Plasma protein binding monitoring of therapeutic drugs in patients using single set of hollow fiber centrifugal ultrafiltration

Accurately quantified plasma free glycine concentration as a biomarker in patients with acute ischemic stroke

We developed a hollow fiber centrifugal ultrafiltration (HFCF-UF) method to study the change of plasma levels of free glycine (Gly) in patients with acute ischemic stroke (AIS). Twenty-four patients with AIS confirmed by diffusion-weighted imaging (DWI) were enrolled. During the study period, the patients did not receive any supplemental amino acids therapy that could affect the obtained results. Our results showed that although AIS patients adopted different methods of treatment (thrombolytic and non-thrombolytic), the clinical NIHSS score of AIS showed a downward trend whereas Gly concentration showed increased trend. Moreover, plasma free Gly concentration was positively correlated with ASPECTS score. The correlation between Gly levels and infarct volume showed a statistical significance. That is to say, higher Gly level predicted smaller infarct size. Thus, the change of free Gly level in plasma could be considered as a potential biomarker of AIS.

Ultrafiltration Method for Plasma Protein Binding Studies and Its Limitations

Plasma protein binding plays a critical role in drug therapy, being a key part in the characterization of any compound. Among other methods, this process is largely studied by ultrafiltration based on its advantages. However, the method also has some limitations that could negatively influence the experimental results. The aim of this study was to underline key aspects regarding the limitations of the ultrafiltration method, and the potential ways to overcome them. The main limitations are given by the non-specific binding of the substances, the effect of the volume ratio obtained, and the need of a rigorous control of the experimental conditions, especially pH and temperature. This review presents a variety of methods that can hypothetically reduce the limitations, and concludes that ultrafiltration remains a reliable method for the study of protein binding. However, the methodology of the study should be carefully chosen.

Filtration of Uncharged Solutes: An Assessment of Steric Effect by Transport and Adsorption Modelling

The major aim of this work was to understand and estimate the evolution of the membrane selectivity of neutral solutes after the filtration of protein or amino acid solutions. Classical methodologies led to the estimation of the mean pore radius, different for each filtrated neutral solute. The use of pore size distribution from nitrogen adsorption/desorption experiments enabled a good description of hydraulic and selectivity performances. The modification of the membrane hydraulic properties after the successive filtration of protein solutions revealed that the decrease is quasi linear, the same for all the studied membranes and independent of prior tests. According to the experimental observations, an adsorption model was developed, considering a layer by layer adsorption in the larger pores of the membrane. The predictive obtained results are in good agreement with the experimental rejection rates, validating the assumptions.