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    Simultaneous polymerization and adhesion under hypoxia in sickle cell disease by Papageorgiou, Dimitrios P., Abidi, Sabia Z., Chang, Hung-Yu, Li, Xuejin, Kato, Gregory J., Karniadakis, George E., Suresh, Subra, Dao, Ming

    Published 2019
    “…We show that (i) hypoxia significantly enhances sickle RBC adherence; (ii) HbS polymerization enhances sickle cell adherence in SRs and SMEs, but not in ISCs; (iii) SRs exhibit unique adhesion dynamics where HbS fiber projections growing outward from the cell surface create multiple sites of adhesion; and (iv) polymerization stimulates adhesion and vice versa, thereby establishing the bidirectional coupling between the two processes. These findings offer insights into possible mechanistic pathways leading to vasoocclusion crisis. …”
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    Journal Article
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