Evidence map›Paper›PMID 39858750›Full record

ArticleMicromachines2025

The Impact of Targeted Therapies on Red Blood Cell Aggregation in Patients with Chronic Lymphocytic Leukemia Evaluated Using Software Image Flow Analysis.

Anika Alexandrova-Watanabe, Emilia Abadjieva, Lidia Gartcheva, Ariana Langari, Miroslava Ivanova, Margarita Guenova, Tihomir Tiankov, Velichka Strijkova, Sashka Krumova, Svetla Todinova

Abstract read
In one paragraph

Article in Micromachines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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

10 authors.

Anika Alexandrova-WatanabeInstitute of Mechanics, Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 4, 1113 Sofia, Bulgaria.
Emilia AbadjievaInstitute of Mechanics, Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 4, 1113 Sofia, Bulgaria.
Lidia GartchevaNational Specialized Hospital for Active Treating of Hematological Diseases, Zdrave Str. 2, 1756 Sofia, Bulgaria.
Ariana LangariCenter of Competence at Mechatronics and Clean Technologies-MIRACle, "Acad. G. Bontchev" Str. 4, 1113 Sofia, Bulgaria.
Miroslava IvanovaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 21, 1113 Sofia, Bulgaria.
Margarita GuenovaNational Specialized Hospital for Active Treating of Hematological Diseases, Zdrave Str. 2, 1756 Sofia, Bulgaria.ORCID 0000-0002-3901-0420
Tihomir TiankovInstitute of Mechanics, Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 4, 1113 Sofia, Bulgaria.
Velichka StrijkovaInstitute of Optical Materials and Technologies "Acad. Yordan Malinovski", Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 109, 1113 Sofia, Bulgaria.ORCID 0000-0001-7807-4833
Sashka KrumovaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, "Acad. G. Bontchev" Str. 21, 1113 Sofia, Bulgaria.ORCID 0000-0001-7412-8398
Svetla TodinovaCenter of Competence at Mechatronics and Clean Technologies-MIRACle, "Acad. G. Bontchev" Str. 4, 1113 Sofia, Bulgaria.ORCID 0000-0001-7108-051X

Funding

competition for financial support for basic research projects-2023, Bulgarian National Science Fund KP-06-H73/3
6 · The paper itself

Abstract

Chronic lymphocytic leukemia (CLL), the most common type of leukemia, remains incurable with conventional therapy. Despite advances in therapies targeting Bruton's tyrosine kinase and anti-apoptotic protein BCL-2, little is known about their effect on red blood cell (RBC) aggregation in blood flow. In this study, we applied a microfluidic device and a newly developed Software Image Flow Analysis to assess the extent of RBC aggregation in CLL patients and to elucidate the hemorheological effects of the commonly applied therapeutics Obinutuzumab/Venetoclax and Ibrutinib. The results revealed that, in RBC samples from untreated CLL patients, complex 3D clusters of large RBC aggregates are formed, and their number is significantly increased compared to healthy control samples. The application of the Obinutuzumab/Venetoclax combination did not affect this aspect of RBCs' rheological behavior. In contrast, targeted therapy with Ibrutinib preserves the aggregation state of CLL RBCs to levels seen in healthy controls, demonstrating that Ibrutinib mitigates the alterations in the rheological properties of RBCs associated with CLL. Our findings highlight the alterations in RBC aggregation in CLL and the impact of different targeted therapies on RBCs' rheological properties, which is critical for predicting the potential complications and side effects of CLL treatments, particularly concerning blood flow dynamics.

Indexed as

chronic lymphocytic leukemiaIbrutinibmicrofluidic deviceObinutuzumabred blood cell aggregationred blood cell morphologysoftware image flow analysisVenetoclax

Identifiers

PMID39858750
PMCPMC11767778

What OpenQuestion holds

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Registered trials

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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.