Construction of electro-neutral surface on dialysis membrane for improved toxin clearance and anti-coagulation/inflammation through saltwater fish inspired trimethylamine N-oxide (TMAO)

Interaction of Grafted Polymeric N-oxides with Charged Dyes

Grafted polymeric N-oxides have recently attracted interest for antifouling applications, drug delivery, wastewater purification, and electronic devices. Their function depends on the efficiency of the grafting process and the following postgrafting oxidation step. These two parameters govern the solvent-accessible charge density on the surface, an important parameter, which is notoriously hard to determine. In this study, a novel colorimetric quantitative assay for polymeric N-oxides was developed. It allows the determination of the surface charge density of grafted polymeric N-oxides. The method is based on the adsorption of acid fuchsin (AF) to grafted N-oxides through reversible electrostatic interactions between the positively charged nitrogen atoms of the N-oxide functionality and the sulfonate groups of the dye. The process depends thus on the pH-switchable properties of polymeric N-oxides. Adsorption was achieved at a pH value of 3, where N-oxides are almost fully protonated (typical pKa 4-5). AF was desorbed from the surface at pH 7 and quantified via visible adsorption spectroscopy (UV-vis) at 556 nm to determine the amount of surface-grafted functional groups. Charge densities of diverse N-oxides grafted by free radical polymerization from polyethylene (PE) were determined to be in the range 1-3 × 1015 N+-O-/cm2. Notably, N-oxides can form covalent bonds with electron-deficient triarylmethane dyes like AF. This nucleophilic reactivity of N-oxides does not compromise the proposed assay, but it may be of relevance for dye adsorption and desorption in wastewater purification.

N-Oxide Zwitterionic-Based Antifouling Loose Nanofiltration Membranes with Superior Water Permeance and Effective Dye/Salt Separation

Loose nanofiltration (LNF) membranes with high permeance and separation selectivity are highly desired for the effective separation of organic dyes and inorganic salts. Herein, a novel polyamide LNF membrane was fabricated using zwitterionic amine reactant trimethylamine N-oxide-based polyethylenimine (TPEI) and trimesoyl chloride (TMC) via interfacial polymerization (IP). A thin, loose, and smooth polyamide layer was formed due to the low diffusion rate and modified chemical structure of TPEI. The optimized membrane (NF-TPEI) exhibited an extremely high water permeance of 213.0 L m-2 h-1 bar-1, accompanied by outstanding dye rejections of Congo Red (99.8%), Coomassie Brilliant Blue R250 (99.5%), and Evans Blue (99.9%). Meanwhile, the membrane possessed low rejections (<7.0%) of inorganic salts (Na2SO4, MgSO4, MgCl2, and NaCl). Additionally, the NF-TPEI membrane exhibited outstanding antifouling performance, achieving a superior recovery ratio of 96.0 and 98.1% after the filtration of humic acid and sodium alginate solution, respectively. Compared to the commercial NF270 membrane, the NF-TPEI membrane exhibited significantly improved separation performance in terms of permeance and fouling resistance, which provided more possibilities for high-performance LNF membranes toward the treatment of wastewater with organic contaminants.

Ultrasensitive Electrochemical Biosensor Based on Efficient PDA-APDMAO Antifouling Interface and Dual-Signal Ratio Strategy for Trace Detection of Alpha-Fetoprotein in Human Serum

