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Measuring Deformability and Red Cell Heterogeneity in Blood by Ektacytometry
Published on: January 12, 2018
Red blood cell deformability is diminished in patients with Chronic Fatigue Syndrome
Amit K Saha1,2, Brendan R Schmidt1, Julie Wilhelmy2
1Department of Chemical and Materials Engineering, San José State University, San José, CA, USA.
Background:
Myalgic encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a poorly understood disease. Amongst others symptoms, the disease is associated with profound fatigue, cognitive dysfunction, sleep abnormalities, and other symptoms that are made worse by physical or mental exertion. While the etiology of the disease is still debated, evidence suggests oxidative damage to immune and hematological systems as one of the pathophysiological mechanisms of the disease. Since red blood cells (RBCs) are well-known scavengers of oxidative stress, and are critical in microvascular perfusion and tissue oxygenation, we hypothesized that RBC deformability is adversely affected in ME/CFS.
Methods:
We used a custom microfluidic platform and high-speed microscopy to assess the difference in deformability of RBCs obtained from ME/CFS patients and age-matched healthy controls.
Results And Conclusion:
We observed from various measures of deformability that the RBCs isolated from ME/CFS patients were significantly stiffer than those from healthy controls. Our observations suggest that RBC transport through microcapillaries may explain, at least in part, the ME/CFS phenotype, and promises to be a novel first-pass diagnostic test.
Insights
Red blood cells (RBCs) from patients with Myalgic encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) are stiffer than those from healthy individuals. This reduced RBC deformability may contribute to ME/CFS symptoms and could be a diagnostic marker.
Area of Science:
- Hematology
- Pathophysiology
- Biomedical Engineering
Background:
- Myalgic encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex illness characterized by severe fatigue, cognitive issues, and sleep disturbances.
- The exact cause of ME/CFS remains unclear, but oxidative damage to the immune and blood systems is a suspected factor.
- Red blood cells (RBCs) combat oxidative stress and are vital for oxygen delivery, making their function in ME/CFS a key area of investigation.
Purpose of the Study:
- To investigate whether RBC deformability is altered in individuals with ME/CFS.
- To explore the potential link between RBC mechanical properties and ME/CFS pathophysiology.
Main Methods:
- A specialized microfluidic device was employed to analyze RBCs.
- High-speed microscopy was utilized to quantify the deformability of RBCs from ME/CFS patients and healthy controls.
Main Results:
- RBCs from ME/CFS patients exhibited significantly reduced deformability compared to those from healthy controls.
- Analysis revealed increased stiffness in the red blood cells of ME/CFS patients across multiple measurement parameters.
Conclusions:
- Impaired RBC deformability may contribute to the microvascular and oxygenation deficits observed in ME/CFS.
- Altered RBC mechanics present a potential novel diagnostic biomarker for ME/CFS.
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