The effect of ascending- descending ultrafiltration and sodium profiles on blood pressure in hemodialysis patients: a randomized cross-over study.

BACKGROUND: Considering no previous research into the utilization of ascending/descending ultrafiltration and linear sodium profiles in improving blood pressure among hemodialysis patients, the present study aimed to explore the effect of the A/D-UF along with linear sodium profiles on HD patients with hypotension. METHODS: Applying a crossover design, this clinical trial was fulfilled between December 2022 and June 2023 on 20 patients undergoing HD, randomized into two groups, each one receiving two intervention protocols, viz., (a) an intervention protocol in which the liquid sodium in the dialysis solution was linear and the UF profiling was A/D, and (b) a routine protocol or HD, wherein both liquid sodium and UF in the dialysis solution remained constant. The HD patients' BP was then checked and recorded at six intervals, namely, before HD, one, two, three, and four hours after it, and following its completion, within each session. The data were further statistically analyzed using the IBM SPSS Statistics 20 and the related tests. RESULTS: In total, 20 patients, including 12 men (60%) and 8 women (40%), with the mean age of 58.00 ± 14.54 on HD for an average of 54 months, were recruited in this study. No statistically significant difference was observed in the mean systolic and diastolic BP levels in the group receiving the A/D-UF profile all through the desired hours (p > 0.05), indicating that the patients did not face many changes in these two numbers during HD. Our cross-over clinical trial demonstrated a statistically significant reduction in symptomatic IDH episodes from 55 to 15% with the application of the A/D-UF profile (p < 0.05). CONCLUSION: The study demonstrated that the A/D-UF profile could contribute to the stability of blood pressure levels among HD patients, with no significant fluctuations observed during treatment sessions. TRIAL REGISTRATION: This study was registered in the Iranian Registry of Clinical Trials (no. IRCT20180429039463N5) on 07/01/2023.

Comprehensive effects of microplastics on algae-laden surface water treatment by coagulation-ultrafiltration combined process: Algae cultivation, coagulation performance and membrane fouling development.

In coastal areas, the surface water has been simultaneously exposed to the algae blooms caused by eutrophication and the microplastics (MPs) pollution originating from active human activities. As a practical alternative to address these issues in drinking water plant, coagulation-ultrafiltration combined process is still confronted with the limited understanding about the comprehensive effects of MPs on algae-laden surface water (ASW) treatment. Considering the migration of MPs in nature environment and drinking water treatment process, this study first aims to systematically investigate the influence of MPs on algae cultivation, coagulation performance and membrane fouling development. The results of algae cultivation indicate that MPs stimulated the algae activity by 58 % and then constantly suppressed the secretion of protein-like, humic-like and polysaccharide-like metabolites. The variation of particle size distribution and zeta potential confirm that MPs acted as nuclei to facilitate the development of large coagulation flocs with an increasing average size from 82.6 µm to 107.6 µm, during which the negatively charged pollutants were neutralized and removed from ASW. According to the SEM images, MPs could destroy the structure of fouling layer on 50 kDa membranes during the filtration of ASW coagulation effluent. Its synergistic effect with the enhanced coagulation performance and the suppressed EOM secretion contributed to the alleviation of membrane fouling caused by overlapped large-sized foulants. However, the interaction between the enriched organic foulants by MPs and the deposited coagulants on 300 kDa membranes facilitated the development of cake layer, leading to the deterioration of membrane permeability. This study emphasizes the importance in concerning the existence of MPs during the treatment of ASW by coagulation-ultrafiltration combined process and their exact influence in water purification efficiency.

Nitrate removal from contaminated groundwater by micellar-enhanced ultrafiltration using a polyacrylonitrile membrane with a hydrogel-stabilized ZIF-L layer.