In electrochemical analysis, developing biosensors that can resist the nonspecific adsorption of interfering biomolecules in human serum remains a huge challenge, which depends on the design of efficient antifouling materials. Herein, 3-aminopropyldimethylamine oxide (APDMAO) biomimetic zwitterions were prepared as antifouling interfaces. Among them, the unique positive and negative charges (N+-O-) of APDMAO promoted its hydrogen bonding with water molecules, forming a firm hydration barrier that endowed it with strong and stable antifouling performance. Meanwhile, its inherent amino groups could copolymerize with the biomimetic adhesive dopamine to form a thin layer of quinone intermediates, providing conditions for the subsequent binding of aptamers and signal probes. Importantly, the biomimetic APDMAO with functional groups and one-step oxidation characteristics solved the challenges of zwitterionic synthesis and modification, as well as improved biocompatibility of the sensing interface, thereby expanding the application potential of zwitterions as antifouling materials in sensing analysis. Thiol-containing alpha-fetoprotein (AFP) aptamers modified with methylene blue (MB) were coupled under controllable potential, greatly reducing the incubation time, which promoted the productization application of biosensors. In addition, the ratio sensing strategy using MB as internal standard factors and concanavalin-silver nanoparticles (ConA-Ag NPs) as signal probes was introduced to reduce background and instrument interferences, thus improving detection accuracy. On this basis, the proposed antifouling electrochemical biosensor achieved sensitive and accurate AFP detection over a wide dynamic range (10 fg/mL-10 ng/mL), with a low detection limit of 3.41 fg/mL (3σ/m). This work provides positive insights into the development of zwitterionic antifouling materials and clinical detection of liver cancer markers in human serum.

Recent advances of multifunctional zwitterionic polymers for biomedical application

Zwitterionic polymers possess equal total positive and negative charges in the repeating units, making them electrically neutral overall. This unique property results in superhydrophilicity, which makes the zwitterionic polymers highly effective in resisting protein adsorption, thus endowing the drug carriers with long blood circulation time, inhibiting thrombus formation on biomedical devices in contact with blood, and ensuring the good sensitivity of sensors in biomedical application. Moreover, zwitterionic polymers have tumor-targeting ability and pH-responsiveness, rendering them ideal candidates for antitumor drug delivery. Additionally, the high ionic conductivity of zwitterionic polymers makes them an important raw material for ionic skin. Zwitterionic polymers exhibit remarkable resistance to bacterial adsorption and growth, proving their suitability in a wide range of biomedical applications such as ophthalmic applications, and wound dressings. In this paper, we provide an in-depth analysis of the different structures and characteristics of zwitterionic polymers and highlight their unique qualities and suitability for biomedical applications. Furthermore, we discuss the limitations and challenges that must be overcome to realize the full potential of zwitterionic polymers and present an optimistic perspective for zwitterionic polymers in the biomedical fields. STATEMENT OF SIGNIFICANCE: Zwitterionic polymers have a series of excellent properties such as super hydrophilicity, anti-protein adsorption, antibacterial ability and good ionic conductivity. However, biomedical applications of multifunctional zwitterionic polymers are still a major field to be explored. This review focuses on the design and application of zwitterionic polymers-based nanosystems for targeted and responsive delivery of antitumor drugs and cancer diagnostic agents. Moreover, the use of zwitterionic polymers in various biomedical applications such as biomedical devices in contact with blood, biosensors, ionic skin, ophthalmic applications and wound dressings is comprehensively described. We discuss current results and future challenges for a better understanding of multifunctional zwitterionic polymers for biomedical applications.

Medicinal Chemistry of Drugs with N-Oxide Functionalities

Molecules with N-oxide functionalities are omnipresent in nature and play an important role in Medicinal Chemistry. They are synthetic or biosynthetic intermediates, prodrugs, drugs, or polymers for applications in drug development and surface engineering. Typically, the N-oxide group is critical for biomedical applications of these molecules. It may provide water solubility or decrease membrane permeability or immunogenicity. In other cases, the N-oxide has a special redox reactivity which is important for drug targeting and/or cytotoxicity. Many of the underlying mechanisms have only recently been discovered, and the number of applications of N-oxides in the healthcare field is rapidly growing. This Perspective article gives a short summary of the properties of N-oxides and their synthesis. It also provides a discussion of current applications of N-oxides in the biomedical field and explains the basic molecular mechanisms responsible for their biological activity.

