Abstract: |
Nowadays the number of people suffering from diabetes mellitus and cardiovascular diseases (arterial hypertension, coronary heart disease) increases rapidly mainly due to unhealthy nutrition and lifestyle. Diabetes mellitus (DM) is a metabolic disease characterized by high blood sugar levels over a prolonged period. Arterial hypertension (AH), also known as high blood pressure, is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. These diseases can lead to severe alterations of vitally important systems of the human organism including the cardiovascular system and resulting in damage to blood vessels and capillaries, impairment of blood hemorheology and microcirculation. Enhanced aggregation of erythrocytes and platelets is one of key factors, which determines the blood flow and thereby affects the blood rheology. The ability of erythrocytes to deform in shear flow conditions is second major property that affect blood microcirculation. Alterations in these properties lead to changing the blood viscosity and, as a consequence, to changes in capillary blood flow. This can lead to significant impairment of blood function, which increases a risk of occurrence of vascular concomitant diseases, and even the mortality.
In this work, complex laser-optics studies of the factors determining the capillary blood flow in patients suffering from AH and DM were conducted. Laser aggregometry and diffractometry techniques were used to conduct in vitro measurements of aggregation and deformability characteristics of the erythrocytes on ensembles of cells [1, 2]. Double-channeled optical tweezers were used for in vitro measuring the aggregation speed as well as interaction forces during erythrocyte doublet formation on cellular level [3]. To visualize and quantitatively evaluate the capillary blood flow in vivo non-invasive capillaroscopy measurements in the nailfold vessels were conducted.
It was shown that in AH and DM patients, the ability of erythrocytes to deform is slightly reduced while the aggregation speed and forces of the cells interaction are significantly increased relative to the control group. The blood microcirculation in nailfold capillaries is impaired as well. We shown that the alterations of the parameters measured in vivo and in vitro for patients with different stages of these diseases are interrelated. Good agreement between the results obtained with different techniques, and their applicability for the diagnostics of abnormalities of rheological properties of blood were demonstrated.
Supported by the grant of the Russian Scientific Foundation # 18-15-00422.
[1] A. Lugovtsov, Y. Gurfinkel, P. Ermolinskiy, A. Maslyanitsina, L. Dyachuk, and A. Priezzhev, Optical assessment of alterations of microrheologic and microcirculation parameters in cardiovascular diseases, Biomed. Opt. Express 10, 3974-3986 (2019).
[2] A.V. Priezzhev, N.N. Firsov, J. Lademann, Light backscattering diagnostics of RBC aggregation in whole blood samples, Chapter 11 in Handbook of Optical Biomedical Diagnostics, Editor V. Tuchin, Washington: SPIE Press, 651 – 674 (2012).
[3] K. Lee, M. Kinnunen, M.D. Khokhlova, E.V. Lyubin, A.V. Priezzhev, I. Meglinski, A. Fedyanin, Optical tweezers study of red blood cell aggregation and disaggregation in plasma and protein solutions, Journal of Biomedical Optics, 21(3), 035001 (2016).
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