A zwitterionic polymer/PES membrane for enhanced antifouling performance and promoting hemocompatibility

An endothelium membrane mimetic antithrombotic coating enables safer and longer extracorporeal membrane oxygenation application

Thrombosis and plasma leakage are two of the most frequent dysfunctions of polypropylene (PP) hollow fiber membrane (PPM) used in extracorporeal membrane oxygenation (ECMO) therapy. In this study, a superhydrophilic endothelial membrane mimetic coating (SEMMC) was constructed on polydopamine-polyethyleneimine pre-coated surfaces of the PPM oxygenator and its ECMO circuit to explore safer and more sustainable ECMO strategy. The SEMMC is fabricated by multi-point anchoring of a phosphorylcholine and carboxyl side chained copolymer (PMPCC) and grafting of heparin (Hep) to form PMPCC-Hep interface, which endows the membrane superior hemocompatibility and anticoagulation performances. Furthermore, the modified PPM reduces protein adsorption amount to less than 30 ng/cm2. More significantly, the PMPCC-Hep coated ECMO system extends the anti-leakage and non-clotting oxygenation period to more than 15 h in anticoagulant-free animal extracorporeal circulation, much better than the bare and conventional Hep coated ECMO systems with severe clots and plasma leakage in 4 h and 8 h, respectively. This SEMMC strategy of grafting bioactive heparin onto bioinert zwitterionic copolymer interface has great potential in developing safer and longer anticoagulant-free ECMO systems. STATEMENT OF SIGNIFICANCE: A superhydrophilic endothelial membrane mimetic coating was constructed on surfaces of polypropylene hollow fiber membrane (PPM) oxygenator and its ECMO circuit by multi-point anchoring of a phosphorylcholine and carboxyl side chain copolymer (PMPCC) and grafting of heparin (Hep). The strong antifouling nature of the PMPCC-Hep coating resists the adsorption of plasma bio-molecules, resulting in enhanced hemocompatibility and anti-leakage ability. The grafted heparin on the zwitterionic PMPCC interface exhibits superior anticoagulation property. More significantly, the PMPCC-Hep coating achieves an extracorporeal circulation in a pig model for at least 15 h without any systemic anticoagulant. This endothelial membrane mimetic anticoagulation strategy shows great potential for the development of safer and longer anticoagulant-free ECMO systems.

Effects of a dual functional filler, polyethersulfone-g-carboxymethyl chitosan@MWCNT, for enhanced antifouling and penetration performance of PES composite membranes

Ultrafiltration technology, separating water from impurities by the core membrane, is an effective strategy for treating wastewater to meet the ever-growing requirement of clean and drinking water. However, the similar nature of hydrophobic organic pollutants and the membrane surface leads to severe adsorption and aggregation, resulting unavoidable membrane degradation of penetration and rejection. The present study presents a novel block amphiphilic polymer, polyethersulfone-g-carboxymethyl chitosan@MWCNT (PES-g-CMC@MWCNT), which is synthesized by grafting hydrophobic polyethersulfone to hydrophilic carboxymethyl chitosan in order to suspend CMC in organic solution. A mixture of hydrophilic carboxymethyl chitosan and hydrophobic polymers (polyethersulfone), in which hydrophilic segments are bonded to hydrophobic segments, could provide hydrophilic groups, as well as gather and remain stable on membrane surfaces by their hydrophobic interaction for improved compatibility and durability. The resultant ultrafiltration membranes exhibit high water flux (198.10 L m-2·h-1), suitable hydrophilicity (64.77°), enhanced antifouling property (82.96%), while still maintains excellent rejection of bovine serum albumin (91.75%). There has also been an improvement in membrane cross-sectional morphology, resulting in more regular pores size (47.64 nm) and higher porosity (84.60%). These results indicate that amphiphilic polymer may be able to significantly promote antifouling and permeability of ultrafiltration membranes.

Aminolysis-Based Zwitterionic Immobilization on Polyethersulfone Membranes for Enhanced Hemocompatibility: Experimental, Computational, and Ex Vivo Investigations

