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Thrombi produced in stagnation point flows have a core-shell structure.

Bradley A Herbig1, Scott L Diamond1

  • 1Institute for Medicine and Engineering Department of Chemical and Biomolecular Engineering 1024 Vagelos Research Laboratory University of Pennsylvania Philadelphia, PA.

Cellular and Molecular Bioengineering
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PubMed
Summary

Impinging flow microfluidics create blood clots with a distinct core-shell structure, even without fibrin. N-acetylcysteine significantly reduces platelet and von Willebrand factor deposition in these thrombi.

Keywords:
plateletshear stressvon Willebrand factor

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Area of Science:

  • Biomedical Engineering
  • Cardiovascular Research
  • Hemodynamics

Background:

  • Diseased arteries with flow separation/reattachment exhibit atypical hemodynamics, including stagnation point flow, contributing to atherosclerosis.
  • Impinging flows and recirculation eddies are observed distal to coronary stenosis and diseased carotid bifurcations.

Purpose of the Study:

  • To investigate thrombus formation under stagnation point flow conditions using a microfluidic device.
  • To characterize the structure and composition of thrombi formed in an impinging flow environment.

Main Methods:

  • A microfluidic device was used to perfuse whole blood perpendicular to a fibrillar collagen thrombotic surface, simulating stagnation point flow.
  • Side view visualization allowed for real-time observation of clot structure and composition under varying flow rates and blood biochemistry.

Main Results:

  • Platelet thrombi formed with a core-shell architecture: a fibrin-rich, P-selectin-positive core and a P-selectin-negative shell.
  • Von Willebrand factor (VWF) was present in clots at both low and high shear rates.
  • N-acetylcysteine markedly reduced platelet and VWF deposition.
  • Inhibiting fibrin polymerization with GPRP did not alter clot structure, indicating fibrin-independent stability.

Conclusions:

  • Microfluidic impinging flow models effectively generate thrombi exhibiting a core-shell structure.
  • Fibrin is not essential for the structural integrity of thrombi formed under these specific flow conditions.