| Foreward |
|
xiii | |
| Preface |
|
xv | |
| Authors |
|
xvii | |
|
|
|
1 | (8) |
|
1.1 Phenomenon of Red Blood Cell Aggregation |
|
|
1 | (1) |
|
|
|
1 | (1) |
|
1.2.1 Red Blood Cell Aggregation |
|
|
2 | (1) |
|
1.2.2 Red Blood Cell Aggregability |
|
|
2 | (1) |
|
|
|
2 | (4) |
|
|
|
2 | (2) |
|
1.3.2 Robin Fahraeus and Melvin Knisely |
|
|
4 | (1) |
|
1.3.3 Dextrans and Red Blood Cell Aggregation |
|
|
5 | (1) |
|
1.4 Recent History and Future Directions |
|
|
6 | (1) |
|
|
|
7 | (2) |
|
Chapter 2 Determinants of Red Blood Cell Aggregation |
|
|
9 | (22) |
|
2.1 Factors Affecting Red Blood Cell Aggregation |
|
|
9 | (3) |
|
2.1.1 Biconcave-Discoid Shape Is a Prerequisite for Aggregation |
|
|
11 | (1) |
|
|
|
11 | (1) |
|
2.2 Macromolecules as Determinants of Red Blood Cell Aggregation |
|
|
12 | (4) |
|
|
|
12 | (1) |
|
|
|
12 | (2) |
|
2.2.3 Polymer Hydrodynamic Radius as a Determinant of Red Blood Cell Aggregation |
|
|
14 | (1) |
|
2.2.4 Inhibition of Red Blood Cell Aggregation by Small Polymers |
|
|
15 | (1) |
|
2.3 Cellular Factors Determining the Extent of Red Blood Cell Aggregation |
|
|
16 | (9) |
|
2.3.1 Donor-Specific Effects |
|
|
18 | (1) |
|
2.3.2 Effects of in Vivo Cell Age |
|
|
19 | (1) |
|
2.3.3 Clinical Conditions |
|
|
19 | (1) |
|
2.3.4 Impact of the Aggregant on Red Blood Cell Aggregability |
|
|
19 | (2) |
|
2.3.5 Modifying Aggregability |
|
|
21 | (1) |
|
2.3.5.1 Enzyme Treatment of Red Blood Cells |
|
|
21 | (1) |
|
2.3.5.2 Heat Treatment and Aldehyde Fixation of Red Blood Cells |
|
|
22 | (1) |
|
2.3.5.3 Macromolecular Binding to Reduce Aggregation |
|
|
23 | (1) |
|
2.3.5.4 Macromolecular Binding to Enhance Aggregation |
|
|
23 | (2) |
|
|
|
25 | (1) |
|
|
|
25 | (6) |
|
Chapter 3 Mechanism of Red Blood Cell Aggregation |
|
|
31 | (32) |
|
3.1 Current Models of RBC Aggregation |
|
|
31 | (4) |
|
3.1.1 Bridging Hypothesis |
|
|
31 | (2) |
|
3.1.2 Depletion Hypothesis |
|
|
33 | (2) |
|
3.1.3 Bridging versus Depletion |
|
|
35 | (1) |
|
3.2 The Depletion Theory for Red Blood Cell Aggregation |
|
|
35 | (15) |
|
3.2.1 Depletion Interaction |
|
|
36 | (2) |
|
3.2.2 Depletion Layer Thickness |
|
|
38 | (2) |
|
3.2.3 Macromolecular Penetration into the Glycocalyx |
|
|
40 | (2) |
|
3.2.4 Electrostatic Repulsion between Red Blood Cells |
|
|
42 | (1) |
|
3.2.5 Red Blood Cell Affinity |
|
|
43 | (1) |
|
3.2.6 RBC Adhesion Energy in Polymer Solution |
|
|
44 | (3) |
|
3.2.7 Impact of Cell Surface Properties on Red Blood Cell Affinity |
|
|
47 | (3) |
|
3.3 Evidence Supporting Depletion Hypothesis |
|
|
50 | (9) |
|
