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Timofeeva M, Lav C, Cheung MMH, Ooi A. Numerical simulation of the cavopulmonary connection flow with conduit stenoses of varying configurations. Comput Biol Med 2023; 164:107358. [PMID: 37598480 DOI: 10.1016/j.compbiomed.2023.107358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 06/18/2023] [Accepted: 08/12/2023] [Indexed: 08/22/2023]
Abstract
The circulation in the total cavopulmonary connection (TCPC) is a low-energy system which operation and efficiency are subjected to multiple factors. Some retrospective studies report that the abnormal narrowing of vessels in the system, i.e. stenosis, is one of the most dangerous geometric factors which can result in heart failure. In the present study, the effect of varying extracardiac conduit (ECC) stenosis on the hemodynamics in a surrogate TCPC model is investigated using high-fidelity numerical simulations. The efficiency of the surrogate TCPC model was quantified according to the power loss, relative perfusion in lungs and the percentage of conduit surface area with abnormally low and high wall shear stress for venous flow. Additionally, the impact of respiration and asymmetry in the stenosis geometry to the system was examined. The results show that the flow in the TCPC model exhibits pronounced unsteadiness even under the steady initial boundary conditions, while the uneven pulmonary flow distribution and the presence of the ECC stenosis amplify the chaotic nature of the flow. Energy efficiency of the system is shown to strongly correlate with amount of vortical structures in the model and their range of scales. Finally, the study demonstrates that the presence of respiration in the model adds to perturbations in the flow which causes increase in the power loss. Results obtained in the study provide valuable insights on how the ECC stenosis effect the flow in the surrogate TCPC model under different flow conditions.
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Affiliation(s)
- Mariia Timofeeva
- The Faculty of Engineering and Information Technology, The University of Melbourne, 700 Swanston Street, Carlton, VIC, 3053, Australia.
| | - Chitrarth Lav
- The Faculty of Engineering and Information Technology, The University of Melbourne, 700 Swanston Street, Carlton, VIC, 3053, Australia; Scuderia AlphaTauri F1, Bicester, OX26 4LD, United Kingdom
| | - Michael M H Cheung
- Department of Cardiology, Royal Children's Hospital, Melbourne, Australia; Heart Research Group, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, VIC, 3052, Australia
| | - Andrew Ooi
- The Faculty of Engineering and Information Technology, The University of Melbourne, 700 Swanston Street, Carlton, VIC, 3053, Australia
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Zainal Abidin NA, Timofeeva M, Szydzik C, Akbaridoust F, Lav C, Marusic I, Mitchell A, Hamilton JR, Ooi AS, Nesbitt WS. A microfluidic method to investigate platelet mechanotransduction under extensional strain. Res Pract Thromb Haemost 2023; 7:100037. [PMID: 36846647 PMCID: PMC9944983 DOI: 10.1016/j.rpth.2023.100037] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 11/17/2022] [Accepted: 12/12/2022] [Indexed: 01/11/2023] Open
Abstract
Background Blood platelets have evolved a complex mechanotransduction machinery to rapidly respond to hemodynamic conditions. A variety of microfluidic flow-based approaches have been developed to explore platelet mechanotransduction; however, these experimental models primarily focus on the effects of increased wall shear stress on platelet adhesion events and do not consider the critical effects of extensional strain on platelet activation in free flow. Objectives We report the development and application of a hyperbolic microfluidic assay that allows for investigation of platelet mechanotransduction under quasi-homogenous extensional strain rates in the absence of surface adhesions. Methods Using a combined computational fluid dynamic and experimental microfluidic approach, we explore 5 extensional strain regimes (geometries) and their effect on platelet calcium signal transduction. Results We demonstrate that in the absence of canonical adhesion, receptor engagement platelets are highly sensitive to both initial increase and subsequent decrease in extensional strain rates within the range of 747 to 3319/s. Furthermore, we demonstrate that platelets rapidly respond to the rate of change in extensional strain and define a threshold of ≥7.33 × 106/s/m, with an optimal range of 9.21 × 107 to 1.32 × 108/s/m. In addition, we demonstrate a key role of both the actin-based cytoskeleton and annular microtubules in the modulation of extensional strain-mediated platelet mechanotransduction. Conclusion This method opens a window onto a novel platelet signal transduction mechanism and may have potential diagnostic utility in the identification of patients who are prone to thromboembolic complications associated with high-grade arterial stenosis or are on mechanical circulatory support systems, for which the extensional strain rate is a predominant hemodynamic driver.
