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Deposition of needle-shaped monosodium urate monohydrate (MSU) crystals in synovial fluid provokes the acute inflammatory response of gout. The mechanism of MSU crystallization was investigated in batch operation under the same pH and Na+ concentration of synovial fluid. It was found that stirring enhanced the aggregation of needle-shaped MSU, and the deposition of MSU was faster and larger in amount. MSU crystals in supersaturated urate solution were detected by dynamic light scattering and UV absorption, suggesting that the urate concentration affected not the crystal growth but nucleation. Since the increase of the number of MSU crystals is assumed to cause a high risk of gout, this result supports the importance of the control of serum urate level as a treatment of gout.

All available dialysis membranes prevent endotoxin (Et) from mixing with the blood under clinical conditions. However, maintenance dialysis patients are at risk of amyloidosis attributed to Et. This suggests that Et may affect the blood even if it does not mix with the blood. The objective of the present study is to evaluate the activity of Et trapped by membranes. We made mini modules out of hollow fibers using three different types of membranes and filtered Et solution. The lumen of the hollow fibers was then filled with limulus amebocyte lysate (LAL) for 15 min at 310 K. Et activity was then determined by measuring absorbance of the LAL reagent. The surfaces of test membranes were studied using an atomic force microscope. With polyester polymer alloy (PEPA), no Et leakage or Et activity was detected in the hollow fibers under any conditions. With polysulfone (PS) and polyether sulfone (PES), no Et leakage was detected under clinical conditions, but Et activity was detected in the hollow fibers. These results show that Et trapped by the inner skin may affect the blood, even if Et does not mix with the blood. Therefore, Et should be trapped by an outer skin or the part somewhat far from the blood which does not contact with the blood directly.

For efficient removal of large molecular weight solutes by dialysis, several types of internal filtration-enhancing dialyzers (IFEDs) are commercially available. However, in a pressure-driven membrane separation process (i.e., filtration), membrane fouling caused by adhesion of plasma proteins is a severe problem. The objective of the present study is to investigate the effects of internal filtration on membrane fouling based on the membrane's pure-water permeability, diffusive permeability, and sieving coefficient. Hemodialysis experiments were performed with two different dialyzers, IFEDs and non-IFEDs. Local membrane fouling in each dialyzer was evaluated by measuring the pure-water permeability, the diffusive permeability, and the sieving coefficient of native membranes and membranes treated with bovine blood. The effects of packing ratio on dialysate flow pattern were also evaluated by measuring the time required for an ion tracer to reach electrodes placed in the dialyzers. In the IFED, membrane fouling caused by protein adhesion is increased because of enhanced internal filtration only at the early stage of dialysis, and this fouling tends to occur only near the dialysate outlet port. However, enhanced internal filtration has little effect on measured membrane transfer parameters.

Using the derived mass transfer correlations for hollow fibers, hollow fiber arrangements were optimized for an artificial gill that uses an oxygen carrier solution. FC-40, a perfluorocarbon (PFC), was used as the oxygen carrier solution. In the oxygen uptake module, a hollow fiber arrangement with parallel coiled hollow fibers is preferred. The optimum outside diameter of the hollow fibers and the transverse pitch between them are 300 and 500 μm, respectively. In the oxygen release module, a hollow fiber arrangement of straight parallel hollow fibers is preferred. The optimum outside diameter of the hollow fibers and transverse pitch between them are 300 and 500 μm, respectively. In the case of humans, the scaling up was estimated from the oxygen transfer rates using these optimum hollow fiber arrangements. The required total membrane surface area is 50.8 m 2 , the total delivered pumping energy is 124 W, and the oxygen partial pressure in inspiration is 17.8 kPa. Importantly, the total membrane surface area required was significantly reduced using the modules with an optimum hollow fiber arrangement in comparison with that using connected membrane oxygenators as a gas exchanger. The optimization of hollow fiber arrangements in an artificial gill significantly enhances oxygen transfer from water to air.