Contamination of groundwater by nitrate from intensive agriculture is a serious problem globally. Excessive fertilization has led to nitrate contamination of the Coastal Aquifer in Israel. Here we report the efficient removal of nitrate from contaminated groundwater by micellar-enhanced ultrafiltration (MEUF) using a specially tailored membrane. Graft polymerization with hydrophilic poly(methacrylate) and incorporation of porous zeolitic imidazole framework ZIF-L nanoparticles imparted antifouling properties to the membrane. The resulting modified membrane showed high water permeance (82.2 ± 1.7 L·m-2·h-1·bar-1). The efficiency of nitrate removal by MEUF was tested using cetylpyridinium chloride as a surfactant in nitrate-contaminated groundwater collected from the Coastal Aquifer of Israel. The membrane reduced nitrate levels from 40-70 to levels of 6.8-29.5 mg·L-1, depending on the groundwater composition; further reduction to 6.1-24.1 mg·L-1 with complete surfactant rejection was achieved via two-stage membrane filtration, which showed high permeate flux (between 32.1 ± 0.9 and 45.9 ± 0.6 L·m-2·h-1) at 2 bar. The membrane maintained stable separation performance during multiple cycles, and the flux recovery ratio was >93 %. Nitrate concentrations fell well below the acceptable limit for drinking water, allowing the treated water to be used without restriction. Overall, the membrane has the potential to allow efficient removal by MEUF of nitrate from contaminated groundwater.

Screening and characterization of potential anti-gout components from Polygonum cuspidatum by integration off-line two-dimensional liquid chromatography-mass spectrometry with affinity ultrafiltration and on-line HPLC-ABTS.

Polygonum cuspidatum (P. cuspidatum) is a traditional herbal medicine with a long history and proven efficacy in treating gout. However, due to the complexity of composition and extensive content distribution, the substance basis of its anti-gout effectiveness is still unclear. A strategy was proposed via integrating off-line two-dimensional liquid chromatography (2D-LC) and targeted rapid screening technology based on ultrafiltration-liquid chromatography-mass spectrometry (UF-LC/MS) and on-line high-performance liquid chromatography-2, 2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt (HPLC-ABTS) to accomplish high coverage and high throughput screening of anti-gout components from P. cuspidatum. As a result, twenty components were screened from P. cuspidatum extract with both xanthine oxidase (XOD) inhibitory activity and free radical scavenging activity, then were preliminarily identified by high-resolution electrospray ionization-quadrupole-time-of-flight mass spectrometer (ESI-Q-TOF/MS). The screened results were verified by the in vitro assays. Meanwhile, molecular docking further elucidated that the screened bioactive ingredients had favourable binding capabilities with XOD. The performance of this study can achieve high efficiency and high coverage screening of the anti-gout components from P. cuspidatum, which provides methodology and strategy support for the rapid screening of bioactive ingredients from complex medicinal plants.

Biofilm rigidity, mechanics and composition in seawater desalination pretreatment employing ultrafiltration and microfiltration membranes.

The choice of appropriate biofilm control strategies in membrane systems for seawater desalination pretreatment relies on understanding the properties of the biofilm formed on the membrane. This study reveals how the biofilm composition, including both organic and inorganic, influenced the biofilm behavior under mechanical loading. The investigation was conducted on two Gravity-Driven Membrane reactors employing Microfiltration (MF) and Ultrafiltration (UF) membrane for the pretreatment of raw seawater. After a stabilization period of 20 days (Phase I), a biofilm behavior test was introduced (Phase II) to evaluate (i) biofilm deformation during the absence of permeation (i.e., relaxation) and (ii) biofilm resistance to detachment forces (i.e., air scouring). The in-situ monitoring investigation using Optical Coherence Tomography (OCT) revealed that the biofilms developed on MF and UF membrane presented a rigid structure in absence of filtration forces, limiting the application of relaxation and biofilm expansion necessary for cleaning. Moreover, under shear stress conditions, a higher reduction in biofilm thickness was observed for MF (-60%, from 84 to 34 µm) compared to UF (-30%, from 64 to 45 µm), leading to an increase of permeate flux (+60%, from 9.1 to 14.9 L/m2/h and +20 % from 7.8 to 9.5 L/m2/h, respectively). The rheometric analysis indicated that the biofilm developed on MF membrane had weaker mechanical strength, displaying lower storage modulus (-50 %) and lower loss modulus (-55 %) compared to UF. These differences in mechanical properties were linked to the lower concentration of polyvalent ions and the distribution of organic foulants (i.e., BB, LMW-N) found in the biofilm on the MF membrane. Moreover, in the presence of air scouring led to a slight difference in microbial community between UF and MF. Our findings provide valuable insight for future investigations aimed at engineer biofilm composition to optimize biofilm control strategies in membrane systems for seawater desalination pretreatment.

