Simulation-based assessment of zwitterionic pendant group variations on the hemocompatibility of polyethersulfone membranes

Simin Nazari, Amira Abdelrasoul
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Abstract

In the realm of hemodialysis, Polyethersulfone (PES) membranes dominate due to their exceptional stability and mechanical properties, capturing 93% of the market. Despite their widespread usage, the hydrophobic nature of PES introduces complications in hemodialysis, potentially leading to severe adverse reactions in patients with end-stage renal disease (ESRD) through protein fouling. Addressing this issue, our study focused on enhancing hemocompatibility by modifying PES surfaces with zwitterionic materials, known for their hydrophilicity and biological membrane compatibility. We investigated the functionalization of PES membranes utilizing various zwitterions in different ratios. Utilizing molecular docking, we examined the interactions of three zwitterionic ligands—carboxybetaine methacrylate (CBMA), sulfobetaine methacrylate (SBMA), and (2-(methacryloyloxy)ethyl) phosphorylcholine (MPC)—with human serum proteins. Our analysis revealed that a 1:1 ratio of phosphobetaine and sulfobetaine exhibits the lowest affinity energy towards serum proteins, denoting an optimal hemocompatibility without the limitations associated with increased zwitterion ratios. This pivotal finding offers a new pathway for developing more efficient and safer hemodialysis membranes, promising improved care for ESRD patients.

Research Highlights

•Studying ligand-protein interactions with molecular docking as an efficient technique.

•Hemocompatibility investigation of different ZWs with various pendant groups and different type of ZW-PES membranes.

•Affinity energy of interactions was calculated and analyzed for ZWs, pristine, and modified PES membranes.

•The hydrophilic nature of the ZW membranes was linked to their compatibility with blood.

•Compared to carboxybetaine and sufobetaine, phosphobetaine showed lower affinity energy for interacting to all proteins studied.

•Carbo/phospho-PES (1 :1 ratio) demonstrated the best outcomes and the lowest affinity energy among others.

•A study of the effect of various pendant groups and their combinations on PES hemocompatibility has never been conducted before.

Graphical abstract

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基于仿真的聚醚砜膜血液相容性滋阴基团变化评估
在血液透析领域,聚醚砜(PES)膜因其卓越的稳定性和机械性能而占据主导地位,占据了 93% 的市场份额。尽管聚醚砜膜被广泛使用,但其疏水性会给血液透析带来并发症,有可能因蛋白质堵塞而导致终末期肾病(ESRD)患者出现严重的不良反应。为了解决这一问题,我们的研究重点是通过使用齐聚物改性聚醚砜表面来增强其血液相容性,众所周知,齐聚物具有亲水性和生物膜相容性。我们研究了利用不同比例的各种齐聚物对聚醚砜膜进行功能化的方法。通过分子对接,我们研究了三种齐聚物配体--甲基丙烯酸羧基甜菜碱(CBMA)、甲基丙烯酸磺基甜菜碱(SBMA)和(2-(甲基丙烯酰氧基)乙基)磷酸胆碱(MPC)--与人类血清蛋白的相互作用。我们的分析表明,磷脂酰胆碱和磺基甜菜碱的比例为 1:1,对血清蛋白的亲和能最低,这表明该物质具有最佳的血液相容性,而不会受到增加齐聚物比例所带来的限制。这一重要发现为开发更高效、更安全的血液透析膜提供了一条新途径,有望改善对 ESRD 患者的护理。研究亮点-利用分子对接这一有效技术研究配体与蛋白质之间的相互作用-对具有不同悬垂基团的不同 ZW 和不同类型的 ZW-PES 膜进行血液相容性研究-计算并分析 ZW、原始膜和改性 PES 膜的相互作用亲和能。-与羧基甜菜碱和苏福甜菜碱相比,磷基甜菜碱与所研究的所有蛋白质的相互作用亲和能较低,而羧基/磷基-聚醚砜(1:1 比例)的结果最好,亲和能最低。
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