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Article type: Research Article
Authors: Schmid-Schönbein, Geert W.a | Jan, Kung-Mingb | Skalak, Richardc | Chien, Shub
Affiliations: [a] Department of Applied Mechanics, Engineering Sciences, Bioengineering, University of California, San Diego, La Jolla, CA 92093 | [b] Department of Physiology, College of Physicians and Surgeons, Columbia University, New York, NY 10032 | [c] Department of Civil Engineering and Engineering Mechanics, Bioengineering Institute, Columbia University, New York, NY 10032
Note: [] Accepted by Editor H.L. Goldsmith
Abstract: Human leukocytes in a blood film exhibit a significantly larger diameter than in the circulation. This is due to the fact that white cells are highly deformed during preparation of a blood film. Instead of having the usual spherical shape, the cells are compressed to “pancake” forms with a thickness of about 1 µm. Hematological investigation is usually performed on these compressed cells, but in the circulation they are not observed. The deformation of the cells on a blood film is due to compression by the glass edge used to spread the blood. After deformation leukocytes do not have enough time to recover since the blood film usually dries in a shorter period than is needed for cell recovery. The shape and size of the leukocyte on the blood film is not only determined by cell volume but also by the cell membrane area. This is shown for each kind of leukocyte by independent prediction of the pancake dimensions from previous measurements of cell volume and membrane area. Leukocytes which are strongly compressed during blood film preparation may exhibit mechanical damage with rupture of membranes.
Keywords: Blood Smear, Leukocyte Deformation
DOI: 10.3233/BIR-1984-21604
Journal: Biorheology, vol. 21, no. 6, pp. 767-781, 1984
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