Cytokine removal with a novel adsorbent polymer

被引:59
作者
Song, MC
Winchester, J
Albright, RL
Capponi, VJ
Choquette, MD
Kellum, JA
机构
[1] Univ Pittsburgh, Med Ctr, Dept Crit Care Med, MANTRA Labs, Pittsburgh, PA 15261 USA
[2] RenalTech Int, New York, NY USA
关键词
hemofiltration; sorbents; sepsis; lipopolysaccharide; cytokines; interleukins; blood purification; immunomodulation;
D O I
10.1159/000080235
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/Aims: We sought to characterize a novel adsorbent polymer in terms of cytokine removal. Methods: We challenged 50 rats with lipopolysaccharide to obtain cytokine-rich blood and circulated this through cartridges containing polymer. In separate experiments, cell-free supernatants were passed through cartridges containing polymer. We measured tumor necrosis factor alpha, interleukin 10 and interleukin 6 concentrations under a variety of conditions to evaluate adsorption kinetics. Results: All three cytokines were rapidly removed from the blood with less than 50% of the initial concentrations present after 1 h of circulation through the cartridge. There was no significant difference in the effect across a range of blood flows and Ca2+ concentrations. Adsorption was decreased somewhat by extremely low temperature (4degreesC). Conclusion: The adsorbent polymer removes cytokines with high efficiency, and binding is relatively unaffected by a variety of physical conditions. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:428 / 434
页数:7
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