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高凝性血栓的微观流变学与结构定量分析

Microrheology and structural quantification of hypercoagulable clots.

作者信息

Wolff-Trombini Laura, Ceripa Adrien, Moreau Julien, Galinat Hubert, James Chloe, Westbrook Nathalie, Allain Jean-Marc

机构信息

Université de Bordeaux, UMR1034, Inserm, Biology of Cardiovascular Diseases, Pessac, France.

LMS, CNRS, Ecole Polytechnique, Institut Polytechnique de Paris, Palaiseau, France.

出版信息

Biomed Opt Express. 2023 Jul 19;14(8):4179-4189. doi: 10.1364/BOE.492669. eCollection 2023 Aug 1.

DOI:10.1364/BOE.492669
PMID:37799698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10549726/
Abstract

Hypercoagulability is a pathology that remains difficult to explain today in most cases. It is likely due to a modification of the conditions of polymerization of the fibrin, the main clot component. Using passive microrheology, we measured the mechanical properties of clots and correlated them under the same conditions with structural information obtained with confocal microscopy. We tested our approach with known alterations: an excess of fibrinogen and of coagulation Factor VIII. We observed simultaneously a rigidification and densification of the fibrin network, showing the potential of microrheology for hypercoagulability diagnosis.

摘要

高凝状态是一种病理学现象,如今在大多数情况下仍难以解释。这可能是由于主要凝血块成分纤维蛋白的聚合条件发生了改变。我们使用被动微流变学方法测量了凝血块的力学性能,并在相同条件下将其与通过共聚焦显微镜获得的结构信息相关联。我们用已知的改变情况(纤维蛋白原和凝血因子 VIII 过量)来测试我们的方法。我们同时观察到纤维蛋白网络的硬化和致密化,这表明微流变学在高凝状态诊断方面具有潜力。

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本文引用的文献

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Passive high-frequency microrheology of blood.血液的被动高频微流变特性。
Soft Matter. 2022 Mar 23;18(12):2452-2461. doi: 10.1039/d1sm01726h.
2
Elevated plasma factor VIII levels in a mixed patient population on anticoagulation and past venous thrombosis.在接受抗凝治疗和有过静脉血栓病史的混合患者人群中,血浆因子 VIII 水平升高。
J Vasc Surg Venous Lymphat Disord. 2021 Sep;9(5):1119-1127. doi: 10.1016/j.jvsv.2020.12.071. Epub 2020 Dec 16.
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Thermal fluctuations of fibres at short time scales.短时间尺度下纤维的热涨落。
Soft Matter. 2008 Jun 20;4(7):1438-1442. doi: 10.1039/b802555j.
4
Filamentous and step-like behavior of gelling coarse fibrin networks revealed by high-frequency microrheology.高频微观流变学揭示的凝胶化粗纤维蛋白网络的丝状和阶梯状行为
Soft Matter. 2020 May 7;16(17):4234-4242. doi: 10.1039/c9sm02228g. Epub 2020 Apr 16.
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The Utility of Thromboelastography to Guide Blood Product Transfusion.血栓弹力图在指导输血治疗中的应用。
Am J Clin Pathol. 2019 Sep 9;152(4):407-422. doi: 10.1093/ajcp/aqz074.
6
Recurrent venous thromboembolism patients form clots with lower elastic modulus than those formed by patients with non-recurrent disease.复发性静脉血栓栓塞患者形成的血栓的弹性模量低于非复发性疾病患者形成的血栓。
J Thromb Haemost. 2019 Apr;17(4):618-626. doi: 10.1111/jth.14402. Epub 2019 Mar 8.
7
Abnormal plasma clot formation and fibrinolysis reveal bleeding tendency in patients with partial factor XI deficiency.部分因子 XI 缺乏症患者的血浆异常凝结形成和纤维蛋白溶解揭示了出血倾向。
Blood Adv. 2018 May 22;2(10):1076-1088. doi: 10.1182/bloodadvances.2017015123.
8
Clot stability as a determinant of effective factor VIII replacement in hemophilia A.凝血块稳定性作为甲型血友病中有效因子VIII替代治疗的决定因素
Res Pract Thromb Haemost. 2017 Oct;1(2):231-241. doi: 10.1002/rth2.12034. Epub 2017 Aug 10.
9
Increased factor VIII plays a significant role in plasma hypercoagulability phenotype of patients with cirrhosis.VIII 因子的增加在肝硬化患者的血浆高凝状态表型中起重要作用。
J Thromb Haemost. 2018 Jun;16(6):1132-1140. doi: 10.1111/jth.14011. Epub 2018 May 17.
10
Buffers Strongly Modulate Fibrin Self-Assembly into Fibrous Networks.缓冲液强烈调节纤维蛋白原自组装成纤维网络。
Langmuir. 2017 Jun 27;33(25):6342-6352. doi: 10.1021/acs.langmuir.7b00527. Epub 2017 Jun 13.