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The biocompatibility and bioactivity of hemodialysis membranes: their impact in end-stage renal disease

  • Michaela Kohlová
  • Célia Gomes Amorim
  • Alberto Araújo
  • Alice Santos-Silva
  • Petr Solich
  • Maria Conceição B. S. M. Montenegro
Review Artificial Kidney / Dialysis

Abstract

End-stage renal disease is a growing health problem with increasing prevalence and high health care costs. Patients suffering from end-stage renal disease exhibit higher morbidity and mortality rates compared to the general population. These patients, who are treated using hemodialysis, typically suffer from anemia, inflammation, and oxidative stress. Inadequate dialyzer membrane biocompatibility exacerbates these negative side effects. Modifications of the composition of hemodialysis membranes have improved their biocompatibility and improve the patients’ quality of life. Recently, the use of dialyzer membranes coated with bioactive compounds has also been proposed to further ameliorate dialysis-associated problems. Based on a survey of the current literature, application of bioactive membranes decreases the inflammation and oxidative stress of patients treated with hemodialysis.

Keywords

Kidney disease Hemodialysis membranes Bioactive membranes Oxidative stress Inflammation 

Notes

Acknowledgements

The author, Michaela Kohlová, is grateful to the Charles University Grant Agency for GAUK Grant No. 860216 and would like to acknowledge the financial support of the specific research project, No. SVV 260 412. This work was also financially supported by the STARSS project (Reg. No. CZ.02.1.01/0.0/0.0/15_003/0000465) co-funded by the ERDF. FCT/MEC co-financed by the FEDER, under Partnership Agreement PT2020 (UID/MULTI/04378/2013—POCI/01/0145/FEDER/007728) together with Norte Portugal Regional Coordination and Development Commission (CCDR-N)/NORTE2020/Portugal 2020 (Norte-01-0145-FEDER-000024) and POCI-01-0145-FEDER-031322 also supported this study.

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Copyright information

© The Japanese Society for Artificial Organs 2018

Authors and Affiliations

  • Michaela Kohlová
    • 1
    • 2
  • Célia Gomes Amorim
    • 2
  • Alberto Araújo
    • 2
  • Alice Santos-Silva
    • 3
  • Petr Solich
    • 1
  • Maria Conceição B. S. M. Montenegro
    • 2
  1. 1.Department of Analytical Chemistry, Faculty of Pharmacy in Hradec KrálovéCharles UniversityHradec KrálovéCzech Republic
  2. 2.Department of Chemical Sciences, Faculty of Pharmacy, LAQV-REQUIMTEUniversity of PortoPortoPortugal
  3. 3.Department of Biological Sciences, Faculty of Pharmacy, UCIBIO-REQUIMTEUniversity of PortoPortoPortugal

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