3.3.1 Quantification of Depletion Layers via Particle Electrophoresis |
|
|
50 | (3) |
|
3.3.2 Comparison of Experimental Findings with the Depletion Model |
|
|
53 | (1) |
|
3.3.2.1 Quantitative Comparison of the Adhesion Energies |
|
|
53 | (1) |
|
3.3.2.2 Dependence of Red Blood Cell Aggregation on Polymer Concentration |
|
|
54 | (1) |
|
3.3.2.3 Dependence of RBC Aggregation on Polymer Molecular Mass |
|
|
55 | (2) |
|
3.3.2.4 Comparison of Abnormal Aggregation with the Depletion Model |
|
|
57 | (2) |
|
|
|
59 | (1) |
|
|
|
59 | (4) |
|
Chapter 4 Measurement of Red Blood Cell Aggregation |
|
|
63 | (70) |
|
4.1 Methods for Quantification of Red Blood Cell Aggregation |
|
|
63 | (53) |
|
4.1.1 Erythrocyte Sedimentation Rate |
|
|
63 | (1) |
|
4.1.1.1 Measurement Procedure |
|
|
64 | (2) |
|
4.1.1.2 Mechanism of Red Blood Cell Sedimentation in Plasma |
|
|
66 | (1) |
|
4.1.1.3 Normal Ranges of Erythrocyte Sedimentation Rate |
|
|
67 | (1) |
|
4.1.1.4 Factors Affecting Erythrocyte Sedimentation Rate |
|
|
67 | (2) |
|
4.1.1.5 Other Approaches to the Measurement of Erythrocyte Sedimentation Rate |
|
|
69 | (1) |
|
4.1.1.6 Erythrocyte Sedimentation Rate as a Method to Estimate Aggregation |
|
|
70 | (1) |
|
4.1.2 Zeta Sedimentation Ratio |
|
|
70 | (1) |
|
4.1.2.1 Measurement Procedure |
|
|
71 | (1) |
|
4.1.2.2 Normal Ranges of Zeta Sedimentation Ratio |
|
|
72 | (1) |
|
4.1.2.3 Correlation of Zeta Sedimentation Ratio with Erythrocyte Sedimentation Rate |
|
|
72 | (1) |
|
4.1.2.4 Zeta Sedimentation Ratio as a Method to Estimate Aggregation |
|
|
72 | (1) |
|
4.1.3 Low-Shear Viscometry |
|
|
73 | (1) |
|
4.1.3.1 Measurement Procedure |
|
|
74 | (1) |
|
4.1.3.2 Alternative Methods |
|
|
75 | (1) |
|
4.1.3.3 Limitations of Low-Shear Viscometry to Quantitate Red Blood Cell Aggregation |
|
|
75 | (2) |
|
4.1.4 Microscopic Aggregation Index |
|
|
77 | (1) |
|
4.1.4.1 Measurement Procedure |
|
|
77 | (1) |
|
4.1.4.2 Usage of Microscopic Aggregation Index in Modern Hemorheology |
|
|
78 | (1) |
|
4.1.5 Image Analysis Techniques |
|
|
79 | (1) |
|
4.1.5.1 Image Analysis of Red Blood Cell Aggregates at Stasis |
|
|
79 | (2) |
|
4.1.5.2 Image Analysis of Red Blood Cell Aggregation under Dynamic Conditions |
|
|
81 | (1) |
|
4.1.5.3 Advantages of Methods Based on Computerized Image Analysis |
|
|
82 | (1) |
|
4.1.6 Photometric Methods |
|
|
83 | (2) |
|
4.1.6.1 Disaggregation Mechanisms Used in Aggregation Measurements |
|
|
85 | (1) |
|
4.1.6.2 Analysis of Syllectogram--Calculation of Aggregation Parameters |
|
|
86 | (3) |
|
4.1.6.3 Other Parameters Measured Based on the Optical Properties of Red Blood Cell Suspensions |
