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Artificial Kidney Engineering: The Development of Dialysis Membranes for Blood Purification

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Date 2022 Feb 25
PMID 35207097
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Abstract

The artificial kidney, one of the greatest medical inventions in the 20th century, has saved innumerable lives with end stage renal disease. Designs of artificial kidney evolved dramatically in decades of development. A hollow-fibered membrane with well controlled blood and dialysate flow became the major design of the modern artificial kidney. Although they have been well established to prolong patients' lives, the modern blood purification system is still imperfect. Patient's quality of life, complications, and lack of metabolic functions are shortcomings of current blood purification treatment. The direction of future artificial kidneys is toward miniaturization, better biocompatibility, and providing metabolic functions. Studies and trials of silicon nanopore membranes, tissue engineering for renal cell bioreactors, and dialysate regeneration are all under development to overcome the shortcomings of current artificial kidneys. With all these advancements, wearable or implantable artificial kidneys will be achievable.

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References
1.
Gordon A, Better O, Greenbaum M, Marantz L, GRAL T, Maxwell M . Clinical maintenance hemodialysis with a sorbent-based, low-volume dialysate regeneration system. Trans Am Soc Artif Intern Organs. 1971; 17:253-8. View

2.
Humes H, Buffington D, MacKay S, Funke A, Weitzel W . Replacement of renal function in uremic animals with a tissue-engineered kidney. Nat Biotechnol. 1999; 17(5):451-5. DOI: 10.1038/8626. View

3.
Koga Y, Fujieda H, Meguro H, Ueno Y, Aoki T, Miwa K . Biocompatibility of Polysulfone Hemodialysis Membranes and Its Mechanisms: Involvement of Fibrinogen and Its Integrin Receptors in Activation of Platelets and Neutrophils. Artif Organs. 2018; 42(9):E246-E258. PMC: 6220809. DOI: 10.1111/aor.13268. View

4.
Iqbal Z, Kim S, Moyer J, Moses W, Abada E, Wright N . In vitro and in vivo hemocompatibility assessment of ultrathin sulfobetaine polymer coatings for silicon-based implants. J Biomater Appl. 2019; 34(2):297-312. DOI: 10.1177/0885328219831044. View

5.
Blumenkrantz M, Gordon A, Roberts M, Lewin A, Pecker E, Moran J . Applications of the Redy sorbent system to hemodialysis and peritoneal dialysis. Artif Organs. 1979; 3(3):230-6. DOI: 10.1111/j.1525-1594.1979.tb01054.x. View