ADSORBENTS USED IN THE CLEARANCE OF ENDOTOXIN

A series of modified poly (methyl methacrylate, PMMA) resins were prepared and compared their adsorption abilities to endotoxin. The results showed that adsorbents, which were grafted with tertiary amine and long spacing arms, had the best adsorption capacities and good blood compatibility, It is hopeful to be used as adsorbent in hemoperfusion for clinical clearance of endotoxin. The influence of original concentration of endotoxin on adsorption and the adsorption mechanism were also investigated.     

吸附剂结构的计算机辅助设计及吸附机理

以琼脂糖凝胶为载体, 二甲胺为配体, 制备了β-OH, γ-OH和β-SH吸附剂. 通过对水相中内毒素的动、静态吸附探索有效的吸附剂结构. 研究结果显示, 吸附剂对内毒素的清除率随配体结构的不同呈现出较大差异, 其中β-OH吸附剂的清除效果最好, 达到90.7%. 运用计算机模拟方法提出了β-OH吸附剂与内毒素作用的模型, 阐明静电力是影响吸附性能的主要因素, 同时氢键的协同和空间位阻效应也不可忽视.     

以壳聚糖为载体的内毒素吸附剂

内毒素血症(Endotoxemia)可出现于多种疾病过程中,导致器官坏死、不可逆休克和死亡。如何及时并有效地清除患者体内的内毒素,是临床医学面临的一个难题．选用高效吸附剂,籍助血液灌流的方法从血液中直接清除内毒素,受到了人们越来越多的关注。     

计算机模拟内毒素吸附剂吸附机理的研究

应用计算机模拟的方法研究了内毒素吸附剂的吸附机理. 模拟结果显示, 以二甲胺为配体的吸附剂, 当β位存在羟基时, 此羟基可与内毒素分子间形成氢键, 并形成一个八元环的稳定结构. 此时吸附剂与内毒素之间存在静电、 氢键、 疏水相互作用和八元环的协同作用. 同时模拟了羟基位于配体不同位置的吸附剂与内毒素的相互作用. 结果表明, 静电作用为主要的相互作用力, 羟基的位置对吸附剂的吸附能力影响显著.     

亲和吸附剂对细菌内毒素吸附性能的研究

制备了以球形纤维素为载体、8种氨基酸和1种聚赖氨酸为配基的吸附剂,对质量浓度为100.0pg/mL的内毒素水溶液进行了吸附研究,绘制了吸附等温线,并初步探讨了吸附机理.结果表明,精氨酸和赖氨酸配基具有良好的吸附能力,在1.5mL100.0pg/mL内毒素溶液中吸附量分别达到182.0和160.0pg/mL;吸附等温线显示,以赖氨酸为配基的吸附剂其吸附量随溶液内毒素浓度增加而线性增加,符合Langmuir吸附方程,吸附能力强,具有一定的临床应用前景.     

以氨基酸为配体的血液灌流用内毒素吸附剂的制备及性能研究

以琼脂凝胶为载体,氨基酸为配体,合成了内毒素吸附剂,并对其吸附效果进行了比较.对吸附剂的各种性质进行了表征,选取琼脂-赖氨酸吸附剂对内毒素血症的兔子进行血液灌流,可将血浆中的内毒素降至接近正常值,最高清除率达73.6%,且吸附剂具有良好的血液相容性.     

血液灌流用内毒素吸附材料研究

内毒素血症是败血症致死率极高的主要原因之一,迅速并有效地清除患者体内的内毒素,是临床医学面临的一个难题．用血液灌流的方法,选用有效的吸附剂,通过体外循环从血液中直接清除内毒素,受到了人们越来越多的关注．国内外研究者已开始研究利用该方法治疗内毒素血症,用活性炭     

An electrokinetic study on a synthetic adsorbent of crystalline calcium silicate hydrate and its mechanism of endotoxin removal

A synthetic, disposable adsorbent of crystalline calcium silicate hydrate, LRA product by Advanced Minerals Corp., has been found highly effective for endotoxin removal from aqueous solutions. Endotoxin removal by this adsorbent is greatly enhanced by the addition of an electrolyte, such as NaCl or Tris-HCl. The electrophoretic method has been used to study the mechanism of endotoxin adsorption. In many cases, adding the electrolyte increases the magnitude of negative zeta potential of the adsorbent in water, while endotoxin adsorption reduces the magnitude. It is hypothesized that ion-exchange between monovalent cations from the aqueous phase and Ca2+ ions near the surface of the adsorbent shift zeta potential of the adsorbent to the more negative direction. It is further hypothesized that endotoxins form cationic species through binding between its phosphate groups and Ca2+ ions dissolved from the adsorbent. The adsorption of endotoxins in the form of cationic species is enhanced by the increased negative zeta potential of the adsorbent when an electrolyte is added.     

