Jm. Courtney et al., Examination of particulate macroporous hydrogels in an extracorporeal rat haemoperfusion model, J BIOM SC P, 10(11), 1999, pp. 1063-1077
A series of macroporous hydrogels has been synthesized, selected from a ran
ge of such materials in which the, presence of functional groups has been s
hown to produce sorbent properties with respect to molecules having clinica
l significance in the field of liver support. The use of freeze-thaw polyme
rization, together with inverse suspension polymerization in hexane; or in
brine, enables macroporous beads ranging in size from 150 to 2000 mu m, to
be prepared from functional monomers exhibiting a range of chemical functio
nalities and aqueous solubilities. In order to investigate the behaviour of
these rigid porous hydrophilic substrates in haemoperfusion, a rat model w
as used to explore various aspects of whole blood response; The materials w
ere incorporated into an extracorporeal circuit linking the right cartoid a
rtery and left jugular vein of male Sprague-Dawley mts. Erythrocyte, leucoc
yte and platelet levels were monitored over a 240 min haemoperfusion period
. The most significant observation is that, apart from the strongly acidic
polyacrylic acid substrate, matrix chemistry has relatively little effect o
n leucocyte or platelet response. The most important factors appear to be s
urface area, pore size and surface rugosity, which do produce measurable, b
ut not dramatic, differences. This is encouraging for future work, since th
ese variables may be manipulated by polymerization conditions.