Dialysis membranes are not hemocompatible with human blood, as the patients are suffering from the blood-membrane interactions' side effects. Zwitterionic structures have shown improved hemocompatibility; however, their complicated synthesis hinders their commercialization. The goal of the study is to achieve fast functionalization for carboxybetaine and sulfobetaine zwitterionic immobilization on PES membranes while comparing the stability and the targeted hemocompatibility. The chemical modification approach is based on an aminolysis reaction. Characterization, computational simulations, and clinical analysis were conducted to study the modified membranes. Atomic force microscopy (AFM) patterns showed a lower mean roughness for carboxybetaine-modified (6.3 nm) and sulfobetaine-modified (7.7 nm) membranes compared to the neat membrane (52.61 nm). The pore size of the membranes was reduced from values above 50 nm for the neat PES to values between 2 and 50 nm for zwitterionized membranes, using Brunauer-Emmett-Teller (BET) analysis. More hydrophilic surfaces led to a growth equilibrium water content (EWC) of nearly 6% for carboxybetaine and 10% for sulfobetaine-modified membranes. Differential scanning calorimetry (DSC) measurements were 12% and 16% stable water for carboxybetaine- and sulfobetaine-modified membranes, respectively. Sulfobetaine membranes showed better compatibility with blood with respect to C5a, IL-1a, and IL-6 biomarkers. Aminolysis-based zwitterionization was found to be suitable for the improvement of hemodialysis membranes. The approach introduced in this paper could be used to modify the current dialysis membranes with minimal change in the production facilities.

Zwitterionic Tröger's Base Microfiltration Membrane Prepared via Vapor-Induced Phase Separation with Improved Demulsification and Antifouling Performance

The fouling of separation membranes has consistently been a primary factor contributing to the decline in membrane performance. Enhancing the surface hydrophilicity of the membrane proves to be an effective strategy in mitigating membrane fouling in water treatment processes. Zwitterionic polymers (containing an equimolar number of homogeneously distributed anionic and cationic groups on the polymer chains) have been used extensively as one of the best antifouling materials for surface modification. The conventional application of zwitterionic compounds as surface modifiers is intricate and inefficient, adding complexity and length to the membrane preparation process, particularly on an industrial scale. To overcome these limitations, zwitterionic polymer, directly used as a main material, is an effective method. In this work, a novel zwitterionic polymer (TB)-zwitterionic Tröger's base (ZTB)-was synthesized by quaternizing Tröger's base (TB) with 1,3-propane sultone. The obtained ZTB is blended with TB to fabricate microfiltration (MF) membranes via the vapor-induced phase separation (VIPS) process, offering a strategic solution for separating emulsified oily wastewater. Atomic force microscopy (AFM), scanning electron microscopy (SEM), water contact angle, and zeta potential measurements were employed to characterize the surface of ZTB/TB blended membranes, assessing surface morphology, charge, and hydrophilic/hydrophobic properties. The impact of varying ZTB levels on membrane surface morphology, hydrophilicity, water flux, and rejection were investigated. The results showed that an increase in ZTB content improved hydrophilicity and surface roughness, consequently enhancing water permeability. Due to the attraction of water vapor, the enrichment of zwitterionic segments was enriched, and a stable hydration layer was formed on the membrane surface. The hydration layer formed by zwitterions endowed the membrane with good antifouling properties. The proposed mechanism elucidates the membrane's proficiency in demulsification and the reduction in irreversible fouling through the synergistic regulation of surface charge and hydrophilicity, facilitated by electrostatic repulsion and the formation of a hydration layer. The ZTB/TB blended membranes demonstrated superior efficiency in oil-water separation, achieving a maximum flux of 1897.63 LMH bar-1 and an oil rejection rate as high as 99% in the oil-water emulsion separation process. This study reveals the migration behavior of the zwitterionic polymer in the membrane during the VIPS process. It enhances our comprehension of the antifouling mechanism of zwitterionic membranes and provides guidance for designing novel materials for antifouling membranes.

MOF@Polydopamine-incorporated membrane with high permeability and mechanical property for efficient fouling-resistant and oil/water separation

Metal organic frameworks (MOFs) have demonstrated great potential for their favorable impacts on the performance of water treatment membranes. Herein, the novel nanoparticles based on both nanoporous MOFs and organic PDA layer was exploited as a novel dopant for the fabrication of PES ultrafiltration (UF) membranes. The PDA was synthesized via oxidative self-polymerization under alkaline conditions and formed adhesive coatings on dispersed MOF. The properties of resulting membranes on the porosity, membrane morphology, hydrophilicity, permeability and anti-fouling performance were adequately investigated. The membranes incorporated with MOF@PDA exhibited exceptionally high permeability (209.02 L m-2·h-1), which is approximately 6 times higher than that of the pure PES membrane, and high BSA rejection (99.12%). Notably, the mechanical property and hydrophilicity of the PES membrane were both enhanced by MOF@PDA, and it has been demonstrated that greater hydrophilicity prevents fouling under practical conditions, which results in significant improvements in flux recovery ratio (FRR) (82%). In addition, the modified PES membranes were used to purify the oil/water emulsion, and the results indicates that the membranes have high permeability and rejection of oil/water emulsion, showing its great promise in practical oily sewage remediation.

