Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
Ann Biomed Eng. 2010 Mar;38(3):1178-87. doi: 10.1007/s10439-010-9900-1.
Interactions between flow and biological cells and tissues are intrinsic to the circulatory, respiratory, digestive and genitourinary systems. In the circulatory system, an understanding of the complex interaction between the arterial wall (a living multi-component organ with anisotropic, nonlinear material properties) and blood (a shear-thinning fluid with 45% by volume consisting of red blood cells, platelets, and white blood cells) is vital to our understanding of the physiology of the human circulation and the etiology and development of arterial diseases, and to the design and development of prosthetic implants and tissue-engineered substitutes. Similarly, an understanding of the complex dynamics of flow past native human heart valves and the effect of that flow on the valvular tissue is necessary to elucidate the etiology of valvular diseases and in the design and development of valve replacements. In this paper we address the influence of biomechanical factors on the arterial circulation. The first part presents our current understanding of the impact of blood flow on the arterial wall at the cellular level and the relationship between flow-induced stresses and the etiology of atherosclerosis. The second part describes recent advances in the application of fluid-structure interaction analysis to arterial flows and the dynamics of heart valves.
血流与生物细胞和组织之间的相互作用是循环、呼吸、消化和泌尿生殖系统的固有特性。在循环系统中,理解动脉壁(一个具有各向异性、非线性材料特性的活体多组分器官)与血液(一种剪切稀化的流体,体积的 45%由红细胞、血小板和白细胞组成)之间复杂的相互作用,对于我们理解人体循环的生理学、动脉疾病的病因和发展,以及假体植入物和组织工程替代品的设计和开发至关重要。同样,了解流经天然人类心脏瓣膜的流动的复杂动力学以及该流动对瓣膜组织的影响,对于阐明瓣膜疾病的病因以及瓣膜置换的设计和开发也是必要的。本文我们将探讨生物力学因素对动脉循环的影响。第一部分介绍了我们目前对血流在细胞水平上对动脉壁的影响以及血流引起的应力与动脉粥样硬化病因之间关系的理解。第二部分描述了血流和心脏瓣膜动力学的流固耦合分析应用的最新进展。