In-vitro myoglobin clearance by a novel sorbent system

Artif Cells Blood Substit Immobil Biotechnol. 2009;37(1):45-7. doi: 10.1080/10731190802664379. Epub 2009 Jan 8.

Abstract

Rhabdomyolysis may lead to acute kidney injury following deposition of myoglobin in renal tubules. Although high-flux dialysis membranes may remove a substantial amount of myoglobin from plasma, this may still not be sufficient to prevent renal damage. We tested a new polymer sorbent, X-Sorb, in vitro to determine its potential to clear myoglobin from solutions. Normal saline or human serum in which myoglobin was dissolved was perfused by a peristaltic pump through a column packed with the sorbent. After a 4-hour perfusion, the myoglobin level in normal saline fell from 200,000 ng/ml to virtually undetectable (<780 ng/ml). Perfusion through the sorbent was then found to lower concentrations of dissolved myoglobin in 3 different 110-ml samples of human serum consistently by > 90% over 4 hours. X-Sorb appears to be an effective sorbent for myoglobin and warrants a trial in vivo to determine whether it is equally effective and safe.

MeSH terms

  • Animals
  • Humans
  • Myoglobin / blood*
  • Myoglobin / isolation & purification*
  • Perfusion
  • Plasma / chemistry
  • Polymers / chemistry*
  • Sodium Chloride / metabolism

Substances

  • Myoglobin
  • Polymers
  • Sodium Chloride