Cross-shaped nanoporous poly(methyl methacrylate) fibers for selective adsorption of β2-microglobulin and other

Hiroaki Fujieda1,2, Tomoaki Osuka1, Masaru Nakada3

  • 1Toray Industries, Inc., Advanced Materials Research Laboratories, Otsu, Shiga, Japan.

Abstract

Insights

New adsorbent fibers effectively remove beta-2 microglobulin (β2-MG), a key cause of dialysis-related amyloidosis. These optimized fibers offer improved hemoperfusion therapy for chronic kidney disease patients.

Area of Science:

  • Biomaterials science and regenerative medicine
  • Nephrology and dialysis technology
  • Nanotechnology for medical applications

Background:

  • Dialysis-related amyloidosis (DRA) is a severe complication in patients undergoing long-term dialysis.
  • Accumulation of beta-2 microglobulin (β2-MG) causes DRA, posing a challenge due to the increasing dialysis population.
  • Current treatments for DRA are limited, necessitating novel approaches for β2-MG removal.

Purpose of the Study:

  • To engineer stereocomplex poly(methyl methacrylate) (PMMA) adsorbent fibers with tailored structures for enhanced β2-MG adsorption.
  • To evaluate the efficiency and selectivity of these PMMA fibers in removing β2-MG from serum.
  • To assess the hemodynamic properties of fiber-based adsorbents for hemoperfusion.

Main Methods:

  • Fabrication of structured PMMA fibers using dry-wet spinning techniques.
  • Characterization of fiber morphology and nanoporous structure using SEM and 3D-TEM.
  • Evaluation of adsorption performance with β2-MG-spiked serum and analysis using TOF-SIMS.
  • Computational fluid dynamics simulations to compare pressure drop in fiber-packed versus bead-packed columns.

Main Results:

  • PMMA fibers with 12-15 nm pores demonstrated optimal β2-MG adsorption capacity.
  • Cross-shaped fibers exhibited superior blood-contact surface area and adsorption efficiency.
  • A surface-dense layer (<0.1 μm) facilitated β2-MG diffusion while minimizing albumin adsorption.
  • Significant adsorption (>50%) of mid-weight uremic toxins like IL-6, α1-MG, and TNF-α was observed.
  • Fiber-packed columns showed lower pressure resistance compared to traditional bead-packed columns.

Conclusions:

  • Optimized cross-shaped PMMA fibers provide an effective means for selective β2-MG removal.
  • These fibers demonstrate potential for use in hemoperfusion therapies targeting mid-weight uremic toxins.
  • The developed adsorbent fibers offer favorable flow dynamics, improving hemoperfusion treatment efficiency.

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