Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang, South Korea.
Sci Rep. 2016 Feb 22;6:21913. doi: 10.1038/srep21913.
Diabetes mellitus with abnormal glucose concentration is associated with changes in hemorheological properties, endothelial function, and platelets hyperactivity. Disturbances may significantly be responsible for diabetes-related vascular complications. In this study, hemorheological and hemodynamic properties were measured according to diabetic duration after streptozotocin treatment in rats. For ex vivo measurements, an extracorporeal model was adopted. Flow rate and blood viscosity were measured using a microfluidic device. Erythrocyte aggregation and morphological parameters of erythrocytes were measured by modified erythrocyte sedimentation rate and the phase-contrast holography under in vitro conditions. The platelet aggregation and mean pressure in the femoral artery were estimated under ex vivo conditions. Hemorheological properties including blood viscosity, erythrocyte aggregation and shape parameters for the control group are significantly different with those for diabetic groups. The changes with respect to diabetic duration were relatively unnoticeable. However, the platelet aggregation is strongly dependent on the diabetic duration. Based on these results, hyperglycemia exposure may induce hemorheological variations in early stages of diabetes mellitus. High platelet aggregation may become more pronounced according to the diabetic duration caused by variations in hemorheological properties resulting in endothelial dysfunction. This study would be helpful in understanding the effects of diabetic duration on biophysical properties.
糖尿病伴葡萄糖浓度异常与血液流变学特性、内皮功能和血小板活性增强的变化有关。这些变化可能是导致糖尿病相关血管并发症的主要原因。在这项研究中,我们在链脲佐菌素处理大鼠后根据糖尿病持续时间来测量血液流变学和血液动力学特性。在体外测量中,我们采用了一种体外模型。使用微流控装置测量了流速和血液粘度。在体外条件下,通过改良的红细胞沉降率和相差全息术测量了红细胞聚集和红细胞形态参数。在体外条件下测量了血小板聚集和股动脉平均压力。与对照组相比,血液粘度、红细胞聚集和形态参数等血液流变学特性在糖尿病组中差异显著。与糖尿病持续时间相关的变化相对不明显。然而,血小板聚集强烈依赖于糖尿病持续时间。根据这些结果,高血糖暴露可能会在糖尿病早期引起血液流变学变化。血小板聚集可能会根据血液流变学特性的变化而变得更加明显,从而导致内皮功能障碍。本研究有助于了解糖尿病持续时间对生物物理特性的影响。