Inhibition of biofouling by in-situ grown zwitterionic hydrogel nanolayer on membrane surface in ultralow-pressurized ultrafiltration process.

Ultralow-pressurized ultrafiltration membrane process with low energy consumption is promising in surface water purification. However, membrane fouling and low selectivity are significant barriers for the wide application of this process. Herein, an ultrathin zwitterionic hydrogel nanolayer was in-situ grown on polysulfone ultrafiltration membrane surface through interfacially-initiated free radical polymerization. The hydrogel-modified membrane possessed improved biological fouling resistance during the dynamic filtration process (bovine serum albumin, Escherichia coli and Staphylococcus aureus), comparing with commercial polysulfone membrane. The enhanced biofouling resistance ability of zwitterionic hydrogel nanolayer was derived from the foulant repulsion of hydration shell and the bactericidal effect of quaternary ammonium, according to the results of foulant-membrane interaction energy analyses and antibacterial performances. In surface water treatment, the zwitterionic hydrogel layer inhibited biofouling and resulted in the formation of a loose and thin biofilm. In addition, the hydrogel-modified membrane possessed 22% improvement in dissolved organic carbon (DOC) removal and 134% increasement in stable water flux, compared to commercial polysulfone membrane. The in-situ grown zwitterionic hydrogel nanolayer on membrane surface offers a prospectively alternative for biofouling control in ultralow-pressurized membrane process.

Development of target-based cell membrane affinity ultrafiltration technology for a simplified approach to discovering potential bioactive compounds in natural products.

Target-based drug discovery technology based on cell membrane targets has gained significant traction and has been steadily advancing. However, current methods still face certain limitations that need to be addressed. One of the challenges is the laborious preparation process of screening materials, which can be time-consuming and resource-intensive. Additionally, there is a potential issue of non-specific adsorption caused by carrier materials, which can result in false-positive results and compromise the accuracy of the screening process. To address these challenges, this paper proposes a target-based cell membrane affinity ultrafiltration technology for active ingredient discovery in natural products. In this technique, the cell membranes of human lung adenocarcinoma epithelial cells (A549) with a high expression of epidermal growth factor receptor (EGFR) were incubated with candidate drugs and then transferred to an ultrafiltration tube. Through centrifugation, components that interacted with EGFR were retained in the ultrafiltration tube as "EGFR-ligand" complex, while the components that did not interact with EGFR were separated. After thorough washing and eluting, the components interacting with EGFR were dissociated and further identified using LC-MS, enabling the discovery of bioactive compounds. Moreover, the target-based cell membrane affinity ultrafiltration technology exhibited commendable binding capacity and selectivity. Ultimately, this technology successfully screened and identified two major components from the Curcumae Rhizoma-Sparganii Rhizoma (CS) herb pair extracts, which were further validated for their potential anti-tumor activity through pharmacological experiments. By eliminating the need for laborious preparation of screening materials and the potential non-specific adsorption caused by carriers, the development of target-based cell membrane affinity ultrafiltration technology provides a simplified approach and method for bioactive compounds discovery in natural sources.

Achieving zero fouling in the ultrafiltration for secondary water supply systems in the absence of residual chlorine.

Ultrafiltration (UF) technology is widely used in secondary water supply systems (SWSS) to provide high-quality drinking water. However, the challenge of severe membrane fouling, which leads to frequent cleaning requirements, makes UF maintenance intensive. In this study, we tried to validate the feasibility of achieving zero fouling without the need for cleaning in the UF for SWSS, i.e., the fouling resistance can be maintained for a very long time without any increase. We operated dead-end UF systems at different fluxes, both with and without residual chlorine, and monitored the formation of fouling layers during filtration. The results demonstrated the successful achievement of zero fouling under a flux of 10 L/(m2 h) in the absence of chlorine, evidenced by no increase in transmembrane pressure for three months. This zero-fouling phenomenon was attributed to the formation of a self-regulating biofouling layer. This biofouling layer could degrade the deposited foulants and featured a loose morphology, facilitated by microbial activities in the cake layer. Although residual chlorine reduced the fouling rate by half at a flux of 30 L/(m2 h), it hindered the achievement of zero fouling at the lower flux of 10 L/(m2 h), due to its inhibitory effect on microbial activity. Intermittent operation of UF was effective in achieving zero fouling at higher fluxes (e.g., 30 L/(m2 h)). This benefit was primarily ascribed to the biodegradation of accumulated foulants and the expansion of biofouling layer during the pause of the intermittent filtration, which prompted the formation of biofouling layers with loose structure and balanced composition. To the best of our knowledge, this study is the first attempt to achieve zero fouling in UF for SWSS, and the findings may offer valuable insights for the development of cleaning-free and low-maintenance membrane processes.