Asymmetric Triple-Functional Janus Membrane for Blood Oxygenation

The oxygenation membrane, a core material of extracorporeal membrane oxygenation (ECMO), is facing challenges in balancing anti-plasma leakage, gas exchange efficiency, and hemocompatibility. Here, inspired by the asymmetric structural features of alveolus pulmonalis, a novel triple-functional membrane for blood oxygenation with a Janus architecture is proposed, which is composed of a hydrophobic polydimethylsiloxane (PDMS) layer to prevent plasma leakage, an ultrathin polyamide layer to enhance gas exchange efficiency with a CO2 :O2 permeance ratio of ≈10.7, and a hydrophilic polyzwitterionic layer to improve the hemocompatibility. During the simulated ECMO process, the Janus oxygenation membrane exhibits excellent performance in terms of thrombus formation and plasma leakage prevention, as well as adequate O2 transfer rate (17.8 mL min-1 m-2 ) and CO2 transfer rate (70.1 mL min-1 m-2 ), in comparison to the reported oxygenation membranes. This work presents novel concepts for the advancement of oxygenation membranes and demonstrates the application potential of the asymmetric triple-functional Janus oxygenation membrane in ECMO.

Self-Assembly of Shark Scale-Patterned Tunable Superhydrophobic/Antifouling Structures with Visual Color Response

The stacked riblet-like shark scales, also known as dermal denticles, allow them to control the boundary layer flow over the skin and to reduce interactions with any biomaterial attached, which guide the design of antifouling coatings. Interestingly, shark scales are with a wide variation in geometry both across species and body locations, thereby displaying diversified antifouling capabilities. Inspired by the multifarious denticles, a stretchable shark scale-patterned silica hollow sphere colloidal crystal/polyperfluoroether acrylate-polyurethane acrylate composite film is engineered through a scalable self-assembly approach. Upon stretching, the patterned photonic crystals feature different short-term antibacterial and long-term anti-biofilm performances with a distinguished color response under varied elongation ratios. To gain a better understanding, the dependence of elongation ratio on antiwetting behaviors, antifouling performances, and structural color changes has also been investigated in this research.

Zwitterionic Biomaterials

The term "zwitterionic polymers" refers to polymers that bear a pair of oppositely charged groups in their repeating units. When these oppositely charged groups are equally distributed at the molecular level, the molecules exhibit an overall neutral charge with a strong hydration effect via ionic solvation. The strong hydration effect constitutes the foundation of a series of exceptional properties of zwitterionic materials, including resistance to protein adsorption, lubrication at interfaces, promotion of protein stabilities, antifreezing in solutions, etc. As a result, zwitterionic materials have drawn great attention in biomedical and engineering applications in recent years. In this review, we give a comprehensive and panoramic overview of zwitterionic materials, covering the fundamentals of hydration and nonfouling behaviors, different types of zwitterionic surfaces and polymers, and their biomedical applications.

A high-protein retained PES hemodialysis membrane with tannic acid as a multifunctional modifier

A high protein retention polyethersulfone (PES) membrane was prepared by nonsolvent-induced phase separation and surface coating, which exhibited enhanced hemocompatibility and antioxidant stress performance. The cross-linked network was constructed by tannic acid (TA) and alpha-lipoic acid (α-LA) on the surface of the membrane, which controlled the pores to a reasonable size. The enrichment of heparin-like groups on the membrane surface, implemented by "hydrophobic interaction" and "click reaction", confers anticoagulant properties; the presence of a large number of phenolic hydroxyl groups from TA and the introduction of α-LA allows the modified membranes to intervene in oxidative stress. The hemocompatibility characterizations included plasma recalcification time (PRT), activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT) and hemolysis rate (HR). Additionally, the DPPH ABTS radical scavenging capacity was tested to evaluate the antioxidant performance. The results show that the modified membrane presents an outstanding protein retention rate (99.3%) along with permeability. In addition, the PRT is prolonged to 341.7 s, and the DPPH• scavenging ability reaches 0.74 µmol•cm-2. The membranes can be easily prepared and present excellent comprehensive performance. This work provides a simple and facile strategy for the fabrication of hemodialysis membranes with controllable pore sizes.

