Open AccessCan the Three Pore Model Correctly Describe Peritoneal Transport of Protein?
Author(s) -
Jacek Waniewski,
Jan Poleszczuk,
Stefan Antosiewicz,
Daniel Baczynński,
Magda Gałach,
Mauro Pietribiasi,
Zofia Wanńkowicz
Publication year - 2014
Publication title -
asaio journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/mat.0000000000000105
Subject(s) - albumin , peritoneal equilibration test , chemistry , peritoneal dialysis , peritoneal fluid , chromatography , sodium , peritoneal cavity , urea , thermodynamics , biochemistry , surgery , continuous ambulatory peritoneal dialysis , medicine , physics , organic chemistry
The three pore model (3PM) includes large pores for the description of protein leak to the peritoneal cavity during peritoneal dialysis. However, the reliability of this description has been not fully tested against clinical data yet. Peritoneal transport parameters were estimated using 3PM, extended 3p model (with estimation of fraction of large pores, ext3PM), ext3PM with modified size of pores and proteins (mext3PM), and simplified two pore (2PM, small and ultrasmall pores) models for 32 patients on peritoneal dialysis investigated using the sequential peritoneal equilibration test (consecutive peritoneal equilibration test [PET]: glucose 2.27%, 4 h, and miniPET: glucose 3.86%, 1 h). Urea, creatinine, glucose, sodium, phosphate, albumin, and IgM concentrations were measured in dialysis fluid and plasma. Ext3PM and mext3PM, with large pore fraction of about 0.14, provided a good description of fluid and small solute kinetics, but their predictions for albumin transport were less accurate. Two pore model precisely described the data on fluid and small solute transport. The 3p models could not describe the diffusive-convective transport of albumin as precisely as the transport of fluid, small solutes, and IgM. The 2p model (not applicable for proteins) was an efficient tool for modeling fluid and small solute transport.