Thursday, 30 October 2014

Sepsis Spleen machine vs antibiotics New develpoment


An extracorporeal blood-cleansing device for sepsis therapy

Nature Medicine
doi:10.1038/nm.3640
Received
Accepted
Published online

Abstract


Here we describe a blood-cleansing device for sepsis therapy inspired by the spleen, which can continuously remove pathogens and toxins from blood without first identifying the infectious agent.

Blood flowing from an infected individual is mixed with magnetic nanobeads coated with an engineered human opsonin—mannose-binding lectin (MBL)—that captures a broad range of pathogens and toxins without activating complement factors or coagulation.

Magnets pull the opsonin-bound pathogens and toxins from the blood; the cleansed blood is then returned back to the individual. 

The biospleen efficiently removes multiple Gram-negative and Gram-positive bacteria, fungi and endotoxins from whole human blood flowing through a single biospleen unit at up to 1.25 liters per h in vitro

In rats infected with Staphylococcus aureus or Escherichia coli, the biospleen cleared >90% of bacteria from blood, reduced pathogen and immune cell infiltration in multiple organs and decreased inflammatory cytokine levels. 

In a model of endotoxemic shock, the biospleen increased survival rates after a 5-h treatment.

At a glance

Figures

left
  1. Magnetic opsonin and biospleen device.
    Figure 1
  2. Magnetic capture efficiency of the biospleen device in vitro.
    Figure 2
  3. In vivo blood cleansing using the biospleen blood-cleansing device in a rat bacteremia model.
    Figure 3
  4. In vivo blood cleansing using the biospleen device in a rat acute endotoxic shock model.
    Figure 4
right

Read the full article

Supplementary Information links

Video

  1. Video 1: The fabrication and the magnetic separation principle of the biospleen: (2.6 MB, Download)
    Schematic drawing and microscopic video showing how the biospleen device is fabricated and how the magnetically opsonized pathogens are separated from the blood channel under flow. 
    Because it is difficult to observe the cell movement across the blood channel in the biospleen device, we demonstrated this in a microfluidic device fabricated from optically clear poly(dimethylsiloxane) (PDMS). 
    To mimic pathogens captured by the magnetic opsonins, fluorescent magnetic particles (8 μm, 1.1g ml–1, UMC4F, Bang Laboratories, Inc., IN, USA) were spiked into human banked blood (1ml) and flowed at 10 μl min–1.

    PDF files

  2. Supplementary Text and Figures (8,828 KB)
    Supplementary Figures 1–5, Supplementary Table 1

 

 

 

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