dc.description.abstract |
Chronic kidney disease is a potential threat for patient’s wellbeing due to high morbidity
and imposes a financial burden on the patient. Hemodialysis is the best economical option
for end stage renal diseases. The blood is filtered during hemodialysis using a semipermeable membrane and the diffusion principle. Effective removal of uremic toxins can
drastically improve the time required and efficiency of the hemodialysis membrane.
Therefore, in this work novel interconnected self-assembled membranes are devised to
ensure improved separation, better transport, and mechanical strength. NexarTM is an
amphiphilic Penta block sulfonated copolymer with rigid end blocks that provides
mechanical stability to the membrane. NexarTM can form a long range of self-assembled
and ordered nanoscale morphologies that can be altered by the choice of polar or nonpolar solvent. The membrane is cast by using a solution casting method that is economical
and easy to handle followed by slow evaporation. Polar solvent form ordered hydrophilic
structure of width about 20nm that helps in the clearance of urea and creatinine, while
nonpolar solvent offers random hydrophobic arrangement. SEM results show that both the
membranes are dense so, the filtration is completely diffusion based. The membranes are
tested on dead-end filtration cells for flux measurement and then for hemocompatibility
via biocompatibility testing. The experiment reveals that in case of polar solvent the
creatinine and urea clearance are increased to 97% and 89.2% respectively, while BSA
rejection is 79%. The hemolysis ratio is 3.7%, and the plasma recalcification time is 497
s. In the case of non-polar solvent, the creatinine and urea clearance are 67% and 87.5%
respectively and for BSA rejection 72.8%. The biocompatibility results of non-polar
solvent shows that the hemolysis ratio is 3.84%, while the plasma recalcification time is
477 s. Comparison of the results shows that the polar solvent is more suitable for
hemodialysis as its ordered structure and assembly facilitates the clearance process. The
membranes can further be improved by the addition of additives that can enhance the
rejection of BSA or facilitate the clearance of urea and creatinine. |
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