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Thaus, Christopher ; Lubnow, Matthias ; Krenkel, Lars ; Lehle, Karla

Material-Induced Platelet Adhesion/Activation and Hemolysis of Membrane Lung Components from Extracorporeal Membrane Oxygenation

Article

Thaus, Christopher, Lubnow, Matthias , Krenkel, Lars and Lehle, Karla (2025) Material-Induced Platelet Adhesion/Activation and Hemolysis of Membrane Lung Components from Extracorporeal Membrane Oxygenation. Biomedicines 13 (10), p. 2323.

DOI to cite this document: 10.5283/epub.78037


Abstract

Background: Contact between blood and the large artificial surfaces within membrane lungs (MLs) is one reason for device-induced thrombus formation during extracorporeal membrane oxygenation (ECMO). Methods: Hemocompatibility testing of gas-exchange fibers (GFs) and heat-exchange fibers (HEs) from commercially available/non-used MLs (ML-type, coating: PLS, Bioline®; Hilite7000LT, X.ELLENCE®; ...

Background: Contact between blood and the large artificial surfaces within membrane lungs (MLs) is one reason for device-induced thrombus formation during extracorporeal membrane oxygenation (ECMO). Methods: Hemocompatibility testing of gas-exchange fibers (GFs) and heat-exchange fibers (HEs) from commercially available/non-used MLs (ML-type, coating: PLS, Bioline®; Hilite7000LT, X.ELLENCE®; Nautilus, Balance®; EOS, PH.I.S.I.O®) included static hemolysis and platelet adhesion/activation assays. Platelet activation of non-adherent platelets was identified after antibody (CD62P, PAC-1, CD61) and fibrinogen staining (flow cytometry). The surface coverage (%) of adherent platelets was quantified after F-actin filament-staining. Results: All materials were non-hemolytic and did not induce platelet activation. However, platelet adhesion (median (IQR)) depended on the type of surface coating of GFs made entirely of polymethylpentene. Both uncoated GFs (12 (7–19)%) and X.ELLENCE-coated GFs (Hilite-ML, 13 (8–19)%) showed a significantly higher surface coverage compared to Balance-coated GFs (Nautilus-ML, 3 (1–6)%), PH.I.S.I.O-coated GFs (EOS-ML, 2 (2–5)%) and Bioline-coated GFs (PLS-ML, 4 (1–8)%) (p < 0.001). HEs made of polyethyleneterephthalate (Hilite-ML, Nautilus-ML) that were coated with X.ELLENCE were covered with more platelets (5 (3–7)%) compared to Balance-coated HEs (3 (1–6)%), respectively (p = 0.029). Conclusions: In vitro testing disclosed fourfold higher platelet adhesion on X.ELLENCE-coated GFs (and HEs) from the Hilite-ML compared to other ECMO-materials. Additional hemocompatibility tests are necessary to assess the increased platelet adhesion on the materials from the Hilite-ML.



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Details

Item typeArticle
Journal or Publication TitleBiomedicines
PublisherMDPI
Open Access TypeGold (with APC)
Volume13
Number of Issue or Book Chapter10
Page Rangep. 2323
Date23 September 2025
Date of publication29 Oct 2025 10:51
InstitutionsMedicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Projects
Funded by: Deutsche Forschungsgemeinschaft (DFG) (447721607)
Identification Number
ValueType
10.3390/biomedicines13102323DOI
KeywordsECMO; platelet activation; platelet adhesion; hemolysis; thrombosis
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-780370
Item ID78037

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