Recent advancement challenges with synthesis of biocompatible hemodialysis membranes

Biophysical studies of modified PVC sheet based on sunflower oil for antistatic and blood bags applications

In this work, the surface of polyvinyl chloride PVC sheet was modified by blending it with sunflower seed oil SSO to obtain PVC sheet/SSO films of ratios 100/0, 90/10, 80/20, 70/30, 60/40, and 50/50 (v/v)% using the solution casting method. Various techniques were used to characterize the prepared films, besides the use of hemolysis assays and blood clot formation tests. FTIR spectra revealed that there was a good interaction between the PVC sheet and the oil. The dielectric measurement indicated that SSO addition enhanced the dielectric properties of the sheet. The study of dielectric relaxation times confirmed the interaction between SSO and the sheet. DC conductivity increased to 6 × 10-6 S/m, so it could be applied in antistatic applications. Also, SSO addition increased the value of the thermal stability. According to SEM micrographs, the film was roughened at a ratio of 60/40 and smoothed out at 50/50. This behavior was confirmed with roughness and contact angle measurement results, in which the film of ratio 60/40 had the highest value equal to (72.03°) and then decreased at 50/50 to (59.62°). These results were confirmed by XRD measurement as the crystallinity increased at the film ratio of 60/40 and decreased again at 50/50. Also, the ratio of 60/40 demonstrated a large decrease in thrombus weights along with a slight increase in hemolysis, which is within the acceptable range and has a high degree of biocompatibility, so this concentration is recommended to be used in blood bags applications.

Low pulse pressure and high serum complement C1q are risk factors for hemodialysis headache: A case-control study

BACKGROUND AND OBJECTIVE

Hemodialysis headache (HDH) is a common complication of dialysis that negatively affects the patient's quality of life. The etiology and triggering factors of HDH are not fully understood. This study aims to assess the prevalence and characteristics of HDH among patients undergoing hemodialysis across multiple centers in China. Furthermore, we conducted a case-control study at one hospital to identify risk factors associated with HDH.

METHODS

The study consisted of two phases including a cross-sectional observational study and a case-control study. Participants underwent neurological examinations and interviews. Demographic and medical information were collected from both medical records and patient files. Serum creatinine, uric acid, urea, estimated glomerular filtration rate (eGFR), plasma osmolarity, glucose, C1q, and a variety of electrolytes including potassium, sodium, chloride, calcium, magnesium, and phosphorus were measured before and after dialysis. Blood pressure variables including systolic blood pressure, diastolic blood pressure, pulse pressure (PP), and heart rate were monitored hourly. Serum levels of inflammatory factors, including tumor necrosis factor α (TNF-α), interleukin (IL)-1β, IL-4, IL-6, and IL-10 were quantified using a double-antibody sandwich enzyme-linked immunosorbent assay (ELISA).

RESULTS

The prevalence of HDH was 37.7% (183/485). HDH was characterized by a bilateral tightening headache of moderate intensity and duration of <2 h, occurring in different locations. The case-control study included 50 patients with HDH and 84 control patients, pre-dialysis PP was found to be lower in the HDH group than in the control group (mean ± standard deviation 51.5 ± 18.2 vs. 67.9 ± 14.9, p = 0.027). Furthermore, the pre-dialysis serum complement C1q level was significantly higher for the HDH group than the control group (median and interquartile range 201.5 [179.0-231.5] vs. 189.0 [168.9-209.0], p = 0.021). Pre-dialysis PP was associated with 5.1% decreased odds of HDH (odds ratio [OR] = 0.96; 95% confidence interval [CI], 0.93-0.99, p = 0.026), body weight was associated with a 5.4% decreased risk of HDH (OR = 0.95; 95% CI, 0.91-0.99, p = 0.013), and pre-dialysis C1q levels increased the odds of HDH by 1.9% (OR = 1.02; 95% CI, 1.01-1.03, p = 0.005).

CONCLUSION

Low PP, low body weight, and high blood complement C1q may be potential risk factors associated with HDH.

Alleviation of Oxidative Stress during Hemodialysis Sessions by Hemodialysis Membrane Innovation: A Multidisciplinary Perspective

Oxidative stress is prevalent in end-stage kidney disease patients receiving chronic hemodialysis and is associated with heavy cardiovascular disease burdens and increased mortality risks. Hemoincompatible hemodialysis membranes per se contribute to the activation of oxidative reactions and the generation of oxygen free radicals. Since the early 1990s, vitamin E-coated membranes have been extensively used in hemodialysis patients to reduce oxidative stress during hemodialysis sessions. However, the beneficial effects of vitamin E-coated membranes versus unmodified synthetic membranes on long-term patient-centered outcomes, such as survival, quality of life, and prevalence of cardiovascular diseases, remain controversial. Accordingly, novel antioxidant hemodialysis membranes were prepared to replace the use of vitamin E-coated membranes despite the translational research on these membranes unfortunately coming to a standstill. In this review, we first summarize the state-of-the-art on the use of vitamin E-coated membranes in hemodialysis patients to highlight their strengths and limitations. Then, we discuss the latest advances in fabricating antioxidant hemodialysis membranes and provide perspectives to bridge knowledge gaps between laboratorial investigations and clinical practice in fabricating antioxidant hemodialysis membranes.

