Abstract

Platelet aggregation plays a central role in pathological thrombosis, preventing healthy physiological blood flow within the circulatory system. For decades, it was believed that platelet aggregation was primarily driven by soluble agonists such as thrombin, adenosine diphosphate and thromboxane A2. However, recent experimental findings have unveiled an intriguing but complementary biomechanical mechanism—the shear rate gradients generated from flow disturbance occurring at sites of blood vessel narrowing, otherwise known as stenosis, may rapidly trigger platelet recruitment and subsequent aggregation. In our Nature Materials 2019 paper [1], we employed microfluidic devices which incorporated micro-scale stenoses to elucidate the molecular insights underlying the prothrombotic effect of blood flow disturbance. Nevertheless, the rheological mechanisms associated with this stenotic microfluidic device are poorly characterized. To this end, we developed a computational fluid dynamics (CFD) simulation approach to systematically analyze the hemodynamic influence of bulk flow mechanics and flow medium. Grid sensitivity studies were performed to ensure accurate and reliable results. Interestingly, the peak shear rate was significantly reduced with the device thickness, suggesting that fabrication of microfluidic devices should retain thicknesses greater than 50 µm to avoid unexpected hemodynamic aberration, despite thicker devices raising the cost of materials and processing time of photolithography. Overall, as many groups in the field have designed microfluidic devices to recapitulate the effect of shear rate gradients and investigate platelet aggregation, our numerical simulation study serves as a guideline for rigorous design and fabrication of microfluidic thrombosis models.

Highlights

  • Cardiovascular diseases have become the world’s No.1 killer, as they are responsible for approximately a quarter of modern mortality worldwide [2,3]

  • Our 2019 Nature Materials publication discovered that an integrin αIIbβ3 intermediate affinity state mediates biomechanical platelet aggregation and subsequent thrombus formation [1], and is induced by platelet mechanosensing pathways [7]

  • Biomechanical or rheological factors have long been recognized as crucial to thrombus formation [5,6], identifying, characterizing, and performing experiments on the entire range of physiologically relevant hemodynamic conditions is desired for further advancing our understanding of flow and shear-dependent thrombosis, and development of better antithrombotic drug therapies and biomaterials [3,8]

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Summary

Introduction

Cardiovascular diseases have become the world’s No. killer, as they are responsible for approximately a quarter of modern mortality worldwide [2,3] Leading cardiovascular diseases such as coronary artery disease, carotid artery disease and deep vein thrombosis, which cause heart attack, stroke and embolism respectively, share a common root of being attributed to platelet aggregation [3]. These diseases together place a significant burden on the healthcare system and individuals, thrombosis is a clinically relevant research area of high demand, due to its prevalence and impact in society today. Biomechanical or rheological factors have long been recognized as crucial to thrombus formation [5,6], identifying, characterizing, and performing experiments on the entire range of physiologically relevant hemodynamic conditions is desired for further advancing our understanding of flow and shear-dependent thrombosis, and development of better antithrombotic drug therapies and biomaterials [3,8]

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