Article type: Research Article
Authors: Biesiada, Grażyna | Krzemień, Joanna | Czepiel, Jacek | Teległów, Aneta | Dąbrowski, Zbigniew; | Spodaryk, Krzysztof | Mach, Tomasz
Affiliations: Departament of Infectious Diseases and Hepatology, Collegium Medicum Jagiellonian University, ul. Sniadeckich 5, 31-531 Krakow, Poland | Institute of Zoology, Jagiellonian University, Laboratory of Experimental Hematology, ul. Ingardena 6, 30-060 Krakow, Poland | Academy of Physical Education, Institute of Rehabilitation, Al. Jana Pawla II 88, 31-571 Krakow, Poland
Note: [] Corresponding author: Zbigniew Dąbrowski, Institute of Zoology, Jagiellonian University, Laboratory of Experimental Hematology, ul. Ingardena 6, 30-060 Krakow, Poland.
Abstract: The rheological properties of erythrocytes: elongation and the aggregation, as well as basic peripheral blood parameters: RBC number, hematocrit, MCV, MCH, MCHC reticulocytes, fibrinogen level, ESR, and glucose level were studied in a group of erysipelas patients. The concentration of malonyl dialdehyde (MDA) in erythrocytes was also measured, as an indicator of oxidative stress exerted. The study involved 18 erysipelas patients and 18 healthy subjects. The rheological properties and the aggregation of erythrocytes were studied with the use of a LORCA instrument (Laser-assisted Optical Rotational Cell Analyser). Differences were found in elongation index (EI) between the blood control (C) and patients (P), with an increase of this value only at 0.58 Pa shear stress and at 1.13 Pa shear stress. Upstroke were used as the indexes of RBC deformability, and the following aggregation parameters: intensity of light scattering in the prior disaggregation (Isc dis) – C – 43.0 au (arbitrary units), P – 44.8 au, time when cells are round and not aggregated (Isc top) – C – 51.6 au, P – 49.3 au, the amplitude of aggregation, the difference between Isc max and Isc min (AMP) – C – 39.9 au, P – 28.7 au, aggregation index (AI) – C – 64.6%, P – 70.0%, time for reach one half of the maximum aggregation (t½) – C – 2.0 s, P – 1.5 s, threshold shear stress, the lowest force that breaks the aggregation formed (Ythr) in P exceed 170% control group were measured. A decrease in the elasticity of erythrocytes in erysipelas patients was associated with the simultaneous increase of MDA – C – 0.08 nM/mgHb, P – 0.11 nM/mgHb content in the membranes of red blood cells. Basic peripheral blood parameters studied in patients with erysipelas did not differ significantly from the control group except for WBC, fibrinogen (C – 3.8 g/l, P – 7.8 g/l), and ESR (C – 6.1 mm/h, P – 45.4 mm/h) which were significantly higher.
Keywords: Erysipelas, rheology of RBC, elongation, aggregation, MDA
Journal: Clinical Hemorheology and Microcirculation, vol. 34, no. 3, pp. 383-390, 2006
