Condensed Matter Physics Department, Faculty of Sciences, University of Cádiz, Campus Universitario Rio San Pedro s/n, 11510 Puerto Real, Cádiz, Spain.
School of Medicine, Keele University, Newcastle-under-Lyme, Staffordshire. ST5 5BG, UK.
Nanoscale. 2024 Feb 15;16(7):3534-3548. doi: 10.1039/d3nr02593d.
Blood clotting disorders consisting of unwanted blood clot formation or excessive bleeding are some of the main causes of death worldwide. However, there are significant limitations in the current methods used to clinically monitor the dynamics of clot formation in human whole blood . Here a new magnetic coagulometry platform for testing coagulation is described. This platform exploits the sensitivity of the out-of-phase component of alternating current (AC) magnetic susceptibility ('') to variations in mobility and agglomeration of magnetic nanoparticles when trapped during blood clot formation. By labelling human whole blood with magnetic nanoparticles, the out-of-phase component of AC magnetic susceptibility shows that the dynamics of blood clot formation correlates with a decrease in the out-of-phase component '' over time activation of coagulation. This is caused by a rapid immobilisation of nanoparticles upon blood coagulation and compaction. In contrast, this rapid fall in the out-of-phase component '' is significantly slowed down when blood is pre-treated with three different anticoagulant drugs. Remarkably, the system showed sensitivity towards the effect of clinically used direct oral anticoagulation (DOAC) drugs in whole blood coagulation, in contrast to the inability of clinical routine tests prothrombin time (PT) and partial thromboplastin time (PTT) to efficiently monitor this effect. Translation of this nanomagnetic approach into clinic can provide a superior method for monitoring blood coagulation and improve the efficiency of the current diagnostic techniques.
血液凝固障碍包括不必要的血栓形成或过度出血,是全球主要死亡原因之一。然而,目前用于临床监测人全血中血栓形成动力学的方法存在显著局限性。本文描述了一种用于凝血检测的新型磁凝分析平台。该平台利用交流(AC)磁化率的反相分量对在血液凝固过程中捕获的磁性纳米粒子的迁移率和聚集的变化的敏感性。通过用磁性纳米粒子标记人全血,AC 磁化率的反相分量表明,随着凝血激活时间的推移,血液凝固动力学与反相分量 '' 的降低相关。这是由于纳米粒子在血液凝固和压实过程中的快速固定化。相比之下,当血液预先用三种不同的抗凝药物处理时,AC 磁化率反相分量 '' 的这种快速下降会显著减慢。值得注意的是,与临床常规凝血时间 (PT) 和部分凝血活酶时间 (PTT) 无法有效监测这种效果的能力相比,该系统对全血凝血中临床使用的直接口服抗凝 (DOAC) 药物的效果表现出敏感性。这种纳米磁性方法的临床转化可以提供一种用于监测血液凝固的优越方法,并提高当前诊断技术的效率。
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