Are medium cut-off membranes the future, or the promising reality for chronic hemodialysis patients?

IF 1.4 4区 医学 Q2 Medicine
Noemí Del Toro-Cisneros, Erick Y Zuñiga-González, Adrián E Caballero-Islas, José A Geraldo-Murillo, Mauricio Arvizu-Hernández, Olynka Vega-Vega
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引用次数: 0

Abstract

The development of hemodialysis (HD) membranes has substantially advanced in the last decade. This has resulted in the manufacturing of medium cut-off membranes (MCO) whose internal architecture is based on greater pore size and a smaller diameter, thus promoting the clearance of particles of greater size as well as retrofiltration. Multiple studies have proven their efficacy in the clearance of uremic mid-sized molecules such as β2-microglobulin, free light chains, and some interleukins; this clearance is far superior with MCO membranes when compared with high-flux HD, and similar to that obtained with online hemodiafiltration. This review summarizes the results of the most relevant clinical studies of this membrane in terms of uremic toxin clearance, as well as the features of some clinical outcomes such as quality of life and hospitalizations.

对于慢性血液透析患者来说,中切断膜是未来,还是有希望的现实?
在过去的十年里,血液透析(HD)膜的发展取得了长足的进步。这导致了介质截留膜(MCO)的制造,其内部结构基于更大的孔径和更小的直径,从而促进了更大尺寸颗粒的清除以及反滤。多项研究证明了它们对尿毒症中等大小分子如β2-微球蛋白、游离轻链和一些白细胞介素的清除作用;与高通量HD相比,MCO膜的这种清除率要高得多,并且与在线血液透析过滤获得的清除率相似。这篇综述总结了该膜在尿毒症毒素清除方面最相关的临床研究结果,以及一些临床结果的特征,如生活质量和住院治疗。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
60
审稿时长
>12 weeks
期刊介绍: The Revista de Investigación Clínica – Clinical and Translational Investigation (RIC-C&TI), publishes original clinical and biomedical research of interest to physicians in internal medicine, surgery, and any of their specialties. The Revista de Investigación Clínica – Clinical and Translational Investigation is the official journal of the National Institutes of Health of Mexico, which comprises a group of Institutes and High Specialty Hospitals belonging to the Ministery of Health. The journal is published both on-line and in printed version, appears bimonthly and publishes peer-reviewed original research articles as well as brief and in-depth reviews. All articles published are open access and can be immediately and permanently free for everyone to read and download. The journal accepts clinical and molecular research articles, short reports and reviews. Types of manuscripts: – Brief Communications – Research Letters – Original Articles – Brief Reviews – In-depth Reviews – Perspectives – Letters to the Editor
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