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2015 ; 31
(8
): 2463-71
Nephropedia Template TP
gab.com Text
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English Wikipedia
Hollow fiber membrane modification with functional zwitterionic macromolecules
for improved thromboresistance in artificial lungs
#MMPMID25669307
Ye SH
; Arazawa DT
; Zhu Y
; Shankarraman V
; Malkin AD
; Kimmel JD
; Gamble LJ
; Ishihara K
; Federspiel WJ
; Wagner WR
Langmuir
2015[Mar]; 31
(8
): 2463-71
PMID25669307
show ga
Respiratory assist devices seek optimized performance in terms of gas transfer
efficiency and thromboresistance to minimize device size and reduce complications
associated with inadequate blood biocompatibility. The exchange of gas with blood
occurs at the surface of the hollow fiber membranes (HFMs) used in these devices.
In this study, three zwitterionic macromolecules were attached to HFM surfaces to
putatively improve thromboresistance: (1) carboxyl-functionalized zwitterionic
phosphorylcholine (PC) and (2) sulfobetaine (SB) macromolecules (mPC or mSB-COOH)
prepared by a simple thiol-ene radical polymerization and (3) a low-molecular
weight sulfobetaine (SB)-co-methacrylic acid (MA) block copolymer (SBMAb-COOH)
prepared by reversible addition-fragmentation chain transfer (RAFT)
polymerization. Each macromolecule type was covalently immobilized on an aminated
commercial HFM (Celg-A) by a condensation reaction, and HFM surface composition
changes were analyzed by X-ray photoelectron spectroscopy. Thrombotic deposition
on the HFMs was investigated after contact with ovine blood in vitro. The removal
of CO2 by the HFMs was also evaluated using a model respiratory assistance
device. The HFMs conjugated with zwitterionic macromolecules (Celg-mPC, Celg-mSB,
and Celg-SBMAb) showed expected increases in phosphorus or sulfur surface
content. Celg-mPC and Celg-SBMAb experienced rates of platelet deposition
significantly lower than those of unmodified (Celg-A, >95% reduction) and
heparin-coated (>88% reduction) control HFMs. Smaller reductions were seen with
Celg-mSB. The CO2 removal rate for Celg-SBMAb HFMs remained comparable to that of
Celg-A. In contrast, the rate of removal of CO2 for heparin-coated HFMs was
significantly reduced. The results demonstrate a promising approach to modifying
HFMs using zwitterionic macromolecules for artificial lung devices with improved
thromboresistance without degradation of gas transfer.