Filterability of Erythrocytes in Patients with COVID-19

For the first time, the influence of COVID-19 on blood microrheology was studied. For this, the method of filtering erythrocytes through filters with pores of 3.5 μm was used. Filterability was shown to significantly decrease with the increasing severity of the patient’s condition, as well as with a...

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Main Authors: Dmitry S. Prudinnik, Elena I. Sinauridze, Soslan S. Shakhidzhanov, Elizaveta A. Bovt, Denis N. Protsenko, Alexander G. Rumyantsev, Fazoil I. Ataullakhanov
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/6/782
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author Dmitry S. Prudinnik
Elena I. Sinauridze
Soslan S. Shakhidzhanov
Elizaveta A. Bovt
Denis N. Protsenko
Alexander G. Rumyantsev
Fazoil I. Ataullakhanov
author_facet Dmitry S. Prudinnik
Elena I. Sinauridze
Soslan S. Shakhidzhanov
Elizaveta A. Bovt
Denis N. Protsenko
Alexander G. Rumyantsev
Fazoil I. Ataullakhanov
author_sort Dmitry S. Prudinnik
collection DOAJ
description For the first time, the influence of COVID-19 on blood microrheology was studied. For this, the method of filtering erythrocytes through filters with pores of 3.5 μm was used. Filterability was shown to significantly decrease with the increasing severity of the patient’s condition, as well as with a decrease in the ratio of hemoglobin oxygen saturation to the oxygen fraction in the inhaled air (SpO<sub>2</sub>/FiO<sub>2</sub>). The filterability of ≤ 0.65, or its fast decrease during treatment, were indicators of a poor prognosis. Filterability increased significantly with an increase in erythrocyte count, hematocrit and blood concentrations of hemoglobin, albumin, and total protein. The effect of these parameters on the erythrocyte filterability is directly opposite to their effect on blood macrorheology, where they all increase blood viscosity, worsening the erythrocyte deformability. The erythrocyte filterability decreased with increasing oxygen supply rate, especially in patients on mechanical ventilation, apparently not due to the oxygen supplied, but to the deterioration of the patients’ condition. Filterability significantly correlates with the C-reactive protein, which indicates that inflammation affects the blood microrheology in the capillaries. Thus, the filterability of erythrocytes is a good tool for studying the severity of the patient’s condition and his prognosis in COVID-19.
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spelling doaj.art-3e3e4faf7795414f86292cde446e10ff2023-11-23T15:46:50ZengMDPI AGBiomolecules2218-273X2022-06-0112678210.3390/biom12060782Filterability of Erythrocytes in Patients with COVID-19Dmitry S. Prudinnik0Elena I. Sinauridze1Soslan S. Shakhidzhanov2Elizaveta A. Bovt3Denis N. Protsenko4Alexander G. Rumyantsev5Fazoil I. Ataullakhanov6Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaCity Clinical Hospital No. 40 Moscow Health Department, Kasatkin Str., 7, 129301 Moscow, RussiaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaDmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Healthcare of Russian Federation, Samory Mashela Str., 1, GSP-7, 117198 Moscow, RussiaFor the first time, the influence of COVID-19 on blood microrheology was studied. For this, the method of filtering erythrocytes through filters with pores of 3.5 μm was used. Filterability was shown to significantly decrease with the increasing severity of the patient’s condition, as well as with a decrease in the ratio of hemoglobin oxygen saturation to the oxygen fraction in the inhaled air (SpO<sub>2</sub>/FiO<sub>2</sub>). The filterability of ≤ 0.65, or its fast decrease during treatment, were indicators of a poor prognosis. Filterability increased significantly with an increase in erythrocyte count, hematocrit and blood concentrations of hemoglobin, albumin, and total protein. The effect of these parameters on the erythrocyte filterability is directly opposite to their effect on blood macrorheology, where they all increase blood viscosity, worsening the erythrocyte deformability. The erythrocyte filterability decreased with increasing oxygen supply rate, especially in patients on mechanical ventilation, apparently not due to the oxygen supplied, but to the deterioration of the patients’ condition. Filterability significantly correlates with the C-reactive protein, which indicates that inflammation affects the blood microrheology in the capillaries. Thus, the filterability of erythrocytes is a good tool for studying the severity of the patient’s condition and his prognosis in COVID-19.https://www.mdpi.com/2218-273X/12/6/782COVID-19erythrocytefilterabilitySpO<sub>2</sub>/FiO<sub>2</sub> ratioinflammationdynamics of filterability alteration
spellingShingle Dmitry S. Prudinnik
Elena I. Sinauridze
Soslan S. Shakhidzhanov
Elizaveta A. Bovt
Denis N. Protsenko
Alexander G. Rumyantsev
Fazoil I. Ataullakhanov
Filterability of Erythrocytes in Patients with COVID-19
Biomolecules
COVID-19
erythrocyte
filterability
SpO<sub>2</sub>/FiO<sub>2</sub> ratio
inflammation
dynamics of filterability alteration
title Filterability of Erythrocytes in Patients with COVID-19
title_full Filterability of Erythrocytes in Patients with COVID-19
title_fullStr Filterability of Erythrocytes in Patients with COVID-19
title_full_unstemmed Filterability of Erythrocytes in Patients with COVID-19
title_short Filterability of Erythrocytes in Patients with COVID-19
title_sort filterability of erythrocytes in patients with covid 19
topic COVID-19
erythrocyte
filterability
SpO<sub>2</sub>/FiO<sub>2</sub> ratio
inflammation
dynamics of filterability alteration
url https://www.mdpi.com/2218-273X/12/6/782
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