Development of a new miniaturized system for ultrafiltration.

Acute decompensated heart failure and fluid overload are the most common causes of hospitalization in heart failure patients, and often, they contribute to disease progression. Initial treatment encompasses intravenous diuretics although there might be a percentual of patients refractory to this pharmacological approach. New technologies have been developed to perform extracorporeal ultrafiltration in fluid overloaded patients. Current equipment allows to perform ultrafiltration in most hospital and acute care settings. Extracorporeal ultrafiltration is then prescribed and conducted by specialized teams, and fluid removal is planned to restore a status of hydration close to normal. Recent clinical trials and European and North American practice guidelines suggest that ultrafiltration is indicated for patients with refractory congestion not responding to medical therapy. Close interaction between nephrologists and cardiologists may be the key to a collaborative therapeutic effort in heart failure patients. Further studies are today suggesting that wearable technologies might become available soon to treat patients in ambulatory and de-hospitalized settings. These new technologies may help to cope with the increasing demand for the care of chronic heart failure patients. Herein, we provide a state-of-the-art review on extracorporeal ultrafiltration and describe the steps in the development of a new miniaturized system for ultrafiltration, called AD1 (Artificial Diuresis).

Target-guided isolation and purification of cyclooxygenase-2 inhibitors from Meconopsis integrifolia (Maxim.) Franch. by high-speed counter-current chromatography combined with ultrafiltration liquid chromatography.

Meconopsis integrifolia (Maxim.) Franch. is used extensively in traditional Tibetan medicine for its potent anti-inflammatory properties. In this study, six cyclooxygenase-2 (COX-2) inhibitors were purified from M. integrifolia using high-speed counter-current chromatography guided by ultrafiltration liquid chromatography (ultrafiltration-LC). First, ultrafiltration-LC was performed to profile the COX-2 inhibitors in M. integrifolia. The reflux extraction conditions were further optimized using response surface methodology, and the results showed that the targeted COX-2 inhibitors could be well enriched under the optimized extraction conditions. Then the six target COX-2 inhibitors were separated by high-speed countercurrent chromatography with a solvent system composed of ethyl acetate/n-butanol/water (4:1:4, v/v/v. Finally, the six COX-2 inhibitors, including 21.2 mg of 8-hydroxyluteolin 7-sophoroside, 29.6 mg of 8-hydroxyluteolin 7-[6'''-acetylallosyl-(1→2)-glucoside], 42.5 mg of Sinocrassoside D3, 54.1 mg of Hypolaetin 7-[6'''-acetylallosyll-(l→2)-3''-acetylglucoside, 30.6 mg of Hypolaetin 7-[6'''-acetylallosyll-(l→2)-6''-acetylglucoside and 17.8 mg of Hypolaetin were obtained from 500 mg of sample. Their structures were elucidated by 1 H-NMR spectroscopy. This study reveals that ultrafiltration-LC combined with high-speed counter-current chromatography is a robust and efficient strategy for target-guided isolation and purification of bioactive molecules. It also enhances the scientific understanding of the anti-inflammatory properties of M. integrifolia but also paves the way for its further medicinal applications.

Removal of glyphosate (GLY) and aminomethylphosphonic acid (AMPA) by ultrafiltration with permeate-side polymer-based spherical activated carbon (UF-PBSAC).

