Document Detail


Glucose depletion enhances sensitivity to shear stress-induced mechanical damage in red blood cells by rotary blood pumps.
MedLine Citation:
PMID:  19775265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The metabolic process in red blood cells (RBCs) is anaerobic. The life-dependent adenosine triphosphate (ATP) for survival of cells is produced through glycolytic process. The aim of the study was to evaluate the effects of the glucose level on the mean corpuscular volume, mean corpuscular hemoglobin concentration, and hemolysis rate during hemolysis study by rotary blood pumps. The shear stress generated by rotary blood pumps may enhance glucose utilization by RBCs with depletion of glucose affecting ATP production and, consequently, cell size, shape, and morphology. The shear stress increases metabolism of RBCs consuming more energy ATP which is produced anaerobically from glycolytic process. Hence, in the closed circuit testing of rotary blood pumps, depletion of glucose might occur after prolonged pumping, which in turn affects metabolic process of RBCs by changing their size, shape, and morphology. It is thus suggested to monitor and control the glucose level of the fluid that suspends RBCs depending on the study duration.
Authors:
Daisuke Sakota; Ryuki Sakamoto; Naoyuki Yokoyama; Mariko Kobayashi; Setsuo Takatani
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Artificial organs     Volume:  33     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-24     Completed Date:  2009-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  733-9     Citation Subset:  IM    
Affiliation:
Department of Artificial Organs, Tokyo Medical and Dental University, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adenosine Triphosphate / blood
Animals
Blood Glucose / metabolism*
Equipment Design
Erythrocyte Deformability*
Erythrocyte Indices
Erythrocytes / metabolism*,  pathology
Glycolysis*
Heart-Assist Devices / adverse effects*
Hemoglobins / metabolism
Hemolysis*
Isotonic Solutions
Osmotic Pressure
Rotation
Stress, Mechanical
Swine
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobins; 0/Isotonic Solutions; 56-65-5/Adenosine Triphosphate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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