|
|
89 | (2) |
|
4.1.6.4 Light Reflectance versus Transmittance |
|
|
91 | (2) |
|
4.1.6.5 Choice of Light Wavelength for Recording Syllectograms |
|
|
93 | (4) |
|
4.1.6.6 Influence of Measurement Chamber Geometry on Aggregation Parameters |
|
|
97 | (1) |
|
4.1.6.7 Effect of Hematocrit on Measured Parameters |
|
|
97 | (2) |
|
4.1.6.8 Opti mal Measurement Conditions and Precautions |
|
|
99 | (4) |
|
4.1.6.9 Comparison of Instruments |
|
|
103 | (7) |
|
4.1.7 Ultrasound Back-Scattering |
|
|
110 | (2) |
|
4.1.8 Electrical Properties of RBC Suspensions |
|
|
112 | (3) |
|
4.1.9 Measurement of Red Blood Cell Aggregation in Vivo |
|
|
115 | (1) |
|
4.2 Sample Preparation for Red Blood Cell Aggregation Measurement |
|
|
116 | (2) |
|
4.2.1 Blood Sampling and Storage for Measuring Red Blood Cell Aggregation |
|
|
116 | (1) |
|
4.2.2 Handling of the Samples and Hematocrit Adjustment |
|
|
117 | (1) |
|
4.3 Assessment of Red Blood Cell Aggregability |
|
|
118 | (2) |
|
4.4 Interpretation of the Results |
|
|
120 | (1) |
|
|
|
121 | (12) |
|
Chapter 5 Effect of Red Blood Cell Aggregation on in Vitro Blood Rheology |
|
|
133 | (22) |
|
5.1 Initial Considerations |
|
|
133 | (1) |
|
|
|
133 | (4) |
|
5.2.1 Rotating Cylinder Viscometers |
|
|
134 | (2) |
|
|
|
136 | (1) |
|
5.3 Potential Artifacts Affecting Blood Viscometry |
|
|
137 | (4) |
|
5.3.1 Air-Fluid Interface Effects |
|
|
137 | (2) |
|
5.3.2 Time-Dependent Effects |
|
|
139 | (1) |
|
5.3.3 Sedimentation Effects |
|
|
140 | (1) |
|
5.4 Rheological Behavior of Blood |
|
|
141 | (11) |
|
5.4.1 General Flow Behavior |
|
|
141 | (2) |
|
5.4.2 Possible Artifact at Low Shear Rates |
|
|
143 | (1) |
|
|
|
143 | (1) |
|
|
|
144 | (4) |
|
5.4.5 Temperature Effects |
|
|
148 | (2) |
|
5.4.6 Polymer-Induced RBC Aggregation |
|
|
150 | (2) |
|
|
|
152 | (3) |
|
Chapter 6 Effect of Red Blood Cell Aggregation on Tube Flow |
|
|
155 | (18) |
|
6.1 Historical Perspectives |
|
|
155 | (1) |
|
|
|
156 | (3) |
|
|
|
156 | (2) |
|
|
|
158 | (1) |
|
|
|
159 | (1) |
|
6.4 Fahraeus-Li ndqvist Effect |
|
|
160 | (1) |
|
6.5 Effect of Red Blood Cell Aggregation on Tube, Flow |
|
|
161 | (8) |
|
6.5.1 Flow Behavior in Larger Tubes |
|
|
161 | (3) |
|
6.5.2 Flow Behavior in Smaller Tubes |
|
|
164 | (1) |
|
6.5.3 Importance of Flow Rate |
|
|
165 | (1) |
|
6.5.4 Time Dependence of Aggregation Effect on Tube Flow |
|
|
166 | (2) |
|
6.5.5 Vertical versus Horizontal Tubes |
|
|
168 | (1) |
|
|
|
169 | (2) |
|
|
|
171 | (2) |
|
Chapter 7 In Vivo Hemodynamics and Red Blood Cell Aggregation |
|
|
173 | (50) |
|
