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. 2023 Apr 3:1–43. Online ahead of print. doi: 10.1007/s42765-023-00277-5

Table 2.

State of the art on laboratory hemodialysis membranes

Substrate Modification method Functional modifier Protein Adhesion Platelet adhesion/activation Immune activation Clotting time Reference
PES Bulk modification Ionic liquid BSA adsorption: 52% decreased Platelet adhesion:95% decrease calculated from SEM picture No significant change [263]
PES Surface modification PEtO BSA adsorption: 56% decreased Low platelet adhesion as indicated by SEM No significant change [254]
PES Surface modification Tannic acid Reduced BSA adsorption Low platelet adhesion as indicated by SEM Increased radical scavenging capacity Prolonged clotting times and reduced blood coagulation index [253]
PSF Blending modification Resveratrol Reduced BSA adsorption Low platelet adhesion as indicated by SEM Increased radical scavenging capacity, and reduced C3a and C5a generation [256]
PES Surface modification Chitosan and heparin Reduced BSA adsorption as indicated by fluorescence microscope Reduced PF4 concentration Reduced C3a and C5a generation Reduced TAT generation [264]
PES Blending modification Ticagrelor Reduced platelet adhesion and P-selectin expression Reduced IL-6, THF-α, IL-10 generation No significant change [265]
PSF Surface modification Sodium alginate, acrylic acid Low protein adhesion as indicated by SEM

Low platelet adhesion as indicated by SEM,

PF4: 70% decrease

C3a: 70% decreased,

C5a: 75% decreased

APTT: 775% prolonged,

TT: 94.4% prolonged,

TAT: 50% decreased

[20]
PAN Surface modification Heparin-poly(vinyl alcohol) hydrogel

Bovine serum albumin (BSA) adsorption: 98% decreased,

Flux recovery: 21% increased

APTT: 225% prolonged,

PT: 233% prolonged,

TT: 200% prolonged

[22]
PES Blending/surface modification PEGMA

BSA adsorption: 35% decreased,

Flux recovery: 20% increased

Platelet adhesion: 50% decrease calculated from SEM picture [266]
PAN Surface modification Heparin functionalized MWCNTs/PVA BSA adsorption: 55% decreased Platelet adhesion: 80% decrease calculated from SEM picture

C3a: 15% decreased,

C5a: 20% decreased

Plasma recalcification time: 123% prolonged [267]
PES Bulk/blending modification Amphiphilic zwitterionic polymer

BSA adsorption: 85% decreased,

Bovine fibrinogen (BFG) adsorption: 87.5% decreased,

Flux recovery: 16% increased

Low platelet adhesion as indicated by SEM

C3a: 5% decreased,

C5a: 5% decreased

Plasma recalcification time: 36% prolonged [268]
PES Blending/surface modification PAA-AMPS

BSA adsorption: 55% decreased,

BFG adsorption: 70% decreased,

whole blood protein adsorption: 50% decreased,

Flux recovery: 7% increased

Platelet adhesion: 80% decrease calculated from SEM picture

C3a: 10% decreased,

C5a: 5% decreased,

BK: 10% decreased

APTT: 157% prolonged,

TT: 584% prolonged

[79]
Polyvinylidene Fluoride (PVDF) Blending modification Poly(ethylene glycol)-multi-walled carbon nanotubes

BSA adsorption: 80% decreased,

Flux recovery: 20% increased

[269]
PSF Surface modification Poly AA-HEMA Flux recovery: 116% increased APTT: 33% prolonged [241]
PSF Blending modification P(VP-VTES)-b-P(SSNa-VTES-AA) Low platelet adhesion as indicated by SEM

C3a: 25% decreased,

C5a: 50% decreased

APTT: 1900% prolonged,

PT: 100% prolonged,

TT: 80% prolonged

[203]
PES Surface modification Sulfonated sodium alginate

BSA adsorption: 33% decreased,

BFG adsorption: 50% decreased,

Platelet adhesion: 90% decrease calculated from SEM picture

APTT: 30% prolonged,

PT: 10% prolonged,

TT: 20% prolonged

[270]
PES Bulk/surface modification Sulphated carboxymethylcellulose

BSA adsorption: 70% decreased,

Flux recovery: 150% increased

Low platelet adhesion as indicated by SEM [271]
PAN Surface modification Branched polyethylenimine Platelet adhesion: 45% decrease calculated from SEM picture Plasma recalcification time: 60% prolonged [272]
PES Blending modification GO Flux recovery: 30% increased Low platelet adhesion as indicated by SEM

APTT: 25% prolonged,

PT: 10% prolonged,

TT: 10% prolonged

[273]
PES Blending/surface modification P(AA-co-HEMA)/PSSNa

BSA adsorption: 66% decreased,

BFG adsorption: 50% decreased,

Flux recovery: 20% increased

Platelet adhesion: 98% decrease calculated from SEM picture,

PF4: 20% decrease

C3a: 45% decreased,

C5a: 10% decreased

APTT: 125% prolonged,

TT: 66% prolonged

[274]
PES Bulk modification Heparin-like PES

BSA adsorption: 60% increased,

BFG adsorption: 65% decreased

PF4: 10% decrease

C3a: 16% decreased,

C5a: 33% decreased

APTT: 225% prolonged,

TT: 40% prolonged

[100]
PSF Surface modification Sulfonated hydroxypropyl chitosan BSA adsorption: 85% decreased Low platelet adhesion as indicated by SEM

Whole blood clotting time: 190% prolonged,

APTT: 10% prolonged,

TT: 100% prolonged

[275]
PES Blending modification Heparin-mimicking polyurethanes

BSA adsorption: 50% increased,

BFG adsorption: 40% decreased

Platelet adhesion: 95% decrease calculated from SEM picture

C3a: 45% decreased,

C5a: 15% decreased

APTT: 162% prolonged,

TT: No change

[226]
PSF Blending modification Poly(vinyl pyrrolidone-co-vinyltriethoxysilane

BSA adsorption: 60% decreased,

Flux recovery: 50% increased

Low platelet adhesion as indicated by SEM

APTT: 30% prolonged,

PT: 20% prolonged

[276]
PAN Surface modification Polyvinyl alcohol BSA adsorption: 60% decreased Low platelet adhesion as indicated by SEM

C3a: 5% decreased,

C5a: 20% decreased

[277]