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Surface-Engineered Blood Adsorption Device for Hyperphosphatemia Treatment

Shi, Quan*; Jolly, Michael*; Mccord, Marian, G.*,†; Joy, Melanie, S.§

doi: 10.1097/MAT.0000000000000639
Renal/Extracorporeal Blood Treatment

Correspondence: Melanie S. Joy, PharmD, PhD, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Department of Pharmaceutical Sciences, Mail Stop C238, Room V20-4108, 12850 East Montview Blvd, Aurora, CO 80045. Email: The research employed surface engineering methods to develop, optimize, and characterize a novel textile-based hemoadsorption device for hyperphosphatemia in hemodialysis-dependent end-stage kidney disease. Phosphate adsorbent fabrics (PAFs) were prepared by thermopressing alumina powders to polyester filtration fabrics and treatment with trimesic acid (TMA). For static experiments, phosphate adsorption capacity in buffer solution, plasma, and blood were evaluated by submersing the PAFs in 100 ml. For dynamic experiments, PAFs were equipped in a device prototype and incorporated in a pump-driven circuit. Phosphates were determined by a colorimetric assay and an Ortho Clinical Diagnostics Vitros 5600 Integrated analyzer. The maximum loading amount of TMA-alumina on PAFs was approximately 35 g/m2 under 260°C processing temperature. Phosphate adsorption capacity increased with initial concentration. Adsorption isotherms from buffer demonstrated a maximum phosphate adsorption capacity of approximately 893 mg/m2 at 37.5°C, pH 7.4, with similar results from plasma and whole blood. Measured phosphate concentrations during simulations demonstrated a 42% reduction, confirming the high capacity of the PAFs for removing phosphate from whole blood. Results from the current study indicated that an alumina-TMA treated PAF can dramatically reduce phosphate concentrations from biological samples. The technology could potentially be used as a tunable adsorbent for managing hyperphosphatemia in kidney disease.

From the *Fiber and Polymer Science Program, Department of Textile Engineering, Chemistry and Science, North Carolina State University, Raleigh, NC

Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC and University of North Carolina, Chapel Hill, NC

§Skaggs School of Pharmacy and Pharmaceutical Sciences, Department of Pharmaceutical Sciences, and School of Medicine, Nephrology and Hypertension, University of Colorado, Aurora, CO.

Submitted for consideration November 2016; accepted for publication in revised form July 2017.

Disclosure: Drs. Joy and McCord are the Co-founders and scientific advisors to Katharos, Inc. The other authors have no conflicts of interest to report.

This work was supported by research grants from the North Carolina Translational & Clinical Sciences Institute (NC TraCS) and the Wallace H. Coulter Foundation.

Copyright © 2018 by the American Society for Artificial Internal Organs