Antifouling and Water Flux Enhancement in Polyethersulfone Ultrafiltration Membranes by Incorporating Water-Soluble Cationic Polymer of Poly [2-(Dimethyl amino) ethyl Methacrylate]

Novel ultrafiltration (UF) polymer membranes were prepared to enhance the antifouling features and filtration performance. Several ultrafiltration polymer membranes were prepared by incorporating different concentrations of water-soluble cationic poly [2-(dimethyl amino) ethyl methacrylate] (PDMAEMA) into a homogenous casting solution of polyethersulfone (PES). After adding PDMAEMA, the effects on morphology, hydrophilicity, thermal stability, mechanical strength, antifouling characteristics, and filtration performance of these altered blended membranes were investigated. It was observed that increasing the quantity of PDMAEMA in PES membranes in turn enhanced surface energy, hydrophilicity, and porosity of the membranes. These new modified PES membranes, after the addition of PDMAEMA, showed better filtration performance by having increased water flux and a higher flux recovery ratio (FRR%) when compared with neat PES membranes. For the PES/PDMAEMA membrane, pure water flux with 3.0 wt.% PDMAEMA and 0.2 MPa pressure was observed as (330.39 L·m^-2·h^-1), which is much higher than that of the neat PES membrane with the value of (163.158 L·m^-2·h^-1) under the same conditions. Furthermore, the inclusion of PDMAEMA enhanced the antifouling capabilities of PES membranes. The total fouling ratio (TFR) of the fabricated PES/PDMAEMA membranes with 3.0 wt.% PDMAEMA at 0.2 MPa applied pressure was 36 percent, compared to 64.9 percent for PES membranes.

Nanofibers with homogeneous heparin distribution and protracted release profile for vascular tissue engineering

In clinic, controlling acute coagulation after small-diameter vessel grafts transplantation is considered a primary problem. The combination of heparin with high anticoagulant efficiency and polyurethane fiber with good compliance is a good choice for vascular materials. However, blending water-soluble heparin with fat-soluble poly (ester-ether-urethane) urea elastomer (PEEUU) uniformly and preparing nanofibers tubular grafts with uniform morphology is a huge challenge. In this research, we have compounded PEEUU with optimized constant concentration of heparin by homogeneous emulsion blending, then spun into the hybrid PEEUU/heparin nanofibers tubular graft (H-PHNF) for replacing rats' abdominal aorta in situ for comprehensive performance evaluation. The in vitro results demonstrated that H-PHNF was of uniform microstructure, moderate wettability, matched mechanical properties, reliable cytocompatibility, and strongest ability to promote endothelial growth. Replacement of resected abdominal artery with the H-PHNF in rat showed that the graft was capable of homogeneous hybrid heparin and significantly promoted the stabilization of vascular smooth muscle cells (VSMCs) as well as stabilizing the blood microenvironment. This research demonstrates the H-PHNF with substantial patency, indicating their potential for vascular tissue engineering.

Advances in Enhancing Hemocompatibility of Hemodialysis Hollow-Fiber Membranes

Hemodialysis, the most common modality of renal replacement therapy, is critically required to remove uremic toxins from the blood of patients with end-stage kidney disease. However, the chronic inflammation, oxidative stress as well as thrombosis induced by the long-term contact of hemoincompatible hollow-fiber membranes (HFMs) contribute to the increase in cardiovascular diseases and mortality in this patient population. This review first retrospectively analyzes the current clinical and laboratory research progress in improving the hemocompatibility of HFMs. Details on different HFMs currently in clinical use and their design are described. Subsequently, we elaborate on the adverse interactions between blood and HFMs, involving protein adsorption, platelet adhesion and activation, and the activation of immune and coagulation systems, and the focus is on how to improve the hemocompatibility of HFMs in these aspects. Finally, challenges and future perspectives for improving the hemocompatibility of HFMs are also discussed to promote the development and clinical application of new hemocompatible HFMs.

