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血细胞比容对血小板黏附的影响:实验与模拟

The Effect of Hematocrit on Platelet Adhesion: Experiments and Simulations.

作者信息

Spann Andrew P, Campbell James E, Fitzgibbon Sean R, Rodriguez Armando, Cap Andrew P, Blackbourne Lorne H, Shaqfeh Eric S G

机构信息

Department of Chemical Engineering, University of Texas at Austin, Austin, Texas.

Schertz, Texas 78154, USA.

出版信息

Biophys J. 2016 Aug 9;111(3):577-588. doi: 10.1016/j.bpj.2016.06.024.

DOI:10.1016/j.bpj.2016.06.024
PMID:27508441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4982930/
Abstract

The volume fraction of red blood cells (RBCs) in a capillary affects the degree to which platelets are promoted to marginate to near a vessel wall and form blood clots. In this work we investigate the relationship between RBC hematocrit and platelet adhesion activity. We perform experiments flowing blood samples through a microfluidic channel coated with type 1 collagen and observe the rate at which platelets adhere to the wall. We compare these results with three-dimensional boundary integral simulations of a suspension of RBCs and platelets in a periodic channel where platelets can adhere to the wall. In both cases, we find that the rate of platelet adhesion varies greatly with the RBC hematocrit. We observe that the relative decrease in platelet activity as hematocrit falls shows a similar profile for simulation and experiment.

摘要

毛细血管中红细胞(RBC)的体积分数会影响血小板被促进边缘化至血管壁附近并形成血凝块的程度。在这项工作中,我们研究了红细胞压积与血小板黏附活性之间的关系。我们进行了让血液样本流经涂有I型胶原蛋白的微流控通道的实验,并观察血小板黏附到壁上的速率。我们将这些结果与红细胞和血小板悬浮液在周期性通道中的三维边界积分模拟结果进行比较,在该周期性通道中血小板可以黏附到壁上。在这两种情况下,我们都发现血小板黏附速率随红细胞压积变化很大。我们观察到,随着红细胞压积下降,血小板活性的相对降低在模拟和实验中呈现出相似的趋势。

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本文引用的文献

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Understanding particle margination in blood flow - A step toward optimized drug delivery systems.理解血流中的颗粒边缘化——迈向优化药物递送系统的一步。
Med Eng Phys. 2016 Jan;38(1):2-10. doi: 10.1016/j.medengphy.2015.08.009. Epub 2015 Sep 4.
2
In vitro measurement of particle margination in the microchannel flow: effect of varying hematocrit.微通道流中颗粒边缘化的体外测量:血细胞比容变化的影响
Biophys J. 2015 May 19;108(10):2601-2608. doi: 10.1016/j.bpj.2015.04.013.
3
Acute traumatic coagulopathy: Whole blood thrombelastography measures the tip of the iceberg.急性创伤性凝血病:全血血栓弹力图仅触及冰山一角。
J Trauma Acute Care Surg. 2015 May;78(5):955-61. doi: 10.1097/TA.0000000000000586.
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Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.严重创伤患者血浆、血小板和红细胞以1:1:1与1:1:2比例输注及死亡率:PROPPR随机临床试验
JAMA. 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12.
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Polycythemia vera and essential thrombocythemia: 2015 update on diagnosis, risk-stratification and management.真性红细胞增多症和原发性血小板增多症:2015 年诊断、风险分层和治疗更新。
Am J Hematol. 2015 Feb;90(2):162-73. doi: 10.1002/ajh.23895.
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Microparticle shape effects on margination, near-wall dynamics and adhesion in a three-dimensional simulation of red blood cell suspension.红细胞悬浮液三维模拟中微粒形状对边缘化、近壁动力学及黏附的影响
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