Neurocritical Care
·
2021
·Vol. 35
·期 2
·367-378
·
IF 3.21
Li Yinghui,Ren Siying,Wang Likun,Mao Yuanhong,Wu Guofeng,Li Qi,Tang Zhouping
Background Blend sign on initial computed tomography (CT) is associated with poor outcome in patients with intracerebral hemorrhage (ICH). However, the mechanisms underlying the blend sign formation are poorly understood. The present study aimed to explore the possible mechanism of the CT blend sign in patients with ICH. Methods Seventy healthy rabbits were selected to prepare an ICH model. The animals were assigned to a whole blood group + whole blood group (ww group, 50 rabbits), a whole blood + plasma group (wp group, 10 rabbits) or a whole blood + serum group (ws group, 10 rabbits). The animals of the ww group were allocated to five subgroups based on the interval between the first infusion of blood and the second one. The subgroups included ww 1 h group (with an interval of 1 h), ww 2 h group, ww 3 h group, ww 4 h group and ww 5 h group. The rabbits from each group received first infusion of 0.3 mL of whole blood into the basal ganglia area to form a hematoma. Then, they received a second infusion of the same amount of whole blood, plasma or serum into the brain to form another hematoma adjacent to the first one. Results A hematoma with two densities on brain CT could be formed in each group after a second infusion of blood into the brain. A significant difference in CT attenuation values was observed between the hyperattenuation and the hypoattenuation in all the groups. However, only the morphological features of the hematoma in the ww group was in accordance with the CT blend sign observed in humans. The CT attenuation values in the hypodensity area of the ww 4 h group or the ww 5 h group were decreased compared with the ww 1 h group to the ww 3 h group. Conclusions The CT blend sign observed in humans might be composed of two parts of blood with different ages. The hypodense area might be blood with older age and the hyperdense area might be new bleeding.
研究领域:
医学影像学
·
神经病学
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DOI
高影响因子
Regenerative Biomaterials
·
2025
·
IF 8.1
Wang Shujing,Liang Jiahao,Chen Yu,Liu Xianda,Tong Dongmei,Li Yupei,Zhao Weifeng,Su Baihai,Zhao Changsheng
Conventional hemodialysis and hemodiafiltration prove less effective at removing protein-bound uremic toxins (PBUTs) from the bloodstream of end-stage renal disease patients, primarily because PBUTs cannot pass through the small pores in the polymeric membranes. Hemoperfusion is an extracorporeal blood purification technique that employs an adsorption mechanism to remove multiple uremic toxins from such patients. Yet, the efficacy of hemoperfusion is constrained by some limitations of contemporary adsorbents, such as suboptimal capacity to adsorb PBUTs and poor hemocompatibility, presenting significant barriers for their clinical application. To address these challenges, we engineered a tailored hemoperfusion adsorbent by compounding sulfonated polysulfone (SPSf) and polyethyleneimine (PEI) into polyethersulfone (PES) microspheres to effectively capture and remove PBUTs through electrostatic interactions. Specially, we introduced sulfuric acid into the coagulation bath to increase the adsorption amount of the developed adsorbent (H-PES/SPSf@PEI microspheres), to neutralize strong positive charge of PEI, and to improve hemocompatibility. The tailored H-PES/SPSf@PEI microspheres neither damage blood cells nor activate the complement pathway when they contact with human blood. Moreover, H-PES/SPSf@PEI microspheres have a high adsorption amount towards major PBUTs, including hippuric acid (HA, 34.24 mg/g), 3-indoleacetic acid (IAA, 49.19 mg/g), p-cresol sulfate (PCS, 40.31 mg/g) and indoxyl sulfate (IS, 128.67 mg/g) by fitting adsorption isotherms. In a simulated hemoperfusion setting, the removal ratio of IS, IAA, PCS and HA by H-PES/SPSf@PEI microspheres reach nearly 75.33%, 41.73%, 44.36%, and 21.11%, respectively, with 47.89% of IS, 40.64% of IAA, 44.42% of PCS and 37.35% of HA being removed from BSA solution. In conclusion, H-PES/SPSf@PEI microspheres hold a potential to eliminate PBUTs from patients with end-stage renal disease.