纤维素亲和膜用于内毒素的去除

报道了用于内毒素去除的３种新型纤维素亲和膜的制备及应用,并对它们的性能进行了比较。结果表明,这３种亲和膜均能有效去除盐溶液中的内毒素,去除率在９０％以上。对人血清白蛋白溶液,季铵盐和壳聚糖亲和膜对内毒素的去除率较高,仍然在９０％以上,金属螯合物亲和膜的去除效果不如前两种,去除率仅为８３．３％。实验选择不同的亲和膜,考察了它们对内毒素的吸附容量、样品处理量以及再生效果,结果表明吸附量在 ２．４×１０６ＥＵ／ｇ以上,样品处理量较大,适合用于小批量医药制剂的生产过程;再生效果较好,可重复使用。     

以聚乙烯基咪唑为配基的内毒素亲和吸附剂的研究

通过乙烯基咪唑(VI)在硅胶粒子表面的自由基接枝聚合制备了一种以聚乙烯基咪唑为配基的新型内毒素亲和吸附剂. 用FTIR检测样品中咪唑基的特征吸收, 用热重分析法(TGA)测定了PVI的接枝率. 实验发现, PVI在吸附剂中的含量对内毒素的吸附率影响很大. 当PVI的接枝率为2.5％左右时, 吸附剂对内毒素的去除率最大. 在离子强度小于1 mol/L和pH=7的中性条件下, PVI吸附剂对内毒素具有最佳的吸附性能. 该吸附剂具有良好的血液相容性. 内毒素在该亲和吸附剂上的吸附等温线符合Freundlich吸附方程, 其吸附动力学为二级反应.     

Fabrication of Organic Hec Nanocomposites Modified with Lysine as a Potential Adsorbent for Bilirubin Removal

As one of the typical phyllosilicate clays, hectorite (Hec) has some excellent characteristics and has been greatly applied in adsorption field for the removal of dye, endotoxin, etc. In this study, organic Hec nanocomposites modified with l-Lysine (Lys/Hec NCs) were prepared via solution intercalation method for BR removal. The effects of ionic strength, pH values, initial concentration of BR, and BSA concentration on the adsorption capacity for BR of Lys/Hec NCs were investigated. Results indicated that the adsorption capacity for BR of nanocomposites could reach 40 mg/g when the initial bilirubin concentration was 200 mg/L. However, the adsorption amount of Lys/Hec NCs decreased with increasing the concentration of BSA, but Lys/Hec NCs could still maintain a higher adsorption rate. The adsorption kinetics and adsorption isotherms indicated that the adsorption process of Lys/Hec NCs agreed well with the pseudo-second-order model and the Langmuir isotherm, respectively. Moreover, Lys/Hec NCs also exhibited excellent cytocompatibility. These obtained results demonstrate that Lys/Hec NCs prepared in this study had great potential to be used in hemoperfusion.

     

以赖氨酸为配基的内毒素吸附剂的研究

内毒素血症可出现于多种疾病中,如大面积烧伤、重症肝炎、肝硬化等疾病,使机体免疫功能严重受损,引起多器官功能衰竭等一系列严重的病理变化,最终导致不可逆休克和死亡,在美国每年都有超过10万人死于此病,临床上尚无有效的治疗方法,因此,及时、有效地清除或破坏患者体内的内毒素,     

亲和膜用于去除医药及人血清白蛋白溶液中的内毒素(英文)

 以纤维素膜为基质材料 ,制备了 3种用于去除内毒素的亲和膜 ,分别为壳聚糖亲和膜 (KFCC5 17) ,疏水阳离子亲和膜 (KFCG316 )和金属螯合物亲和膜 (KFCG40 2 )。研究了亲和膜对内毒素的吸附容量及在内毒素去除方面的应用 ,结果表明这 3种亲和膜都可以用于多种溶液中内毒素的去除。考察了离子强度、pH值以及流速对去除效果的影响 ,并分析了原因。KFCC5 17,KFCG316 ,KFCG40 2都可用于人血清白蛋白溶液中内毒素的去除 ,KFCC5 17还可用于医药制剂如氢化可的松、葛根素、盐酸丁卡因和右旋糖苷 40葡萄糖注射液中内毒素的去除。     

