Metal ion and vitamin adsorption profiles of phosphate binder ion-exchange resins

Kan Takagi, K. Masuda, M. Yamazaki, C. Kiyohara, S. Itoh, M. Wasaki, H. Inoue

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Aims: To determine the metal ion and vitamin in vitro adsorption profile of sevelamer hydrochloride (sevelamer-HCl) and colestilan(INN)/ colestimide(JAN), a novel ion-exchange resin being developed as a phosphate binder for end-stage renal disease (ESRD) patients undergoing hemodialysis, adsorption of metal ions (iron, cobalt, copper and zinc) and vitamins (B6, B12, C,K and folic acid) essential for hematopoiesis/ blood coagulation was assessed. Methods: Mixtures of each resin (colestilan or sevelamer-HCl, 4 mg/ml) and metal ions (Fe(III), Fe(II), Co(II), Cu(II), and Zn(II), 1 microg/ ml) were adjusted to pH 1.2 or 6.8 and incubated at 37 °C for 1 hour. Metal ions in the recovered filtrate were detected by inductively coupled plasma optical emission spectrometry. In addition, the mixtures of each resin (4 mg/ml) and vitamins (B6, B12, C, K and folic acid, 0.5 - 250 microg/ml) were adjusted to pH 6.8 and incubated at 37 °C for 0.5 hour. The vitamin concentrations in the recovered filtrate were quantified by HPLC. Results: Colestilan did not adsorb any metals tested at either pH level, whereas sevelamer-HCl adsorbed copper(II) and zinc(II) ion at pH 6.8 with adsorption ratios of 99% and 38%, respectively. Both resins showed almost complete adsorption of vitamin C, vitamin K, and folic acid, but weak adsorption of vitamin B6, and no adsorption of vitamin B12. Conclusions: The differing adsorption profiles for metal ions and vitamins between sevelamer-HCl and colestilan may be of importance for the individualized management of anemia and malnutrition in chronic hemodialysis patients receiving phosphate binding ion-exchange resins for the control of hyperphosphatemia.

Original languageEnglish
Pages (from-to)30-35
Number of pages6
JournalClinical Nephrology
Volume73
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

Keywords

  • Anemia
  • Colestilan
  • Hemodialysis
  • Nutrition
  • Phosphate binder ion-exchange resins
  • Sevelamer hydrochloride

ASJC Scopus subject areas

  • Nephrology

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    Takagi, K., Masuda, K., Yamazaki, M., Kiyohara, C., Itoh, S., Wasaki, M., & Inoue, H. (2010). Metal ion and vitamin adsorption profiles of phosphate binder ion-exchange resins. Clinical Nephrology, 73(1), 30-35. https://doi.org/10.5414/CNP73030