Glyphosate (GLY) is the most commonly used herbicide worldwide, and aminomethylphosphonic acid (AMPA) is one of its main metabolites. GLY and AMPA are toxic to humans, and their complex physicochemical properties present challenges in their removal from water. Several technologies have been applied to remove GLY and AMPA such as adsorption, filtration, and degradation with varied efficiencies. In previous works, an ultrafiltration membrane with permeate-side polymer-based spherical activated carbon (UF-PBSAC) showed the feasibility of removing uncharged micropollutants via adsorption in a flow-through configuration. The same UF-PBSAC was investigated for GLY and AMPA adsorption to assess the removal of charged and lower molecular weight micropollutants. The results indicated that both surface area and hydraulic residence time were limiting factors in GLY/AMPA adsorption by UF-PBSAC. The higher external surface of PBSAC with strong affinity for GLY and AMPA showed higher removal in a dynamic process where the hydraulic residence time was short (tens of seconds). Extending hydraulic residence times (hundreds of seconds) resulted in higher GLY/AMPA removal by allowing GLY/AMPA to diffuse into the PBSAC pores and reach more surfaces. Enhancement was achieved by minimising both limiting factors (external surface and hydraulic residence time) with a low flux of 25 L/m2.h, increased PBSAC layer of 6 mm, and small PBSAC particle size of 78 µm. With this configuration, UF-PBSAC could remove 98 % of GLY and 95 % of AMPA from an initial concentration of 1000 ng/L at pH 8.2 ± 0.2 and meet European Union (EU) regulation for herbicides (100 ng/L for individuals and 500 ng/L for total herbicides). The results implied that UF-PBSAC was able to remove charged micropollutants to the required levels and had potential for application in wastewater treatment and water reuse.

Bi2WO6 nanoparticles anchored on membrane by grafting via in-situ polymerization for the treatment of antibiotic and pesticides wastewater.

Antibiotics, natural organic matter, and pesticides are detected in the ecosystem's domestic water, surface water, and groundwater and are largely applied in pharmaceuticals and agriculture. Polymeric membranes are effectively remove the various pollutants in the water bodies, but fouling is one of the major limitations of commercial membranes. Herein, we modified the polymeric membrane surface with inorganic photocatalytic nanoparticles. In this work, the hydrothermal method is used for the synthesis of Bi2WO6 nanoparticles and as-synthesized nanoparticles grafted onto the various polymeric membranes, including polyetherimide (PEI), cellulose acetate (CA), polyvinylidene fluoride (PVDF), and polysulfone (PSF). The functional group studies confirmed the existence of nanoparticles and hydroxyl groups on the hybrid membrane. Further, finger-like voids, top-surface morphology, and roughness on the membrane surface were validated via Field Emission Scanning Electron Microscopy (FESEM) and Atomic force microscopy (AFM), respectively. The significant rejection of tetracycline, humic acid, and fulvic acid + atrazine was noted with the synthesized membranes in the following order: PVDF (81.1%, 78.8%, 80.6%) > CA (70.1%, 69.3%, 71.7%) > PSF (72.5%, 73.6%, 67.1%) > PEI (75.9%, 65.5%, 63.7%). The photodegradation efficiency of hybrid membranes against tetracycline, humic acid, and fulvic acid + atrazine was observed in the order: PEI (28.5%, 25.8%, 30.2%) < CA (46.5%, 42.4%, 40.5%) < PSF (46.9%, 37.7%, 44.7%) < PVDF (67.7%, 62.1%, 64.3%). These membranes exhibit an outstanding permeate flux recovery ratio to the neat membrane. Therefore, the grafting of Bi2WO6 nanoparticles creates a potential bonding with PVDF membranes than other polymeric membranes, thus exhibiting an outstanding rejection than hybrid and neat membranes.

Ionic regulation whey protein composition on membrane fouling during ultrafiltration process analyzed by HPLC.

