Evidence map›Paper›PMID 27354532›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Biomechanics of red blood cells in human spleen and consequences for physiology and disease.

Igor V Pivkin, Zhangli Peng, George E Karniadakis, Pierre A Buffet, Ming Dao, Subra Suresh

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 114 papers.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed
19.2field-weighted citation impact, top 1% 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

114 citing papers in PubMed, 251 citations in OpenAlex.

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  6. Effects of the Mechanical Behaviors of Red Blood Cells on the Blood Flow.Advances in experimental medicine and biology · 2026
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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Igor V PivkinInstitute of Computational Science, Faculty of Informatics, University of Lugano, 6900 Lugano, Switzerland; Swiss Institute of Bioinformatics, 1015 Lausanne, Switzerland;
Zhangli PengDepartment of Aerospace and Mechanical Engineering, University of Notre Dame, Notre Dame, IN 46556; Department of Materials Science and Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139;
George E KarniadakisDivision of Applied Mathematics, Brown University, Providence, RI 02912;
Pierre A BuffetFaculté de Médecine Université Paris Descartes, Institut National de la Transfusion Sanguine, 75015 Paris, France; Laboratoire d'Excellence GR-Ex, F-75015 Paris, France;
Ming DaoDepartment of Materials Science and Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139; mingdao@mit.edu suresh@cmu.edu.
Subra SureshDepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA 15213; Computational Biology Department, Carnegie Mellon University, Pittsburgh, PA 15213; Department of Materials Science and Engineering, Carnegie Mellon University, Pittsburgh, PA 15213 mingdao@mit.edu suresh@cmu.edu.
Massachusetts Institute of Technology · USBrown University · USCarnegie Mellon University · USLaboratory of Excellence GR-Ex · FRSIB Swiss Institute of Bioinformatics · CH

Funding

Multiscale Modeling of Sickle Cell Anemia: Methods and ValidationU01HL114476 · NHLBI · BROWN UNIVERSITY · PI DAO, MING, HIGGINS, JOHN MATTHEW · 2013 to 2017
$3.9M
Characterizing mechanisms of sickle cell crisis via dynamic optical assayR01HL121386 · NHLBI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI SO, PETER T. · 2014 to 2016
$1.7M
NHLBI NIH HHS R01 HL121386NHLBI NIH HHS U01 HL114476
6 · The paper itself

Abstract

Red blood cells (RBCs) can be cleared from circulation when alterations in their size, shape, and deformability are detected. This function is modulated by the spleen-specific structure of the interendothelial slit (IES). Here, we present a unique physiological framework for development of prognostic markers in RBC diseases by quantifying biophysical limits for RBCs to pass through the IES, using computational simulations based on dissipative particle dynamics. The results show that the spleen selects RBCs for continued circulation based on their geometry, consistent with prior in vivo observations. A companion analysis provides critical bounds relating surface area and volume for healthy RBCs beyond which the RBCs fail the "physical fitness test" to pass through the IES, supporting independent experiments. Our results suggest that the spleen plays an important role in determining distributions of size and shape of healthy RBCs. Because mechanical retention of infected RBC impacts malaria pathogenesis, we studied key biophysical parameters for RBCs infected with Plasmodium falciparum as they cross the IES. In agreement with experimental results, surface area loss of an infected RBC is found to be a more important determinant of splenic retention than its membrane stiffness. The simulations provide insights into the effects of pressure gradient across the IES on RBC retention. By providing quantitative biophysical limits for RBCs to pass through the IES, the narrowest circulatory bottleneck in the spleen, our results offer a broad approach for developing quantitative markers for diseases such as hereditary spherocytosis, thalassemia, and malaria.

Indexed as

Models, TheoreticalBiomechanical PhenomenaComputer SimulationErythrocytesHumansPlasmodium falciparumSpleenerythrocytesmalariamicrocirculationspherocytosisspleen clearance

Identifiers

PMID27354532
PMCPMC4948333
OpenAlexW2464084408

What OpenQuestion holds

Textmetadata
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.