Graphical Abstract

A versatile drug-controlled release polymer brush hybrid non-glutaraldehyde bioprosthetic heart valves with enhanced anti-inflammatory, anticoagulant and anti-calcification properties, and superior mechanical performance

Transcatheter heart valve replacement (THVR) is a novel treatment modality for severe heart valves diseases and has become the main method for the treatment of heart valve diseases in recent years. However, the lifespan of the commercial glutaraldehyde cross-linked bioprosthetic heart valves (BHVs) used in THVR can only serve for 10-15 years, and the essential reason for the failure of the valve leaflet material is due to these problems such as calcification, coagulation, and inflammation caused by glutaraldehyde cross-linking. Herein, a kind of novel non-glutaraldehyde cross-linking agent bromo-bicyclic-oxazolidine (OX-Br) has been designed and synthesized with both crosslinking ability and in-situ atom transfer radical polymerization (ATRP) function. Then OX-Br treated porcine pericardium (OX-Br-PP) are stepwise modified with co-polymer brushes of reactive oxygen species (ROS) response anti-inflammatory drug conjugated block and anti-adhesion polyzwitterion polymer block through the in-situ ATRP reaction to obtain the functional BHV material MPQ@OX-PP. Along with the great mechanical properties and anti-enzymatic degradation ability similar to glutaraldehyde-crosslinked porcine pericardium (Glut-PP), good biocompatibility, improved anti-inflammatory effect, robust anti-coagulant ability and superior anti-calcification property have been verified for MPQ@OX-PP by a series of in vitro and in vivo investigations, indicating the excellent application potential as a multifunctional heart valve cross-linking agent for OX-Br. Meanwhile, the strategy of synergistic effect with in situ generations of reactive oxygen species-responsive anti-inflammatory drug blocks and anti-adhesion polymer brushes can effectively meet the requirement of multifaceted performance of bioprosthetic heart valves and provide a valuable reference for other blood contacting materials and functional implantable materials with great comprehensive performance.

Amphiphilic Grafted Polymers Based on Citric Acid and Aniline Used to Enhance the Antifouling and Permeability Properties of PES Membranes

Water treatment technology based on ultrafiltration (UF) faces the problem of severe membrane fouling due to its inherent hydrophobicity. The use of amphiphilic polymers that possess both hydrophobic and hydrophilic chain segments can be advantageous for the hydrophilic modification of UF membranes due to their excellent combination in the membrane matrix. In the present study, we examined a novel amphiphilic CA-g-AN material, constructed by grafting citric acid (CA) to aniline (AN), as a modified material to improve the hydrophilicity of a PES membrane. This material was more compatible with the polymer membrane matrix than a pure hydrophilic modified material. The polyethersulfone (PES) membranes modified by amphiphilic CA-g-AN demonstrated a higher water flux (290.13 L·m^-2·h^-1), which was more than eight times higher than that of the pure PES membrane. Furthermore, the flux recovery ratio (FRR) of the modified membrane could reach 83.24% and the value of the water contact angle (WCA) was 76.43°, demonstrating the enhanced hydrophilicity and antifouling ability of the modified membranes. With this study, we aimed to develop a new amphiphilic polymer to improve the antifouling property and permeability of polymer-based UF membranes to remove organic pollutants from water.

Impact of Membrane Modification and Surface Immobilization Techniques on the Hemocompatibility of Hemodialysis Membranes: A Critical Review

Despite significant research efforts, hemodialysis patients have poor survival rates and low quality of life. Ultrafiltration (UF) membranes are the core of hemodialysis treatment, acting as a barrier for metabolic waste removal and supplying vital nutrients. So, developing a durable and suitable membrane that may be employed for therapeutic purposes is crucial. Surface modificationis a useful solution to boostmembrane characteristics like roughness, charge neutrality, wettability, hemocompatibility, and functionality, which are important in dialysis efficiency. The modification techniques can be classified as follows: (i) physical modification techniques (thermal treatment, polishing and grinding, blending, and coating), (ii) chemical modification (chemical methods, ozone treatment, ultraviolet-induced grafting, plasma treatment, high energy radiation, and enzymatic treatment); and (iii) combination methods (physicochemical). Despite the fact that each strategy has its own set of benefits and drawbacks, all of these methods yielded noteworthy outcomes, even if quantifying the enhanced performance is difficult. A hemodialysis membrane with outstanding hydrophilicity and hemocompatibility can be achieved by employing the right surface modification and immobilization technique. Modified membranes pave the way for more advancement in hemodialysis membrane hemocompatibility. Therefore, this critical review focused on the impact of the modification method used on the hemocompatibility of dialysis membranes while covering some possible modifications and basic research beyond clinical applications.

