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Published online by Cambridge University Press: 26 February 2011
Synthetic polymer membranes which have a nominal pore size (NPS) of 0.03 to 10 microns were evaluated at varying filtration temperatures to separate pathologic macromolecules such as immune complexes, cryoprecipitable proteins and low density lipoproteins (LDL) from essential plasma proteins. At low temperatures (4 to 10°C) cryoprecipitable proteins were selectively removed from cryoglobulinemic plasmas with membranes of 3 micron NPS. However, severe membrane plugging occurred with membranes of smaller pore sizes. In addition, decreased albumin sieving occurs. Above 37°C, increased albumin sieving and prolonged membrane plugging occurs. In the selective removal of low density lipoproteins from hypercholesterolemic plasmas, membranes with NPS of 0.03 microns were found to be suitable at high operating temperatures. Given the proper combination of membrane and temperature control, disease related pathological macromolecules can be treated effectively by selective macromolecule removal.