Blood Rheological Characterization of β-Thalassemia Trait and Iron Deficiency Anemia Using Front Microrheometry

The purpose of this work is to develop a hematocrit-independent method for the detection of beta-thalassemia trait (β-TT) and iron deficiency anemia (IDA), through the rheological characterization of whole blood samples from different donors. The results obtained herein are the basis for the develop...

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Detalles Bibliográficos
Autores: Méndez-Mora, Lourdes, Cabello-Fusarés, María, Ferré Torres, Josep, Riera-Llobet, Carla, Krishnevskaya, Elena, Trejo-Soto, Claudia, Payán-Pernía, Salvador, Hernández-Rodríguez, Inés, Morales-Indiano, Cristian, Alarcón, Tomás, Vives-Corrons, Josan-Lluis, Hernández-Machado, A.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:dnet:digitalcsic_::355ad156bc78076dfc210eea873f7a84
Acceso en línea:http://hdl.handle.net/10261/264370
Access Level:acceso abierto
Palabra clave:Beta-thalassemia trait
Iron deficiency (anemia)
Anemia
Hemorheology
Rheology
Microfluidics
Blood rheology
Microrheometer
Descripción
Sumario:The purpose of this work is to develop a hematocrit-independent method for the detection of beta-thalassemia trait (β-TT) and iron deficiency anemia (IDA), through the rheological characterization of whole blood samples from different donors. The results obtained herein are the basis for the development of a front microrheometry point-of-care device for the diagnosis and clinical follow-up of β-TT patients suffering hematological diseases and alterations in the morphology of the red blood cell (RBC). The viscosity is calculated as a function of the mean front velocity by detecting the sample fluid-air interface advancing through a microfluidic channel. Different viscosity curves are obtained for healthy donors, β-TT and IDA samples. A mathematical model is introduced to compare samples of distinct hematocrit, classifying the viscosity curve patterns with respect to the health condition of blood. The viscosity of the fluid at certain shear rate values varies depending on several RBC factors such as shape and size, hemoglobin (Hb) content, membrane rigidity and hematocrit concentration. Blood and plasma from healthy donors are used as reference. To validate their potential clinical value as a diagnostic tool, the viscosity results are compared to those obtained by the gold-standard method for RBC deformability evaluation, the Laser-Optical Rotational Red Cell Analyzer (LoRRCA).