Abstract
A method which enables reliable measurements of red cell deformability in whole blood to be performed is presented. It is based on the Nuclepore filtration method described byReid et al. (1976). Its reliability was much improved, obtaining an accuracy of within 5% by a technique to remove air bubbles trapped in the filter pores, which caused the poor reproducibility observed before. Simple analyses of the flow characteristics of whole blood and the haematocrit dependence of whole blood passage time were given to eliminate the effect of transient pore blockings of white cells and the contribution of different haematocrit in the whole blood passage time. A mean pore passage time of single red cells is obtainable as a quantitative index of red cell deformability. Furthermore, a good utilisation was achieved by making full use of electrically operated valves and aspiration pumps. It is possible to repeat measurements at intervals of 3 min. This improved filtration method will be useful for diagnostic purposes since it can avoid artefacts caused by artificial treatments added on blood samples and time changes after blood sampling.
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Bagge, U., Skalak, R. andAttefors, R. (1977) Granulocyte rheology.Adv. Microcirc.,7, 29–48.
Bessis, M. andMohandas, N. (1975) A diffractometer method for the measurement of cellular deformability.Blood Cells,1, 307–313.
Bull, B. S. andBrailsford, J. D. (1975) The relative importance of bending and shear in stabilizing the shape of the red blood cell. —ibid.,1, 323–331.
Dintenfass, L. (1977) Theoretical aspects and clinical applications of the blood viscosity equation containing a term for the internal viscosity of the red cell. —ibid.,3, 367–374.
Gregersen, M. J., Brayant, C. A., Hammerle, W. E., Usami, S. andChien, S. (1967) Flow characteristics of human erythrocytes through polycarbonate sieves.Science,157, 825–827.
Hochmuth, R. M. andMohandas, N. (1972) Uniaxial loading of the red-cell membranes.J. Biomech.,5, 501–510.
Hoeber, T. W. andHochmuth, R. M. (1970) Measurement of red blood cell modulus of elasticity by in-vitro and model cell experiments.Trans. ASME, Ser. D., Basic Eng.,92, 604.
Kikuchi, Y., Horimoto, M. andKoyama, T. (1979) Reduced deformability of erythrocytes exposed to hypercapnia.Experientia,35, 343–344.
Kikuchi, Y., Horimoto, M., Koyama, T. andTozawa, S. (1980) Estimation of pore passage time of red cells in normal subjects and patients with renal failure —ibid.,36, 325–326.
Kikuchi, Y. andKoyama, T. (1981) Role of protein adsorption in micropore passability of red cells.Jpn. J. Physiol.,31, 903–915.
Kikuchi, Y., Koyama, T., Koyama, Y., Tozawa, S., Arai, T., Horimoto, M. andKakiuchi, Y. (1982) Red blood cell deformability in renal failure.Nephron,30, 8–14.
Rand, R. P. andBurton, A. C. (1964) Mechanical properties of the red cell membrane. I. Membrane stiffness and intracellular pressure.Biophys. J.,4, 115–135.
Reid, H. L., Barnes, A. J., Lock, P. J., Dormandy, J. A. andDormandy, T. L. (1976) A simple method for measuring erythrocyte deformability.J. Clin. Path.,29, 855–858.
Teitle, P. (1965) Disk-sphere transformation and plasticity alteration of red blood cells.Nature,206, 409–410.
Weed, R. I., LaCelle, P. L. andMerrill, E. W. (1969) Metabolic dependence of red cell deformability.J. Clin. Invest.,48, 795–809.
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Kikuchi, Y., Arai, T. & Koyama, T. Improved filtration method for red cell deformability measurement. Med. Biol. Eng. Comput. 21, 270–276 (1983). https://doi.org/10.1007/BF02478493
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DOI: https://doi.org/10.1007/BF02478493