Doubly modified MWCNTs embedded in polyethersulfone (PES) ultrafiltration membrane and its anti-fouling performance

Multiwall carbon nanotubes (MWCNTs) are often used to modify polymer membranes as additives, however, MWCNTs are easy to agglomerate and entangle in polymer matrix due to their own strong van der Waals force. MWCNTs were doubly modified by bonding octadecylamine (ODA) and SiO2 through the respective amidation and esterification reactions to prepare SiO2-MWCNT-ODA nanocomposites. The amino groups on ODA were amidated with the carboxyl groups on MWCNT-COOH. Then the hydroxyl groups on SiO2 were bonded to MWCNT-COOH through esterification to obtain SiO2-MWCNT-ODA nanocomposites. PES/SiO2-MWCNT-ODA composite ultrafiltration (UF) membrane was prepared by non-solvent induced phase separation (NIPS) method. SiO2-MWCNT-ODA nanocomposites and PES/SiO2-MWCNT-ODA membrane were characterized by FTIR, XRD, TGA, and SEM, etc. The results showed that PES/SiO2-MWCNT-ODA membrane had significantly improved permeability, rejection, and antifouling properties for comparison with PES membrane. The pure water flux of PES/Nano.2-0.5 reached 212.5 L m−2 h−1, which was approximately 2.6 times than that of PES membrane, and the rejection of BSA protein for composite membrane was as high as 94.2%. PES/SiO2-MWCNT-ODA composite membrane had excellent antifouling performance and the flux recovery rate (FRR) of PES/Nano.2-0.5 membrane could still maintain at higher value of 84.82% after two cycles in the antifouling test.

Natural polyphenol-based nanoengineering of collagen-constructed hemoperfusion adsorbent for the excretion of heavy metals

Designing a hemoperfusion adsorbent for the excretion therapy of toxic heavy metals still remains a great challenge due to the biosafety risks of non-biological materials and the desired highly efficient removal capacity. Herein, inspired from the homeostasis mechanism of plants, natural polyphenols are integrated with collagen matrix to construct a polyphenol-functionalized collagen-based artificial liver (PAL) for heavy metals excretion and free radicals scavenging therapy. PAL presents high adsorption capacities for Cu²⁺, Pb²⁺, and UO₂²⁺ ions, up to 76.98 μmol g^-1, 106.70 μmol g^-1, and 252.48 μmol g^-1, respectively. Remarkably, PAL possesses a high binding affinity for UO₂²⁺, Pb²⁺, and Cu²⁺ ions even in the complex serum environment with the presence of biologically-relevant ions (e.g., Mg²⁺, Ca²⁺ ions). Low hemolysis ratio (1.77%), high cell viability (> 85%), high plasma recalcification time (17.4 min), and low protein adsorption (1.02 μmol g^-1) indicate outstanding biocompatibility of this material. This natural polyphenol/collagen-based fully bio-derived hemoperfusion adsorbent provides a novel and potentially applicable strategy for constructing a hemoperfusion adsorbent for heavy metal ions excretion therapy with efficiency and biosafety.

Manufacturing and Separation Characteristics of Hemodialysis Membranes to Improve Toxin Removal Rate

With the recently growing interest in health care, hemodialysis is being performed not only to treat patients with renal disease but also to improve blood circulation. At present, filters used for hemodialysis are manufactured only in certain countries, and all other countries must rely on imports. In this study, polyethersulfone (PES), which has excellent blood compatibility, was used as the main material to develop hemodialysis membranes for hemodialysis filters, and these hemodialysis membranes were prepared by adding a hydrophilic polymer, polyvinylpyrrolidone (PVP), and varying the type of nonsolvent during the manufacturing process to improve the toxin removal rate and biocompatibility. The addition of PVP was confirmed through attenuated total reflection Fourier transform infrared (ATR-FTIR), and the structure of the membranes depending on the nonsolvent was analyzed through scanning electron microscopy (SEM) and atomic force microscopy (AFM) images. The contact angle results indicated that the hydrophilicity of the membrane surface was improved as the concentration of PVP increased. The results of the toxin filtration efficiency experiment using urea, creatinine, and bovine serum albumin (BSA) confirmed removal rates of 58.8% and 56.87%, respectively, and a protein loss of less than 8%. Also, cell viability was over 90% at the PVP concentration of 2% or higher. A preliminary study was conducted on the improvement of toxin filtration efficiency and the development potential of these hemodialysis membranes with excellent biocompatibility.