We have evaluated the mass transfer performance of four commercially available membrane oxygenators in which the blood path is external to and approximately perpendicular to the fiber bundle. Water flowed outside the hollow fibers as an oxygen carrier medium and substitution for blood, and nitrogen gas flowed inside the hollow fibers. The oxygen transfer rates in the membrane oxygenators were measured, and their mass transfer coefficients were obtained. When we analyzed the mass transfer performance using the theory of heat transfer across tube banks, the Sherwood numbers were obviously divided into two regions; one was the data for parallel hollow fibers, and the other was the data for crossed hollow fibers. This indicates that the mass transfer performance of the membrane oxygenator is attributable to the hollow fiber arrangement namely, parallel and crossed hollow fibers, in the same manner as that for heat transfer across tube banks (staggered and in-line bank). New mass transfer correlations have been developed for the membrane oxygenators composed of parallel hollow fibers and crossed hollow fibers. These mass transfer correlations may be used as a guide for the design of a new and efficient membrane oxygenator.

An artificial gill has been developed that transfers oxygen from water to air, using oxo-molybdenum(IV)5,10,15,20-tetramesitylporphyrin (Mo IV O(tmp)) dissolved in o -xylene as an oxygen carrier solution and the energy of visible light. The oxygen partial pressure in the oxygen carrier solution is changed by photo-irradiation to enhance both the oxygen uptake from water and the oxygen release to air. The ratio of the oxygen mass transfer coefficient of the oxygen carrier solution to that of water is 0.746 for oxygen uptake and 0.654 for oxygen release. In designing a large-scale artificial gill for supplying oxygen to a closed space underwater such as submerged vessel, the required membrane surface area, the seawater flow rate and the reservoir tank volume were 123 m 2 , 0.00533 m 3 s −1 , and 5.06 m 3 , respectively. These values increased as the oxygen partial pressure of seawater decreased. However, the high partial pressure of oxygen required for human respiration (20.0 kPa) can be provided in a closed space even from seawater with an oxygen partial pressure as low as 10.0 kPa. This newly developed artificial gill may be useful for deep sea activities, such as underwater exploration, marine research and underwater habitation.

Polysulfone (PS) dialysis membranes hydrophilized by blending polyvinylpyrrolidone (PVP) are well known to have excellent biocompatibility in clinical use. The objective of the present study is thus to clarify how PVP improves biocompatibility of PS membranes and furthermore to develop a patient-friendly PS dialysis membrane with higher biocompatibility. Biocompatibility based on both lactate dehydrogenase (LDH) activity and amount of protein adsorption was greatly different among four commercially available PS hollow-fiber dialysis membranes. PVP present on the inner surface of the hollow fiber was quantitatively determined by X-ray photoelectron spectroscopy (XPS), demonstrating the amount of PVP to be varying for each membrane. Structure parameters such as surface roughness, three-dimensional surface area and polymer particle diameter, indications of the physicochemical properties of the membranes, were measured on the observed inner surface images in both wet and dry conditions by atomic force microscopy (AFM) to account for dependence of biocompatibility on these structure parameters. The higher regularity polymer particle structure has in the wet condition, the lower wet/dry ratio surface roughness has and the larger wet/dry ratio polymer particle diameter has, that is, the more greatly the polymer particles swell by wetting, the higher biocompatibility is achieved by “cushion effect”.

Morphology and solute diffusive permeability of thin layer of molecularly imprinted polymer (MIP) change in the presence of templates, which is termed as “gate effect”. To optimize morphological changes induced by the gate effect, the flexibility, density, and the amount of specific binding sites for templates of the MIP-grafted layer must be tightly controlled during radical polymerization. Living radical polymerization with “iniferter” ( ini tiator-trans fer agent- ter minator) is useful tool for controlling degree of polymerization by reaction time. In this work, photoactive iniferter (benzyl dietyldithiocarbamate) was immobilized on a cellulose membrane via a silane coupler. This treated membrane was grafted with theophylline-imprinted copolymer of methacrylic acid and ethylene glycol dimethacrylate by ultraviolet irradiation. The relationship between the amount of graft copolymer, the degree of the gate effect and the time of UV irradiation was studied. The amount of grafted copolymer increase by repeating polymerization cycle. In addition, the variation of the diffusive permeability by template clearly differs to that by analogue. Therefore, these MIP membranes can discriminate two alkaloids by difference of diffusive permeability. The variation by the template or the analogue and the selectivity of the permeability depended on irradiation time. Those results indicate that synthesized MIP has a “living nature” and the gate effect is feasible to control by irradiation time. Living radical polymerization is a promising method to build sophisticated architecture of MIP membranes possessing self-controllable permeability by gate effect.

