We present a three-dimensional computational study of fully deformable red blood cells of the biconcave resting shape subject to sinusoidally oscillating shear flow. A comprehensive analysis of the cell dynamics and deformation response is considered over a wide range of flow frequency, shear rate amplitude and viscosity ratio. We observe that the cell exhibits either a periodic motion or a chaotic motion. In the periodic motion, the cell reverses its orientation either by passing through the flow direction (horizontal axis) or by passing through the flow gradient (vertical axis). The chaotic dynamics is characterized by a non-periodic sequence of horizontal and vertical reversals. The study provides the first conclusive evidence of the chaotic dynamics of fully deformable cells in oscillating flow using a deterministic numerical model without the introduction of any stochastic noise. In certain regimes of the periodic motion, the initial conditions are completely forgotten and the cells become entrained in the same sequence of horizontal reversals. We show that chaos is only possible in certain frequency bands when the cell membrane can rotate by a certain amount, allowing the cells to swing near the maximum shear rate. As such, the bifurcation between the horizontal and vertical attractors in phase space always occurs via a swinging inflection. While the reversal sequence evolves in an unpredictable way in the chaotic regime, we find a novel result that there exists a critical inclination angle at the instant of flow reversal which determines whether a vertical or horizontal reversal takes place, and is independent of the flow frequency. The chaotic dynamics, however, occurs at a viscosity ratio less than the physiological values. We further show that the cell shape in oscillatory shear at large amplitude exhibits a remarkable departure from the biconcave shape, and that the deformation is significantly greater than that in steady shear flow. A large compression of the cells occurs during the reversals which leads to over/undershoots in the deformation parameter. We show that due to the large deformation experienced by the cells, the regions of chaos in parameter space diminish and eventually disappear at high shear rate, in contradiction to the prediction of reduced-order models. While the findings bolster support for reduced-order models at low shear rate, they also underscore the important role that the cell deformation plays in large-amplitude oscillatory flows.
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