In order to meet the market demand and avoid the increase of operation amount and cleaning cost in the process of ultrafiltration, it is particularly important to find more practical and efficient methods to control and improve membrane fouling. In this study, the ions in the ultrafiltration process were regulated to affect membrane surface proteins composition (lactoferrin, α-lactalbumin, ß-lactoglobulin A and ß-lactoglobulin B) and delay membrane fouling. It was found that Na+ (21 mmol/L), Zn2+ (0.25 mmol/L) and K+ (44 mmol/L) was added at 4 min, 8 min and 12 min, respectively during ultrafiltration process. The continuous regulation slowed down the decline rate of membrane flux and reduced the content of α-lactalbumin, ß-lactoglobulin A and ß-lactoglobulin B on the membrane surface analyzed by HPLC. This could reduce the irreversible membrane fouling of proteins cake resistance. Furthermore, the ions concentration was also investigated after filtration. The concentration of K+ was increased significantly and other ions concentration was not significantly changed after continuous regulation such Na+, Mg2+, Zn2+ and Ca2+ compared to control. Therefore, dynamic ionic regulation of whey protein ultrafiltration process is a simple and effective method, which provides technical theoretical basis for optimizing and improving membrane technology.

A review of remediation technologies for uranium-contaminated water.

Uranium is a naturally existing radioactive element present in the Earth's crust. It exhibits lithophilic characteristics, indicating its tendency to be located near the surface of the Earth and tightly bound to oxygen. It is ecotoxic, hence the need for its removal from the aqueous environment. This paper focuses on the variety of water treatment processes for the removal of uranium from water and this includes physical (membrane separation, adsorption and electrocoagulation), chemical (ion exchange, photocatalysis and persulfate reduction), and biological (bio-reduction and biosorption) approaches. It was observed that membrane filtration and ion exchange are the most popular and promising processes for this application. Membrane processes have high throughput but with the challenge of high power requirements and fouling. Besides high pH sensitivity, ion exchange does not have any major challenges related to its application. Several other unique observations were derived from this review. Chitosan/Chlorella pyrenoidosa composite adsorbent bearing phosphate ligand, hydroxyapatite aerogel and MXene/graphene oxide composite has shown super-adsorbent performance (>1000 mg/g uptake capacity) for uranium. Ultrafiltration (UF) membranes, reverse osmosis (RO) membranes and electrocoagulation have been observed not to go below 97% uranium removal/conversion efficiency for most cases reported in the literature. Heat persulfate reduction has been explored quite recently and shown to achieve as high as 86% uranium reduction efficiency. We anticipate that future studies would explore hybrid processes (which are any combinations of multiple conventional techniques) to solve various aspects of the process design and performance challenges.

Efficiency of ultrafiltration/diafiltration in removing organic and elemental process equipment related leachables from biological therapeutics.

In the production of biological therapeutics such as monoclonal antibodies (mAbs), ultrafiltration and diafiltration (UF/DF) are widely regarded as effective downstream processing steps capable of removing process equipment related leachables (PERLs) introduced upstream of the UF/DF step. However, clearance data available in the literature are limited to species with low partition coefficients (log P) such as buffer ions, hydrophilic organic compounds, and some metal ions. Additional data for a wide range of PERLs including hydrophobic compounds and elemental impurities are needed to establish meaningful, comprehensive safety risk assessments. Herein, we report the results from studies investigating the clearance of seven different organic PERLs representing a wide range of characteristics (i.e., log P (-0.3 to 18)), and four model elements with different chemical properties spiked into a mAb formulation at 10 ppm and analyzed during clearance using gas chromatography-mass spectrometry (GC-MS), liquid chromatography-photodiode-array-mass spectrometry (LC-PDA-MS), and inductively coupled plasma mass spectrometry (ICP-MS). The clearance data showed ideal clearance and sieving of spiked organic PERLs with log P < 4, partial clearance of PERLs with 4 < log P < 9, and poor clearance of highly hydrophobic PERLs (log P > 9) after nine diafiltration volumes (DVs). Supplemental clearance studies on seven additional PERLs present at much lower concentration levels (0.1-1.5 ppm) in the mAb formulation upstream of UF/DF and three PERLs associated with the tangential flow filtration (TFF) equipment also demonstrated the similar correlations between log P and % clearance. For model elements, the findings suggest that UF/DF in general provides ideal clearance for elements. Evidence showed that the UF/DF process does not only help mitigate leachables risk from PERLs introduced upstream of UF/DF, but also from the TFF operation itself as all three TFF-related PERLs were effectively cleared. Overall, the UF/DF clearance presented in this work demonstrated whereas highly hydrophobic PERLs and elements that exist as charged species, particularly transition metal ions, may not be as effectively cleared and thus warrant further risk assessment; hydrophilic and some hydrophobic PERLs (log P < 4) are indeed well-cleared and thus present a lower overall safety risk.