One-Step Water-Induced Phase Separation Simultaneously Triggering Polymer Solidification and Polyelectrolyte Complexation for Porous Ultrafiltration Membranes

Functional additives have been widely utilized for the membrane structure modulation and performance improvement during the nonsolvent-induced phase separation process, but the resulted membranes easily suffer from additives' inhomogeneous dispersity and compatibility with the polymer matrix. Herein, a facile and robust strategy, i.e., one-step water-induced phase separation, was proposed for the preparation of polyelectrolytes-contained composite membranes. Polyanion (dopamine modified polyacrylic acid) and polycation (quaternized chitosan paired with bis(trifluoromethane-sulfonyl)imide) were first premixed in dimethyl sulfoxide and used as polyelectrolyte additives in a polysulfone (PSF) solution, and then a uniform PSF-based casting solution was readily obtained. During the solvent-water exchange process, polymer solidification and polyelectrolyte complexation were simultaneously triggered, in situ generating a polyelectrolyte complex fixed within the membrane matrix. Ultrafiltration membranes with hierarchical structures were notably tailored through altering the concentration, molecular weight, and type of polyelectrolytes. The obtained membrane exhibited a water flux of 672 L·m^-2·h^-1, three times over the raw PSF membrane, while almost maintaining high bovine serum albumin (BSA) rejection. This work paves a straightforward and convenient path for the preparation of composite membranes with tunable architecture and properties.

Improvement of the filtration and antifouling performance of a nanofibrous sterile membrane by a one-step grafting zwitterionic compound

A zwitterionic NFM was employed as a sterile membrane for an absolute interception of 107 cfu cm−2Brevundimonas diminuta.

Inner Surface Hydrophilic Modification of PVDF Membrane with Tea Polyphenols/Silica Composite Coating

The use of Polyvinylidene fluoride (PVDF) membranes is constrained in wastewater treatment because of their hydrophobic nature. Therefore, a large number of researchers have been working on the hydrophilic modification of their surfaces. In this work, a superhydrophilic tea polyphenols/silica composite coating was developed by a one-step process. The composite coating can achieve not only superhydrophilic modification of the surface, but also the inner surface of the porous PVDF membrane, which endows the modified membrane with excellent water permeability. The modified membrane possesses ultrahigh water flux (15,353 L·m⁻²·h⁻¹). Besides this, the modified membrane can realize a highly efficient separation of oil/water emulsions (above 96%).

Hemodialysis biocompatibility mathematical models to predict the inflammatory biomarkers released in dialysis patients based on hemodialysis membrane characteristics and clinical practices

Chronic kidney disease affects millions of people around the globe and many patients rely on hemodialysis (HD) to survive. HD is associated with undesired life-threatening side effects that are linked to membrane biocompatibility and clinical operating conditions. The present study develops a mathematical model to predict the inflammatory biomarkers released in HD patients based on membrane morphology, chemistry, and interaction affinity. Based on the morphological characteristics of two clinical-grade HD membrane modules (CTA and PAES-PVP) commonly used in Canadian hospitals, a molecular docking study, and the release of inflammatory cytokines during HD and in vitro incubation experiments, we develop five sets of equations that describe the concentration of eight biomarkers (serpin/antithrombin-III, properdin, C5a, 1L-1α, 1L-1β, C5b-9, IL6, vWF). The equations developed are functions of membrane properties (pore size, roughness, chemical composition, affinity to fibrinogen, and surface charge) and HD operating conditions (blood flow rate, Qb, and treatment time, t). We expand our model based on available clinical data and increase its range of applicability in terms of flow rate and treatment time. We also modify the original equations to expand their range of applicability in terms of membrane materials, allowing the prediction and validation of the inflammatory response of several clinical and synthesized membrane materials. Our affinity-based model solely relies on theoretical values of molecular docking, which can significantly reduce the experimental load related to the development of more biocompatible materials. Our model predictions agree with experimental clinical data and can guide the development of novel materials and support evidence-based membrane synthesis of HD membranes, reducing the need for trial-and-error approaches.

Influence of UV-irradiation intensity and exposure duration on the hemobiocompatibility enhancement of a novel synthesized phosphobetaine zwitterions polyethersulfone clinical hemodialysis membranes

