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
相关论文
共 22 条
[11]   Cytokine removal and cardiovascular hemodynamics in septic patients with continuous venovenous hemofiltration [J].
Heering, P ;
Morgera, S ;
Schmitz, FJ ;
Schmitz, G ;
Willers, R ;
Schultheiss, HP ;
Strauer, BE ;
Grabensee, B .
INTENSIVE CARE MEDICINE, 1997, 23 (03) :288-296
[12]  
HOFFMANN JN, 1906, INTENS CARE MED, V22, P1360
[13]   Hemoadsorption removes tumor necrosis factor, interleukin-6, and interleukin-10, reduces nuclear factor-κB DNA binding, and improves short-term survival in lethal endotoxemia [J].
Kellum, JA ;
Song, MC ;
Venkataraman, R .
CRITICAL CARE MEDICINE, 2004, 32 (03) :801-805
[14]   Effect of hemofiltration filter adsorption on circulating IL-6 levels in septic rats [J].
Kellum, JA ;
Dishart, MK .
CRITICAL CARE, 2002, 6 (05) :429-433
[15]   Diffusive vs. convective therapy: Effects on mediators of inflammation in patients with severe systemic inflammatory response syndrome [J].
Kellum, JA ;
Johnson, JP ;
Kramer, D ;
Palevsky, P ;
Brady, JJ ;
Pinsky, MR .
CRITICAL CARE MEDICINE, 1998, 26 (12) :1995-2000
[16]   CONTINUOUS ARTERIOVENOUS HEMOFILTRATION THERAPY FOR STAPHYLOCOCCUS-AUREUS-INDUCED SEPTICEMIA IN IMMATURE SWINE [J].
LEE, PA ;
MATSON, JR ;
PRYOR, RW ;
HINSHAW, LB .
CRITICAL CARE MEDICINE, 1993, 21 (06) :914-924
[17]  
Liaño F, 1998, KIDNEY INT, V53, pS16
[18]  
MORRISON DC, 1978, AM J PATHOL, V93, P526
[19]  
SMITH RA, 1987, J BIOL CHEM, V262, P6951
[20]   Use of adsorptive mechanisms in continuous renal replacement therapies in the critically ill [J].
Tetta, C ;
Bellomo, R ;
Brendolan, A ;
Piccinni, P ;
Digito, A ;
Dan, M ;
Irone, M ;
Lonnemann, G ;
Moscato, D ;
Buades, J ;
La Greca, G ;
Ronco, C .
KIDNEY INTERNATIONAL, 1999, 56 :S15-S19