7.1 Basic Approach to in Vivo Blood Flow |
|
|
173 | (2) |
|
7.2 In Vivo versus in Vitro Blood Viscosity |
|
|
175 | (2) |
|
7.3 Experimental Studies Investigating in Vivo Effects of Red Blood Cell Aggregation |
|
|
177 | (23) |
|
7.3.1 Methods for Studying the Pressure-Flow Relationship |
|
|
177 | (1) |
|
7.3.1.1 Intravital Microscopy |
|
|
177 | (3) |
|
7.3.1.2 Organ Perfusion Studies |
|
|
180 | (1) |
|
7.3.2 Methods to Modify Red Blood Cell Aggregation |
|
|
181 | (1) |
|
7.3.3 Comparison of the Results of Experimental Studies |
|
|
182 | (12) |
|
7.3.3.1 Discrepancies between in Vivo Experiments |
|
|
194 | (5) |
|
7.3.3.2 Importance of Vascular Control Mechanisms |
|
|
199 | (1) |
|
7.4 Hemodynamic Mechanisms Influenced by Red Blood Cell Aggregation |
|
|
200 | (12) |
|
7.4.1 Axial Migration of Red Blood Cells |
|
|
200 | (1) |
|
7.4.1.1 Formation of a Cell-Poor Layer in the Marginal Flow Zone |
|
|
201 | (2) |
|
7.4.1.2 Difference between Red Blood Cell and Plasma Velocity during Flow |
|
|
203 | (1) |
|
7.4.1.3 Movement of White Blood Cells and Platelets to Marginal Flow Zone |
|
|
204 | (1) |
|
7.4.2 Microvascular Hematocrit and Red Blood Cell Aggregation |
|
|
205 | (1) |
|
7.4.2.1 Mechanisms of Hematocrit Reduction in Circulatory Networks |
|
|
206 | (1) |
|
7.4.2.2 Effect of Red Blood Cell Aggregation on Microvascular Hematocrit |
|
|
206 | (1) |
|
7.4.2.3 Significance of Reduced Microvascular and Tissue Hematocrit |
|
|
207 | (1) |
|
7.4.3 Red Blood Cell Aggregation and Endothelial Function |
|
|
208 | (1) |
|
7.4.3.1 Wall Shear Stress and Endothelial Function |
|
|
208 | (2) |
|
7.4.3.2 Effect of Red Blood Cell Aggregation on Endothelial Function |
|
|
210 | (1) |
|
7.4.4 Contrasting Effects of Aggregation in Circulatory Networks |
|
|
211 | (1) |
|
7.5 Red Blood Cell Aggregation: Good or Bad for Tissue Perfusion? |
|
|
212 | (2) |
|
|
|
214 | (9) |
|
Chapter 8 Alterations in Red Blood Cell Aggregation |
|
|
223 | (46) |
|
8.1 "Normal" Ranges of Red Blood Cell Aggregation |
|
|
223 | (7) |
|
8.1.1 Gender Difference in Red Blood Cell Aggregation |
|
|
223 | (1) |
|
8.1.2 Alterations in Red Blood Cell Aggregation with Subject Age |
|
|
224 | (1) |
|
8.1.3 Alterations in Red Blood Cell Aggregation during Pregnancy, Labor, and Delivery |
|
|
225 | (1) |
|
8.1.4 Red Blood Cell Aggregation in Fetal Blood |
|
|
225 | (2) |
|
8.1.5 Red Blood Cell Aggregation in Neonatal Blood |
|
|
227 | (1) |
|
8.1.6 Changes in Aggregation with in Vivo Aging of Red Blood Cells |
|
|
227 | (2) |
|
8.1.7 Other Physiological Influences on Red Blood Cell Aggregation |
|
|
229 | (1) |