To improve the biocompatibility of polyethersulfone (PES) membranes utilized for biomedical hemodialysis (HD) applications, surface grafting with hydrophilic polymers has become a reliable modification strategy. Like most photochemical catalyzed reactions, UV-assisted grafting is distinctly advantageous for inducing permanent surface chemistry, enhancing hydrophilicity, improving morphology, and surface charge of membranes. PES membranes may be hydrophilic and chemically stable; however, they also have low protein-binding capacity and very susceptible to fouling and target analyte binding. In this study, novel zwitterionic polymers (PVP-ZW) have been synthesized by UV-assisted grafting PVP to a phosphobetaine monomer in a reaction involving dimethylamino and dioxaphospholane-2-oxide terminal groups in an NVP monomer solution at varying UV exposure conditions. The highlight of the present study is the investigation of the hemocompatibility of coated PES HD membranes at varying UV exposure conditions with respect to membrane chemistry and morphology and its influence on human serum protein adsorption. A clinical investigation of inflammatory biomarker release from incubated coated membranes within uremic blood samples of HD patients reveals they are weak complement and coagulation activators compared to bare PES membrane. The trend of fibrinogen adsorption on coated PES membranes was observed to increase with reducing UV intensity and exposure duration. Fibrinogen adhesion only increased with roughened membrane surfaces, and this also led to the formation of biological activation pathways hindering biocompatibility. Resistance against fibrinogen absorption on zwitterionic modified PES membrane could be linked with the creation of electrostatically induced neutral zwitterionic PVP-phosphobetaine hydration layer with hydrophilic character. Experimental results are accompanied by spectroscopic and morphological imaging evidence. Zwitterion coated PES membranes (PES-PVP-ZW) fabricated from higher UV intensities through longer exposure durations showed significant presence of surface deformations in the forms of inherent exfoliations due to harsh UV reaction conditions. The zeta potential and surface roughness of coated membranes also played significant role in the fibrinogen adsorption on PES membranes during ultrafiltration.

Fabrication of Zwitterion TiO2 Nanomaterial-Based Nanocomposite Membranes for Improved Antifouling and Antibacterial Properties and Hemocompatibility and Reduced Cytotoxicity

Although zwitterion nanomaterials exhibit outstanding antifouling property, hemocompatibility, and antibacterial activity, their poor solubility in organic solvents limits their practical applications. In the present study, natural lysine (amino acids) was surface-grafted onto one-dimensional (1D) TiO2 nanofibers (NFs) through an epoxy ring opening in which the 3-glycidyloxypropyl (dimethoxy) methyl silane was used as a coupling agent. Chemical binding and morphological studies, such as Fourier transform infrared spectroscopy, X-ray photoelectron spectroscopy, and transmission electron microscopy, were conducted to confirm the successful grafting of lysine onto the TiO2 NFs. The lysine-grafted TiO2 NF-polyethersulfone (PES) membrane induced electrostatic interactions and increased the surface charges from -28 to 16 mV in ζ-potential analysis. The lysine exhibited zwitterion characteristics owing to the presence of amino (cations) and carboxyl (anions) functional groups. Moreover, the modified TiO2-PES zwitterion membranes exhibited good water flux performances compared to the pristine membrane. ZT-4 membrane displayed the highest water fluxand bovine serum albumin (BSA) rejection of 137 ± 1.8 L m-2 h-1 and 94 ± 1%, respectively. The cell viability results revealed that the zwitterion PES membrane had excellent biocompatibility with peripheral blood mononuclear cells. The present work offers a convenient strategy to improve the hydrophilicity, antifouling property, and hemocompatibility of modified TiO2-PES zwitterion membranes for their biomedical and blood-contacting applications such as hemodialysis.

Tailoring the Surface Chemistry of Anion Exchange Membranes with Zwitterions: Toward Antifouling RED Membranes

Fouling is a pressing issue for harvesting salinity gradient energy with reverse electrodialysis (RED). In this work, antifouling membranes were fabricated by surface modification of a commercial anion exchange membrane with zwitterionic layers. Either zwitterionic monomers or zwitterionic brushes were applied on the surface. Zwitterionic monomers were grafted to the surface by deposition of a polydopamine layer followed by an aza-Michael reaction with sulfobetaine. Zwitterionic brushes were grafted on the surface by deposition of polydopamine modified with a surface initiator for subsequent atom transfer radical polymerization to obtain polysulfobetaine. As expected, the zwitterionic layers did increase the membrane hydrophilicity. The antifouling behavior of the membranes in RED was evaluated using artificial river and seawater and sodium dodecylbenzenesulfonate as the model foulant. The zwitterionic monomers are effective in delaying the fouling onset, but the further build-up of the fouling layer is hardly affected, resulting in similar power density losses as for the unmodified membranes. Membranes modified with zwitterionic brushes show a high potential for application in RED as they not only delay the onset of fouling but they also slow down the growth of the fouling layer, thus retaining higher power density outputs.

