Experimental and clinical studies have suggested that dialysis membran
e biocompatibility may influence the morbidity and mortality of patien
ts with acute renal failure, Complement activation by dialysis membran
es may also prolong the recovery from acute renal failure, In this art
icle, we review the concept of dialysis membrane adsorption, with part
icular attention to adsorption/inhihition of factor D, a highly specif
ic serine protease of the alternative pathway of complement, The adsor
ptive properties of some dialysis membranes may be useful during conti
nuous renal replacement therapies (CRRT) in critically ill patients. (
C) 1997 by the National Kidney Foundation, Inc.