Evidence map›Paper›PMID 26711854›Full record

ArticleTransfusion2016

Shape matters: the effect of red blood cell shape on perfusion of an artificial microvascular network.

Nathaniel Z Piety, Walter H Reinhart, Patrick H Pourreau, Rajaa Abidi, Sergey S Shevkoplyas

Open access · greenAbstract read
In one paragraph

Article in Transfusion, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 52 citations in OpenAlex.

  1. Shape-Dependent Structural Order of Red Blood Cells.Langmuir : the ACS journal of surfaces and colloids · 2025
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Erythrocyte oxidative stress and thrombosis.Expert reviews in molecular medicine · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Blood rheology biomarkers in sickle cell disease.Experimental biology and medicine (Maywood, N.J.) · 2020
    Review
  11. Article
  12. Red blood cell storage lesion: causes and potential clinical consequences.Blood transfusion = Trasfusione del sangue · 2019
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Nathaniel Z PietyDepartment of Biomedical Engineering, Cullen College of Engineering, University of Houston, Houston, Texas.
Walter H ReinhartDepartment of Internal Medicine, Kantonsspital Graubünden, Chur, Switzerland.
Patrick H PourreauDepartment of Biomedical Engineering, Cullen College of Engineering, University of Houston, Houston, Texas.
Rajaa AbidiDepartment of Biomedical Engineering, Cullen College of Engineering, University of Houston, Houston, Texas.
Sergey S ShevkoplyasDepartment of Biomedical Engineering, Cullen College of Engineering, University of Houston, Houston, Texas.
University of Houston · USKantonsspital Graubünden · CH

Funding

Eliminating Mediators of Toxicity from Stored BloodR01HL117329 · NHLBI · UNIVERSITY OF HOUSTON · PI SHEVKOPLYAS, SERGEY S · 2012 to 2017
$1.9M
NHLBI NIH HHS R01 HL117329NHLBI NIH HHS R01HL117329
6 · The paper itself

Abstract

backgroundThe shape of human red blood cells (RBCs) deteriorates progressively throughout hypothermic storage, with echinocytosis being the most prevalent pathway of this morphologic lesion. As a result, each unit of stored blood contains a heterogeneous mixture of cells in various stages of echinocytosis and normal discocytes. Here we studied how the change in shape of RBCs following along the path of the echinocytic transformation affects perfusion of an artificial microvascular network (AMVN). STUDY DESIGN AND

methodsBlood samples were obtained from healthy consenting volunteers. RBCs were leukoreduced, resuspended in saline, and treated with various concentrations of sodium salicylate to induce shape changes approximating the stages of echinocytosis experienced by RBCs during hypothermic storage (e.g., discocyte, echinocyte I, echinocyte II, echinocyte III, spheroechinocyte, and spherocyte). The AMVN perfusion rate was measured for 40% hematocrit suspensions of RBCs with different shapes.

resultsThe AMVN perfusion rates for RBCs with discocyte and echinocyte I shapes were similar, but there was a significant decline in the AMVN perfusion rate between RBCs with shapes approximating each subsequent stage of echinocytosis. The difference in AMVN perfusion between discocytes and spherocytes (the last stage of the echinocytic transformation) was 34%.

conclusionThe change in shape of RBCs from normal discocytes progressively through various stages of echinocytosis to spherocytes produced a substantial decline in the ability of these cells to perfuse an AMVN. Echinocytosis induced by hypothermic storage could therefore be responsible for a similarly substantial impairment of deformability previously observed for stored RBCs.

Indexed as

PerfusionAnimalsBlood ViscosityCell ShapeErythrocyte DeformabilityErythrocytesHumansMicrovesselsRats

Identifiers

PMID26711854
PMCPMC4833558
OpenAlexW2204324212

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.