro infusion of FAs increased the fractional removal of CMPF to 14.40 ± 2.38%. PCS, IS and indole-3-acetic acid removal increased from 8.00 ± 2.43%, 11.68 ± 1.54% and 15.38 ± 3.97%, respectively, at baseline to 28.21 ± 5.99%, 35.42 ± 5.27% and 40.18 ± 5.05%, respectively, when FAs were present. In vivo, rat serum concentrations of free PBUTs were significantly higher in the ILE group than in the control group, and administration of ILE resulted in higher RRs and more TSR for PBUTs after 3 h of hemodialysis (HD) therapy compared with the control group. CONCLUSIONS: Administration of ILE effectively increased the dialytic removal of PBUTs. This method could be applied to current HD therapy.

Co-Fe Mixed Metal Phosphide Nanocubes with Highly Interconnected-Pore Architecture as an Efficient Polysulfide Mediator for Lithium-Sulfur Batteries.

Lithium-sulfur (Li-S) batteries have been regarded as one of the most promising candidates for next-generation energy storage owing to their high energy density and low cost. However, the practical deployment of Li-S batteries has been largely impeded by the low conductivity of sulfur, the shuttle effect of polysulfides, and the low areal sulfur loading. Herein, we report the synthesis of uniform Co-Fe mixed metal phosphide (Co-Fe-P) nanocubes with highly interconnected-pore architecture to overcome the main bottlenecks of Li-S batteries. With the highly interconnected-pore architecture, inherently metallic conductivity, and polar characteristic, the Co-Fe-P nanocubes not only offer sufficient electrical contact to the insulating sulfur for high sulfur utilization and fast redox reaction kinetics but also provide abundant adsorption sites for trapping and catalyzing the conversion of lithium polysulfides to suppress the shuttle effect, which is verified by both the comprehensive experiments and density functional theory calculations. As a result, the sulfur-loaded Co-Fe-P (S@Co-Fe-P) nanocubes delivered a high discharge capacity of 1243 mAh g-1 at 0.1 C and excellent cycling stability for 500 cycles with an average capacity decay rate of only 0.043% per cycle at 1 C. Furthermore, the S@Co-Fe-P electrode showed a high areal capacity of 4.6 mAh cm-2 with superior stability when the sulfur loading was increased to 5.5 mg cm-2. More impressively, the prototype soft-package Li-S batteries based on S@Co-Fe-P cathodes also exhibited superior cycling stability with great flexibility, demonstrating their great potential for practical applications.

Increasing the removal of protein-bound uremic toxins by liposome-supported hemodialysis.

Protein-bound uremic toxins (PBUTs) accumulate at high plasma levels and cause various deleterious effects in end-stage renal disease patients because their removal by conventional hemodialysis is severely limited by their low free-fraction levels in plasma. Here, we assessed the extent to which solute removal can be increased by adding liposomes to the dialysate. The uptake of liposomes by direct incubation in vitro showed an obvious dose-response relationship for p-cresyl sulfate (PCS) and indoxyl sulfate (IS) but not for hippuric acid (HA). The percent removal of both PCS and IS but not of HA was gradually increased with the increased concentration of liposomes in a rapid equilibrium dialysis setup. In vitro closed circulation showed that adding liposomes to the dialysate markedly increased the dialysances of PBUTs without greatly altering that of urea and creatinine. In vivo experiments in uremic rats demonstrated that adding liposomes to the dialysate resulted in higher reduction ratios (RRs) and more total solute removal (TSR) for several PBUTs compared to the conventional dialysate, which was approximately similar to the addition of bovine serum albumin to the dialysate. These findings highlight that as an adjunct to conventional hemodialysis, addition of liposomes to the dialysate could significantly improve the removal of protein-bound uremic solutes without greatly altering the removal of small, water-soluble solutes.