We revealed morphology and physicochemical behavior of a widely used powerful hydrophilizing agent, polyvinylpyrrolidone (PVP), present on polysulfone (PS)/PVP films by atomic force microscopy (AFM). This is the first time such clear PS/PVP phase-separated morphology was observed by nanoscopic technique. The film surfaces were observed by the identical observation mode, probe and scanning conditions to reveal the change of PVP morphology and behavior between dry and wet conditions. Morphology was related to biocompatibility by combining AFM data with results of surface element composition, contact angle, adhesion amount of rabbit platelet and relative amount of adsorbed fibrinogen. PVP nano-particles of one or several molecules were formed on the dry PS/PVP film surfaces. Amount of PVP present on the surfaces increased with the molecular weight of PVP. At a mixed amount of 1–5 wt%, PVP K90 formed crowded particles on the dry surface. When wet, they swelled, followed by their union to produce a smooth surface leading to improved biocompatibility. The highest biocompatibility with excellent mechanical strength is achieved by blending the highest molecular weight PVP K90 at 1–5 wt%.

We have reported a novel method of visualizing endotoxin (Et) distribution inside an Et-blocking filtration membrane using both fluorescence-labeled Et and a confocal laser scanning fluorescence microscope (CLSFM) in our previous paper [J. Membr. Sci. 210 (2002) 45]. The objective of the present study is to clarify Et-blocking mechanism of dialysis membranes. Six kinds of dialysis membranes with varying materials (hydrophilic and hydrophobic) and varying structures (pore diameter, skin layer location and thickness, and water content) were evaluated by CLSFM together with other techniques such as atomic force microscopy (AFM). Physicochemical property of a membrane material affects Et-adsorbing efficiency, and further membrane structure affects Et-plugging efficiency. Rejected Et distribution in the membranes with varying materials and structures is successfully visualized using fluorescence-labeled Et by CLSFM. Et adsorption on the membranes occurs first, followed by the narrowing of their pores, and afterward pore plugging is continued. Adsorption plays a vital role in Et-blocking. Double skin layer structure is valid for preventing of Et contamination than only inner skin layer structure because the double skin layer structure blocks Et more farther from blood-side surfaces than the only inner skin layer structure.

An artificial gill was developed using a concentrated hemoglobin solution containing inositol hexaphosphate (IHP), as the oxygen carrier solution, with the oxygen affinity controlled by temperature. Oxygen dissolved in sea water is first taken up from water to the oxygen carrier solution at 293 K. The oxygen carrier solution is then heated and the oxygen is released from the oxygen carrier solution to expired air at 310 K. The enhancement factors of the oxygen carrier solution that indicate its performance were obtained from the oxygen uptake rate and oxygen release rate. The values were approximately 3 at oxygen uptake and 16 at oxygen release. The scale-up for a human being at rest was estimated using these values, and the optimal operating condition was determined. The required membrane surface area for a human being is 63.8 m 2 . The oxygen partial pressure of inspiration is 20.7 kPa, adequate for the respiration. These indicate the feasibility of a compact and portable artificial gill device.

Since the finding of β 2 -microglobulin as a causal substance in the carpal tunnel syndrome of chronic hemodialysis patients, removal of β 2 -microglobulin has been performed using highly permeable dialysis membranes with larger pores. Such large-pore membranes tend to allow endotoxins (Et), harmful substances contained in dialysate, to enter blood. At present, as a countermeasure, Et-blocking filtration membranes are used to remove Et from dialysate. However, Et removal mechanism by these membranes has not been clarified yet. The objective of this study is thus to visualize distribution of fluorescence-labeled Et trapped inside the polyester–polymer alloy (PEPA) membrane, a widely used Et-blocking filtration membrane using a confocal laser scanning fluorescence microscope (CLSFM). Et were observed mainly in the outer skin layer of the hollow fiber, while some in the void and inner skin layers. No Et were present inside the hollow fiber. In conclusion, we succeeded in visualization of Et distribution inside the Et-blocking filtration membrane using CLSFM. This novel visualization technique may allow evaluation of distribution of Et trapped inside various kinds of Et-blocking filtration membranes.

