Biocompatibility in hemodialysis: artificial membrane and human blood interactions

Abstract Hemodialysis, a cornerstone therapy for chronic kidney disease, represented a crucial advance in the evolution of artificial organs. While its success is largely due to its efficiency in removing uremic toxins, an equally important challenge is to uphold the primum non nocere principle by m...

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Main Authors: Eduardo Ávila, Rodrigo A. Sepúlveda, Jaime Retamal, Daniel Hachim
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Nephrology
Online Access:https://doi.org/10.1186/s12882-025-04401-y
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author Eduardo Ávila
Rodrigo A. Sepúlveda
Jaime Retamal
Daniel Hachim
author_facet Eduardo Ávila
Rodrigo A. Sepúlveda
Jaime Retamal
Daniel Hachim
author_sort Eduardo Ávila
collection DOAJ
description Abstract Hemodialysis, a cornerstone therapy for chronic kidney disease, represented a crucial advance in the evolution of artificial organs. While its success is largely due to its efficiency in removing uremic toxins, an equally important challenge is to uphold the primum non nocere principle by minimizing the harmful effects of membrane–blood interactions. This review examines the complex mechanisms and key interactions underlying membrane biocompatibility, including complement activation, inflammation, and coagulation disturbances, paving the way for their clinical implications. We also summarize recent innovations in membrane materials and surface engineering aimed at improving hemocompatibility and promoting safer hemodialysis treatments for improved clinical outcomes.
format Article
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institution Kabale University
issn 1471-2369
language English
publishDate 2025-08-01
publisher BMC
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series BMC Nephrology
spelling doaj-art-63534b7cb5eb4ccd92f94eef7805c8fe2025-08-24T11:12:52ZengBMCBMC Nephrology1471-23692025-08-0126113210.1186/s12882-025-04401-yBiocompatibility in hemodialysis: artificial membrane and human blood interactionsEduardo Ávila0Rodrigo A. Sepúlveda1Jaime Retamal2Daniel Hachim3Department of Nephrology, School of Medicine, Faculty of Medicine, Pontificia Universidad CatólicaDepartment of Nephrology, School of Medicine, Faculty of Medicine, Pontificia Universidad CatólicaDepartment of Intensive Medicine, School of Medicine, Faculty of Medicine, Pontificia Universidad CatólicaDepartment of Pharmacy, School of Pharmacy, Faculty of Chemistry and Pharmacy, Pontificia Universidad Católica de ChileAbstract Hemodialysis, a cornerstone therapy for chronic kidney disease, represented a crucial advance in the evolution of artificial organs. While its success is largely due to its efficiency in removing uremic toxins, an equally important challenge is to uphold the primum non nocere principle by minimizing the harmful effects of membrane–blood interactions. This review examines the complex mechanisms and key interactions underlying membrane biocompatibility, including complement activation, inflammation, and coagulation disturbances, paving the way for their clinical implications. We also summarize recent innovations in membrane materials and surface engineering aimed at improving hemocompatibility and promoting safer hemodialysis treatments for improved clinical outcomes.https://doi.org/10.1186/s12882-025-04401-y
spellingShingle Eduardo Ávila
Rodrigo A. Sepúlveda
Jaime Retamal
Daniel Hachim
Biocompatibility in hemodialysis: artificial membrane and human blood interactions
BMC Nephrology
title Biocompatibility in hemodialysis: artificial membrane and human blood interactions
title_full Biocompatibility in hemodialysis: artificial membrane and human blood interactions
title_fullStr Biocompatibility in hemodialysis: artificial membrane and human blood interactions
title_full_unstemmed Biocompatibility in hemodialysis: artificial membrane and human blood interactions
title_short Biocompatibility in hemodialysis: artificial membrane and human blood interactions
title_sort biocompatibility in hemodialysis artificial membrane and human blood interactions
url https://doi.org/10.1186/s12882-025-04401-y
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AT danielhachim biocompatibilityinhemodialysisartificialmembraneandhumanbloodinteractions