研究领域:
生物医学工程
·
肾脏病学
·
材料科学
·
生物工程
·
血液透析
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产品关联
DOI
PubMed
高影响因子
JOURNAL OF MEMBRANE SCIENCE
·
2019
·
IF 7.015
Caini Liu,Wenyi Wang,Yanling Li,Fangyan Cui,Chengcheng Xie,Liuyong Zhu,Bojin Shan
Hybrid ultrafiltration membranes of poly(vinylidene fluoride) (PVDF) and poly(ethylene glycol)-multi-walled carbon nanotubes (PMWCNTs) have been prepared via phase inversion method. Compared with pristine PVDF membranes, PMWCNT/PVDF hybrid membranes showed a significant higher water flux (384 L m −2 h −1 ), more stable rejection rate of bovine serum albumin (BSA) and better antifouling properties because of better hydrophilicity. Besides, the antifouling properties of PMWCNT/PVDF hybrid membranes can be further reduced applying a weak electric field (direct current, about 2 V cm −1 ). More important, PMWCNTs/PVDF membrane exhibited the lowest hemolysis ratio of 0.4% ever reported, which has improved the hemocompatibility and safety of blood. Moreover, after the introduction of weak electric field, the adhesion of red blood cells is minimized. This study shows that the novel PMWCNT/PVDF hybrid membranes have excellent antifouling ability and hemocompatibility which opens up a new field for the application of PVDF membranes.
研究领域:
材料科学
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生物医学工程
·
膜技术
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产品关联
DOI
高影响因子
Journal of Materials Chemistry B
·
2021
·Vol. 10
·期 14
·2534-2543
·
IF 6.331
Shiqi Yin,Yinghui Xu,Zhoujun Wang,Zhiwei Wei,Tao Xu,Weifeng Zhao,Changsheng Zhao
For patients who are suffering from liver dysfunction or metabolic obstruction, excessive bilirubin (BIL) in their bodies may cause jaundice with irreversible cerebral injury. Traditional exchange transfusion and photodynamic therapy pose a risk of serious adverse reactions or limited curative effects. Therefore, as a generally used treatment, hemoperfusion (HP) purifies patients’ blood with solid adsorbents. However, the development of clinical BIL absorbents is greatly impeded by low selectivity and unsatisfactory blood compatibility. Herein, inspired by oviparity, we propose BIL-imprinted poly(acrylic acid-co-sodium p-styrenesulfonate)–reduced graphene oxide (PAA–SS–rGO@BIL) hydrogel beads as BIL adsorbents via self-sacrificing micro-reactors. In the micro-reactors, cross-linked polymerization is achieved and a solidified gel is formed. The received hydrogel beads show outstanding selective adsorption capabilities toward BIL due to the recognition sites, and π–π and hydrophobic interactions. Such hydrogel beads possess superior blood compatibility owing to their bioinspired heparin-mimicking gel structure. Simulated BIL selective adsorption experiments in vitro demonstrate that the BIL concentrations in the plasma of a patient with severe jaundice can be restored to a moderate level within 3 hours. Therefore, hydrogel beads offer new options for clinical BIL adsorption.