In a hollow-fiber dialyzer, uremic toxins are removed by diffusion and convection, which are influenced by the dialysate flow patterns in the dialyzer. Recently available high-performance dialyzers have complicated dialysate flow patterns, because both positive filtration and negative filtration occur. The objective of the present study was to evaluate dialysate flow in high-performance dialyzers experimentally. Glass-coated 0.1 mmφ platinum electrodes were used for the electrode counter and the working electrode. A counter electrode was placed at the inlet of the dialyzer, and working electrodes were placed at 20 different positions. A voltage of 0.5 V was applied between the counter and the working electrodes with a potentiostat, and after the dialyzer was filled with water purified by reverse osmosis, 0.9% NaCl solution was caused to flow. The time at which the 0.9% NaCl solution reached each working electrode from the counter electrode was then measured at a dialysate-side flow rate of 300 ml/min and blood-side flow rates of 0 and 200 ml/min. It was found that in dialyzers with high permeability to pure water, dialysate flow was affected by both positive and negative filtration. A comparison was then made between the experimental results and the results of simulation by the finite element method; at positions at which positive and negative filtration occurred, good agreement was obtained. This method makes possible the experimental evaluation of dialysate flow in a high-performance dialyzer in which positive and negative filtration occur.

Determining pore size distribution is important for characterization of a dialysis membrane. However, conventional microscopic techniques cannot present a sufficient image for determining pore size distribution. In the present study, tapping mode atomic force microscopy (TMAFM) has been shown to be a powerful tool for observing and evaluating the small surface pores of a hollow-fiber dialysis membrane. Sample fixing technique described below and a highly sharpened probe have made it possible to observe small pores on a soft and undulant surface of a dialysis membrane. This is the first time that clear TMAFM images of surface pores of a hollow-fiber dialysis membrane at such high resolution have been presented. Pore diameter was determined by image analysis. Average pore diameter of APS-150 (Asahi-kasei, Japan) determined by TMAFM was compared with those by field emission scanning electron microscopy (FESEM) and by the Hagen–Poiseuille equation. The average pore diameter of APS-150 determined by TMAFM was slightly higher than that by FESEM. The average pore diameter determined by the Hagen–Poiseuille equation was intermediate between values for that of inside and outside surfaces determined by TMAFM.

Adriamycin (ADR)-loaded thermally responsive polymeric micelles composed of poly( N -isopropylacrylamide- co - N , N -dimethylacrylamide)- b -poly( d,l -lactide) were prepared by dialysis from its dimethylacetamide solution against water. Microfiltration was successfully applied to removal of block copolymer associates, which were smaller than micellar structures. By this microfiltration polymeric micelles showing a lower critical solution temperature (LCST) at 40°C in phosphate buffered saline was obtained with a monodispersed size distribution of 69.2 nm in cumulant average diameter. ADR-loaded micelles released more ADR at 42.5°C (above the LCST) than at 37°C (below the LCST). ADR-loaded micelles did not show much cytotoxic activity against bovine aorta endothelial cells at 37°C, in contrast to high cytotoxicity at 42.5°C. On the other hand, free ADR expressed high cytotoxicity at both the incubation temperatures. Thus, thermally responsive polymeric micelles showed distinct control of ADR cytotoxic activity by temperature, while free ADR did not. From these results, an effective target therapy against solid tumors is feasible for these polymeric micelles by a combination of selective delivery to tumor sites based on stable micellar structures at 37°C and enhanced cytotoxic activity of these drug-loaded micelles at 42.5°C by local heating at tumor sites.

We designed thermo-responsive and biodegradable polymeric micelles for an ideal drug delivery system whose target sites are where external stimuli selectively release drugs from the polymeric micelles. The thermo-responsive micelles formed from block copolymers that were composed both of a hydrophobic block and a thermo-responsive block. Poly(N-isopropylacrylamide-co-N,N-dimethylacrylamide) showing a lower critical solution temperature (LCST) around 40 degrees C was synthesized for the thermo-responsive block, while biodegradable poly(D,L-lactide), poly(epsilon-caprolactone), or poly(D,L-lactide-co-epsilon-caprolactone) was used for the hydrophobic block. By changing both the block lengths of the poly(D,L-lactide)-containing block copolymers, physical parameters such as micelle diameter and critical micelle concentration were varied. On the other hand, the choice of the hydrophobic block was revealed to be critical in relation to both on the thermo-responsive release of the incorporated anti-cancer drug, doxorubicin, and the temperature-dependent change of the hydrophobicity of the micelles' inner core. One polymeric micelle composition successfully exhibited rapid and thermo-responsive drug release while possessing a biodegradable character.