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Affiliation(s)
- Nurul A. Zainal Abidin
- The Australian Centre for Blood Diseases, Central Clinical School, Monash University, Melbourne, Victoria, Australia
| | - Mariia Timofeeva
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Crispin Szydzik
- The Australian Centre for Blood Diseases, Central Clinical School, Monash University, Melbourne, Victoria, Australia
- School of Engineering, RMIT University, Melbourne, Victoria, Australia
| | - Farzan Akbaridoust
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Chitrarth Lav
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia
- Scuderia AlphaTauri F1, Bicester, UK
| | - Ivan Marusic
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Arnan Mitchell
- School of Engineering, RMIT University, Melbourne, Victoria, Australia
| | - Justin R. Hamilton
- The Australian Centre for Blood Diseases, Central Clinical School, Monash University, Melbourne, Victoria, Australia
| | - Andrew S.H. Ooi
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia
| | - Warwick S. Nesbitt
- The Australian Centre for Blood Diseases, Central Clinical School, Monash University, Melbourne, Victoria, Australia
- Correspondence Warwick S. Nesbitt, The Australian Centre for Blood Diseases, Monash University, 99 Commercial Road, Melbourne, Victoria 3004, Australia.
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Zainal Abidin NA, Poon EKW, Szydzik C, Timofeeva M, Akbaridoust F, Brazilek RJ, Tovar Lopez FJ, Ma X, Lav C, Marusic I, Thompson PE, Mitchell A, Ooi ASH, Hamilton JR, Nesbitt WS. An extensional strain sensing mechanosome drives adhesion-independent platelet activation at supraphysiological hemodynamic gradients. BMC Biol 2022; 20:73. [PMID: 35331224 PMCID: PMC8944166 DOI: 10.1186/s12915-022-01274-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 03/07/2022] [Indexed: 11/20/2022] Open
Abstract
Background Supraphysiological hemodynamics are a recognized driver of platelet activation and thrombosis at high-grade stenosis and in blood contacting circulatory support devices. However, whether platelets mechano-sense hemodynamic parameters directly in free flow (in the absence of adhesion receptor engagement), the specific hemodynamic parameters at play, the precise timing of activation, and the signaling mechanism(s) involved remain poorly elucidated. Results Using a generalized Newtonian computational model in combination with microfluidic models of flow acceleration and quasi-homogenous extensional strain, we demonstrate that platelets directly mechano-sense acute changes in free-flow extensional strain independent of shear strain, platelet amplification loops, von Willebrand factor, and canonical adhesion receptor engagement. We define an extensional strain sensing “mechanosome” in platelets involving cooperative Ca2+ signaling driven by the mechanosensitive channel Piezo1 (as the primary strain sensor) and the fast ATP gated channel P2X1 (as the secondary signal amplifier). We demonstrate that type II PI3 kinase C2α activity (acting as a “clutch”) couples extensional strain to the mechanosome. Conclusions Our findings suggest that platelets are adapted to rapidly respond to supraphysiological extensional strain dynamics, rather than the peak magnitude of imposed wall shear stress. In the context of overall platelet activation and thrombosis, we posit that “extensional strain sensing” acts as a priming mechanism in response to threshold levels of extensional strain allowing platelets to form downstream adhesive interactions more rapidly under the limiting effects of supraphysiological hemodynamics. Supplementary Information The online version contains supplementary material available at 10.1186/s12915-022-01274-7.
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Affiliation(s)
- Nurul A Zainal Abidin
- The Australian Centre for Blood Diseases, Monash University, Melbourne, VIC, 3004, Australia
| | - Eric K W Poon
- Department of Medicine, St Vincent's Hospital, Melbourne Medical School, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Fitzroy, VIC, 3065, Australia
| | - Crispin Szydzik
- The Australian Centre for Blood Diseases, Monash University, Melbourne, VIC, 3004, Australia.,School of Engineering, RMIT University, La Trobe Street, Melbourne, VIC, 3004, Australia
| | - Mariia Timofeeva
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, VIC, 3010, Australia
| | - Farzan Akbaridoust
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, VIC, 3010, Australia
| | - Rose J Brazilek
- The Australian Centre for Blood Diseases, Monash University, Melbourne, VIC, 3004, Australia
| | | | - Xiao Ma
- Medicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, 3052, Australia
| | - Chitrarth Lav
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, VIC, 3010, Australia.,CFD Methodology Group, Scuderia AlphaTauri F1, Bicester, OX26 4LD, UK
| | - Ivan Marusic
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, VIC, 3010, Australia
| | - Philip E Thompson
- Medicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, 3052, Australia
| | - Arnan Mitchell
- School of Engineering, RMIT University, La Trobe Street, Melbourne, VIC, 3004, Australia
| | - Andrew S H Ooi
- Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, VIC, 3010, Australia
| | - Justin R Hamilton
- The Australian Centre for Blood Diseases, Monash University, Melbourne, VIC, 3004, Australia
| | - Warwick S Nesbitt
- The Australian Centre for Blood Diseases, Monash University, Melbourne, VIC, 3004, Australia.
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