|
8.2 Alterations of Red Blood Cell Aggregation with Extreme Conditions |
|
|
230 | (4) |
|
|
|
230 | (1) |
|
8.2.1.1 Acute Effects of Exercise on Red Blood Cell Aggregation |
|
|
230 | (2) |
|
8.2.1.2 Alteration of Red Blood Cell Aggregation by Training |
|
|
232 | (1) |
|
8.2.2 Red Blood Cell Aggregation under Extreme Environmental Conditions |
|
|
233 | (1) |
|
8.3 Alterations of Red Blood Cell Aggregation in Pathophysiological Processes |
|
|
234 | (17) |
|
8.3.1 Acute Phase Reaction |
|
|
234 | (1) |
|
8.3.2 Inflammatory Conditions |
|
|
235 | (1) |
|
|
|
236 | (1) |
|
8.3.3.1 Sepsis and Septic Shock |
|
|
237 | (1) |
|
8.3.4 Cardiovascular Diseases |
|
|
238 | (1) |
|
|
|
238 | (3) |
|
|
|
241 | (1) |
|
8.3.4.3 Myocardial Ischemia and Infarction |
|
|
241 | (2) |
|
8.3.4.4 Cerebral Ischemia and Stroke |
|
|
243 | (1) |
|
8.3.4.5 Peripheral Vascular Diseases |
|
|
244 | (1) |
|
8.3.4.6 Ischemia-Reperfusion Injury |
|
|
245 | (1) |
|
8.3.4.7 Circulatory Shock |
|
|
246 | (1) |
|
8.3.5 Metabolic Disorders |
|
|
246 | (1) |
|
|
|
246 | (2) |
|
8.3.5.2 Metabolic Syndrome and Obesity |
|
|
248 | (1) |
|
8.3.6 Hematological Disorders |
|
|
248 | (1) |
|
8.3.7 Other Pathophysiological Conditions |
|
|
249 | (2) |
|
8.4 Therapeutic Approach to Red Blood Cell Aggregation |
|
|
251 | (2) |
|
8.4.1 Pharmacological Agents Affecting Red Blood Cell Aggregation |
|
|
251 | (1) |
|
8.4.2 Selective Removal of Blood Components: Hemapheresis |
|
|
252 | (1) |
|
8.4.3 Other Treatment Approaches |
|
|
253 | (1) |
|
|
|
253 | (16) |
|
Chapter 9 Comparative Aspects of Red Blood Cell Aggregation |
|
|
269 | (20) |
|
9.1 Aggregation Is a Characteristic of Mammalian Red Blood Cells |
|
|
269 | (2) |
|
9.2 Red Blood Cell Aggregation Characteristics in Various Mammalian Species |
|
|
271 | (3) |
|
9.3 Correlations with Red Blood Cell Properties |
|
|
274 | (7) |
|
9.3.1 Plasma Factors versus Cellular Properties |
|
|
274 | (3) |
|
9.3.2 Red Blood Cell Properties as Determinant of Interspecies Differences |
|
|
277 | (1) |
|
9.3.2.1 Red Blood Cell Size and Hemoglobin Content |
|
|
278 | (1) |
|
9.3.2.2 Red Blood Cell Membrane Structure |
|
|
279 | (1) |
|
9.3.2.3 Red Blood Cell Deformability |
|
|
279 | (1) |
|
9.3.2.4 Red Blood Cell Surface Properties |
|
|
280 | (1) |
|
9.4 Correlation with Other Properties of Species |
|
|
281 | (4) |
|
9.4.1 Athletic versus Sedentary Species |
|
|
281 | (2) |
|
|
|
283 | (1) |
|
9.4.3 Life Style and Nutrition |
|
|
284 | (1) |
|
9.4.4 Red Blood Cell Aggregation in Marine Mammals |
|
|
284 | (1) |
|
|
|
285 | (1) |
|
|
|
285 | (4) |
| Index |
|
289 | |