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A scintigraphic study of LDL-cholesterol irreversible trapping in a plasma fractionation membrane

Identifieur interne : 017677 ( Main/Repository ); précédent : 017676; suivant : 017678

A scintigraphic study of LDL-cholesterol irreversible trapping in a plasma fractionation membrane

Auteurs : RBID : Pascal:98-0463451

Descripteurs français

English descriptors

Abstract

For patients suffering from familial hypercholesterolemia, LDL-cholesterol removal may be achieved by cascade filtration in an extracorporeal process. LDL irreversible trapping into the secondary membrane, due to mechanical or physicochemical capture, is known to be one of the main phenomena responsible for membrane fouling. This study especially focuses on the quantification and the location of LDL irreversibly trapped along the membrane by adsorption and other phenomena. The influence of filtration flux and membrane structure are studied. After an extensive washing following the plasma fractionation procedure, a gamma camera registered the111 In-labeled LDL marker tightly retained on the membrane. The same technique employing labeled magroaggregates of albumin permitted the determination of local filtration fluxes and then the calculation of local wall shear rates. LDL irreversible trapping is responsible for about 10% of the retention of LDL into the membrane. It appears to increase with increasing filtrate flow rate at constant inlet plasma flow rate. This phenomenon is enhanced near the filter outlet where the wall shear rate is minimum. No pore narrowing was observed using mercury porosimetry. The analysis of data together with membrane structure and local fluxes (tangential and transversal) leads us to postulate that a significant part of irreversible fouling occurs at the membrane surface and that the remaining internal irreversible fouling takes place in the membrane macroporous layer.

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Pascal:98-0463451

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<title xml:lang="en" level="a">A scintigraphic study of LDL-cholesterol irreversible trapping in a plasma fractionation membrane</title>
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<term>Cholesterol LDL</term>
<term>Extrarenal dialysis</term>
<term>Filtration</term>
<term>Fouling</term>
<term>Hypercholesterolemia</term>
<term>Indium</term>
<term>Instrumentation therapy</term>
<term>Lipids</term>
<term>Mechanism</term>
<term>Quantitative analysis</term>
<term>Scintigraphy</term>
<term>Treatment</term>
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<term>Hypercholestérolémie</term>
<term>Traitement</term>
<term>Epuration extrarénale</term>
<term>Cholestérol LDL</term>
<term>Filtration</term>
<term>Analyse quantitative</term>
<term>Scintigraphie</term>
<term>Indium</term>
<term>Encrassement</term>
<term>Mécanisme</term>
<term>Traitement instrumental</term>
<term>Lipide</term>
<term>Indium 111</term>
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<div type="abstract" xml:lang="en">For patients suffering from familial hypercholesterolemia, LDL-cholesterol removal may be achieved by cascade filtration in an extracorporeal process. LDL irreversible trapping into the secondary membrane, due to mechanical or physicochemical capture, is known to be one of the main phenomena responsible for membrane fouling. This study especially focuses on the quantification and the location of LDL irreversibly trapped along the membrane by adsorption and other phenomena. The influence of filtration flux and membrane structure are studied. After an extensive washing following the plasma fractionation procedure, a gamma camera registered the
<sup>111</sup>
In-labeled LDL marker tightly retained on the membrane. The same technique employing labeled magroaggregates of albumin permitted the determination of local filtration fluxes and then the calculation of local wall shear rates. LDL irreversible trapping is responsible for about 10% of the retention of LDL into the membrane. It appears to increase with increasing filtrate flow rate at constant inlet plasma flow rate. This phenomenon is enhanced near the filter outlet where the wall shear rate is minimum. No pore narrowing was observed using mercury porosimetry. The analysis of data together with membrane structure and local fluxes (tangential and transversal) leads us to postulate that a significant part of irreversible fouling occurs at the membrane surface and that the remaining internal irreversible fouling takes place in the membrane macroporous layer.</div>
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<s0>For patients suffering from familial hypercholesterolemia, LDL-cholesterol removal may be achieved by cascade filtration in an extracorporeal process. LDL irreversible trapping into the secondary membrane, due to mechanical or physicochemical capture, is known to be one of the main phenomena responsible for membrane fouling. This study especially focuses on the quantification and the location of LDL irreversibly trapped along the membrane by adsorption and other phenomena. The influence of filtration flux and membrane structure are studied. After an extensive washing following the plasma fractionation procedure, a gamma camera registered the
<sup>111</sup>
In-labeled LDL marker tightly retained on the membrane. The same technique employing labeled magroaggregates of albumin permitted the determination of local filtration fluxes and then the calculation of local wall shear rates. LDL irreversible trapping is responsible for about 10% of the retention of LDL into the membrane. It appears to increase with increasing filtrate flow rate at constant inlet plasma flow rate. This phenomenon is enhanced near the filter outlet where the wall shear rate is minimum. No pore narrowing was observed using mercury porosimetry. The analysis of data together with membrane structure and local fluxes (tangential and transversal) leads us to postulate that a significant part of irreversible fouling occurs at the membrane surface and that the remaining internal irreversible fouling takes place in the membrane macroporous layer.</s0>
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