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Recent advances in blood rheology: A review

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 Added by Antony Beris
 Publication date 2021
  fields Physics
and research's language is English




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Due to the potential impact on the diagnosis and treatment of various cardiovascular diseases, work on the rheology of blood has significantly expanded in the last decade, both experimentally and theoretically. Experimentally, blood has been confirmed to demonstrate a variety of non-Newtonian rheological characteristics, including pseudoplasticity, viscoelasticity, and thixotropy. New rheological experiments and the development of more controlled experimental protocols on more extensive, broadly physiologically characterized, human blood samples demonstrate the sensitivity of aspects of hemorheology to several physiological factors. For example, at high shear rates to the red blood cells elastically deformation, imparting viscoelasticity, while and at low shear rates, they form rouleaux structures that impart additional, thixotropic behavior. In addition to these advances in experimental methods and validated data sets, significant advances have also been made in both microscopic simulations and macroscopic, continuum, modeling, as well as novel, multiscale approaches. We outline and evaluate the most promising of these recent advances. Although we primarily focus on human blood rheology, we also discuss recent observations on variations across some animal species that provide some indication on evolutionary effects.



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We use mesoscale numerical simulations to investigate the unsteady dynamics of a single red blood cell (RBC) subjected to an external mechanical load. We carry out a detailed comparison between the {it loading} (L) dynamics, following the imposition of the mechanical load on the RBC at rest, and the {it relaxation} (R) dynamics, allowing the RBC to relax to its original shape after the sudden arrest of the mechanical load. Such a comparison is carried out by analyzing the characteristic times of the two corresponding dynamics, i.e., $t_L$ and $t_R$. When the intensity of the mechanical load is small enough, the two kinds of dynamics are {it symmetrical} ($t_L approx t_R$) and independent of the typology of mechanical load (intrinsic dynamics); otherwise, in marked contrast, an {it asymmetry} is found, wherein the loading dynamics is typically faster than the relaxation one. This asymmetry manifests itself with non-universal characteristics, e.g., dependency on the applied load and/or on the viscoelastic properties of the RBC membrane. To deepen such a non-universal behaviour, we consider the viscosity of the erythrocyte membrane as a variable parameter and focus on three different typologies of mechanical load (mechanical stretching, shear flow, elongational flow): this allows to clarify how non-universality builds up in terms of the deformation and rotational contributions induced by the mechanical load on the membrane. Finally, we also investigate the effect of the elastic shear modulus on the characteristic times $t_L$ and $t_R$. Our results provide crucial and quantitative information on the unsteady dynamics of RBC and its membrane response to the imposition/cessation of external mechanical loads.
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