Discrimination between endotoxin and (1----3)-beta-D-glucan using turbidimetric kinetic assay with Limulus amebocyte lysate

A procedure for the Limulus amebocyte lysate (LAL) test discriminating between endotoxin and (1----3)-beta-D-glucan based on the turbidimetric kinetic method was proposed. Endotoxin and (1----3)-beta-D-glucan, which are elicitors of the activation of LAL, showed different reaction courses with this lysate. To analyze the difference in the reactions, two parameters, the maximum differential coefficient of the reaction (Dmax) and the reaction time required to obtain Dmax (Tp) were defined. The logarithmic plottings of Tp versus Dmax (Tp-Dmax plot) discriminated between endotoxin and (1----3)-beta-D-glucan. Endotoxin was measured with a standard curve plotting logarithmic endotoxin concentration versus Dmax (ET-Dmax plot). The endotoxin calculated from Dmax was less influenced by (1----3)-beta-D-glucan than that calculated from the usual gelation time. A small amount of endotoxin in a sample could be concealed by the addition of polymyxin B, which inhibited the activation of LAL by endotoxin. (1----3)-beta-D-glucan was measured without being affected by the presence of a small amount of endotoxin using LAL with polymyxin B. The following procedure is proposed as a LAL test to discriminate between endotoxin and (1----3)-beta-D-glucan. (1) Identify the main substance (endotoxin or (1----3)-beta-D-glucan) triggering the activation of LAL using the Tp-Dmax plot. (2) Use the appropriate method to measure the main substance: the ET-Dmax plot for endotoxin or the LAL with polymyxin B for (1----3)-beta-D-glucan.     

Removal of endotoxin from culture supernatant of Bordetella pertussis with aminated poly(gamma-methyl L-glutamate) spherical beads.

Attempts were made to prepare adsorbents having a high affinity for endotoxin in the culture supernatant of Bordetella pertussis. When poly(gamma-methyl L-glutamate) (PMLG) was used as a matrix and amino groups as the ligand, the highest affinity for endotoxin was attained even at a high ionic strength (mu = 0.2-0.4). PMLG beads containing amino groups of about 3.2 meq/g selectively removed endotoxin from the culture supernatant of B. pertussis without affecting the protective antigens. It was demonstrated that 1 ml of the wet adsorbent adsorbed 4.5 mg of endotoxin. The beads of PMLG derivatives, therefore, are considered to be a useful adsorbent for the removal of endotoxin from the pertussis vaccine, affecting neither filamentous hemagglutinin nor pertussis toxin.     

基于生物传感器的内毒素检测研究进展

内毒素是造成内毒素血症、多器官功能衰竭的关键因子,对人体健康存在着严重的危害。发展高选择性、高灵敏度、快捷便携且不受现场限制的检测方法具有重要意义。生物传感器以其高效、灵敏、易于自动化和微型化等优点,在相关检测领域中显示出重要的研究价值和巨大的发展空间。本文简要介绍了近年来内毒素的常用检测方法,重点综述了光学生物传感器和电化学生物传感器在内毒素检测应用中的研究进展。对生物传感器在内毒素检测中面临的挑战及其发展趋势进行了讨论和展望。     

Rapid detection of bacterial endotoxins in ophthalmic viscosurgical device materials by direct analysis in real time mass spectrometry

