Whole blood viscosity and red blood cell adhesion: Potential biomarkers for targeted and curative therapies in sickle cell disease.


Journal

American journal of hematology
ISSN: 1096-8652
Titre abrégé: Am J Hematol
Pays: United States
ID NLM: 7610369

Informations de publication

Date de publication:
11 2020
Historique:
received: 01 07 2020
revised: 07 07 2020
accepted: 08 07 2020
pubmed: 14 7 2020
medline: 30 12 2020
entrez: 14 7 2020
Statut: ppublish

Résumé

Sickle cell disease (SCD) is a recessive genetic blood disorder exhibiting abnormal blood rheology. Polymerization of sickle hemoglobin, due to a point mutation in the β-globin gene of hemoglobin, results in aberrantly adhesive and stiff red blood cells (RBCs). Hemolysis, abnormal RBC adhesion, and abnormal blood rheology together impair endothelial health in people with SCD, which leads to cumulative systemic complications. Here, we describe a microfluidic assay combined with a micro particle image velocimetry technique for the integrated in vitro assessment of whole blood viscosity (WBV) and RBC adhesion. We examined WBV and RBC adhesion to laminin (LN) in microscale flow in whole blood samples from 53 individuals with no hemoglobinopathies (HbAA, N = 10), hemoglobin SC disease (HbSC, N = 14), or homozygous SCD (HbSS, N = 29) with mean WBV of 4.50 cP, 4.08 cP, and 3.73 cP, respectively. We found that WBV correlated with RBC count and hematocrit in subjects with HbSC or HbSS. There was a significant inverse association between WBV and RBC adhesion under both normoxic and physiologically hypoxic (SpO

Identifiants

pubmed: 32656816
doi: 10.1002/ajh.25933
pmc: PMC7689825
mid: NIHMS1625777
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1246-1256

Subventions

Organisme : NHLBI NIH HHS
ID : U01 HL117659
Pays : United States
Organisme : NHLBI NIH HHS
ID : OT2HL152643
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL134622
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL133574
Pays : United States
Organisme : NHLBI NIH HHS
ID : OT2 HL152643
Pays : United States

Informations de copyright

© 2020 The Authors. American Journal of Hematology published by Wiley Periodicals LLC.

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Auteurs

Erdem Kucukal (E)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.

Yuncheng Man (Y)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.

Ailis Hill (A)

Division of Hematology and Oncology, School of Medicine, Case Western Reserve University, Cleveland, Ohio.

Shichen Liu (S)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.

Allison Bode (A)

Division of Hematology and Oncology, School of Medicine, Case Western Reserve University, Cleveland, Ohio.

Ran An (R)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.

Jaikrishnan Kadambi (J)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.

Jane A Little (JA)

Division of Hematology and Blood Research Center, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina.

Umut A Gurkan (UA)

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio.
Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.

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