Fabrication of a Dual-Action Membrane with Both Antibacterial and Anticoagulant Properties via Cationic Polyelectrolyte-Induced Phase Separation

The development of microorganisms and formation of thrombus on a biomaterial surface can seriously lead to device failure and threaten human health. Nonetheless, a surface that has both antibacterial and anticoagulant properties has scarcely been developed. Herein, a novel dual-action membrane composed of polyethersulfone (PES) bulk material and a hydrophilic anionic poly-2-acrylamido-2-methylpropanesulfonic acid (PAMPS) polymer has been prepared via the cationic antibacterial agent poly(hexamethylene biguanide) (PHMB)-induced phase separation technique. Interestingly, the resultant membrane can offer tunable antibacterial and anticoagulant properties, while maintaining satisfactory permeability and greatly increasing selectivity. The membrane also shows excellent hydrophilicity, a well-defined porous surface, and cross section with a sponge gradient structure. Furthermore, the PHMB-PAMPS complex formed on the membrane surface displays outstanding long-term stability, which is crucial for further practical applications. More importantly, the hollow fiber membrane fabricated by the cationic polyelectrolyte-induced phase separation technique confirms its capability to control the membrane permeability (257.4 L·m^-2·h^-1·bar^-1) and selectivity (95.9%) without destroying the membrane structure. The present work opens a straightforward and efficient avenue for the rational design of a functional surface to fight biomedical material-associated infections.

Preparation of a PES/PFSA-g-MWCNT ultrafiltration membrane with improved permeation and antifouling properties

In this study, perfluorosulfonic acid (PFSA) was firstly grafted on multi-walled carbon nanotubes (MWCNTs) to obtain PFSA-g-MWCNT nanocomposites.

Evaluation of the formation and antifouling properties of a novel adsorptive homogeneous mixed matrix membrane with in situ generated Zr-based nanoparticles

In situ generation is a powerful technique used to prepare homogenous adsorptive mixed matrix membranes (MMMs) containing functional nanoparticles, although the mechanism of formation of the membranes is not yet clear and there have been few published evaluations of membrane fouling. We therefore used this method to prepare a novel homogeneous adsorptive Zr-based nanoparticle–polyethersulfone (PES) MMM and systematically studied the mechanism of membrane formation at the atomic level. As the amount of ZrOCl₂·8H₂O in the casting solution increased, the phase inversion kinetics changed from instantaneous demixing due to the thermodynamic enhancement effect to a delayed demixing process caused by viscosity hindrance. The in situ generation of nanoparticles in these MMMs can be divided into three stages: the migration stage, the exfoliation stage and the stable stage. Our findings provide a fundamental understanding of the interface chemistry in the development of in situ generated MMMs. M2 showed a higher adsorption of As(v) than the pure PES membrane and could be reused after regeneration. The removal of As(v) from the M2 filtration system mainly took place via adsorption rather than size exclusion, as confirmed by EDS and experimental data. The presence of humic acid slightly inhibited the removal of As(v) during the filtration process as a result of the barrier effect caused by the formation of a filter cake via humic acid fouling. The filtration of a bovine serum albumin solution showed that the MMM with in situ generated nanoparticles had better antifouling properties than the PES membrane alone in multiple applications as a result of the enhanced hydrophilic surface.

A homogeneous in situ generated Zr-based NPs/PES mixed matrix membrane with enhanced adsorptive and antifouling performance was developed.

Combined strategy of blending and surface modification as an effective route to prepare antifouling ultrafiltration membranes

Ultrafiltration (UF) membranes blended with hydrophilic nanomaterials usually exhibit preferable overall performance including the membrane permeability and antifouling capability. However, the improvement in antifouling performance may be not outstanding due to the small amount of nanomaterial distributed near the membrane surface and the limited improvement in membrane hydrophilicity. Notably, excess addition of nanomaterials may lead to the decline in membrane permeability. In order to solve the above problem, we integrated the strategy of blending and surface modification to construct novel hybrid UF membranes. Novel nanohybrid was prepared via tannic acid (TA) coating on hydroxyapatite nanotubes (HANTs) and the subsequent grafting of zwitterionic polyethylenimine (ZPEI). The prepared nanohybrid (HANTs@TA-ZPEI) was incorporated with the polysulfone containing tertiary amine groups to fabricate hybrid membranes via the solution blending and the subsequent immersion-precipitation phase inversion process. Then the matrix was modified with zwitterions via the reaction of tertiary amine group with 1, 3-propane sultone. UF tests were conducted using the bovine serum albumin (BSA) and humic acid (HA) as the representative foulants. Results showed that both the permeability and the antifouling performance of the membranes achieved favorable promotion. Thereinto, the water flux of M-B0.4-Z membrane (pre blended with 0.4 wt% HANTs@TA-ZPEI in the casting solution and post-surface modified) exhibited 2.6 times that of the pristine membrane and the flux recovery ratio (FRR) for BSA and HA attained 93.4% and 96.1%, respectively. By the combination of blending and surface modification, both the membrane permeability and fouling resistant properties could attain remarkable promotion, which exerted the advantages of two methods and made up the deficiency of single blending method.