Bacterial endotoxins are lipopolysaccharides bound to the bacterial cell wall and released when bacteria rupture or disintegrate. Possible contamination of endotoxin in ophthalmic devices can cause a painful eye inflammation or result in toxic anterior segment syndrome after cataract surgery. Measurement of bacterial endotoxin in medical device materials is difficult since endotoxin binds with polymer matrix and some of the materials are very viscous and non-water soluble, where traditional enzyme-based Limulus amebocyte lysate (LAL) assay cannot be applied. Here we propose a rapid and high throughput ambient ionization mass spectrometric (MS) method using direct analysis in real time (DART) for the evaluation of endotoxin contamination in medical device materials. Large and structurally complex endotoxin instantaneously breaks down into low-mass characteristic fragment ions using DART and is detected by MS in both positive and negative ion modes. This method enables the identification and separation of endotoxin from medical materials with a detection limit of 0.03 ng mL⁻¹ endotoxins in aqueous solution. Ophthalmic viscosurgical device materials including sodium hyaluronate (NaHA), non-water soluble perfluoro-n-octane (PFO) and silicone oil (SO) were spiked with different known concentrations of endotoxin and analyzed by DART MS, where the presence of endotoxin was successfully detected and featured small mass fragment ions were generated for NaHA, PFO and SO as well. Current findings showed the feasibility of measuring endotoxin contamination in medical device materials using DART-MS, which can lead to a one-step analysis of endotoxins in different matrices, avoiding any potential contamination during sample pre-treatment steps.     

Ultrasensitive detection of endotoxins using computationally designed nanoMIPs

Novel molecularly imprinted polymer nanoparticles (nanoMIPs) were designed for endotoxin from Escherichia coli 0111:B4, using computational modeling. The screening process based on binding energy between endotoxin and each monomer was performed with 21 commonly used monomers, resulting in the selection of itaconic acid, methacrylic acid and acrylamide as functional monomers due to their strong binding interaction with the endotoxin template. The nanoMIPs were successfully synthesized with functional groups on the outer surface to aid in the immobilization onto sensor surface. The solid phase photopolymerization approach used for the synthesis of nanoMIPs ranging from 200 to 235 nm in diameter. The limit of detection and K_D were significantly improved when endotoxin samples were prepared using a novel triethylamine method. This improved the efficiency of gold nanoparticle functionalization by targeting the subunits of the endotoxin. Compared to the vancomycin MIP control, the endotoxin MIPs displayed outstanding affinity and selectivity towards the endotoxin with K_D values in the range of 4.4–5.3 × 10⁻¹⁰ M, with limits of detection of 0.44 ± 0.02 ng mL⁻¹ as determined by surface plasmon resonance (SPR) sensor when itaconic acid was used as the functional monomer. The MIP surface can be regenerated >30 times without significant loss of binding activity making this approach highly cost effective for expensive analyte templates. The combination of molecular modeling and solid phase synthesis enabled the successful synthesis of nanoMIPs capable of recognition and ultrasensitive detection of endotoxins using the highly sensitive SPR biosensor with triethylamine method.     

气相色谱-质谱联用辅助鉴定细菌内毒素标准品菌种来源的纯度

为分析内毒素标准品菌种来源的纯度,建立了采用气相色谱-质谱联用法、以N,O-双三甲基硅三氟乙酰胺作为硅烷化试剂对待测物进行衍生、对内毒素标准品所含的3-羟基脂肪酸种类进行检测的方法。色谱柱为DB-5 (60 m×0.25 mm i.d.);载气为氦气,恒压,柱前压206 kPa;进样器温度250 ℃;柱箱初始温度为90 ℃,保持5 min,以5 ℃/min的升温速率升至280 ℃,保持5 min。进样量为1 μL,不分流进样。质谱离子源为电子轰击离子源（EI）,离子源温度为250 ℃,接口温度为280 ℃。通过对内毒素标准品和大肠杆菌、绿脓杆菌、去离子水中3-羟基脂肪酸种类的比较,探讨了通过3-羟基脂肪酸种类来辅助判断内毒素标准品菌种来源的问题。结果显示,来源为大肠杆菌的9000 EU/支内毒素国家标准品中只含有3-羟基十四烷酸;20 EU/支的内毒素工作标准品中除含有3-羟基十四烷酸外,还含有3-羟基十二烷酸,说明其含有非大肠杆菌的细菌。     

内毒素性休克时血清的特异荧光研究

本文以大肠杆菌内毒素攻击介导的感染性多系统脏器功能衰竭家兔为模型，探讨了血清的特异荧光。应用发光理论讨论了模型血清的分子光谱，以及感染性多脏衰竭进程与特异荧光的关系。同时，还制定了血液、心、肝、肺、肾各组织器官中脂过氧化物代谢产物丙二醛和超氧化物歧化酶变化情况，结果具有明显的相关性和一致性。荧光法可作为感染性多脏器衰竭的早期诊断预示的一种方法。