Pj. Soltys et Mr. Etzel, IN-VITRO CHARACTERIZATION OF A MEMBRANE-BASED LOW-DENSITY-LIPOPROTEINAFFINITY ADSORPTION DEVICE, Blood purification, 16(3), 1998, pp. 123-134
The objective of this study was to explore the use of microporous memb
ranes as an alternative substrate to porous beads in affinity adsorpti
on of low-density lipoprotein (LDL) for therapeutic purposes. Flat she
et immunoaffinity membranes containing a polyclonal antibody preparati
on were utilized as the affinity substrate. The antibody was covalentl
y immobilized to the surface through a poly(ethylene glycol) (PEG) spa
cer. Equilibrium adsorption of LDL from plasma was measured. Adsorptio
n from plasma and elution of bound LDL using citrate buffer were studi
ed as a function of flow rate. Specific capacity was as great as 2 mg
apolipoprotein B per milliliter membrane volume. The superior transpor
t properties of the membrane allowed rapid adsorption and regeneration
, which translated to a large number of adsorptive cycles that can be
performed within a given treatment time. On the basis of in vitro perf
ormance characteristics, it is estimated that an immunoaffinity membra
ne device can provide a reduction in patient plasma LDL concentration
comparable to that provided by packed columns, but with almost an 80%
reduction in the device volume.