研究领域:
生物医学工程
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材料科学
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肝病学
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DOI
PubMed
高影响因子
Journal of Materials Chemistry B
·
2023
·Vol. 11
·期 25
·5846-5855
·
IF 7
Tiantian Hao,Guangliang Niu,Hao Zhang,Yuzheng Zhu,Chunxia Zhang,Fanzhao Kong,Jing Xu,Zhaosheng Hou
This work developed innovative poly(ester-urethane) materials double-modified by quercetin (QC) and phosphorylcholine (PC) with improved antibacterial activity and hemocompatibility. The functional monomer of PC-diol was first synthesized via a click reaction between 2-methacryloyloxyethyl phosphorylcholine and α-thioglycerol; the NCO-terminated prepolymer was subsequently prepared by a one-pot condensation method of PC-diol, poly(ε-caprolactone) diol, and excess isophorone diisocyanate; finally, the prepolymer was chain-extended with QC to produce the linear products (PEU-PQs). 1H NMR, FT-IR, and XPS techniques confirmed the successful introduction of PC and QC, and the in-depth characterization of the cast PEU-PQ films was carried out. Although a low crystallinity was demonstrated by XRD and thermal analysis, the films exhibited excellent tensile stress and stretchability due to the interchain multiple hydrogen bonds. The introduction of PC groups enhanced the surface hydrophilicity, water absorption, and the in vitro hydrolytic degradation rate of the film materials. Inhibition zone tests presented that the QC-based PEU-PQs had effective antibacterial activity against E. coli and S. aureus. The biological evaluations of the materials were performed in vitro by protein absorption, platelet adhesion, and cytotoxic test and in vivo by subcutaneous implantation, which demonstrated superior surface hemocompatibility and biocompatibility. Collectively, the PEU-PQ biomaterials hold a prospective application in durable blood-contacting devices.
研究领域:
生物材料
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生物医学工程
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材料科学
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DOI
PubMed
高影响因子
CHINESE CHEMICAL LETTERS
·
2011
·
IF 0.775
Pei Jin Xie,Ming Li Ye,Zhong Yang Hu,Guang Wen Pan,Yan Zhu,Jia Jie Zhang
A new method was developed for simultaneous determination of levels of AMP, ADP and ATP in blood by anion-exchange chromatography. The three adenosine phosphates were separated by Dionex IonPac AG18 (50 mm × 4 mm) guard column and IonPac AS18 (250 mm × 4 mm) analytical column using a gradient method and detected with a suppressed conductivity detector. The detection limits (S/N = 3) of AMP, ADP and ATP were 38, 47, 108 ng/L, respectively. The relative standard deviations of retention time, peak area and peak height were all less than 1.87% and a good linear relationship was obtained. This method was applied to analyze human blood samples.
研究领域:
分析化学
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医学
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产品关联
DOI
高影响因子
JOURNAL OF MEMBRANE SCIENCE
·
2020
·
IF 7.183
Jianxiu Wang,Ziyuan Liu,Ming Qiu,Chunju He
Natural heparin macromolecule has been widely used to improve the hemocompatibility of biomaterials. However, heparin can cause spontaneous bleeding in some patients, which is troublesome for clinical applications. Fortunately, analogous heparin polymers have shown promise to replace heparin. Here a new class of composite polyethersulfone (PES) membranes were constructed, which offered tunable permeability together with excellent hemocompatibility via incorporating heparin-mimicking semi-interpenetrating polymer. The polyurethane macromer was synthesized as an effective cross-linker to incorporate functional polyacrylic acid and poly-2-acrylanmido-2-methylpropanesulfonic acid segments into PES solution through in-situ cross-linking polymerization. Then the heparin-mimicking semi-interpenetrating composite PES membranes were fabricated from the resulting casting solution via alkali-induced phase separation technique. The resulting composite membranes showed excellent inhibition of protein adsorption , suppression of platelet adhesion, reduction of hemolysis ratio and prolongation of clotting times, while displayed high hydrophilicity, permeability and clearance to urea, creatinine and lysozyme. Interestingly, the composite membranes also exhibited excellent mechanical properties due to the synergistic effect of polyurethane composition and in-situ cross-linking copolymerization . To further demonstrate the applicability and effectiveness of this method, a composite PES hollow fiber with excellent ultrafiltration and mechanical properties was also fabricated. This straightforward and facile method is constructed as an ideal candidate to suppress blood clotting for a range of blood purification membrane-related applications.