Electrostatic Repulsive Features of Free-Standing Titanium Dioxide Nanotube-Based Membranes in Biofiltration Applications

This study presents the electrostatic repulsive features of electrochemically fabricated titanium dioxide nanotube (NT)-based membranes with different surface nanomorphologies in cross-flow biofiltration applications while maintaining a creatinine clearance above 90%. Although membranes exhibit antifouling behavior, their blood protein rejection can still be improved. Due to the electrostatically negative charge of the hexafluorotitanate moiety, the fabricated biocompatible, superhydrophilic, free-standing, and amorphous ceramic nanomembranes showed that about 20% of negatively charged 66 kDa blood albumin was rejected by the membrane with ∼100 nm pores. As the nanomorphology of the membrane was shifted from NTs to nanowires by varying fabrication parameters, pure water flux and bovine serum albumin (BSA) rejection performance were reduced, and the membrane did not lose its antifouling behavior. Herein, nanomembranes with different surface nanomorphologies were fabricated by a multi-step anodic oxidation process and characterized by scanning electron microscopy, atomic force microscopy, water contact angle analysis, X-ray diffraction, and energy-dispersive X-ray spectroscopy. The membrane performance of samples was measured in 3D printed polyethylene terephthalate glycol flow cells replicating implantable artificial kidney models to determine their blood toxin removal and protein loss features. In collected urine mimicking samples, creatinine clearances and BSA rejections were measured by the spectrophotometric Jaffe method and high-performance liquid chromatography.

The Influence of Magnetic Fields on the Electrical Conductivity of Membranes based on Cotton Fabric, Honey, and Microparticles of Carbonyl Iron and Silver

In the present work, we report that the manufacturing of new environmentally friendly and low-cost materials with electrical conductivity can be roughly and finely tuned by an external magnetic field for technical and biomedical applications. With this aim in mind, we prepared three types of membranes based on cotton fabric impregnated with bee honey, carbonyl iron microparticles (CI), and silver microparticles (SmP). In order to study the influence of the metal particles and the magnetic field on the electrical conductivity of membranes, electrical devices were made. Using the "volt-amperometric" method, it was found that the electrical conductivity of the membranes is influenced by the mass ratio (mCI: mSmP) and by the B values of the magnetic flux density. It was observed that in the absence of an external magnetic field, adding microparticles of carbonyl iron mixed with silver microparticles in mass ratios (mCI: mSmP) of 1:0, 1:0.5, and 1:1 causes the electrical conductivity of the membranes based on cotton fabrics impregnated with honey to increase 2.05, 4.62, and 7.52 times, respectively, compared with that of the membrane based on cotton fabrics impregnated with honey alone. When applying a magnetic field, the electrical conductivity of the membranes with microparticles of carbonyl iron and silver increases with increasing magnetic flux density B. We conclude that the membranes are very good candidates for the fabrication of devices to be used in biomedical applications due to the possibility of remote, magnetically induced release of the bioactive compounds from honey and silver microparticles into the area of interest during medical treatment.

Preparation of polyvinyl chloride (PVC) membrane blended with acrylamide grafted bentonite for oily water treatment

The current work aims to advance the hydrophilicity, morphology, and antifouling characteristics of polyvinyl chloride (PVC) membranes for oily wastewater separation by incorporating modified bentonite. The surface of bentonite nanoparticles is altered by adopting the "grafting from" method using the surface-initiated atom transfer radical polymerization (SI-ATRP) approach. The PVC-based membrane is first prepared by blending acrylamide grafted bentonite (AAm-g-bentonite). AAm is grafted on bentonite in the presence of 2,2'-Bipyridyl and copper (I) bromide as a catalyst. The modified bentonite nanoparticles are studied using multiple techniques, such as fourier transform infrared spectroscopy (FTIR), thermal gravimetric analysis (TGA), sedimentation tests, field emission scanning electron microscope (FE-SEM), etc. Flat-sheet PVC-based membrane is prepared by blending AAm-g-bentonite using the nonsolvent induced phase separation (NIPS) technique. Different methods, including FE-SEM, FTIR, sedimentation test, contact angle, porosity, antifouling property, and filtration studies of pure and oily water, are used to characterize and determine the performance of mixed-matrix membranes. Membrane performance is improved in the presence of modified bentonite (i.e., AAm-g-bentonite), with the best result achieved at PVC/AAm-g-ben-8 (i.e., 8 wt % of AAm-g-bentonite). Enhanced pure water flux (293.14 Lm^-2h^-1), permeate flux (123.96 Lm^-2h^-1), and oil rejection >93.2% are obtained by the reduced contact angle (49.1°) and improved porosity (71.22%).