Removal of Protein-Bound Uremic Toxins by Mixed Matrix Membranes of Cellulose Acetate/Silica/MOF
João M. Santos Dionísio, Miguel P. da Silva, Ricardo F. S. Pereira, Tânia Frade, Tiago J. Ferreira, Moisés Luzia Pinto, Maria Norberta de PinhoAdsorption therapies in hemodialysis have emerged as an innovative approach for removing protein-bound uremic toxins (PBUTs). The present work focuses on the enhancement of the adsorption capacity of hemodialysis membranes through the incorporation of Metal–Organic Frameworks (MOFs). The removal capacity of PBUT p-cresyl sulfate by cellulose acetate (CA)/silica (SiO2)/MOF mixed matrix membranes was investigated with two types of MOFs, UiO-66 which synthesis and characterization has been previously reported, and UiO-66-NH2. The UiO-66-NH2 MOFs were synthesized and characterized by infrared spectroscopy, X-ray diffraction, nitrogen adsorption–desorption equilibrium at −196 °C, and thermogravimetry analysis. Both mixed matrix membranes were synthesized by coupling the phase inversion technique with the sol–gel method and with casting solutions incorporating the MOF dispersions. The two membrane types of MOFs were characterized in terms of hydraulic permeability, molecular weight cut-off, and rejection coefficients to pCS and bovine serum albumin (BSA). The mixed matrix membranes CA/SiO2/UiO-66-NH2 exhibited lower permeability and molecular weight cut-off when compared to the CA/SiO2/UiO-66 ones. In permeation tests simulating a hemodialysis session with a feed solution of 100 ppm pCS and 35 g/L BSA, it is shown the improved performance of MOFs membranes as the rejection coefficients of free pCS is 0.2% for the CA22/SiO2/UiO-66 membrane with 1.5% of MOF and 2.6% for the CA22/SiO2/UiO-66-NH2 membrane with 2% of MOF. The capacity of these MOF membranes in removing pCS bound to BSA was addressed through the development of a new methodology to quantify the pCS free and bound to BSA. The CA22/SiO2/UiO-66 membrane with 1.5% of MOF has a removal capacity of 99.8% and the CA22/SiO2/UiO-66-NH2 membrane with 2% of MOF 95.9%. Based on these results, it is concluded that the mixed matrix membranes CA22/SiO2/UiO-66 and CA22/SiO2/UiO-66-NH2 are promising candidates for PBUTs removal in hemodialysis.