Abstract
Summary. Introduction. A number of diseases and pathological conditions are accompanied by increased blood viscosity and, consequently, decreased tissue perfusion. Viscosity as an integral hemorheological feature depends on four main factors: plasma viscosity (PV), hematocrit (Hct), red blood cell deformability (RBCD), and red blood cell aggregation. However, only the last two RBC microrheological characteristics can be changed in a regulatory manner. Aim: to study the possibility of predicting blood viscosity (BV) and its fluidity using experimental in vitro and in silico models. Materials and Methods. Blood viscosity, viscosity of RBC suspension, PV, Hct, and RBC elongation index as RBCD were recorded in blood samples obtained from overweight individuals (group 2) and compared with the data of healthy individuals (group 1, controls). In vitro experiments with the use of gasotransmitter (GT) donors, sodium nitroprusside (SNP, 100 μM, NO donor) and sodium hydrosulfide (NaHS, 100 μM, H2S donor), increased RBCD by 7 and 11%, substituted these values into the regression equations “VK – RBCD” and obtained the predicted BV values (in silico model). Results. In group 2, BV exceeded this indicator in the control group by 23% (p < 0.05) due to increased PV and decreased RBCD. In the in vitro model of RBC microrheological responses to GT donors, RBCD increased by 7 and
11%. The relationship between blood viscosity and RBC deformability was satisfactorily described by the following regression equation: y = –10.69x + 39.17, where y is the BV, x is the RBCD. The solution to this equation, with the substitution of the RBCD value increased by 7 or 11% exposed to GT donors, yielded a predicted decrease in BV by 22% and 40%, respectively. Conclusion. The data showed that in over- weight individuals BV is 23% higher than in healthy individuals. In vitro model of RBC microrheological responses to GT donors showed a reliable increase in RBCD by 7 and 11% (p < 0.01). Using the regression model of the relationship between whole blood viscosity and RBCD, we could predict in silico how BV would change with an increase in RBCD. The solution of regression equations showed that the expected decrease in blood viscosity was 22 and 40%, respectively.
For citation: Muravyov A.V., Priezzhev A.V., Lugovtsov A.E., Tikhomirova I.A., Mikhaylov P.V., Osetrov I.A., Zamyshliaev A.V. Prediction of blood viscosity and fluidity: in vitro and in silico models experimental studies. Tromboz, gemostaz i reologiya. 2025;(4):21–28. (In Russ.).
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