The interaction of blood with a material surface results in activation of the body's humoral immune system and the generation of reactive oxygen species (ROS). It has recently become clear that ROS are central to the pathology of many diseases. In this study, we evaluated the superoxide generation, permeation, and dismutation in hollow-fiber dialysis membranes by using 2-methyl-6-p-methoxyphenylethynyl-imidazopyrazinone (MPEC) as a superoxide-reactive chemiluminescence producer and an optical fiber probe to detect the resulting chemiluminescence in the hollow fiber lumen. We measured the superoxide generated when bovine blood leukocytes were brought into contact with dialysis membranes. Superoxide permeation was determined by measuring MPEC chemiluminescence in the hollow fiber lumen using an optical fiber probe. Additionally, superoxide dismutation was evaluated by examining the difference in superoxide permeability for membranes with and without vitamin E coating. Superoxide generation varies for different membrane materials, depending on the membrane's biocompatibility. Superoxide permeability depends on the diffusive permeability of membranes. No marked decrease in superoxide permeability was observed among membrane materials. The superoxide permeability of vitamin E-coated membrane was smaller than that of uncoated membrane. The antioxidant property of vitamin E-coated membranes is hence effective in causing superoxide dismutation.

An artificial gill is a device for the uptake of oxygen from water to air through a gas permeable membrane, driven by an oxygen partial pressure difference between the water and air. It enables humans to breathe under water, thereby extending the time that can be spent underwater, whether in scuba diving, sea rescue, sea exploration, or in a sea-bed city. It could help to achieve the dream of swimming like fish and living in the sea. In the earliest studies, Ayres (1966) developed an artificial gill using a gas permeable membrane. Bodell (1965) has reported a gas transfer apparatus with coils of capillary tubes made of silicone rubber that was able to sustain a rat for 25 h. Paganelli et al. (1967) designed an artificial gill consisting of a chamber covered on one end with a gas-permeable membrane.

For the efficient and well-controlled incorporation of the anti cancer drug adriamycin (ADR) into the inner core of a thermo-responsive polymeric micelle carrier system, we have analyzed and optimized the incorporation procedure in this paper. A dialysis method was used for preparing the micelle solution and ADR incorporation simultaneously. Quantities of ADR and triethylamine (TEA) were varied and the effects of their quantities were analyzed. Solvent composition at the starting time of dialysis was also varied. The initial dialysis condition, solvent with 40% water, brought about the largest amount and yield of ADR incorporation. With the initial 40% water content, it was considered that the block polymers formed a micelle-like association with a swollen hydrophobic core. This swollen core may be suitable for a large amount of ADR incorporation, since this core, swollen by an organic solvent-water mixture, is expected to show a liquid-state character to allow ADR molecules entry into the cores. By starting the dialysis procedure at this 40% water content, this swollen core suitable for the ADR incorporation is considered to be maintained for a much longer period than a case starting with a polymer-ADR solution in a solvent with a water content of less than 40%, and, therefore, ADR is expected to be incorporated efficiently. Preparation temperature of 20-25 degrees C was found to provide the most effective ADR incorporation in this thermo-responsive polymeric micelle system. These results indicate that the efficient incorporation of ADR can be achieved in consideration of the dynamic micelle formation and drug incorporation processes.

The thermally sensitive block copolymer, poly(N-isopropylacrylamide-b- dl -lactide) (PIPAAm–PLA), was synthesized by ring-opening polymerization of dl -lactide initiated from hydroxy-terminated poly (N-isopropylacrylamide) (PIPAAm). A PIPAAm bearing a single terminal hydroxyl group was prepared by telomerization using 2-hydroxyethanethiol as a chain-transfer agent. Successful preparation of PIPAAm and the PIPAAm–PLA block copolymer was verified by gel permeation chromatography (GPC) and 1H-NMR spectroscopy. Polymeric micelles were prepared from block copolymers using a dialysis method. Their solutions showed reversible changes in optical properties: transparent below a lower critical solution temperature (LCST) and opaque above the LCST. Dynamic light scattering measurements were used to observe the formation of micellar structures approximately 40 nm in diameter, which do not change between 20°C and 30°C. Above the LCST, polymer micelles aggregated, a phenomenon found to be reversible since the aggregates dissociated again by cooling below the LCST. Further observations using atomic force microscopy (AFM) confirmed this behaviour. The properties of this block copolymer system are interesting from both applied and fundamental perspectives, particularly for active targeting as drug carriers.

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