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微流控技术在评估血小板功能中的应用。

Microfluidics in Assessing Platelet Function.

机构信息

Trauma and Transfusion Medicine Research Center, Department of Surgery, University of Pittsburgh;

Trauma and Transfusion Medicine Research Center, Department of Surgery, University of Pittsburgh.

出版信息

J Vis Exp. 2024 Nov 8(213). doi: 10.3791/67214.

DOI:10.3791/67214
PMID:39584679
Abstract

Microfluidics incorporate physiologically relevant substrates and flows that mimic the vasculature and are, therefore, a valuable tool for studying aspects of thrombosis and hemostasis. At high-shear environments simulating arterial flow, a microfluidic assay facilitates the study of platelet function, as platelet-rich thrombi form in a localized stenotic region of a flow channel. Utilizing devices that allow for small sample volume can additionally aid in evaluating platelet function under flow from volume-limited patient samples or animal models. Studying trauma patient samples or samples following platelet product transfusion may aid in directing therapeutic strategies for patient populations in which platelet function is critical. Effects of platelet inhibition via pharmacological agents can also be studied in this model. The objective of this protocol is to establish a microfluidic platform that incorporates physiologic flow, biological surfaces, and relevant hemostatic mechanisms to assess platelet function with implications for the study of trauma induced coagulopathy and transfusion medicine.

摘要

微流控技术整合了生理相关的基质和流场,模拟了脉管系统,因此是研究血栓形成和止血的一个有价值的工具。在模拟动脉血流的高剪切环境中,微流控分析可以促进血小板功能的研究,因为富含血小板的血栓会在流道的局部狭窄区域形成。利用允许小样本量的设备,还可以帮助评估来自体积有限的患者样本或动物模型的流动条件下的血小板功能。研究创伤患者样本或血小板制品输注后的样本可能有助于为血小板功能至关重要的患者群体指导治疗策略。通过药理学药物抑制血小板的效果也可以在这种模型中进行研究。本方案的目的是建立一个微流控平台,整合生理流场、生物表面和相关止血机制,以评估血小板功能,这对创伤性凝血病和输血医学的研究具有重要意义。

相似文献

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Microfluidics in Assessing Platelet Function.微流控技术在评估血小板功能中的应用。
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Pre-activated lyophilized platelets show non-inferior hemostatic effect compared with fresh platelets in rabbits with traumatic bleeding and shock.预激活冻干血小板在创伤性出血和休克兔中与新鲜血小板相比显示出非劣效性止血效果。
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引用本文的文献

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Microfluidic transection injury and high-shear thrombus formation demonstrate increased hemostatic efficacy of cold-stored platelets and resuscitation in induced coagulopathy models.微流控横断损伤和高剪切力血栓形成表明,在诱导性凝血病模型中,冷储存血小板和复苏的止血效果增强。
Front Bioeng Biotechnol. 2025 May 12;13:1568113. doi: 10.3389/fbioe.2025.1568113. eCollection 2025.
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Strategies to improve platelet cryopreservation: A narrative review.改善血小板冷冻保存的策略:一篇叙述性综述。
Transfusion. 2025 Apr;65(4):740-749. doi: 10.1111/trf.18204. Epub 2025 Mar 10.

本文引用的文献

1
Early Cold Stored Platelet Transfusion Following Severe Injury: A Randomized Clinical Trial.严重创伤后早期冷储血小板输注:一项随机临床试验。
Ann Surg. 2024 Aug 1;280(2):212-221. doi: 10.1097/SLA.0000000000006317. Epub 2024 May 6.
2
Cold-stored platelet hemostatic capacity is maintained for three weeks of storage and associated with taurine metabolism.冷藏血小板的止血能力在储存三周内得以维持,且与牛磺酸代谢有关。
J Thromb Haemost. 2024 Apr;22(4):1154-1166. doi: 10.1016/j.jtha.2023.11.025. Epub 2023 Dec 9.
3
Doing more with less: low-titer group O whole blood resulted in less total transfusions and an independent association with survival in adults with severe traumatic hemorrhage.
用更少的资源做更多的事:低滴度 O 型血红细胞悬液输注可减少总输血量,并与严重创伤性出血成人的生存独立相关。
J Thromb Haemost. 2024 Jan;22(1):140-151. doi: 10.1016/j.jtha.2023.09.025. Epub 2023 Oct 4.
4
Traumatic vessel injuries initiating hemostasis generate high shear conditions.创伤性血管损伤引发止血会产生高剪切条件。
Blood Adv. 2022 Aug 23;6(16):4834-4846. doi: 10.1182/bloodadvances.2022007550.
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Trauma-induced coagulopathy.创伤性凝血病。
Nat Rev Dis Primers. 2021 Apr 29;7(1):30. doi: 10.1038/s41572-021-00264-3.
6
Identification of injury and shock driven effects on ex vivo platelet aggregometry: A cautionary tale of phenotyping.鉴定损伤和休克对体外血小板聚集测定的影响:表型鉴定的一个警示故事。
J Trauma Acute Care Surg. 2020 Jul;89(1):20-28. doi: 10.1097/TA.0000000000002707.
7
The distinctive structure and composition of arterial and venous thrombi and pulmonary emboli.动脉和静脉血栓及肺栓塞的独特结构和组成。
Sci Rep. 2020 Mar 20;10(1):5112. doi: 10.1038/s41598-020-59526-x.
8
Alterations in platelet behavior after major trauma: adaptive or maladaptive?重大创伤后血小板行为的改变:适应性还是失适应性?
Platelets. 2021 Apr 3;32(3):295-304. doi: 10.1080/09537104.2020.1718633. Epub 2020 Jan 27.
9
Adsorption and Absorption of Collagen Peptides to Polydimethlysiloxane and Its Influence on Platelet Adhesion Flow Assays.胶原蛋白肽对聚二甲基硅氧烷的吸附与吸收及其对血小板黏附流动分析的影响
Micromachines (Basel). 2020 Jan 5;11(1):62. doi: 10.3390/mi11010062.
10
Occlusive thrombosis in arteries.动脉闭塞性血栓形成
APL Bioeng. 2019 Nov 19;3(4):041502. doi: 10.1063/1.5115554. eCollection 2019 Dec.