Evidence map›Paper›PMID 42050346›Full record

ArticleArtificial organs2026

An In Vitro System for Studying Toxin Transport Across Hemodialysis Membranes.

M Torrents-Yeste, D Ramada, O E M Ter Beek, F Pel, J de Vries, B H Lentferink, K G F Gerritsen, D Stamatialis

Abstract read
In one paragraph

Article in Artificial organs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

M Torrents-YesteAdvanced Organ Bioengineering and Therapeutics, University of Twente, Enschede, the Netherlands.
D RamadaAdvanced Organ Bioengineering and Therapeutics, University of Twente, Enschede, the Netherlands.
O E M Ter BeekAdvanced Organ Bioengineering and Therapeutics, University of Twente, Enschede, the Netherlands.
F PelAdvanced Organ Bioengineering and Therapeutics, University of Twente, Enschede, the Netherlands.
J de VriesDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, Utrecht, the Netherlands.
B H LentferinkDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, Utrecht, the Netherlands.
K G F GerritsenDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, Utrecht, the Netherlands.
D StamatialisAdvanced Organ Bioengineering and Therapeutics, University of Twente, Enschede, the Netherlands.ORCID https://orcid.org/0000-0002-2298-2442

Funding

NXTGEN Biomed 04 Artificial OrgansTop Sector Life Sciences& Health Holland NODIAL 21OP+35
6 · The paper itself

Abstract

backgroundHealthy kidneys regulate acid-base balance and electrolytes, produce hormones, and clear excess fluids and uremic toxins. Progressive kidney function loss in chronic kidney disease leads to end-stage kidney disease (ESRD), where fluid and toxin accumulation causes severe complications and can be fatal. ESRD requires renal replacement therapy; kidney transplantation is preferred; however, limited availability of donor organs makes hemodialysis (HD) the most used treatment option. In the last years, many studies had focused on development of new membranes with improved toxin removal, however, these studies implement various experimental conditions making direct comparison between membranes challenging. Here, we develop an in vitro system for evaluating various membranes.

methodsWe performed toxin transport studies using commercially available hollow fiber membranes (FX1000, Fresenius) as well as newly developed mixed matrix membrane (MMM) hollow fibers, both assembled in a mini dialyzer. Creatinine (Cr), hippuric acid (HA) and indoxyl sulfate (IS) were used as model uremic toxins and their removal by the membranes from human plasma and full human blood under a range of experimental conditions was studied.

resultsWe mainly implemented dialysate recirculation, which allowed for monitoring of the mass balance of toxins inside the mini dialyzer and for obtaining better understanding about the membrane fouling and concentration polarization phenomena. Dialysance normalized by membrane effective area was used as a key parameter for assessing the performance of the membranes.

conclusionsOur findings are in good agreement to various literature studies for small and larger scale dialyzers suggesting that the proposed in vitro system can be used for comparison of membranes for HD.

Indexed as

Membranes, ArtificialRenal DialysisUremic ToxinsBiological TransportCreatinineHippuratesHumansIndicanKidney Failure, ChronicCreatinineHippurateshippuric acidIndicanMembranes, ArtificialUremic Toxinsbloodhemodialysisin vitro systemmini‐dialyzerprotein‐bound uremic toxins

Identifiers

PMID42050346
PMCPMC13397289

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.