State-of-the-Art Materials and Spinning Technology for Hemodialyzer Membranes

Therapeutic Plasma Exchange in Certain Immune-Mediated Neurological Disorders: Focus on a Novel Nanomembrane-Based Technology

Therapeutic plasma exchange (TPE) is an efficient extracorporeal blood purification technique to remove circulating autoantibodies and other pathogenic substances. Its mechanism of action in immune-mediated neurological disorders includes immediate intravascular reduction of autoantibody concentration, pulsed induction of antibody redistribution, and subsequent immunomodulatory changes. Conventional TPE with 1 to 1.5 total plasma volume (TPV) exchange is a well-established treatment in Guillain-Barre Syndrome, Chronic Inflammatory Demyelinating Polyradiculoneuropathy, Neuromyelitis Optica Spectrum Disorder, Myasthenia Gravis and Multiple Sclerosis. There is insufficient evidence for the efficacy of so-called low volume plasma exchange (LVPE) (<1 TPV exchange) implemented either by the conventional or by a novel nanomembrane-based TPE in these neurological conditions, including their impact on conductivity and neuroregenerative recovery. In this narrative review, we focus on the role of nanomembrane-based technology as an alternative LVPE treatment option in these neurological conditions. Nanomembrane-based technology is a promising type of TPE, which seems to share the basic advantages of the conventional one, but probably with fewer adverse effects. It could play a valuable role in patient management by ameliorating neurological symptoms, improving disability, and reducing oxidative stress in a cost-effective way. Further research is needed to identify which patients benefit most from this novel TPE technology.

Recent advancement challenges with synthesis of biocompatible hemodialysis membranes

The focus of this study is to enhance the protein fouling resistance, hydrophilicity, biocompatibility, hemocompatibility and ability of the membranes and to reduce health complications like chronic pulmonary disease, peripheral vascular disease, cerebrovascular disease, and cardiovascular disease after dialysis, which are the great challenges in HD applications. In the current study, the PSF-based dialysis membranes are studied broadly. Significant consideration has also been provided to membrane characteristics (e.g., flowrate coefficient, solute clearance characteristic) and also on commercially available polysulfone HD membranes. PSF has gained a significant share in the development of HD membranes, and continuous improvements are being made in the process to make high flux PSF-based dialysis membranes with enhanced biocompatibility and improved protein resistance ability as the major issue in the development of membranes for HD application is biocompatibility. There has been a great increase in the demand for novel biocompatible membranes that offer the best performances during HD therapy, for example, low oxidative stress and low change ability of blood pressure.

A Review of Commercial Developments and Recent Laboratory Research of Dialyzers and Membranes for Hemodialysis Application

Dialyzers have been commercially used for hemodialysis application since the 1950s, but progress in improving their efficiencies has never stopped over the decades. This article aims to provide an up-to-date review on the commercial developments and recent laboratory research of dialyzers for hemodialysis application and to discuss the technical aspects of dialyzer development, including hollow fiber membrane materials, dialyzer design, sterilization processes and flow simulation. The technical challenges of dialyzers are also highlighted in this review, which discusses the research areas that need to be prioritized to further improve the properties of dialyzers, such as flux, biocompatibility, flow distribution and urea clearance rate. We hope this review article can provide insights to researchers in developing/designing an ideal dialyzer that can bring the best hemodialysis treatment outcomes to kidney disease patients.

Effect of Unbleached Rice Straw Cellulose Nanofibers on the Properties of Polysulfone Membranes

In addition to their lower cost and more environmentally friendly nature, cellulose nanofibers isolated from unbleached pulps offer different surface properties and functionality than those isolated from bleached pulps. At the same time, nanofibers isolated from unbleached pulps keep interesting properties such as hydrophilicity and mechanical strength, close to those isolated from bleached pulps. In the current work, rice straw nanofibers (RSNF) isolated from unbleached neutral sulfite pulp (lignin content 14%) were used with polysulfone (PSF) polymer to make membrane via phase inversion. The effect of RSNF on microstructure, porosity, hydrophilicity, mechanical properties, water flux, and fouling of PSF membranes was studied. In addition, the prepared membranes were tested to remove lime nanoparticles, an example of medium-size nanoparticles. The results showed that using RSNF at loadings from 0.5 to 2 wt.% can significantly increase hydrophilicity, porosity, water flux, and antifouling properties of PSF. RSNF also brought about an increase in rejection of lime nanoparticles (up to 98% rejection) from their aqueous suspension, and at the same time, with increasing flux across the membranes. Tensile strength of the membranes improved by ~29% with addition of RSNF and the maximum improvement was obtained on using 0.5% of RSNF, while Young’s modulus improved by ~40% at the same RSNF loading. As compared to previous published results on using cellulose nanofibers isolated from bleached pulps, the obtained results in the current work showed potential application of nanofibers isolated from unbleached pulps for improving important properties of PSF membranes, such as hydrophilicity, water flux, rejection, and antifouling properties.