Intramodule pressure profiles and protein accumulation during tangential flow filtration.

Tangential flow filtration (TFF) through a 30 kDa nominal molecular weight cut-off (MWCO) ultrafiltration membrane is widely employed to concentrate purified monoclonal antibodies (mAbs) to levels required for their formulation into injectable biologics. While TFF has been used to remove casein from milk for cheese production for over 35 years, and in pharmaceutical manufacture of biotherapeutic proteins for 20 years, the rapid decline in filtration rate (i.e., flux) at high protein concentrations is a limitation that still needs to be addressed. This is particularly important for mAbs, many of which are 140-160 kDa immunoglobulin G (IgG) type proteins recovered at concentrations of 200 mg/mL or higher. This work reports the direct measurement of local transmembrane pressure drops and off-line confocal imaging of protein accumulation in stagnant regions on the surface of a 30 kDa regenerated cellulose membrane in a flat-sheet configuration widely used in manufacture of biotherapeutic proteins. These first-of-a-kind measurements using 150 kDa bovine IgG show that while axial pressure decreases by 58 psi across a process membrane cassette, the decrease in transmembrane pressure drop is constant at about 1.2 psi/cm along the 20.7 cm length of the membrane. Confocal laser scanning microscopy of the membrane surface at the completion of runs where retentate protein concentration exceeds 200 mg/mL, shows a 50 µm thick protein layer is uniformly deposited. The localized measurements made possible by the modified membrane system confirm the role of protein deposition on limiting ultrafiltration rate and indicate possible targets for improving membrane performance.

Chemical-free vacuum ultraviolet irradiation as ultrafiltration membrane pretreatment technique: Performance, mechanisms and DBPs formation.

Membrane fouling induced by natural organic matter (NOM) has seriously affected the further extensive application of ultrafiltration (UF). Herein, a simple, green and robust vacuum ultraviolet (VUV) technology was adopted as pretreatment before UF and ultraviolet (UV) technology was used for comparison. The results showed that control effect of VUV pretreatment on membrane fouling was better than that of UV pretreatment, as evidenced by the increase of normalized flux from 0.27 to 0.38 and 0.73 after 30 min UV or VUV pretreatment, respectively. This is related to the fact that VUV pretreatment exhibited stronger NOM degradation ability than UV pretreatment owing to the formation of HO•. The steady-state concentration of HO• was calculated as 3.04 × 10-13 M and the cumulative exposure of HO• reached 5.52 × 10-10 M s after 30 min of VUV irradiation. And the second-order rate constant between NOM and HO• was determined as 1.36 × 104 L mg-1 s-1. Furthermore, fluorescence EEM could be applied to predict membrane fouling induced by humic-enriched water. Standard blocking and cake filtration were major fouling mechanisms. Moreover, extension of UV pretreatment time increased the disinfection by-products (DBPs) formation, the DBPs concentration was enhanced from 322.36 to 1187.80 µg/L after 210 min pretreatment. However, VUV pretreatment for 150 min reduced DBPs content to 282.57 µg/L, and DBPs content continued to decrease with the extension of pretreatment time, revealing that VUV pretreatment achieved effective control of DBPs. The variation trend of cytotoxicity and health risk of DBPs was similar to that of DBPs concentration. In summary, VUV pretreatment exhibited excellent effect on membrane fouling alleviation, NOM degradation and DBPs control under a certain pretreatment time.

Utilization of aquapheresis among hospitalized patients with end-stage liver disease: A case series and literature review.