研究领域:
生物材料
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生物医学工程
·
膜科学
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产品关联
DOI
高影响因子
Frontiers in Chemistry
·
2022
·
IF 5.545
Liu Yunhong,Peng Xinyan
In artificial liver blood purification system, highly efficient removal of multiple toxic metabolites from whole blood by hemoperfusion still remains a challenge in the clinical field, due to the limited unspecific absorptive capacity and low biocompatibility of adsorbents. In this work, a new pyridinyl-modified hypercrosslinked polystyrene (HCP) adsorbent, named HCP(St-DVB-VP), was constructed directly through a Friedel-Crafts post-crosslinking reaction using a small-molecule crosslinking agent for the first time. The preparation method provides in this study can avert the problem posed by the use of the toxic carcinogenic chloromethyl ether reagent in the traditional HCP resin synthesis process. The results indicated that HCP(St-DVB-VP) had a highly porous structure with a specific surface area of 761 m2 g−1. Notably, the adsorbent demonstrated excellent adsorptive properties towards both protein-bound toxins (bilirubin) and medium- and large-sized molecular toxins (PTH, IL-6) in vitro experiments simultaneously. More importantly, the obtained adsorbent showed acceptable hemocompatibility. Taken together, the low-cost and ecofriendly fabrication method, broad-spectrum adsorption performance and hemocompatibility makes the HCP(St-DVB-VP) promising for whole blood perfusion in artificial liver blood purification in clinical practice.
研究领域:
材料科学
·
生物医学工程
·
化学工程
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DOI
PubMed
高影响因子
Materials Today Chemistry
·
2025
·
IF 6.7
Yuhua Du,Xinyi Chen,Yan Gong,Biao Wang,Xin Li,Jin Wang,Ying Shu,Yuancong Zhao
Hemodialysis is a prevalent treatment for patients with end-stage renal disease. However, the primary concern in hemodialysis pertains to the hemocompatibility of the dialysis membrane. Due to the direct interaction between the membrane and blood, the surface properties of the membrane play a pivotal role in determining its hemocompatibility and resistance to fouling. Consequently, enhancing the hemocompatibility of dialysis membranes and mitigating thrombosis represent major research thrusts. In this study, we have demonstrated a facile modification strategy for the in situ preparation of phosphorylcholine-terminated dendrimer membrane (PES-G3-PC) by an iterative growth method. The resultant membranes exhibited good hydrophilicity and low surface zeta potential while achieving more than 80 % urea clearance and albumin retention. Notably, the modified membrane effectively inhibited platelet adhesion/activation, fibrinogen adsorption/denaturation, complement activation, and prolonged clotting time. Furthermore, minimal protein and bacterial adsorption underscore its anti-fouling prowess. These experimental results indicate that the phospholipid-terminated dendrimer-modified polyethersulfone membrane possesses excellent hemocompatibility. Therefore, phospholipid-terminated dendrimers represent a superior approach for surface modification with potential applications in blood-contacting devices.
研究领域:
生物医学工程
·
材料科学
·
肾病学
·
生物材料
·
表面工程
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产品关联
DOI
高影响因子
Journal of Materials Chemistry B
·
2020
·Vol. 8
·期 12
·2443-2453
·
IF 5.344
Sihang Liu,Jun Ma,Liangbo Xu,Weifeng Lin,Weili Xue,Mei Huang,Shengfu Chen
Although zwitterionic hydrogels exhibit excellent hemocompatibility, their extremely low tensile strength is an obstacle for their use in blood-contacting devices. Electrospun fiber scaffold-reinforced zwitterionic hydrogels are a possible solution to overcome the challenges of both mechanical strength and hemocompatibility. In this work, electrospun polyurethane (ePU) fiber scaffold-reinforced sulfobetaine methacrylate (SBMA) hydrogels (SRgels) were prepared. The SRgels exhibited 4.7 ± 0.5 MPa tensile fracture stress, while the interpenetration between the hydrogel and the fiber scaffold remained intact even under 2.8 MPa tensile stress at 3.0 mm mm−1 strain load; this confirms that the SRgels maintain excellent hemocompatibility for both blood cell adhesion and fibrinogen adsorption under physiological dynamic loading and that dynamically structural matching is achieved between the scaffold and the zwitterionic hydrogels. Mechano-induced self-enhancement was also observed after preloading more than 2.0 mm mm−1 tensile strain to resist fracture. In short, the preparation of SRgels can enable zwitterionic hydrogels to meet the requirement for mechanical strength in bio-applications as blood-contacting devices.
