Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review

Adsorption of blood proteins during hemodialysis (HD) triggers activation of biochemical cascades and reduces treatment efficacy due to membrane fouling. Complement and coagulation cascades lead HD patients into an inflammatory state that can negatively impact protein synthesis and lead to severe ou...

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Autores principales: Heloisa Westphalen, Denis Kalugin, Amira Abdelrasoul
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/cc2cc3202cfb41d291397da431c02e43
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spelling oai:doaj.org-article:cc2cc3202cfb41d291397da431c02e432021-11-14T04:36:13ZStructure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review2667-099210.1016/j.bea.2021.100021https://doaj.org/article/cc2cc3202cfb41d291397da431c02e432021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667099221000219https://doaj.org/toc/2667-0992Adsorption of blood proteins during hemodialysis (HD) triggers activation of biochemical cascades and reduces treatment efficacy due to membrane fouling. Complement and coagulation cascades lead HD patients into an inflammatory state that can negatively impact protein synthesis and lead to severe outcomes. This critical review aims to critique scientific insights regarding protein adsorption during HD and its potential impact on patients. The influence of protein structure, function, and adsorption on HD membranes on HD patients’ health has been reviewed. We focused on human serum albumin, transferrin, and fibrinogen for their abundance in human blood and known participation in the biochemical reactions. The occurrence of the Vroman effect specifically in the context of HD and the state-of-the-art techniques to further elucidate the mechanisms of competitive adsorption has been comprehensively discussed. The interconnectedness between the role of each protein is elucidated and should aid the understanding of adsorption mechanics and the development of biocompatibility enhancement strategies.Heloisa WestphalenDenis KaluginAmira AbdelrasoulElsevierarticlealbuminbiocompatibilityfibrinogentransferrinhemodialysis membranesMedical technologyR855-855.5ENBiomedical Engineering Advances, Vol 2, Iss , Pp 100021- (2021)
institution DOAJ
collection DOAJ
language EN
topic albumin
biocompatibility
fibrinogen
transferrin
hemodialysis membranes
Medical technology
R855-855.5
spellingShingle albumin
biocompatibility
fibrinogen
transferrin
hemodialysis membranes
Medical technology
R855-855.5
Heloisa Westphalen
Denis Kalugin
Amira Abdelrasoul
Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
description Adsorption of blood proteins during hemodialysis (HD) triggers activation of biochemical cascades and reduces treatment efficacy due to membrane fouling. Complement and coagulation cascades lead HD patients into an inflammatory state that can negatively impact protein synthesis and lead to severe outcomes. This critical review aims to critique scientific insights regarding protein adsorption during HD and its potential impact on patients. The influence of protein structure, function, and adsorption on HD membranes on HD patients’ health has been reviewed. We focused on human serum albumin, transferrin, and fibrinogen for their abundance in human blood and known participation in the biochemical reactions. The occurrence of the Vroman effect specifically in the context of HD and the state-of-the-art techniques to further elucidate the mechanisms of competitive adsorption has been comprehensively discussed. The interconnectedness between the role of each protein is elucidated and should aid the understanding of adsorption mechanics and the development of biocompatibility enhancement strategies.
format article
author Heloisa Westphalen
Denis Kalugin
Amira Abdelrasoul
author_facet Heloisa Westphalen
Denis Kalugin
Amira Abdelrasoul
author_sort Heloisa Westphalen
title Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
title_short Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
title_full Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
title_fullStr Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
title_full_unstemmed Structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: A critical review
title_sort structure, function, and adsorption of highly abundant blood proteins and its critical influence on hemodialysis patients: a critical review
publisher Elsevier
publishDate 2021
url https://doaj.org/article/cc2cc3202cfb41d291397da431c02e43
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AT deniskalugin structurefunctionandadsorptionofhighlyabundantbloodproteinsanditscriticalinfluenceonhemodialysispatientsacriticalreview
AT amiraabdelrasoul structurefunctionandadsorptionofhighlyabundantbloodproteinsanditscriticalinfluenceonhemodialysispatientsacriticalreview
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