Third-spacing of fluid is a common complication in hospitalized patients with decompensated cirrhosis. In addition to ascites, patients with advanced cirrhosis may develop significant peripheral edema, which may limit mobility and exacerbate debility and muscle wasting. Concomitant kidney failure and cardiac dysfunction may lead to worsening hypervolemia, which may ultimately result in pulmonary edema and respiratory compromise. Diuretic use in such patients may be limited by kidney dysfunction and electrolyte abnormalities, including hyponatremia and hypokalemia. A slow, continuous form of ultrafiltration known as aquapheresis is a method of extracorporeal fluid removal whereby a pump generates a transmembrane pressure that forces an isotonic ultrafiltrate across a semipermeable membrane. This leads to removal of an ultrafiltrate that is isotonic to blood without the need for dialysate or replacement fluid as is necessary in other forms of continuous kidney replacement therapy. This technique has been utilized in other conditions including acute decompensated heart failure, with trials showing mixed, but generally favorable results. Herein, we present a series of our own experience using aquapheresis among patients with cirrhosis, review the literature regarding its use in other hypervolemic states, and discuss how we may apply lessons learned from use of aquapheresis in heart failure to patients with end-stage liver disease.

Quantitative source tracking for organic foulants in ultrafiltration membrane using stable isotope probing approach.

Quantitatively identifying the primary sources of organic membrane fouling is essential for the effective implementation of membrane technology and optimal water resource management prior to the treatment. This study leveraged carbon stable isotope tracers to estimate the quantitative contributions of various organic sources to membrane fouling in an ultrafiltration system. Effluent organic matter (EfOM) and aquatic natural organic matter (NOM), two common sources, were combined in five different proportions to evaluate their mixed effects on flux decline and the consequent fouling behaviors. Generally, biopolymer (BP) and low molecular weight neutral (LMWN) size fractions - abundantly present in EfOM - were identified as significant contributors to reversible and irreversible fouling, respectively. Fluorescence spectroscopy disclosed that a protein-like component notably influenced overall membrane fouling, whereas humic-like components were predominantly responsible for irreversible fouling rather than reversible fouling. Fluorescence index (FI) and biological index (BIX), common fluorescence source tracers, showed promise in determining the source contribution for reversible foulants. However, these optical indices were insufficient in accurately determining individual source contributions to irreversible fouling, resulting in inconsistencies with the observed hydraulic analysis. Conversely, applying a carbon stable isotope-based mixing model yielded reasonable estimates for all membrane fouling. The contribution of EfOM surpassed 60 % for reversible fouling and increased with its content in DOM source mixtures. In contrast, aquatic NOM dominated irreversible fouling, contributing over 85 %, regardless of the source mixing ratios. This study emphasizes the potential of stable isotope techniques in accurately estimating the contributions of different organic matter sources to both reversible and irreversible membrane fouling.

Continuation of a cleaning process: Application of MNBs-coagulation process to mitigate ultrafiltration membrane fouling.

The MNBs-coagulation process as a novel and cleaning enhanced coagulation process has been demonstrated to enhance the removal efficiency of hydrophilic organics. In this study, while continuing the concept of cleaning production, the MNBs-coagulation process was first applied to the ultrafiltration process and was expected to alleviate the ultrafiltration membrane fouling. This study investigated the effect of the involvement of MNBs in coagulation-ultrafiltration process (the MC-UF process) on the fouling behaviour of ultrafiltration membrane based on the calculation of membrane resistance distribution and the fitting of membrane fouling model. In addition, the NOM removal efficiency, floc characteristics analysis and membrane hydrophilicity analysis were used to illustrate the mechanism of mitigating ultrafiltration mebrane fouling by the MC-UF process. The experimental results showed that the involvement of MNBs in the coagulation-ultrafiltration process was able to reduce the irreversible fouling and TMP by 43.1 % and 41.6 % respectively. This phenomenon could be attributed to the involvement of MNBs in the coagulation process to improve the removal efficiency of hydrophilic organics and to enhance the characteristics of flocs, thus reducing the possibility of hydrophilic organics and broken flocs entering and blocking the membrane pores. In addition, the FT-IR spectral changes before and after the floc breakage were analyzed by 2D-COS technique in this study, and it was found for the first time that the participation of MNBs in the coagulation process could change the sequence of functional group transformation within the floc, and promote the generation of hydrogen bonds between flocs by hindering the generation of hydroxyl groups (-OH), and improve the shear resistance and regrowth capacity of flocs while reducing the possibility of broken flocs entering and blocking membrane pores. In summary, the MC-UF process proposed in this study can significantly mitigate ultrafiltration membrane fouling while meeting cleaning production, providing theoretical support for the application of the process to practical engineering.