研究领域:
生物材料
·
生物医学工程
·
组织工程
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产品关联
DOI
PubMed
高影响因子
JOURNAL OF HAZARDOUS MATERIALS
·
2024
·
IF 12.2
Chunyu Liu,Xingchen Zhao,Liqiong Guo,Qilin Yu,Weifei Zhang,Zijuan Peng,Yan Gao,Xiaoyun Gong,Penghui Li,Hui Jiao,Tao Zhou,Qinghe Zhang,Shanjun Song,Guibin Jiang
With increasing concerns about N-(1,3-Dimethylbutyl)-N′-phenyl-p-phenylenediamine (6PPD) and 6PPD-quinone (6PPD-Q), relevant environmental investigations and toxicological research have sprung up in recent years. However, limited information could be found for human body burden assessment. This work collected and analyzed 200 samples consisting of paired urine and plasma samples from participants (50 male and 50 female) in Tianjin, China. Low detection frequencies (DF, <15 %) were found except for urinary 6PPD-Q (86 %), which suggested the poor residue tendency of 6PPD and 6PPD-Q in blood. The low DFs also lead to no substantial association between two chemicals. Data analysis based on urinary 6PPD-Q showed a significant difference between males and females ( p < 0.05). No significant correlation was found for other demographic factors (Body Mass Index (BMI), age, drinking, and smoking). The mean values of daily excretion (ng/kg bw/day) calculated using urinary 6PPD-Q for females and males were 7.381 ng/kg bw/day (female) and 3.360 ng/kg bw/day (male), and apparently female suffered higher daily exposure. Further analysis with daily excretion and ALT (alanine aminotransferase)/TSH (thyroid stimulating hormone)/ blood cell analysis indicators found a potential correlation with 6PPD-Q daily excretion and liver/immune functions. Considering this preliminary assessment, systematic research targeting the potential organs at relevant concentrations is required.
研究领域:
环境科学
·
毒理学
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产品关联
DOI
PubMed
高影响因子
Materials Science & Engineering C-Materials for Biological Applications
·
2021
·
IF 7.328
Yunhong Liu,Xinyan Peng,Zhudong Hu,Mingguang Yu,Jijun Fu,Yugang Huang
Protein-bound uremic toxins (PBUTs), the presence of which in the blood is an important risk factor for the progression of chronic kidney disease (CKD), have not been cleared efficiently via traditional hemodialysis methods until now. In this study, biosafe and efficient nitrogen-containing porous carbon adsorbent (NPCA) beads for the clearance of PBUTs were prepared from porous acrylonitrile/divinylbenzene cross-linked copolymer beads followed by pyrolysis. The resulting NPCA beads were characterized via SEM, XPS and nitrogen adsorption/desorption tests. The results demonstrated that the NPCA beads possessed a mesoporous/microporous hierarchical structure with rich nitrogen functional groups on their surfaces and realized efficient PBUTs adsorption in human plasma. More importantly, the efficacy of PBUTs removal was substantially higher than those of commercial adsorbents that are commonly used in clinical uremia treatments. The NPCA beads also exhibited satisfactory removal efficacy towards middle-molecular-weight uremic toxins. The PBUTs removal mechanism of the NPCA beads is ascribed to effective competition between nitrogen-containing NPCA and proteins for PBUT binding. According to hemocompatibility assays, the NPCA beads possessed satisfactory in vitro hemocompatibility. This nitrogen-containing porous carbon adsorbent is an attractive and promising material for blood purification applications in the treatment of clinical uremia.
研究领域:
材料科学
·
生物医学工程
·
肾病学
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DOI
高影响因子
危险品化学品经营许可证（带存储）