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Complement activation by plasma separator membranes.

B C McLeod, A Viernes, R J Sassetti

    Transfusion
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Six plasma separator membranes were tested for complement activation. Polysulfone and cellulose acetate membranes strongly activated the complement alternative pathway, while others showed weaker activation, informing material selection for plasma separators.

    Area of Science:

    • Biomaterials Science
    • Immunology
    • Medical Device Engineering

    Background:

    • Plasma separation membranes share structural similarities with dialysis membranes.
    • Complement activation by medical devices can lead to adverse immune responses.
    • Understanding membrane-induced complement activation is crucial for device safety and efficacy.

    Purpose of the Study:

    • To evaluate the complement-activating potential of six different plasma separator membranes.
    • To identify which membrane materials are strong or weak activators of the complement alternative pathway.
    • To assess the influence of anticoagulation on membrane-induced complement activation.

    Main Methods:

    • Crossed immunoelectrophoresis was used to detect complement activation via immunoconversion of the third component of complement (C3).

    Related Experiment Videos

  • Six distinct plasma separator membranes were tested, including polysulfone, cellulose acetate, polypropylene, poly(vinylidene fluoride), and polyvinyl chloride derivatives.
  • Plasma samples from different donors were used, with and without citrate or heparin anticoagulation.
  • Main Results:

    • Polysulfone and two cellulose acetate membranes demonstrated relatively strong activation of the complement alternative pathway.
    • Polypropylene, poly(vinylidene fluoride), and polyvinyl chloride derivative membranes exhibited weak activation in some sera.
    • Complement activation by membranes was inhibited when plasma was anticoagulated with citrate, but not with heparin.

    Conclusions:

    • Material choice for plasma separators significantly impacts complement activation.
    • Citrate anticoagulation effectively inhibits membrane-induced complement activation, unlike heparin.
    • In vitro screening of membrane materials and anticoagulation strategies is valuable for optimizing plasma separator safety and performance.