Nd. Vaziri et al., INDUCTION, TRANSCRIPTION, SYNTHESIS, AND ADSORPTION OF INTERLEUKIN-1 BY DIALYZER MEMBRANES, Journal of the American Society of Nephrology, 4(11), 1994, pp. 1884-1889
This study was designed to dissect the direct effect of dialyzer membr
ane on interleukin-1 (IL-1) induction from those of complement activat
ion, mechanical stimulation, acetate/bicarbonate and endotoxin diffusi
on, and cell type interactions. To this end, a suspension of P388D1 mu
rine macrophages in a complement-free culture medium containing 10% he
at-inactivated serum, a closed-loop system consisting of tubing alone
or with a hollow-fiber cuprammonium cellulose (CU) or polyacrylonitril
e (PAN) dialyzer, and a roller pump were used. The dialysate compartme
nt was filled with the same medium and capped. Cell suspension was rec
irculated at 300 mL/min for 3 h. Cells and supernates were separated,
and adhering proteins were eluted. All samples tested negative for end
otoxin. IL-1 mRNA was greatest with CU, followed by PAN and tubing alo
ne. IL-1 in the supernate was greater with CU than with either tubing
alone or PAN (P < 0.005; analysis of variance), which showed comparabl
e values. IL-1 eluted from loops was greatest with PAN dialyzers, foll
owed by sets with CU dialyzers and tubing alone (P < 0.001; analysis o
f variance). Thus, both CU and PAN membranes directly induce IL-1. How
ever, avid adsorption by PAN attenuates the rise in circulating IL-1.