Evidence map›Paper›PMID 34972199›Full record

ArticlePloS one2021

Effects of osmolality and solutes on the morphology of red blood cells according to three-dimensional refractive index tomography.

Minkook Son, Ye Sung Lee, Mahn Jae Lee, YongKeun Park, Hae-Rahn Bae, Seung Yeob Lee, Myung-Geun Shin, Sung Yang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  16. [Current CT developments in imaging of pancreatic diseases].Radiologie (Heidelberg, Germany) · 2023
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  20. Effects of Coincubation With Crystalloids or Medications on Canine Packed Red Blood Cells: An In Vitro Evaluation.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)
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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

8 authors at 5 institutions in 1 country.

Minkook SonDepartment of Biomedical Science and Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea.
Ye Sung LeeSchool of Mechanical Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea.
Mahn Jae LeeGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
YongKeun ParkDepartment of Physics, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
Hae-Rahn BaeDepartment of Physiology, College of Medicine, Dong-A University, Busan, Republic of Korea.
Seung Yeob LeeDepartment of Laboratory Medicine, Jeonbuk National University Medical School and Hospital, Jeonju, Republic of Korea.ORCID 0000-0003-2851-1112
Myung-Geun ShinDepartment of Laboratory Medicine, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea.
Sung YangDepartment of Biomedical Science and Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea.ORCID 0000-0002-6050-0993
Gwangju Institute of Science and Technology · KRKorea Advanced Institute of Science and Technology · KRChonnam National University Hwasun Hospital · KRDong-A University · KRJeonbuk National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phosphate-buffered saline (PBS) and Alsever's solution (AS) are frequently used as media in blood-related studies, while 0.9% normal saline (NS) is frequently used in transfusion medicine. Despite the frequent use, the effects of these solutions on the shape and volume of red blood cells (RBCs) have not been reported. We collected blood samples from five healthy adults and used three-dimensional refractive index tomography to investigate the changes in the morphology of RBCs caused by changes in osmolality and solutes at the single-cell level. After diluting 2 μL of RBCs 200-fold with each solution (PBS, AS, and 0.9% NS), 40 randomly selected RBCs were microscopically observed. RBC shape was measured considering sphericity, which is a dimensionless quantity ranging from 0 (flat) to 1 (spherical). RBCs in plasma or AS showed a biconcave shape with a small sphericity, whereas those in 0.9% NS or PBS showed a spherical shape with a large sphericity. Moreover, we confirmed that sodium chloride alone could not elicit the biconcave shape of RBCs, which could be maintained only in the presence of an osmotic pressure-maintaining substance, such as glucose or mannitol. Although 0.9% NS solution is one of the most commonly used fluids in hematology and transfusion medicine, RBCs in 0.9% NS or PBS are not biconcave. Therefore, as the debate on the use of NS continues, future clinical studies or applications should consider the effect of glucose or mannitol on the shape of RBCs.

Indexed as

Osmolar ConcentrationBlood PreservationCell ShapeErythrocyte DeformabilityErythrocytesGlucoseHealthy VolunteersHematologyHumansImaging, Three-DimensionalMannitolRefractometrySodium ChlorideSolutionsSolventsTomographyGlucoseMannitolSodium ChlorideSolutionsSolvents

Identifiers

PMID34972199
PMCPMC8719701
OpenAlexW4205160379

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.