Direkt zum Inhalt

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

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

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

Veröffentlichungsdatum dieses Volltextes: 29 Okt 2025 10:51
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.78037


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBiomedicines
Verlag:MDPI
Band:13
Nummer des Zeitschriftenheftes oder des Kapitels:10
Seitenbereich:S. 2323
Datum23 September 2025
InstitutionenMedizin > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Projekte
Gefördert von: Deutsche Forschungsgemeinschaft (DFG) (447721607)
Identifikationsnummer
WertTyp
10.3390/biomedicines13102323DOI
Stichwörter / KeywordsECMO; platelet activation; platelet adhesion; hemolysis; thrombosis
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-780370
Dokumenten-ID78037

Bibliographische Daten exportieren

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

nach oben