Anticoagulation polyvinyl chloride extracorporeal circulation catheters for heparin-free treatment

Extracorporeal circulation (ECC) catheters have potential to be blood compatible and could be used to prevent thrombotic occlusion. Here, we produced heparin-mimicking anticoagulation PVC tubing on a large scale by synthesizing a heparin-mimicking polymer (HMP) and co-extruding. The PVC@HMP catheter was evaluated using whole human blood in vitro, which indicated it could prevent plasma protein attachment, reduce platelet adhesion and activation, and inhibit coagulation factors (XII, XI, IX, and VIII). Moreover, the anticoagulation PVC tubing was assembled into extracorporeal circulation with a New Zealand rabbit model, manifesting excellent real-time antithrombogenic properties without systemic heparin anticoagulation in vivo. The rapid recovery of coagulation factors after operation further confirmed its superiority over heparin, which would not completely inactivate the activity of those coagulation factors (XII, XI, IX and VIII). In addition, the PVC@HMP-1 catheters remain patent after being implanted in rats for 28 days without apparent inflammation and mortality complications. The anticoagulation PVC tubes could be used to construct various systemic and integrative anticlotting biomedical devices, which would dramatically reduce the introduction of heparin into blood circulation, thus preventing side effects and promoting the development of heparin-free treatment.

A novel poly (4-methyl-1-pentene)/polypropylene (PMP/PP) thin film composite (TFC) artificial lung membrane for enhanced gas transport and excellent hemo-compatibility

Extracorporeal membrane oxygenation is a technique that provides short-term supports to the heart and lungs. It removes CO2 from the blood and provides enough oxygen, which is a huge help in the fight against COVID-19. As the key component, the artificial lung membranes have evolved in three generations including silicon, polypropylene and poly (4-methyl-1-pentene). Herein, we for the first time design and fabricate a novel poly (4-methyl-1-pentene)/polypropylene (PMP/PP) thin film composite (TFC) membrane with the anticoagulant coating composed of poly (sodium 4-styrenesulfonate) and cross-linked poly (vinyl alcohol). Poly (sodium 4-styrenesulfonate) provides sulfonic acid groups to inhibit the coagulant factors (FVIII and FXII), and cross-linked poly (vinyl alcohol) increase the stability of the anticoagulant coating and further improve the hydrophilicity via abundant hydroxyl groups to depress the protein adsorption. Long-term anticoagulant property was demonstrated by whole human blood for 28 days. Blood compatibility was evaluated by hemolysis rate, anticoagulation activity (APTT, TT and PT), complement activation, platelet activation and contact activation. Pure CO2, O2 and N2 permeation rates were determined to evaluate the mass transfer properties of PMP/PP TFC membranes. Gas permeation results revealed that gas permeation flux increased in the TFC membranes because of the decrease of crystallinity. Overall, the so prepared PMP/PP membrane shows good CO2/O2 selectivity and blood compatibility as novel TFC artificial lung membrane.

Synchronous Engineering for Biomimetic Murray Porous Membranes Using Isocyanate

Highly permselective and durable membranes are desirable for massive separation applications. However, currently most membranes prepared using nonsolvent-induced phase separation (NIPS) suffer from low permeability and a high fouling tendency due to the great challenges in a rational design and also practical approach for membrane optimization. Inspired by the natural Murray network from vascular plants, we developed a hierarchical membrane via a straightforward yet robust strategy, using isocyanate as a multifunctional additive. Thanks to the integrated functions of a phase separation regulator, blowing agent, cross-linker, and functionalization anchor of isocyanate, our strategy is featured as a perfect combination of a phase separation and chemical reaction, and it enables synchronous engineering of the membrane hierarchy on porosity and components. The representative membrane exhibits superior water permeance (334 L/m²·h·bar), protein retention (>98%), and antifouling ability (flux recover ratio ∼ 98%). This work highlights a versatile path for pursuing a highly enhanced performance of NIPS-made membranes, from the fancy perspective of Murray bionics.