The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences

Several studies have indicated that COVID-19 can lead to alterations in blood rheology, including an increase in red blood cell aggregation. The precise mechanisms behind this phenomenon are not yet fully comprehended. The latest findings suggest that erythrocyte aggregation significantly influences...

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Main Authors: Maciej Bosek, Tomasz Wybranowski, Marta Napiórkowska-Mastalerz, Jerzy Pyskir, Michał Cyrankiewicz, Małgorzata Pyskir, Marta Pilaczyńska-Cemel, Alicja Szołna-Chodór, Mateusz Wrembel, Stefan Kruszewski, Grzegorz Przybylski
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/19/14952
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author Maciej Bosek
Tomasz Wybranowski
Marta Napiórkowska-Mastalerz
Jerzy Pyskir
Michał Cyrankiewicz
Małgorzata Pyskir
Marta Pilaczyńska-Cemel
Alicja Szołna-Chodór
Mateusz Wrembel
Stefan Kruszewski
Grzegorz Przybylski
author_facet Maciej Bosek
Tomasz Wybranowski
Marta Napiórkowska-Mastalerz
Jerzy Pyskir
Michał Cyrankiewicz
Małgorzata Pyskir
Marta Pilaczyńska-Cemel
Alicja Szołna-Chodór
Mateusz Wrembel
Stefan Kruszewski
Grzegorz Przybylski
author_sort Maciej Bosek
collection DOAJ
description Several studies have indicated that COVID-19 can lead to alterations in blood rheology, including an increase in red blood cell aggregation. The precise mechanisms behind this phenomenon are not yet fully comprehended. The latest findings suggest that erythrocyte aggregation significantly influences microcirculation, causes the formation of blood clots in blood vessels, and even damages the endothelial glycocalyx, leading to endothelial dysfunction. The focus of this research lies in investigating the cellular factors influencing these changes in aggregation and discussing potential causes and implications in the context of COVID-19 pathophysiology. For this purpose, the aggregation of erythrocytes in a group of 52 patients with COVID-19 pneumonia was examined in a 70 kDa Dextran solution, which eliminates the influence of plasma factors. Using image analysis, the velocities and sizes of the formed aggregates were investigated, determining their porosity. This study showed that the process of erythrocyte aggregation in COVID-19 patients, independent of plasma factors, leads to the formation of more compact, denser, three-dimensional aggregates. These aggregates may be less likely to disperse under circulatory shear stress, increasing the risk of thrombotic events. This study also suggests that cellular aggregation factors can be responsible for the thrombotic disorders observed long after infection, even when plasma factors have normalized. The results and subsequent broad discussion presented in this study can contribute to a better understanding of the potential complications associated with increased erythrocyte aggregation.
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spelling doaj.art-cb31f49910b94837aff3e7c05ff853422023-11-19T14:33:03ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-10-0124191495210.3390/ijms241914952The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and ConsequencesMaciej Bosek0Tomasz Wybranowski1Marta Napiórkowska-Mastalerz2Jerzy Pyskir3Michał Cyrankiewicz4Małgorzata Pyskir5Marta Pilaczyńska-Cemel6Alicja Szołna-Chodór7Mateusz Wrembel8Stefan Kruszewski9Grzegorz Przybylski10Department of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Rehabilitation, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Lung Diseases, Neoplasms and Tuberculosis, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Lung Diseases, Neoplasms and Tuberculosis, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Biophysics, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandDepartment of Lung Diseases, Neoplasms and Tuberculosis, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, PolandSeveral studies have indicated that COVID-19 can lead to alterations in blood rheology, including an increase in red blood cell aggregation. The precise mechanisms behind this phenomenon are not yet fully comprehended. The latest findings suggest that erythrocyte aggregation significantly influences microcirculation, causes the formation of blood clots in blood vessels, and even damages the endothelial glycocalyx, leading to endothelial dysfunction. The focus of this research lies in investigating the cellular factors influencing these changes in aggregation and discussing potential causes and implications in the context of COVID-19 pathophysiology. For this purpose, the aggregation of erythrocytes in a group of 52 patients with COVID-19 pneumonia was examined in a 70 kDa Dextran solution, which eliminates the influence of plasma factors. Using image analysis, the velocities and sizes of the formed aggregates were investigated, determining their porosity. This study showed that the process of erythrocyte aggregation in COVID-19 patients, independent of plasma factors, leads to the formation of more compact, denser, three-dimensional aggregates. These aggregates may be less likely to disperse under circulatory shear stress, increasing the risk of thrombotic events. This study also suggests that cellular aggregation factors can be responsible for the thrombotic disorders observed long after infection, even when plasma factors have normalized. The results and subsequent broad discussion presented in this study can contribute to a better understanding of the potential complications associated with increased erythrocyte aggregation.https://www.mdpi.com/1422-0067/24/19/14952COVID-19red blood cells aggregationporosity of aggregatespneumoniablood rheology
spellingShingle Maciej Bosek
Tomasz Wybranowski
Marta Napiórkowska-Mastalerz
Jerzy Pyskir
Michał Cyrankiewicz
Małgorzata Pyskir
Marta Pilaczyńska-Cemel
Alicja Szołna-Chodór
Mateusz Wrembel
Stefan Kruszewski
Grzegorz Przybylski
The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
International Journal of Molecular Sciences
COVID-19
red blood cells aggregation
porosity of aggregates
pneumonia
blood rheology
title The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
title_full The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
title_fullStr The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
title_full_unstemmed The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
title_short The Impact of COVID-19 on Cellular Factors Influencing Red Blood Cell Aggregation Examined in Dextran: Possible Causes and Consequences
title_sort impact of covid 19 on cellular factors influencing red blood cell aggregation examined in dextran possible causes and consequences
topic COVID-19
red blood cells aggregation
porosity of aggregates
pneumonia
blood rheology
url https://www.mdpi.com/1422-0067/24/19/14952
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