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Tailor-made agarose-based reactive beads for hemoperfusion and plasma perfusion

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Abstract

Composite beads of approximately 1mm diameter, made of cross-linked agarose and containing Fuller’s Earth or zirconium oxide powders, were prepared and used in extracorporeal systems for blood detoxification. The former was used for the removal of Paraquat, while the latter was used to remove inorganic phosphate from hyper-phosphatamic animals with or without acute renal failure. The high surface area of the powder, combined with the low resistance to diffusion in the cross-linked agarose matrix, are highly advantageous. The crosslinking provides high mechanical strength, heat stability, prolonged shelf life, good blood flow characteristics, and prevents the release of fine particles into the blood.

Crosslinked agarose beads of 1 mm diameter, containing chemically-bound heparin were also prepared, and used as a model for direct contact removal of LDL-cholesterol from the blood of familial hypercholesterolemic patients by hemoperfusion. The high capacity of these beads (over 5 mg LDL/mL beads) indicates that this clinical modality can replace the highly expensive plasmapheresis procedure presently used.

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Sideman, S., Lotan, N., Tabak, A. et al. Tailor-made agarose-based reactive beads for hemoperfusion and plasma perfusion. Appl Biochem Biotechnol 10, 167–182 (1984). https://doi.org/10.1007/BF02783749

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